| Entity Name: | PUTNAM FAMILY CARE, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: |
Domestic Profit
PUTNAM FAMILY 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: | 27 Jun 2002 (23 years ago) |
| Document Number: | P02000071069 |
| FEI/EIN Number |
810559052
Federal Employer Identification (FEI) Number assigned by the IRS. |
| Address: | 6101 CRILL AVENUE, PALATKA, FL, 32177 |
| Mail Address: | 6101 CRILL AVE., PALATKA, FL, 32177 |
| ZIP code: | 32177 |
| County: | Putnam |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1205840519 | 2006-07-29 | 2013-07-16 | 6101 CRILL AVE, PALATKA, FL, 321773875, US | 6101 CRILL AVE, PALATKA, FL, 321773875, US | |||||||||||||||||||||||
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| Phone | +1 386-326-1225 |
Authorized person
| Name | JERRY JACOBSON |
| Role | VP |
| Phone | 3863261225 |
Taxonomy
| Taxonomy Code | 261QU0200X - Urgent Care Clinic/Center |
| License Number | 54QP00053 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 267777600 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| BOHN DEREK S | Vice President | 6101 CRILL AVE., PALATKA, FL, 32177 |
| BOHN DEREK S | Treasurer | 6101 CRILL AVE., PALATKA, FL, 32177 |
| JACOBSON JERRY | President | 6101 CRILL AVE., PALATKA, FL, 32177 |
| JACOBSON JERRY | Secretary | 6101 CRILL AVE., PALATKA, FL, 32177 |
| JERRY JACOBSON | Agent | 6101 CRILL AVE., PALATKA, FL, 32177 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT NAME CHANGED | 2024-04-21 | JERRY, JACOBSON | - |
| REGISTERED AGENT ADDRESS CHANGED | 2005-01-31 | 6101 CRILL AVE., PALATKA, FL 32177 | - |
| CHANGE OF MAILING ADDRESS | 2004-04-14 | 6101 CRILL AVENUE, PALATKA, FL 32177 | - |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-21 |
| ANNUAL REPORT | 2023-04-14 |
| ANNUAL REPORT | 2022-01-27 |
| ANNUAL REPORT | 2021-03-04 |
| ANNUAL REPORT | 2020-03-15 |
| ANNUAL REPORT | 2019-02-17 |
| ANNUAL REPORT | 2018-01-19 |
| ANNUAL REPORT | 2017-01-18 |
| ANNUAL REPORT | 2016-01-20 |
| ANNUAL REPORT | 2015-03-14 |
| Loan Number | Loan Funded Date | SBA Origination Office Code | Loan Delivery Method | Borrower Street Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| 2994467302 | 2020-04-29 | 0491 | PPP | 2040 FORREST RD, WINTER PARK, FL, 32789 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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Date of last update: 03 Apr 2025
Sources: Florida Department of State
