| Entity Name: | J. CUSAAC, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: |
Domestic Profit
J. CUSAAC, 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: | 07 Jul 2015 (10 years ago) |
| Document Number: | P15000058342 |
| FEI/EIN Number |
47-4521938
Federal Employer Identification (FEI) Number assigned by the IRS. |
| Address: | 6794 Park Lane E, LAKE WORTH, FL, 33449, US |
| Mail Address: | 6794 Park Lane E, Lake Worth, FL, 33449, US |
| ZIP code: | 33449 |
| County: | Palm Beach |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1750820254 | 2017-02-16 | 2017-02-16 | 11085 HARBOUR SPRINGS CIR, BOCA RATON, FL, 33428, US | 11085 HARBOUR SPRINGS CIR, BOCA RATON, FL, 334281244, US | |||||||||||||||||||||||||||
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| Phone | +1 561-445-9220 |
Authorized person
| Name | JACQUELINE A CUSAAC |
| Role | BCBA |
| Phone | 5614459220 |
Taxonomy
| Taxonomy Code | 251S00000X - Community/Behavioral Health Agency |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 018571500 |
| State | FL |
| Issuer | CIGNA |
| Number | 12759738 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| CUSAAC JACQUELINE A | President | 6794 Park Lane E, LAKE WORTH, FL, 33449 |
| Cusaac Kamau D | Vice President | 6794 Park Lane E, LAKE WORTH, FL, 33449 |
| CUSAAC Sekou | Agent | 8181 Springtree Rd, Boca Raton, FL, 33496 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G18000116787 | OPTIMUM ABA THERAPY, INC. | ACTIVE | 2018-10-29 | 2028-12-31 | - | 6794 PARK LN E, LAKE WORTH, FL, 33449 |
| G18000051195 | IT'S ABOUT BEHAVIOR | EXPIRED | 2018-04-24 | 2023-12-31 | - | 11085 HARBOUR SPRINGS CIR, BOCA RATON, FL, 33428 |
| G18000050153 | IT'S ABOUT BEHAVIOR | EXPIRED | 2018-04-20 | 2023-12-31 | - | BOCA RATON, BOCA RATON, FL, 33428 |
| G17000108013 | IT'S ABOUT THE BEHAVIOR | EXPIRED | 2017-09-29 | 2022-12-31 | - | 11085 HARBOUR SPRINGS CIRCLE, BOCA RATON, FL, 33428 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT NAME CHANGED | 2023-04-29 | CUSAAC, Sekou | - |
| CHANGE OF PRINCIPAL ADDRESS | 2022-02-27 | 6794 Park Lane E, LAKE WORTH, FL 33449 | - |
| CHANGE OF MAILING ADDRESS | 2022-02-27 | 6794 Park Lane E, LAKE WORTH, FL 33449 | - |
| REGISTERED AGENT ADDRESS CHANGED | 2022-02-27 | 8181 Springtree Rd, Boca Raton, FL 33496 | - |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-30 |
| ANNUAL REPORT | 2023-04-29 |
| ANNUAL REPORT | 2022-02-27 |
| ANNUAL REPORT | 2021-04-30 |
| ANNUAL REPORT | 2020-05-28 |
| ANNUAL REPORT | 2019-05-01 |
| ANNUAL REPORT | 2018-04-20 |
| ANNUAL REPORT | 2017-04-29 |
| ANNUAL REPORT | 2016-08-31 |
| Domestic Profit | 2015-07-07 |
| Loan Number | Loan Funded Date | SBA Origination Office Code | Loan Delivery Method | Borrower Street Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| 9432257309 | 2020-05-02 | 0455 | PPP | 7138 S MILITARY TRL, LAKE WORTH, FL, 33463-7812 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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Date of last update: 01 Apr 2025
Sources: Florida Department of State
