| Entity Name: | IMPACT BEHAVIOR SUPPORTS, INC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Profit Corporation |
| Status: | Inactive |
| Date Filed: | 26 Aug 2019 (5 years ago) |
| Date of dissolution: | 22 Sep 2023 (a year ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 22 Sep 2023 (a year ago) |
| Document Number: | P19000068147 |
| FEI/EIN Number | 84-2950086 |
| Address: | 1016 North Blvd E, Leesburg, FL 34748 |
| Mail Address: | P.O. BOX 490843, Leesburg, FL 34749 |
| ZIP code: | 34748 |
| County: | Lake |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1144844119 | 2020-06-04 | 2020-06-04 | 1016 E NORTH BLVD, LEESBURG, FL, 347485348, US | 1016 E NORTH BLVD, LEESBURG, FL, 347485348, US | |||||||||||||
|
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| Phone | +1 352-874-2986 |
Authorized person
| Name | MISS JOCELYN MITCHELL |
| Role | PRESIDENT |
| Phone | 3528742986 |
Taxonomy
| Taxonomy Code | 251S00000X - Community/Behavioral Health Agency |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| MITCHELL, JOCELYN C | Agent | 1016 North Blvd E, Leesburg, FL 34748 |
| Name | Role | Address |
|---|---|---|
| MITCHELL, JOCELYN C | President | 1016 North Blvd E, Leesburg, FL 34748 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2023-09-22 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2022-05-01 | 1016 North Blvd E, Leesburg, FL 34748 | No data |
| CHANGE OF MAILING ADDRESS | 2022-05-01 | 1016 North Blvd E, Leesburg, FL 34748 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2022-05-01 | 1016 North Blvd E, Leesburg, FL 34748 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2022-05-01 |
| AMENDED ANNUAL REPORT | 2021-09-10 |
| ANNUAL REPORT | 2021-01-27 |
| ANNUAL REPORT | 2020-05-26 |
| Domestic Profit | 2019-08-26 |
Date of last update: 15 Feb 2025
Sources: Florida Department of State
