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  5. FAMILY LIFE CARE, INC.

FAMILY LIFE CARE, INC. - Florida Company Profile

Company Details

Entity Name: FAMILY LIFE CARE, INC.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit

FAMILY LIFE CARE, 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: 16 Oct 2000 (25 years ago)
Last Event: REINSTATEMENT
Event Date Filed: 30 Apr 2002 (23 years ago)
Document Number: P00000098156
FEI/EIN Number 593679263

Federal Employer Identification (FEI) Number assigned by the IRS.
Address: 555 Wells Road, Orange Park, FL, 32073, US
Mail Address: 555 Wells Road, Orange Park, FL, 32073, US
ZIP code: 32073
County: Clay
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1851944847 2019-07-19 2020-07-20 555 WELLS RD, ORANGE PARK, FL, 320732923, US 406 OHIO AVE S, LIVE OAK, FL, 320643218, US

Contacts
Phone +1 904-579-1581
Fax 9043751673
Phone +1 386-364-5515
Fax 3863645648

Authorized person
Name DAVID MCMULLEN
Role CEO
Phone 9045791581

Taxonomy
Taxonomy Code 253Z00000X - In Home Supportive Care Agency
Is Primary Yes

Other Provider Identifiers
Issuer MEDICAID
Number 680609100
State FL
Issuer NURSE REGISTRY LICENSE
Number 30211927
State FL

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
FAMILY LIFE CARE INC 401(K) PROFIT SHARING PLAN & TRUST 2023 593679263 2024-07-09 FAMILY LIFE CARE INC 44
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-01-01
Business code 812990
Sponsor’s telephone number 9045297072
Plan sponsor’s address 555 WELLS ROAD, ORANGE PARK, FL, 320730000

Signature of
Role Plan administrator
Date 2024-07-09
Name of individual signing EDWARD ROJAS
Valid signature Filed with authorized/valid electronic signature
FAMILY LIFE CARE INC 401(K) PROFIT SHARING PLAN & TRUST 2022 593679263 2023-06-09 FAMILY LIFE CARE INC 39
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-01-01
Business code 812990
Sponsor’s telephone number 9045297072
Plan sponsor’s address 555 WELLS ROAD, ORANGE PARK, FL, 320730000

Signature of
Role Plan administrator
Date 2023-06-09
Name of individual signing EDWARD ROJAS
Valid signature Filed with authorized/valid electronic signature
FAMILY LIFE CARE INC 401(K) PROFIT SHARING PLAN & TRUST 2021 593679263 2022-08-12 FAMILY LIFE CARE INC 28
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-01-01
Business code 812990
Sponsor’s telephone number 9045297072
Plan sponsor’s address 555 WELLS ROAD, ORANGE PARK, FL, 320730000

Signature of
Role Plan administrator
Date 2022-08-12
Name of individual signing EDWARD ROJAS
Valid signature Filed with authorized/valid electronic signature
FAMILY LIFE CARE INC 401(K) PROFIT SHARING PLAN & TRUST 2020 593679263 2021-04-07 FAMILY LIFE CARE INC 33
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-01-01
Business code 812990
Sponsor’s telephone number 9045297072
Plan sponsor’s address 555 WELLS ROAD, ORANGE PARK, FL, 320730000

Signature of
Role Plan administrator
Date 2021-04-07
Name of individual signing EDWARD ROJAS
Valid signature Filed with authorized/valid electronic signature
FAMILY LIFE CARE INC 401(K) PROFIT SHARING PLAN & TRUST 2019 593679263 2020-04-06 FAMILY LIFE CARE INC 31
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-01-01
Business code 812990
Sponsor’s telephone number 9045297072
Plan sponsor’s address 555 WELLS ROAD, ORANGE PARK, FL, 320730000

Signature of
Role Plan administrator
Date 2020-04-06
Name of individual signing EDWARD ROJAS
Valid signature Filed with authorized/valid electronic signature
FAMILY LIFE CARE INC 401 K PROFIT SHARING PLAN TRUST 2018 593679263 2019-10-09 FAMILY LIFE CARE INC 38
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-01-01
Business code 812990
Sponsor’s telephone number 9045297072
Plan sponsor’s address 555 WELLS ROAD, ORANGE PARK, FL, 320730000

Signature of
Role Plan administrator
Date 2019-10-09
Name of individual signing EDWARD ROJAS
Valid signature Filed with authorized/valid electronic signature
FAMILY LIFE CARE INC 401 K PROFIT SHARING PLAN TRUST 2017 593679263 2018-06-26 FAMILY LIFE CARE INC 32
Three-digit plan number (PN) 001
Effective date of plan 2013-01-01
Business code 812990
Sponsor’s telephone number 9045297072
Plan sponsor’s address 555 WELLS ROAD, ORANGE PARK, FL, 320730000

Signature of
Role Plan administrator
Date 2018-06-26
Name of individual signing EDWARD ROJAS
Valid signature Filed with authorized/valid electronic signature
FAMILY LIFE CARE INC 401 K PROFIT SHARING PLAN TRUST 2017 593679263 2019-10-13 FAMILY LIFE CARE INC 32
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-01-01
Business code 812990
Sponsor’s telephone number 9045297072
Plan sponsor’s address 555 WELLS ROAD, ORANGE PARK, FL, 320730000

Signature of
Role Plan administrator
Date 2019-10-13
Name of individual signing EDWARD ROJAS
Valid signature Filed with authorized/valid electronic signature
FAMILY LIFE CARE INC 401 K PROFIT SHARING PLAN TRUST 2016 593679263 2017-06-20 FAMILY LIFE CARE INC 28
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-01-01
Business code 812990
Sponsor’s telephone number 9045297072
Plan sponsor’s address 555 WELLS ROAD, ORANGE PARK, FL, 320730000

Signature of
Role Plan administrator
Date 2017-06-20
Name of individual signing EDWARD ROJAS
Valid signature Filed with authorized/valid electronic signature
FAMILY LIFE CARE INC 401 K PROFIT SHARING PLAN TRUST 2015 593679263 2016-05-17 FAMILY LIFE CARE INC 30
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-01-01
Business code 812990
Sponsor’s telephone number 9045297072
Plan sponsor’s address 555 WELLS RD, ORANGE PARK, FL, 320732923

Signature of
Role Plan administrator
Date 2016-05-17
Name of individual signing EDWARD ROJAS
Valid signature Filed with authorized/valid electronic signature

Key Officers & Management

Name Role Address
MCMULLEN DAVID Chairman 1703 SECLUDED WOODS WAY, ORANGE PARK, FL, 32003
MCMULLEN ROBIN Secretary 1703 SECLUDED WOODS WAY, ORANGE PARK, FL, 32003
MCMULLEN ROBIN Treasurer 1703 SECLUDED WOODS WAY, ORANGE PARK, FL, 32003
VALDEZ BRENDA Shar 1115 BLACKBURN AVE, LIVE OAK, FL, 32060
MCMULLEN DAVID B Agent 555 Wells Road, Orange Park, FL, 32073

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2014-03-23 555 Wells Road, Orange Park, FL 32073 -
CHANGE OF MAILING ADDRESS 2014-03-23 555 Wells Road, Orange Park, FL 32073 -
REGISTERED AGENT ADDRESS CHANGED 2014-03-23 555 Wells Road, Orange Park, FL 32073 -
REINSTATEMENT 2002-04-30 - -
ADMIN DISSOLUTION FOR ANNUAL REPORT 2001-09-21 - -

Documents

Name Date
ANNUAL REPORT 2024-01-03
ANNUAL REPORT 2023-01-26
ANNUAL REPORT 2022-01-31
ANNUAL REPORT 2021-02-04
ANNUAL REPORT 2020-01-28
ANNUAL REPORT 2019-01-27
ANNUAL REPORT 2018-01-10
ANNUAL REPORT 2017-03-08
ANNUAL REPORT 2016-03-30
ANNUAL REPORT 2015-01-28

Paycheck Protection Program

Loan Number Loan Funded Date SBA Origination Office Code Loan Delivery Method Borrower Street Address
2232487301 2020-04-29 0491 PPP 555 Wells Road, ORANGE PARK, FL, 32073
Loan Status Date 2021-02-04
Loan Status Paid in Full
Loan Maturity in Months 24
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 237100
Loan Approval Amount (current) 237100
Undisbursed Amount 0
Franchise Name -
Lender Location ID 19595
Servicing Lender Name Ameris Bank
Servicing Lender Address 3490 Piedmont Rd NE, Ste 124, ATLANTA, GA, 30305
Rural or Urban Indicator U
Hubzone N
LMI N
Business Age Description Unanswered
Project Address ORANGE PARK, CLAY, FL, 32073-1600
Project Congressional District FL-04
Number of Employees 35
NAICS code 621610
Borrower Race White
Borrower Ethnicity Not Hispanic or Latino
Business Type Subchapter S Corporation
Originating Lender ID 19595
Originating Lender Name Ameris Bank
Originating Lender Address ATLANTA, GA
Gender Unanswered
Veteran Unanswered
Forgiveness Amount 236044.57
Forgiveness Paid Date 2020-12-10

U.S. Small Business Administration Profile

Status User ID Name of Firm Trade Name UEI Address
Active P2505098 FAMILY LIFE CARE, INC. - QCMXKVJ7D8R5 555 WELLS RD, ORANGE PARK, FL, 32073-2923
Capabilities Statement Link -
Phone Number 904-579-1581
Fax Number -
E-mail Address dave.mcmullen@familylifecare.com
WWW Page -
E-Commerce Website -
Contact Person DAVID MCMULLEN
County Code (3 digit) 019
Congressional District 04
Metropolitan Statistical Area 3600
CAGE Code 8QL56
Year Established 2000
Accepts Government Credit Card No
Legal Structure Subchapter S Corporation
Ownership and Self-Certifications Veteran
Business Development Servicing Office NORTH FLORIDA DISTRICT OFFICE (SBA office code 0491)
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 621610
NAICS Code's Description Home Health Care 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 FAMILY LIFE CARE, INC.

Date of last update: 02 Apr 2025

Sources: Florida Department of State

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