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ATLAS AIR AMBULANCE, LLC

Company Details

Entity Name: ATLAS AIR AMBULANCE, LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Company
Status: Active
Date Filed: 24 May 2022 (3 years ago)
Last Event: LC NAME CHANGE
Event Date Filed: 26 Sep 2023 (a year ago)
Document Number: L22000223186
FEI/EIN Number 93-3659238
Address: 746 WRIGHT BROTHERS DR., JACKSONVILLE, FL 32225
Mail Address: 746 WRIGHT BROTHERS DR., JACKSONVILLE, FL 32225
ZIP code: 32225
County: Duval
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1568212108 2024-03-26 2024-03-26 746 WRIGHT BROTHERS DR, JACKSONVILLE, FL, 322258420, US 746 WRIGHT BROTHERS DR, JACKSONVILLE, FL, 322258420, US

Contacts

Phone +1 844-650-7322

Authorized person

Name JACKSON SKIGEN
Role OWNER
Phone 8446507322

Taxonomy

Taxonomy Code 3416A0800X - Air Ambulance
Is Primary Yes

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
ATLAS AIR AMBULANCE LLC 2023 933659238 2024-09-12 ATLAS AIR AMBULANCE LLC 0
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2023-11-01
Business code 519100
Sponsor’s telephone number 9044122376
Plan sponsor’s address 746 WRIGHT BROTHERS DR, STE 7, JACKSONVILLE, FL, 32225

Signature of

Role Plan administrator
Date 2024-09-12
Name of individual signing SHIRLEY HORNER
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
K. MAC BRACEWELL, JR. Agent 1301 RIVERPLACE BOULEVARD, SUITE 1500, JACKSONVILLE, FL 32256

Manager

Name Role Address
Skigen , Andrew Manager 746 WRIGHT BROTHERS DR., JACKSONVILLE, FL 32225
Skigen , Jackson Manager 746 WRIGHT BROTHERS DR., JACKSONVILLE, FL 32225

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2024-09-11 746 WRIGHT BROTHERS DR., JACKSONVILLE, FL 32225 No data
CHANGE OF MAILING ADDRESS 2024-09-11 746 WRIGHT BROTHERS DR., JACKSONVILLE, FL 32225 No data
LC NAME CHANGE 2023-09-26 ATLAS AIR AMBULANCE, LLC No data

Documents

Name Date
AMENDED ANNUAL REPORT 2024-09-11
AMENDED ANNUAL REPORT 2024-07-25
ANNUAL REPORT 2024-03-29
LC Name Change 2023-09-26
ANNUAL REPORT 2023-04-18
Florida Limited Liability 2022-05-24

Date of last update: 12 Jan 2025

Sources: Florida Department of State