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  5. JTJ MEDICAL SUPPLY INC.

JTJ MEDICAL SUPPLY INC. - Florida Company Profile

Company Details

Entity Name: JTJ MEDICAL SUPPLY INC.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit

JTJ MEDICAL SUPPLY INC. is structured as a Domestic Profit Corporation, which, in Florida signifies a Profit Corporation (also known as a C-Corporation). This business structure is recognized as a separate legal entity from its owners. This offers shareholders the benefit of limited liability protection, safeguarding their personal assets from the corporation's debts and obligations, and facilitates raising capital through the issuance of stock. In Florida, Domestic Profit Corporations are governed by Title XXXVI, Chapter 607, Florida Statutes – Florida Business Corporation Act.
Status: Active

The business entity is active. This status indicates that the business is currently operating and compliant with state regulations, suggesting a lower risk profile for lenders and potentially better creditworthiness.

Date Filed: 17 Jul 2000 (25 years ago)
Last Event: CANCEL ADM DISS/REV
Event Date Filed: 30 Sep 2009 (15 years ago)
Document Number: P00000069356
FEI/EIN Number 010681788

Federal Employer Identification (FEI) Number assigned by the IRS.
Address: 2692 OAK RIDGE COURT, FORT MYERS, FL, 33901
Mail Address: P O BOX 62134, FT MYERS, FL, 33906-9987
ZIP code: 33901
County: Lee
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1336815950 2021-08-23 2024-07-17 PO BOX 62134, FORT MYERS, FL, 339062134, US 8390 N PALAFOX ST STE 130, PENSACOLA, FL, 325343735, US

Contacts
Phone +1 800-939-2022
Fax 8555230910

Authorized person
Name LISA MARIE SHIERS
Role SECRETARY
Phone 2393173033

Taxonomy
Taxonomy Code 3336C0003X - Community/Retail Pharmacy
Is Primary Yes

Legal Entity Identifier

LEI number Registered As Jurisdiction Of Formation General Category Entity Status Entity created at
254900BSN9M3QVO7IA36 P00000069356 US-FL GENERAL ACTIVE 2000-07-17

Addresses
Legal c/o Patel, Rishikumar B, 4440 Fruitville Road, Sarasota, US-FL, US, 34232
Headquarters P O BOX 62134, FORT MYERS, US-FL, US, 33906

Registration details
Registration Date 2019-12-11
Last Update 2023-10-19
Status ISSUED
Next Renewal 2024-11-17
LEI Issuer 5493001KJTIIGC8Y1R12
Corroboration Level FULLY_CORROBORATED
Data Validated As P00000069356

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
JTJ MEDICAL SUPPLY INC 401(K) PROFIT SHARING PLAN & TRUST 2022 010681788 2024-12-11 JTJ MEDICAL SUPPLY INC 54
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-01-01
Business code 446110
Sponsor’s telephone number 2399399226
Plan sponsor’s address 2692 OAK RIDGE CT, FORT MYERS, FL, 339019351

Signature of
Role Plan administrator
Date 2024-12-11
Name of individual signing HANSIL KALARIA
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2024-12-11
Name of individual signing HANSIL KALARIA
Valid signature Filed with authorized/valid electronic signature
JTJ MEDICAL SUPPLY INC 401(K) PROFIT SHARING PLAN & TRUST 2021 010681788 2022-05-02 JTJ MEDICAL SUPPLY INC 51
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-01-01
Business code 446110
Sponsor’s telephone number 2399399226
Plan sponsor’s address 2692 OAK RIDGE COURT, FORT MYERS, FL, 339010000

Signature of
Role Plan administrator
Date 2022-05-02
Name of individual signing MARK J THEOBALD
Valid signature Filed with authorized/valid electronic signature
JTJ MEDICAL SUPPLY INC 401(K) PROFIT SHARING PLAN & TRUST 2020 010681788 2021-07-19 JTJ MEDICAL SUPPLY INC 46
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-01-01
Business code 446110
Sponsor’s telephone number 2399399226
Plan sponsor’s address 2692 OAK RIDGE COURT, FORT MYERS, FL, 339010000

Signature of
Role Plan administrator
Date 2021-07-19
Name of individual signing MARK J THEOBALD
Valid signature Filed with authorized/valid electronic signature
JTJ MEDICAL SUPPLY INC 401(K) PROFIT SHARING PLAN & TRUST 2019 010681788 2020-06-03 JTJ MEDICAL SUPPLY INC 42
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-01-01
Business code 446110
Sponsor’s telephone number 2399399226
Plan sponsor’s address 2692 OAK RIDGE COURT, FORT MYERS, FL, 339010000

Signature of
Role Plan administrator
Date 2020-06-03
Name of individual signing MARK J THEOBALD
Valid signature Filed with authorized/valid electronic signature
JTJ MEDICAL SUPPLY INC 401 K PROFIT SHARING PLAN TRUST 2018 010681788 2019-06-03 JTJ MEDICAL SUPPLY INC 36
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-01-01
Business code 446110
Sponsor’s telephone number 2399399226
Plan sponsor’s address 2692 OAK RIDGE COURT, FORT MYERS, FL, 339010000

Signature of
Role Plan administrator
Date 2019-06-03
Name of individual signing MARK J THEOBALD
Valid signature Filed with authorized/valid electronic signature
JTJ MEDICAL SUPPLY INC 401 K PROFIT SHARING PLAN TRUST 2017 010681788 2018-05-07 JTJ MEDICAL SUPPLY INC 25
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-01-01
Business code 446110
Sponsor’s telephone number 2399399226
Plan sponsor’s address 2692 OAK RIDGE COURT, FORT MYERS, FL, 339010000

Signature of
Role Plan administrator
Date 2018-05-07
Name of individual signing MARK J THEOBALD
Valid signature Filed with authorized/valid electronic signature
JTJ MEDICAL SUPPLY INC 401 K PROFIT SHARING PLAN TRUST 2016 010681788 2017-07-05 JTJ MEDICAL SUPPLY INC 19
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-01-01
Business code 446110
Sponsor’s telephone number 2399399226
Plan sponsor’s address 2692 OAK RIDGE COURT, FORT MYERS, FL, 339010000

Signature of
Role Plan administrator
Date 2017-07-05
Name of individual signing MARK J THEOBALD
Valid signature Filed with authorized/valid electronic signature
JTJ MEDICAL SUPPLY INC 401 K PROFIT SHARING PLAN TRUST 2015 010681788 2016-05-13 JTJ MEDICAL SUPPLY INC 14
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-01-01
Business code 446110
Sponsor’s telephone number 2399399226
Plan sponsor’s address 2692 OAK RIDGE COURT, FORT MYERS, FL, 339010000

Signature of
Role Plan administrator
Date 2016-05-13
Name of individual signing MARK J THEOBALD
Valid signature Filed with authorized/valid electronic signature
JTJ MEDICAL SUPPLY INC 401 K PROFIT SHARING PLAN TRUST 2014 010681788 2015-07-16 JTJ MEDICAL SUPPLY INC 12
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-01-01
Business code 446110
Sponsor’s telephone number 2399399226
Plan sponsor’s address 2692 OAK RIDGE COURT, FORT MYERS, FL, 339010000

Signature of
Role Plan administrator
Date 2015-07-16
Name of individual signing MARK J THEOBALD
Valid signature Filed with authorized/valid electronic signature
JTJ MEDICAL SUPPLY INC 401 K PROFIT SHARING PLAN TRUST 2013 010681788 2014-05-13 JTJ MEDICAL SUPPLY INC 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-01-01
Business code 446110
Sponsor’s telephone number 2399399226
Plan sponsor’s address 2692 OAK RIDGE COURT, FORT MYERS, FL, 339010000

Signature of
Role Plan administrator
Date 2014-05-13
Name of individual signing MARK THEOBALD
Valid signature Filed with authorized/valid electronic signature

Key Officers & Management

Name Role Address
Patel Rishikumar B Director 2105 N. Nebraska Avenue, Tampa, FL, 366022558
Shiers Lisa Secretary 2734 Oak Ridge Ct., Ft. Myers, FL, 33901
LIFLAND MARY Treasurer 2105 N. Nebraska Avenue, Tampa, FL, 366022558
Kalaria Hansil Chief Product Officer 2692 OAK RIDGE COURT, FORT MYERS, FL, 33901
Patel Rishikumar B Agent 2105 N. Nebraska Avenue, Tampa, FL, 366022558

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G15000125954 BLISS RX ACTIVE 2015-12-14 2025-12-31 - 2692 OAK RIDGE COURT, FORT MYERS, FL, 33901
G03181700273 MAIL MEDS CLINICAL PHARMACY ACTIVE 2003-06-30 2028-12-31 - P.O. BOX 62134, FORT MYERS, FL, 33906-9987

Events

Event Type Filed Date Value Description
REGISTERED AGENT ADDRESS CHANGED 2024-04-23 2105 N. Nebraska Avenue, Tampa, FL 36602-2558 -
REGISTERED AGENT NAME CHANGED 2022-09-19 Patel, Rishikumar B -
CHANGE OF PRINCIPAL ADDRESS 2014-09-09 2692 OAK RIDGE COURT, FORT MYERS, FL 33901 -
CHANGE OF MAILING ADDRESS 2014-09-09 2692 OAK RIDGE COURT, FORT MYERS, FL 33901 -
CANCEL ADM DISS/REV 2009-09-30 - -
ADMIN DISSOLUTION FOR ANNUAL REPORT 2009-09-25 - -

Documents

Name Date
ANNUAL REPORT 2024-04-23
ANNUAL REPORT 2023-02-08
AMENDED ANNUAL REPORT 2022-09-19
AMENDED ANNUAL REPORT 2022-08-22
ANNUAL REPORT 2022-01-11
AMENDED ANNUAL REPORT 2021-12-07
ANNUAL REPORT 2021-01-28
ANNUAL REPORT 2020-01-15
AMENDED ANNUAL REPORT 2019-05-22
ANNUAL REPORT 2019-02-28

Paycheck Protection Program

Loan Number Loan Funded Date SBA Origination Office Code Loan Delivery Method Borrower Street Address
9644377007 2020-04-09 0455 PPP P O Box 62134, FORT MYERS, FL, 33906
Loan Status Date 2021-07-17
Loan Status Paid in Full
Loan Maturity in Months 24
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 741400
Loan Approval Amount (current) 741400
Undisbursed Amount 0
Franchise Name -
Lender Location ID 67422
Servicing Lender Name First Horizon Bank
Servicing Lender Address 165 Madison Ave, MEMPHIS, TN, 38103-2723
Rural or Urban Indicator U
Hubzone N
LMI Y
Business Age Description Existing or more than 2 years old
Project Address FORT MYERS, LEE, FL, 33906-0501
Project Congressional District FL-19
Number of Employees 57
NAICS code 446110
Borrower Race Unanswered
Borrower Ethnicity Unknown/NotStated
Business Type Corporation
Originating Lender ID 78586
Originating Lender Name IberiaBank, A Division of First Horizon Bank
Originating Lender Address Lafayette, LA
Gender Unanswered
Veteran Unanswered
Forgiveness Amount 750235.02
Forgiveness Paid Date 2021-06-24
2905118504 2021-02-22 0455 PPS 2692 Oak Ridge Ct, Fort Myers, FL, 33901-9351
Loan Status Date 2021-11-16
Loan Status Paid in Full
Loan Maturity in Months 60
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 941057
Loan Approval Amount (current) 941057
Undisbursed Amount 0
Franchise Name -
Lender Location ID 67422
Servicing Lender Name First Horizon Bank
Servicing Lender Address 165 Madison Ave, MEMPHIS, TN, 38103-2723
Rural or Urban Indicator U
Hubzone Y
LMI Y
Business Age Description Existing or more than 2 years old
Project Address Fort Myers, LEE, FL, 33901-9351
Project Congressional District FL-19
Number of Employees 65
NAICS code 446110
Borrower Race Unanswered
Borrower Ethnicity Unknown/NotStated
Business Type Corporation
Originating Lender ID 67422
Originating Lender Name First Horizon Bank
Originating Lender Address MEMPHIS, TN
Gender Unanswered
Veteran Unanswered
Forgiveness Amount 946807.9
Forgiveness Paid Date 2021-10-06

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Companies related by address

No other companies in our directory share the same address as JTJ MEDICAL SUPPLY INC.

Date of last update: 02 Mar 2025

Sources: Florida Department of State

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