| Entity Name: | JAMIE LONG, PSY.D., P.A. |
| Jurisdiction: | FLORIDA |
| Filing Type: |
Domestic Profit
JAMIE LONG, PSY.D., P.A. 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: | 23 Jan 2013 (12 years ago) |
| Document Number: | P13000007843 |
| FEI/EIN Number |
46-1855749
Federal Employer Identification (FEI) Number assigned by the IRS. |
| Address: | 2601 E Oakland Park Boulevard, SUITE 502, FT LAUDERDALE, FL, 33306, US |
| Mail Address: | 2601 E Oakland Park Boulevard, SUITE 502, FT LAUDERDALE, FL, 33306, US |
| ZIP code: | 33306 |
| County: | Broward |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1841538824 | 2013-01-24 | 2013-01-24 | 2425 E COMMERCIAL BLVD STE 400, FT LAUDERDALE, FL, 333084029, US | 2425 E COMMERCIAL BLVD STE 400, FT LAUDERDALE, FL, 333084029, US | |||||||||||||||||||
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| Phone | +1 954-661-6847 |
| Fax | 9546345360 |
Authorized person
| Name | DR. JAMIE LONG |
| Role | PRESIDENT |
| Phone | 9546616847 |
Taxonomy
| Taxonomy Code | 103TC0700X - Clinical Psychologist |
| License Number | PY7730 |
| State | FL |
| Is Primary | Yes |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| JAMIE LONG, PSY.D., P.A. 401(K) PLAN | 2023 | 461855749 | 2024-05-08 | JAMIE LONG, PSY.D., P.A. | 5 | |||||||||||||||||||||||||||||||
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| Administrator’s EIN | 474474775 |
| Plan administrator’s name | GUIDELINE, INC. |
| Plan administrator’s address | 1412 CHAPIN AVENUE, BURLINGAME, CA, 94010 |
| Administrator’s telephone number | 8882283491 |
Signature of
| Role | Plan administrator |
| Date | 2024-05-08 |
| Name of individual signing | QIAN LIU |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2022-01-01 |
| Business code | 621112 |
| Sponsor’s telephone number | 9544882933 |
| Plan sponsor’s address | 2601 E OAKLAND PARK BLVD, SUITE 502, FT LAUDERDALE, FL, 33306 |
Plan administrator’s name and address
| Administrator’s EIN | 474474775 |
| Plan administrator’s name | GUIDELINE, INC. |
| Plan administrator’s address | 1412 CHAPIN AVENUE, BURLINGAME, CA, 94010 |
| Administrator’s telephone number | 8882283491 |
Signature of
| Role | Plan administrator |
| Date | 2023-05-30 |
| Name of individual signing | CHRISTINE RIMER |
| Valid signature | Filed with authorized/valid electronic signature |
| Name | Role | Address |
|---|---|---|
| Scicluna JAMIE | President | 2601 E Oakland Park Boulevard, FT LAUDERDALE, FL, 33306 |
| Scicluna JAMIE | Agent | 2601 E Oakland Park Boulevard, FT LAUDERDALE, FL, 33306 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G20000048252 | DR. JAMIE LONG, FORT LAUDERDALE PSYCHOLOGIST | ACTIVE | 2020-05-01 | 2025-12-31 | - | 2601 E OAKLAND PARK BLVD., SUITE 502, FORT LAUDERDALE, FL, 33304 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2018-04-09 | 2601 E Oakland Park Boulevard, SUITE 502, FT LAUDERDALE, FL 33306 | - |
| CHANGE OF MAILING ADDRESS | 2018-04-09 | 2601 E Oakland Park Boulevard, SUITE 502, FT LAUDERDALE, FL 33306 | - |
| REGISTERED AGENT ADDRESS CHANGED | 2018-04-09 | 2601 E Oakland Park Boulevard, SUITE 502, FT LAUDERDALE, FL 33306 | - |
| REGISTERED AGENT NAME CHANGED | 2017-03-01 | Scicluna, JAMIE | - |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-26 |
| ANNUAL REPORT | 2023-03-13 |
| ANNUAL REPORT | 2022-02-02 |
| ANNUAL REPORT | 2021-02-12 |
| ANNUAL REPORT | 2020-05-01 |
| ANNUAL REPORT | 2019-04-03 |
| ANNUAL REPORT | 2018-04-09 |
| ANNUAL REPORT | 2017-03-01 |
| ANNUAL REPORT | 2016-05-11 |
| ANNUAL REPORT | 2015-03-10 |
| Loan Number | Loan Funded Date | SBA Origination Office Code | Loan Delivery Method | Borrower Street Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| 9168398410 | 2021-02-16 | 0455 | PPS | 2601 E Oakland Park Blvd Ste 502, Ft Lauderdale, FL, 33306-1617 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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Date of last update: 01 Apr 2025
Sources: Florida Department of State
