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BLACK CREEK SUPPORTS AND SERVICES INC. - Florida Company Profile

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Company Details

Entity Name: BLACK CREEK SUPPORTS AND SERVICES INC.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Inactive
Date Filed: 16 Oct 2012 (13 years ago)
Date of dissolution: 22 Sep 2023 (2 years ago)
Last Event: ADMIN DISSOLUTION FOR ANNUAL REPORT
Event Date Filed: 22 Sep 2023 (2 years ago)
Document Number: P12000087201
FEI/EIN Number 46-1200718
Address: 225 COLLEGE DR#66146, ORANGE PARK, FL, 32065, US
Mail Address: 225 COLLEGE DR#66146, ORANGE PARK, FL, 32065, US
ZIP code: 32065
City: Orange Park
County: Clay
Place of Formation: FLORIDA

Key Officers & Management

Name Role Address
BUTLER SHIELA B Officer 225 COLLEGE DR#66146, ORANGE PARK, FL, 32065
BUTLER SHIELA B Agent 225 COLLEGE DR#66146, ORANGE PARK, FL, 32065

National Provider Identifier

NPI Number:
1902214174

Authorized Person:

Name:
SHIELA BRYANT BUTLER
Role:
PRESIDENT
Phone:

Taxonomy:

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

Contacts:

Fax:
9043752019

Events

Event Type Filed Date Value Description
ADMIN DISSOLUTION FOR ANNUAL REPORT 2023-09-22 - -
REGISTERED AGENT NAME CHANGED 2022-01-28 BUTLER, SHIELA B -
REINSTATEMENT 2022-01-28 - -
ADMIN DISSOLUTION FOR ANNUAL REPORT 2021-09-24 - -
CHANGE OF PRINCIPAL ADDRESS 2016-03-09 225 COLLEGE DR#66146, ORANGE PARK, FL 32065 -
CHANGE OF MAILING ADDRESS 2016-03-09 225 COLLEGE DR#66146, ORANGE PARK, FL 32065 -
REGISTERED AGENT ADDRESS CHANGED 2016-03-09 225 COLLEGE DR#66146, ORANGE PARK, FL 32065 -

Documents

Name Date
REINSTATEMENT 2022-01-28
ANNUAL REPORT 2020-06-05
ANNUAL REPORT 2019-04-22
ANNUAL REPORT 2018-04-16
ANNUAL REPORT 2017-04-23
AMENDED ANNUAL REPORT 2016-04-29
ANNUAL REPORT 2016-03-09
ANNUAL REPORT 2015-03-11
ANNUAL REPORT 2014-03-14
ANNUAL REPORT 2013-03-20

USAspending Awards / Financial Assistance

Date:
2020-05-06
Awarding Agency Name:
Small Business Administration
Transaction Description:
TO AID SMALL BUSINESSES IN MAINTAINING WORK FORCE DURING COVID-19 PANDEMIC.
Obligated Amount:
0.00
Face Value Of Loan:
23025.00
Total Face Value Of Loan:
23025.00
Date:
2020-05-06
Awarding Agency Name:
Small Business Administration
Transaction Description:
TO AID SMALL BUSINESSES IN MAINTAINING WORK FORCE DURING COVID-19 PANDEMIC.
Obligated Amount:
0.00
Face Value Of Loan:
23025.00
Total Face Value Of Loan:
23025.00

Paycheck Protection Program

Jobs Reported:
11
Initial Approval Amount:
$23,025
Date Approved:
2020-05-06
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$23,025
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Unanswered
Veteran:
Unanswered
Forgiveness Amount:
$23,303.19
Servicing Lender:
VyStar CU
Use of Proceeds:
Payroll: $21,250
Utilities: $525
Rent: $1,250

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Date of last update: 01 Aug 2025

Sources: Florida Department of State