| Entity Name: | JACKSON COUNTY TRANSPORTATION, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Not For Profit Corporation |
| Status: | Active |
| Date Filed: | 07 Oct 1994 (30 years ago) |
| Last Event: | AMENDMENT |
| Event Date Filed: | 14 Nov 1995 (29 years ago) |
| Document Number: | N94000004934 |
| FEI/EIN Number | 59-3264135 |
| Address: | 3988 OLD COTTONDALE ROAD, MARIANNA, FL 32448 |
| Mail Address: | P.O. BOX 1117, MARIANNA, FL 32446 |
| ZIP code: | 32448 |
| County: | Jackson |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1205094521 | 2008-05-23 | 2008-05-23 | PO BOX 1117, 3988 OLD COTTONDALE ROAD, MARIANNA, FL, 324461117, US | 3988 OLD COTTONDALE RD, MARIANNA, FL, 324483612, US | |||||||||||||||||||||||||||
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| Phone | +1 850-482-7433 |
| Fax | 8504827592 |
Authorized person
| Name | MRS. SHARON PEELER |
| Role | EXECUTIVE DIRECTOR |
| Phone | 8504827433 |
Taxonomy
| Taxonomy Code | 343900000X - Non-emergency Medical Transport (VAN) |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 686611596 |
| State | FL |
| Issuer | MEDICAID |
| Number | 686611598 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| PEELER, SHARON | Agent | 3988 OLD COTTONDALE ROAD, MARIANNA, FL 32448 |
| Name | Role | Address |
|---|---|---|
| PFORTE, LINDA | Director | 2919 PENNSYLVANIA AVENUE, MARIANNA, FL 32448 |
| LONG, WILLIAM | Director | 3786 OLD US ROAD, MARIANNA, FL 32446 |
| BOWERS, DELOIS | Director | 5571 BOOMERANG ROAD, BASCOM, FL 32423 |
| HAMILTON, JOHN | Director | 3693 HIGHWAY 69, GREENWOOD, FL 32443 |
| DEAN, JIM | Director | 2898 GREEN STREET, MARIANNA, FL 32446 |
| Name | Role | Address |
|---|---|---|
| STEVENS, BILL | Secretary | 2525 SPRING CREEK ROAD, MARIANNA, FL 32448 |
| Name | Role | Address |
|---|---|---|
| STEVENS, BILL | Treasurer | 2525 SPRING CREEK ROAD, MARIANNA, FL 32448 |
| Name | Role | Address |
|---|---|---|
| JOHNSON, DAVID | Vice President | 2808 APPALACHEE TRAIL, MARIANNA, FL 32446 |
| Name | Role | Address |
|---|---|---|
| MELVIN, DAVID | DIRECTOR | 4428 LAFAYETTE STREET, MARIANNA, FL 32446 |
| Name | Role | Address |
|---|---|---|
| Swails, Billy | President | P.O. Box 1117, Marianna,, FL 32446 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G99015900157 | JTRANS | ACTIVE | 1999-01-18 | 2029-12-31 | No data | P.O. BOX 1117, MARIANNA, FL, 32446 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT NAME CHANGED | 2004-04-30 | PEELER, SHARON | No data |
| CHANGE OF PRINCIPAL ADDRESS | 1996-04-15 | 3988 OLD COTTONDALE ROAD, MARIANNA, FL 32448 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 1996-04-15 | 3988 OLD COTTONDALE ROAD, MARIANNA, FL 32448 | No data |
| AMENDMENT | 1995-11-14 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-03 |
| ANNUAL REPORT | 2023-01-27 |
| ANNUAL REPORT | 2022-04-20 |
| ANNUAL REPORT | 2021-02-22 |
| ANNUAL REPORT | 2020-03-26 |
| ANNUAL REPORT | 2019-04-03 |
| ANNUAL REPORT | 2018-03-27 |
| ANNUAL REPORT | 2017-04-05 |
| ANNUAL REPORT | 2016-04-07 |
| ANNUAL REPORT | 2015-04-06 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
