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  5. MAR-J MEDICAL SUPPLY, INC.

MAR-J MEDICAL SUPPLY, INC. - Florida Company Profile

Company Details

Entity Name: MAR-J MEDICAL SUPPLY, INC.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit

MAR-J 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: 11 Sep 2000 (25 years ago)
Last Event: AMENDMENT
Event Date Filed: 14 Nov 2002 (22 years ago)
Document Number: P00000085822
FEI/EIN Number 651038279

Federal Employer Identification (FEI) Number assigned by the IRS.
Address: 801 MEADOWS ROAD, SUITE 101, BOCA RATON, FL, 33486, US
Mail Address: 801 MEADOWS ROAD, SUITE 101, BOCA RATON, FL, 33486, US
ZIP code: 33486
County: Palm Beach
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1568465185 2005-05-27 2020-01-27 801 MEADOWS RD, SUITE 101, BOCA RATON, FL, 334862346, US 801 MEADOWS RD, STE 101, BOCA RATON, FL, 334862346, US

Contacts
Phone +1 561-347-7997
Fax 5614175588

Authorized person
Name JASON HOUSENBOLD
Role PRESIDENT
Phone 5613477997

Taxonomy
Taxonomy Code 332B00000X - Durable Medical Equipment & Medical Supplies
License Number 1338
State FL
Is Primary Yes

Other Provider Identifiers
Issuer MEDICAID
Number 022811700
State FL
Issuer BCBS
Number R9245
State FL
Issuer AMERIGROUP
Number 241622
State FL

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
MAR-J MEDICAL SUPPLY, INC. 401(K) PROFIT SHARING PLAN & TRU 2023 651038279 2024-07-16 MAR-J MEDICAL SUPPLY, INC. 13
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2018-01-01
Business code 446190
Sponsor’s telephone number 3052134468
Plan sponsor’s address 801 MEADOWS ROAD , SUITE 101, BOCA RATON, FL, 33486

Signature of
Role Plan administrator
Date 2024-07-16
Name of individual signing SHIRLEY HORNER
Valid signature Filed with authorized/valid electronic signature
MAR-J MEDICAL SUPPLY INC 401(K) PROFIT SHARING PLAN & TRUST 2022 651038279 2023-04-03 MAR-J MEDICAL SUPPLY INC 15
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2018-01-01
Business code 339110
Sponsor’s telephone number 9548031321
Plan sponsor’s address 801 MEADOWS ROAD SUITE 101, BOCA RATON, FL, 33486

Signature of
Role Plan administrator
Date 2023-04-03
Name of individual signing EDWARD ROJAS
Valid signature Filed with authorized/valid electronic signature
MAR-J MEDICAL SUPPLY INC 401(K) PROFIT SHARING PLAN & TRUST 2021 651038279 2022-04-18 MAR-J MEDICAL SUPPLY INC 11
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2018-01-01
Business code 339110
Sponsor’s telephone number 9548031321
Plan sponsor’s address 801 MEADOWS ROAD SUITE 101, BOCA RATON, FL, 33486

Signature of
Role Plan administrator
Date 2022-04-18
Name of individual signing EDWARD ROJAS
Valid signature Filed with authorized/valid electronic signature
MAR-J MEDICAL SUPPLY INC 401(K) PROFIT SHARING PLAN & TRUST 2020 651038279 2021-04-21 MAR-J MEDICAL SUPPLY INC 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2018-01-01
Business code 339110
Sponsor’s telephone number 9548031321
Plan sponsor’s address 801 MEADOWS ROAD SUITE 101, BOCA RATON, FL, 33486

Signature of
Role Plan administrator
Date 2021-04-21
Name of individual signing EDWARD ROJAS
Valid signature Filed with authorized/valid electronic signature
MAR-J MEDICAL SUPPLY INC 401(K) PROFIT SHARING PLAN & TRUST 2019 651038279 2020-04-08 MAR-J MEDICAL SUPPLY INC 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2018-01-01
Business code 339110
Sponsor’s telephone number 9548031321
Plan sponsor’s address 801 MEADOWS ROAD SUITE 101, BOCA RATON, FL, 33486

Signature of
Role Plan administrator
Date 2020-04-08
Name of individual signing EDWARD ROJAS
Valid signature Filed with authorized/valid electronic signature
MAR-J MEDICAL SUPPLY, INC. 401 K PROFIT SHARING PLAN TRUST 2018 651038279 2019-06-04 MAR-J MEDICAL SUPPLY, INC. 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2018-01-01
Business code 339110
Sponsor’s telephone number 9548031321
Plan sponsor’s address 801 MEADOWS ROAD SUITE 101, BOCA RATON, FL, 33486

Plan administrator’s name and address
Administrator’s EIN 264477125
Plan administrator’s name 401K GENERATION
Plan administrator’s address 195 INTERNATIONAL PKWY, S #311, LAKE MARY, FL, 32746
Administrator’s telephone number 8669985879

Signature of
Role Plan administrator
Date 2019-06-04
Name of individual signing EDWARD ROJAS
Valid signature Filed with authorized/valid electronic signature

Key Officers & Management

Name Role Address
HOUSENBOLD JASON President 801 MEADOWS ROAD, SUITE 101, BOCA RATON, FL, 33486
HOUSENBOLD JASON P Agent 801 MEADOWS ROAD, BOCA RATON, FL, 33486

Events

Event Type Filed Date Value Description
REGISTERED AGENT NAME CHANGED 2010-01-06 HOUSENBOLD, JASON PRES -
CHANGE OF MAILING ADDRESS 2005-01-12 801 MEADOWS ROAD, SUITE 101, BOCA RATON, FL 33486 -
REGISTERED AGENT ADDRESS CHANGED 2005-01-12 801 MEADOWS ROAD, SUITE 101, BOCA RATON, FL 33486 -
CHANGE OF PRINCIPAL ADDRESS 2003-04-30 801 MEADOWS ROAD, SUITE 101, BOCA RATON, FL 33486 -
AMENDMENT 2002-11-14 - -

Debts

Document Number Status Case Number Name of Court Date of Entry Expiration Date Amount Due Plaintiff
J09001095974 TERMINATED 1000000091879 22864 1358 2008-09-18 2029-04-08 $ 20.03 STATE OF FLORIDA, DEPARTMENT OF REVENUE, WEST PALM BEACH SERVICE CENTER, 2468 METROCENTRE BLVD, WEST PALM BEACH FL334073105
J09000138833 TERMINATED 1000000091879 22864 1358 2008-09-18 2029-01-22 $ 317.07 STATE OF FLORIDA, DEPARTMENT OF REVENUE, WEST PALM BEACH SERVICE CENTER, 2468 METROCENTRE BLVD, WEST PALM BEACH FL334073105
J09000375179 ACTIVE 1000000091879 22864 1358 2008-09-18 2029-01-28 $ 317.07 STATE OF FLORIDA, DEPARTMENT OF REVENUE, WEST PALM BEACH SERVICE CENTER, 2468 METROCENTRE BLVD, WEST PALM BEACH FL334073105
J09000502905 TERMINATED 1000000091879 22864 1358 2008-09-18 2029-02-04 $ 20.03 STATE OF FLORIDA, DEPARTMENT OF REVENUE, WEST PALM BEACH SERVICE CENTER, 2468 METROCENTRE BLVD, WEST PALM BEACH FL334073105
J09000577618 TERMINATED 1000000091879 22864 1358 2008-09-18 2029-02-11 $ 20.03 STATE OF FLORIDA, DEPARTMENT OF REVENUE, WEST PALM BEACH SERVICE CENTER, 2468 METROCENTRE BLVD, WEST PALM BEACH FL334073105
J09000654094 TERMINATED 1000000091879 22864 1358 2008-09-18 2029-02-18 $ 20.03 STATE OF FLORIDA, DEPARTMENT OF REVENUE, WEST PALM BEACH SERVICE CENTER, 2468 METROCENTRE BLVD, WEST PALM BEACH FL334073105
J09000730167 TERMINATED 1000000091879 22864 1358 2008-09-18 2014-02-25 $ 20.03 STATE OF FLORIDA, DEPARTMENT OF REVENUE, WEST PALM BEACH SERVICE CENTER, 2468 METROCENTRE BLVD, WEST PALM BEACH FL334073105
J09000788561 TERMINATED 1000000091879 22864 1358 2008-09-18 2029-03-05 $ 20.03 STATE OF FLORIDA, DEPARTMENT OF REVENUE, WEST PALM BEACH SERVICE CENTER, 2468 METROCENTRE BLVD, WEST PALM BEACH FL334073105
J09000848480 TERMINATED 1000000091879 22864 1358 2008-09-18 2029-03-11 $ 20.03 STATE OF FLORIDA, DEPARTMENT OF REVENUE, WEST PALM BEACH SERVICE CENTER, 2468 METROCENTRE BLVD, WEST PALM BEACH FL334073105
J09000906015 TERMINATED 1000000091879 22864 1358 2008-09-18 2029-03-18 $ 20.03 STATE OF FLORIDA, DEPARTMENT OF REVENUE, WEST PALM BEACH SERVICE CENTER, 2468 METROCENTRE BLVD, WEST PALM BEACH FL334073105

Documents

Name Date
ANNUAL REPORT 2024-04-19
ANNUAL REPORT 2023-02-27
ANNUAL REPORT 2022-04-11
ANNUAL REPORT 2021-02-08
ANNUAL REPORT 2020-06-28
ANNUAL REPORT 2019-03-08
ANNUAL REPORT 2018-04-30
ANNUAL REPORT 2017-04-26
ANNUAL REPORT 2016-03-02
ANNUAL REPORT 2015-02-23

Paycheck Protection Program

Loan Number Loan Funded Date SBA Origination Office Code Loan Delivery Method Borrower Street Address
8463987303 2020-05-01 0455 PPP 801 MEADOWS RD STE 101, BOCA RATON, FL, 33486-2346
Loan Status Date 2021-03-18
Loan Status Paid in Full
Loan Maturity in Months 24
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 161067
Loan Approval Amount (current) 161067
Undisbursed Amount 0
Franchise Name -
Lender Location ID 9551
Servicing Lender Name Bank of America, National Association
Servicing Lender Address 100 N Tryon St, Ste 170, CHARLOTTE, NC, 28202-4024
Rural or Urban Indicator U
Hubzone N
LMI N
Business Age Description Existing or more than 2 years old
Project Address BOCA RATON, PALM BEACH, FL, 33486-2346
Project Congressional District FL-23
Number of Employees 14
NAICS code 339112
Borrower Race Unanswered
Borrower Ethnicity Not Hispanic or Latino
Business Type Corporation
Originating Lender ID 9551
Originating Lender Name Bank of America, National Association
Originating Lender Address CHARLOTTE, NC
Gender Male Owned
Veteran Non-Veteran
Forgiveness Amount 162109.16
Forgiveness Paid Date 2021-02-16

U.S. Small Business Administration Profile

Status User ID Name of Firm Trade Name UEI Address
Active P2867260 MAR J MEDICAL SUPPLY INC MAR J MEDICAL SUPPLY INC QN4KAVMSKGA8 801 MEADOWS RD, STE 101, BOCA RATON, FL, 33486-2346
Capabilities Statement Link -
Phone Number 561-347-7997
Fax Number 561-417-5588
E-mail Address jasonh@mar-jmedical.com
WWW Page http://www.mar-jmedical.com
E-Commerce Website -
Contact Person JASON HOUSENBOLD
County Code (3 digit) 099
Congressional District 23
Metropolitan Statistical Area 8960
CAGE Code 4T0P4
Year Established 2000
Accepts Government Credit Card Yes
Legal Structure Subchapter S Corporation
Ownership and Self-Certifications -
Business Development Servicing Office SOUTH FLORIDA DISTRICT OFFICE (SBA office code 0455)
Capabilities Narrative (none given)
Special Equipment/Materials (none given)
Business Type Percentages (none given)
Keywords (none given)
Quality Assurance Standards (none given)
Electronic Data Interchange capable -

SBA Federal Certifications
HUBZone Certified No
Women Owned Certified No
Women Owned Pending No
Economically Disadvantaged Women Owned Certified No
Economically Disadvantaged Women Owned Pending No
Veteran-Owned Small Business Certified No
Veteran-Owned Small Business Joint Venture No
Service-Disabled Veteran-Owned Small Business Certified No
Service-Disabled Veteran-Owned Small Business Joint Venture No

Bonding Levels
Description Construction Bonding Level (per contract)
Level (none given)
Description Construction Bonding Level (aggregate)
Level (none given)
Description Service Bonding Level (per contract)
Level (none given)
Description Service Bonding Level (aggregate)
Level (none given)

NAICS Codes with Size Determinations by NAICS
Primary Yes
Code 423450
NAICS Code's Description Medical, Dental, and Hospital Equipment and Supplies Merchant Wholesalers
Buy Green Yes
Code 339112
NAICS Code's Description Surgical and Medical Instrument Manufacturing
Buy Green Yes
Code 339113
NAICS Code's Description Surgical Appliance and Supplies Manufacturing
Buy Green Yes
Code 339114
NAICS Code's Description Dental Equipment and Supplies Manufacturing
Buy Green Yes
Code 423910
NAICS Code's Description Sporting and Recreational Goods and Supplies Merchant Wholesalers
Buy Green Yes
Code 424210
NAICS Code's Description Drugs and Druggists’ Sundries Merchant Wholesalers
Buy Green Yes
Code 532283
NAICS Code's Description Home Health Equipment Rental
Buy Green Yes
Code 541611
NAICS Code's Description Administrative Management and General Management Consulting Services
Buy Green Yes
Code 541618
NAICS Code's Description Other Management Consulting Services
Buy Green Yes
Code 624230
NAICS Code's Description Emergency and Other Relief Services
Buy Green Yes
Code 812990
NAICS Code's Description All Other Personal Services
Buy Green Yes

Export Profile (Trade Mission Online)
Exporter Firm hasn't answered this question yet
Export Business Activities (none given)
Exporting to (none given)
Desired Export Business Relationships (none given)
Description of Export Objective(s) (none given)

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Companies related by address

No other companies in our directory share the same address as MAR-J MEDICAL SUPPLY, INC.

Date of last update: 01 Apr 2025

Sources: Florida Department of State

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