| Entity Name: | FIVESTAR MEDICAL SUPPLIES, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: |
Florida Limited Liability Co.
FIVESTAR MEDICAL SUPPLIES, LLC is structured as a Limited Liability Company (LLC), a common business structure that offers its members limited liability protection, separating their personal assets from the company's debts and obligations. |
| Status: |
Inactive
The business entity is inactive. This status may signal operational issues or voluntary closure, raising concerns about the business's ability to repay loans and requiring careful risk assessment by lenders. |
| Date Filed: | 09 Jul 2019 (6 years ago) |
| Date of dissolution: | 23 Sep 2022 (3 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 23 Sep 2022 (3 years ago) |
| Document Number: | L19000176479 |
| FEI/EIN Number |
84-2326075
Federal Employer Identification (FEI) Number assigned by the IRS. |
| Address: | 2468 US HWY 441/27, SUITE 201, FRUITLAND PARK, FL, 34731, US |
| Mail Address: | 2468 US HWY 441/27, SUITE 201, FRUITLAND PARK, FL, 34731, US |
| ZIP code: | 34731 |
| County: | Lake |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1841846623 | 2019-08-16 | 2019-08-16 | 2468 US HIGHWAY 441/27 STE 201, FRUITLAND PARK, FL, 347312149, US | 2468 US HIGHWAY 441/27 STE 201, FRUITLAND PARK, FL, 347312149, US | |||||||||||||
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| Phone | +1 352-901-7427 |
Authorized person
| Name | CLAUDETTE CLERVIL CHERISTIN |
| Role | CEO |
| Phone | 3529017427 |
Taxonomy
| Taxonomy Code | 332B00000X - Durable Medical Equipment & Medical Supplies |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| Ward Randy | Manager | 3768 Fir St, The Villages, FL, 32163 |
| Ward Randy | Agent | 3768 Fir St, The Villages, FL, 32163 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2022-09-23 | - | - |
| LC DISSOCIATION MEM | 2021-03-10 | - | - |
| REGISTERED AGENT NAME CHANGED | 2021-02-26 | Ward, Randy | - |
| REGISTERED AGENT ADDRESS CHANGED | 2021-02-26 | 3768 Fir St, The Villages, FL 32163 | - |
| LC AMENDMENT | 2021-02-26 | - | - |
| CHANGE OF MAILING ADDRESS | 2021-02-26 | 2468 US HWY 441/27, SUITE 201, FRUITLAND PARK, FL 34731 | - |
| CHANGE OF PRINCIPAL ADDRESS | 2019-11-25 | 2468 US HWY 441/27, SUITE 201, FRUITLAND PARK, FL 34731 | - |
| LC AMENDMENT | 2019-11-25 | - | - |
| Name | Date |
|---|---|
| CORLCDSMEM | 2021-03-10 |
| ANNUAL REPORT | 2021-02-26 |
| LC Amendment | 2021-02-26 |
| ANNUAL REPORT | 2020-06-08 |
| LC Amendment | 2019-11-25 |
| Florida Limited Liability | 2019-07-09 |
| Loan Number | Loan Funded Date | SBA Origination Office Code | Loan Delivery Method | Borrower Street Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| 7843807107 | 2020-04-14 | 0491 | PPP | STE 201 2468 US HIGHWAY 441/27, FRUITLAND PK, FL, 34731-2149 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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Date of last update: 03 Apr 2025
Sources: Florida Department of State
