| Entity Name: | PROFESSIONAL DISABILITY PROVIDER SERVICES, INC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Non-Profit |
| 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: | 25 Aug 2003 (22 years ago) |
| Date of dissolution: | 27 Sep 2013 (11 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 27 Sep 2013 (11 years ago) |
| Document Number: | N03000007411 |
| FEI/EIN Number |
200179885
Federal Employer Identification (FEI) Number assigned by the IRS. |
| Address: | 2526 HEATHERLY OAKS LANE, JACKSONVILLE, FL, 32226 |
| Mail Address: | 2526 HEATHERLY OAKS LANE, JACKSONVILLE, FL, 32226 |
| ZIP code: | 32226 |
| County: | Duval |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1902927668 | 2007-04-02 | 2020-08-22 | 6501 ARLINGTON EXPY, SUITE #156-B, JACKSONVILLE, FL, 322115779, US | 6501 ARLINGTON EXPY, SUITE #156-B, JACKSONVILLE, FL, 322115779, US | |||||||||||||||||
|
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| Phone | +1 904-727-0002 |
| Fax | 9047275070 |
Authorized person
| Name | MRS. EVELYN L.. SHIPMAN |
| Role | DIRECTOR |
| Phone | 9047270002 |
Taxonomy
| Taxonomy Code | 251C00000X - Developmentally Disabled Services Day Training Agency |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| SHIPMAN EVELYN | Executive Director | 2526 HEATHERLY OAKS LANE, JACKSONVILLE, FL, 32226 |
| EVELYN SHIPMAN | Agent | 2526 HEATHERLY OAKS LN, JACKSONVILLE, FL, 32226 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2013-09-27 | - | - |
| CHANGE OF PRINCIPAL ADDRESS | 2012-04-30 | 2526 HEATHERLY OAKS LANE, JACKSONVILLE, FL 32226 | - |
| CHANGE OF MAILING ADDRESS | 2012-04-30 | 2526 HEATHERLY OAKS LANE, JACKSONVILLE, FL 32226 | - |
| REGISTERED AGENT NAME CHANGED | 2007-05-02 | EVELYN, SHIPMAN | - |
| REGISTERED AGENT ADDRESS CHANGED | 2007-05-02 | 2526 HEATHERLY OAKS LN, JACKSONVILLE, FL 32226 | - |
| AMENDMENT | 2003-10-24 | - | - |
| Document Number | Status | Case Number | Name of Court | Date of Entry | Expiration Date | Amount Due | Plaintiff |
|---|---|---|---|---|---|---|---|
| J09002128865 | LAPSED | 16-2008-CC-009320 | CTY CT DUVAL CTY | 2008-09-17 | 2014-09-21 | $11,818.60 | TWENTY-ONE SQUARE PROPERTIES, C/O ROLFE & LOBELLO, P.A., P.O. BOX 40546, JACKSONVILLE, FL 32203 |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2012-04-30 |
| ANNUAL REPORT | 2011-05-02 |
| ANNUAL REPORT | 2010-04-30 |
| ANNUAL REPORT | 2009-04-30 |
| ANNUAL REPORT | 2008-04-25 |
| ANNUAL REPORT | 2007-05-02 |
| ANNUAL REPORT | 2006-04-27 |
| ANNUAL REPORT | 2005-04-28 |
| ANNUAL REPORT | 2004-05-10 |
| Amendment | 2003-10-24 |
Date of last update: 01 Mar 2025
Sources: Florida Department of State
