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BLACK BAG MEDICAL, INC. - Florida Company Profile

Company Details

Entity Name: BLACK BAG MEDICAL, INC.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit

BLACK BAG MEDICAL, 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: 25 Aug 2006 (19 years ago)
Document Number: P06000111046
FEI/EIN Number 205438009

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

Address: 3840 Belfort Rd., STE. 102, JACKSONVILLE, FL, 32216, US
Mail Address: 4320 DEERWOOD LAKE PKWY, STE 101, PMB 321, JACKSONVILLE, FL, 32216, US
ZIP code: 32216
County: Duval
Place of Formation: FLORIDA

Key Officers & Management

Name Role Address
STEPHENS BRIAN President 4320 DEERWOOD LAKE PKWY STE 101, PMB 321, JACKSONVILLE, FL, 32216
STEPHENS BRIAN Vice President 4320 DEERWOOD LAKE PKWY STE 101, PMB 321, JACKSONVILLE, FL, 32216
STEPHENS BRIAN Secretary 4320 DEERWOOD LAKE PKWY STE 101, PMB 321, JACKSONVILLE, FL, 32216
STEPHENS BRIAN Treasurer 4320 DEERWOOD LAKE PKWY STE 101, PMB 321, JACKSONVILLE, FL, 32216
STEPHENS BRIAN Director 4320 DEERWOOD LAKE PKWY STE 101, PMB 321, JACKSONVILLE, FL, 32216
STEPHENS BRIAN Agent 4320 DEERWOOD LAKE PKWY, JACKSONVILLE, FL, 32216

National Provider Identifier

NPI Number:
1750440988

Authorized Person:

Name:
BRIAN LAYNE STEPHENS
Role:
PRESIDENT
Phone:

Taxonomy:

Selected Taxonomy:
207Q00000X - Family Medicine Physician
Is Primary:
Yes

Contacts:

Fax:
9048074839

Form 5500 Series

Employer Identification Number (EIN):
205438009
Plan Year:
2023
Number Of Participants:
4
Sponsors Telephone Number:
Plan Year:
2022
Number Of Participants:
3
Sponsors Telephone Number:
Plan Year:
2021
Number Of Participants:
3
Sponsors Telephone Number:
Plan Year:
2020
Number Of Participants:
3
Sponsors Telephone Number:
Plan Year:
2019
Number Of Participants:
4
Sponsors Telephone Number:

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G07033900142 LITTLE BLACK BAG MEDICAL ACTIVE 2007-02-02 2027-12-31 - 4320 DEERWOOD LAKE PARKWAY, SUITE 101, PMB 321, JACKSONVILLE, FL, 32216

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2015-01-09 3840 Belfort Rd., STE. 102, JACKSONVILLE, FL 32216 -

Documents

Name Date
ANNUAL REPORT 2025-01-21
ANNUAL REPORT 2024-02-01
ANNUAL REPORT 2023-01-25
ANNUAL REPORT 2022-01-25
ANNUAL REPORT 2021-01-12
ANNUAL REPORT 2020-01-15
ANNUAL REPORT 2019-02-06
ANNUAL REPORT 2018-01-15
ANNUAL REPORT 2017-01-09
ANNUAL REPORT 2016-01-15

Date of last update: 02 May 2025

Sources: Florida Department of State