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DAVIS CLINIC OF CHIROPRACTIC, INC. - Florida Company Profile

Company Details

Entity Name: DAVIS CLINIC OF CHIROPRACTIC, INC.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit

DAVIS CLINIC OF CHIROPRACTIC, 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: Inactive

The business entity is inactive. This status may signal operational issues or voluntary closure, raising concerns about the business's ability to repay loans and requiring careful risk assessment by lenders.

Date Filed: 25 Jan 2006 (19 years ago)
Date of dissolution: 06 May 2013 (12 years ago)
Last Event: CONVERSION
Event Date Filed: 06 May 2013 (12 years ago)
Document Number: P06000011593
FEI/EIN Number 204643941

Federal Employer Identification (FEI) Number assigned by the IRS.

Address: 1585 SANTA BARBRA BLVD,, SUITE A, THE VILLAGES, FL, 32159
Mail Address: 1585 SANTA BARBRA BLVD, SUITE A, THE VILLAGES, FL, 32159
ZIP code: 32159
County: Lake
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1174554265 2006-07-06 2011-05-02 1585 SANTA BARBARA BLVD, SUITE A, LADY LAKE, FL, 321596820, US 1585 SANTA BARBARA BLVD, SUITE A, LADY LAKE, FL, 321596820, US

Contacts

Phone +1 352-430-2121
Fax 3524302114

Authorized person

Name DR. JASON ERIC DAVIS
Role CHIROPRACTIC PHYSICIAN
Phone 3524302121

Taxonomy

Taxonomy Code 111N00000X - Chiropractor
License Number CH8681
State FL
Is Primary Yes

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
DAVIS CLINIC OF CHIROPRACTIC, INC. 401(K) PLAN 2019 204643941 2020-08-21 DAVIS CLINIC OF CHIROPRACTIC, INC. 38
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2012-01-01
Business code 621310
Sponsor’s telephone number 3524302121
Plan sponsor’s address 1585 SANTA BARBARA BLVD., SUITE A, THE VILLAGES, FL, 32159
DAVIS CLINIC OF CHIROPRACTIC, INC. 401(K) PLAN 2018 204643941 2019-08-28 DAVIS CLINIC OF CHIROPRACTIC, INC. 37
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2012-01-01
Business code 621310
Sponsor’s telephone number 3524302121
Plan sponsor’s address 1585 SANTA BARBARA BLVD., SUITE A, THE VILLAGES, FL, 32159
DAVIS CLINIC OF CHIROPRACTIC, INC. 401(K) PLAN 2017 204643941 2018-07-12 DAVIS CLINIC OF CHIROPRACTIC, INC. 36
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2012-01-01
Business code 621310
Sponsor’s telephone number 3524302121
Plan sponsor’s address 1585 SANTA BARBARA BLVD., SUITE A, THE VILLAGES, FL, 32159
DAVIS CLINIC OF CHIROPRACTIC, INC. 401(K) PLAN 2016 204643941 2017-07-25 DAVIS CLINIC OF CHIROPRACTIC, INC. 30
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2012-01-01
Business code 621310
Sponsor’s telephone number 3524302121
Plan sponsor’s address 1585 SANTA BARBARA BLVD., SUITE A, THE VILLAGES, FL, 321596820

Signature of

Role Plan administrator
Date 2017-07-25
Name of individual signing SHARY WEIS
Valid signature Filed with authorized/valid electronic signature
DAVIS CLINIC OF CHIROPRACTIC, INC. 401(K) PLAN 2015 204643941 2016-10-17 DAVIS CLINIC OF CHIROPRACTIC, INC. 27
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2012-01-01
Business code 621310
Sponsor’s telephone number 3524302121
Plan sponsor’s address 1585 SANTA BARBARA BLVD., SUITE A, THE VILLAGES, FL, 321596820

Signature of

Role Plan administrator
Date 2016-10-17
Name of individual signing SHARY WEIS
Valid signature Filed with authorized/valid electronic signature
DAVIS CLINIC OF CHIROPRACTIC, INC. 401(K) PLAN 2014 204643941 2015-10-14 DAVIS CLINIC OF CHIROPRACTIC, INC. 20
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2012-01-01
Business code 621310
Sponsor’s telephone number 3524302121
Plan sponsor’s address 1585 SANTA BARBARA BLVD., SUITE A, THE VILLAGES, FL, 321596820

Signature of

Role Plan administrator
Date 2015-10-14
Name of individual signing JASON E. DAVIS
Valid signature Filed with authorized/valid electronic signature
DAVIS CLINIC OF CHIROPRACTIC, INC. 401(K) PLAN 2013 204643941 2014-10-02 DAVIS CLINIC OF CHIROPRACTIC, INC. 12
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2012-01-01
Business code 621310
Sponsor’s telephone number 3524302121
Plan sponsor’s address 1585 SANTA BARBARA BLVD., SUITE A, THE VILLAGES, FL, 321596820

Signature of

Role Plan administrator
Date 2014-10-02
Name of individual signing JASON E. DAVIS
Valid signature Filed with authorized/valid electronic signature
DAVIS CLINIC OF CHIROPRACTIC, INC. 401(K) PLAN 2012 204643941 2013-10-01 DAVIS CLINIC OF CHIROPRACTIC, INC. 11
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2012-01-01
Business code 621310
Sponsor’s telephone number 3524302121
Plan sponsor’s address 1585 SANTA BARBARA BLVD., SUITE A, THE VILLAGES, FL, 321596820

Signature of

Role Plan administrator
Date 2013-10-01
Name of individual signing JASON E. DAVIS
Valid signature Filed with authorized/valid electronic signature
DAVIS CLINIC OF CHIROPRACTIC, INC. PROFIT SHARING PLAN 2009 204643941 2010-06-04 DAVIS CLINIC OF CHIROPRACTIC, INC. 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 621310
Sponsor’s telephone number 3524302121
Plan sponsor’s address 1585 SANTA BARBARA BLVD., SUITE A, LADY LAKE, FL, 32159

Plan administrator’s name and address

Administrator’s EIN 204643941
Plan administrator’s name DAVIS CLINIC OF CHIROPRACTIC, INC.
Plan administrator’s address 1585 SANTA BARBARA BLVD., SUITE A, LADY LAKE, FL, 32159
Administrator’s telephone number 3524302121

Signature of

Role Plan administrator
Date 2010-06-03
Name of individual signing DEANNA DAVIS
Valid signature Filed with authorized/valid electronic signature

Key Officers & Management

Name Role Address
DAVIS JASON E President 1585 SANTA BARBRA BLVD, STE A, THE VILLAGES, FL, 32159
DAVIS JASON E Director 1585 SANTA BARBRA BLVD, STE A, THE VILLAGES, FL, 32159
UDICK ARLENE C Agent 39245 TACOMA DRIVE, LADY LAKE, FL, 32159
DAVIS DEANNA Secretary 1585 SANTA BARBRA BLVD, STE A, THE VILLAGES, FL, 32159
DAVIS DEANNA Treasurer 1585 SANTA BARBRA BLVD, STE A, THE VILLAGES, FL, 32159
DAVIS DEANNA Director 1585 SANTA BARBRA BLVD, STE A, THE VILLAGES, FL, 32159

Events

Event Type Filed Date Value Description
CONVERSION 2013-05-06 - CONVERSION MEMBER. RESULTING CORPORATION WAS L13000066660. CONVERSION NUMBER 100000131461
CHANGE OF PRINCIPAL ADDRESS 2011-03-10 1585 SANTA BARBRA BLVD,, SUITE A, THE VILLAGES, FL 32159 -
CHANGE OF MAILING ADDRESS 2011-03-10 1585 SANTA BARBRA BLVD,, SUITE A, THE VILLAGES, FL 32159 -
REGISTERED AGENT NAME CHANGED 2009-01-14 UDICK, ARLENE C -
REGISTERED AGENT ADDRESS CHANGED 2009-01-14 39245 TACOMA DRIVE, LADY LAKE, FL 32159 -

Documents

Name Date
ANNUAL REPORT 2013-04-22
ANNUAL REPORT 2012-03-31
ANNUAL REPORT 2011-03-10
ANNUAL REPORT 2010-04-19
ANNUAL REPORT 2009-01-14
ANNUAL REPORT 2008-01-29
ANNUAL REPORT 2007-01-16
Domestic Profit 2006-01-25

Date of last update: 01 May 2025

Sources: Florida Department of State