| Entity Name: | LIBERTY MEDICAL SUPPLY, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: |
Florida Limited Liability Co.
LIBERTY MEDICAL SUPPLY, 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: | 12 May 2020 (5 years ago) |
| Date of dissolution: | 22 Sep 2023 (2 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 22 Sep 2023 (2 years ago) |
| Document Number: | L20000128172 |
| FEI/EIN Number |
851115328
Federal Employer Identification (FEI) Number assigned by the IRS. |
| Address: | 1700 N Dixie Highway, #116, Boca Raton, FL, 33432, US |
| Mail Address: | 1700 N Dixie Highway, #116, Boca Raton, FL, 33432, US |
| ZIP code: | 33432 |
| County: | Palm Beach |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1194337683 | 2020-08-18 | 2022-04-28 | 1700 N DIXIE HWY STE 116, BOCA RATON, FL, 334321807, US | 1700 N DIXIE HWY STE 116, BOCA RATON, FL, 334321807, US | |||||||||||||
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| Phone | +1 844-397-5011 |
Authorized person
| Name | IVAN ASHLEY FERGUSON |
| Role | OWNER |
| Phone | 8443975011 |
Taxonomy
| Taxonomy Code | 332B00000X - Durable Medical Equipment & Medical Supplies |
| Is Primary | Yes |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| LIBERTY MEDICAL SUPPLY HEALTH & WELFARE PLAN | 2014 | 650193983 | 2015-07-22 | LIBERTY MEDICAL SUPPLY | 504 | |||||||||||||||||||||||||||||||||||||||||||||||
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| Active participants | 452 |
| Retired or separated participants receiving benefits | 0 |
| Other retired or separated participants entitled to future benefits | 0 |
| Deceased participants whose beneficiaries are receiving or are entitled to receive benefits | 0 |
| Number of participants with account balances as of the end of the plan year | 0 |
| Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested | 0 |
Signature of
| Role | Plan administrator |
| Date | 2015-07-22 |
| Name of individual signing | DANIELLE VELTRE |
| Valid signature | Filed with authorized/valid electronic signature |
| Role | Employer/plan sponsor |
| Date | 2015-07-22 |
| Name of individual signing | DANIELLE VELTRE |
| Valid signature | Filed with authorized/valid electronic signature |
| Name | Role | Address |
|---|---|---|
| FERGUSON IVAN | Authorized Member | 1700 N DIXIE HWY #116, BOCA RATON, FL, 33431 |
| FERGUSON IVAN | Agent | 1700 N DIXIE HWY #116, BOCA RATON, FL, 33431 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2023-09-22 | - | - |
| CHANGE OF PRINCIPAL ADDRESS | 2022-05-16 | 1700 N Dixie Highway, #116, Boca Raton, FL 33432 | - |
| CHANGE OF MAILING ADDRESS | 2022-05-16 | 1700 N Dixie Highway, #116, Boca Raton, FL 33432 | - |
| REGISTERED AGENT ADDRESS CHANGED | 2022-04-15 | 1700 N DIXIE HWY #116, BOCA RATON, FL 33431 | - |
| LC AMENDMENT | 2022-04-15 | - | - |
| REGISTERED AGENT NAME CHANGED | 2022-04-15 | FERGUSON, IVAN | - |
| LC AMENDMENT | 2021-01-07 | - | - |
| LC AMENDMENT | 2020-08-04 | - | - |
| Document Number | Status | Case Number | Name of Court | Date of Entry | Expiration Date | Amount Due | Plaintiff |
|---|---|---|---|---|---|---|---|
| J23000081935 | ACTIVE | 502022CC015160 | 15TH JUD CIR | 2023-02-20 | 2028-02-28 | $6,084.52 | MIZNER CITY INVESTMENTS LLC, 215 N FEDERAL HWY, BOCA RATON, FL 33432 |
| Name | Date |
|---|---|
| LC Amendment | 2022-04-15 |
| ANNUAL REPORT | 2022-01-27 |
| ANNUAL REPORT | 2021-02-02 |
| LC Amendment | 2021-01-07 |
| LC Amendment | 2020-08-04 |
| Florida Limited Liability | 2020-05-12 |
| Inspection Nr | Report ID | Date Opened | Site Address | |||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 308408830 | 0418800 | 2005-08-18 | 8881 LIBERTY LANE, PORT SAINT LUCIE, FL, 34953 | |||||||||||||||||||||||||||||||||
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| Citation ID | 01001 |
| Citaton Type | Serious |
| Standard Cited | 19260453 B02 V |
| Issuance Date | 2005-09-08 |
| Abatement Due Date | 2005-09-13 |
| Current Penalty | 1500.0 |
| Initial Penalty | 2625.0 |
| Nr Instances | 2 |
| Gravity | 05 |
Date of last update: 01 Apr 2025
Sources: Florida Department of State
