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AMERICAN MEDICAL SUPPLIES, INC. - Florida Company Profile

Company Details

Entity Name: AMERICAN MEDICAL SUPPLIES, INC.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit

AMERICAN MEDICAL SUPPLIES, 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: 02 Jul 1993 (32 years ago)
Document Number: P93000048087
FEI/EIN Number 65-0422558

Federal Employer Identification (FEI) Number assigned by the IRS.
Address: 100 Abbott Park Road, D367 AP6D (Sales Tax), Abbott Park, IL, 60064, US
Mail Address: 100 Abbott Park Road, D367 AP6D (Sales Tax), Abbott Park, IL, 60064, US
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1205830197 2005-06-08 2017-03-07 751 PARK OF COMMERCE DR, SUITE 136, BOCA RATON, FL, 334873626, US 751 PARK OF COMMERCE DR, SUITE 136, BOCA RATON, FL, 334873626, US

Contacts
Phone +1 800-575-2345
Fax 5619622679

Authorized person
Name LAWRENCE ALAN DICKSON
Role VICE-PRESIDENT
Phone 5612711645

Taxonomy
Taxonomy Code 332B00000X - Durable Medical Equipment & Medical Supplies
Is Primary Yes

Other Provider Identifiers
Issuer MEDICAID
Number 009414250
State AL
Issuer MEDICAID
Number 1205830197
State RI
Issuer MEDICAID
Number 124666741
State AR
Issuer MEDICAID
Number 18666000
State ME
Issuer MEDICAID
Number 200830080 A
State IN
Issuer MEDICAID
Number 1205830197
State MI
Issuer MEDICAID
Number 138628000
State MD
Issuer MEDICAID
Number 1458228
State ND
Issuer MEDICAID
Number 1205830197
State MN
Issuer MEDICAID
Number 1205830197
State NC
Issuer MEDICAID
Number 1984825
State LA
Issuer MEDICAID
Number 3079015
State NH
Issuer MEDICAID
Number 001449545 0007
State PA
Issuer MEDICAID
Number 100004910A
State KS
Issuer MEDICAID
Number 1205830197
State ID
Issuer MEDICAID
Number 1205830197-01
State CA
Issuer PK
Number 2160068
Issuer MEDICAID
Number 90292293
State KY
Issuer MEDICAID
Number 000T4184
State NM
Issuer MEDICAID
Number 01661614
State NY
Issuer MEDICAID
Number 0962178
State OH
Issuer MEDICAID
Number 110104170A
State MA
Issuer MEDICAID
Number 1205830197
State SD
Issuer MEDICAID
Number 171764
State OR
Issuer MEDICAID
Number 100800110 A
State OK
Issuer MEDICAID
Number 1205830197
State MO
Issuer MEDICAID
Number 1205830197
State IL
Issuer MEDICAID
Number 1205830197
State MT
Issuer MEDICAID
Number 1205830197
State GU
Issuer MEDICAID
Number 1205830197
State DE
Issuer MEDICAID
Number 160169
State AZ
Issuer MEDICAID
Number 000796914X
State GA
Issuer MEDICAID
Number 00440156
State MS
Issuer MEDICAID
Number 1021868
State AK
Issuer MEDICAID
Number 1205830197
State CT
Issuer MEDICAID
Number 1205830197
State NV
Issuer MEDICAID
Number 6052509
State NJ
Issuer MEDICAID
Number 003352700
State FL
Issuer MEDICAID
Number 98002637
State CO
Issuer MEDICAID
Number DME726
State SC

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
AMERICAN MEDICAL SUPPLIES, INC. 401(K) PLAN 2017 650422558 2018-10-10 AMERICAN MEDICAL SUPPLIES, INC. 51
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2002-01-01
Business code 424990
Sponsor’s telephone number 5619622659
Plan sponsor’s address 751 PARK OF COMMERCE DRIVE, SUITE 136, BOCA RATON, FL, 33486

Plan administrator’s name and address
Administrator’s EIN 650422558
Plan administrator’s name AMERICAN MEDICAL SUPPLIES, INC.
Plan administrator’s address 751 PARK OF COMMERCE DRIVE, SUITE 136, BOCA RATON, FL, 33486
Administrator’s telephone number 5619622659

Signature of
Role Plan administrator
Date 2018-10-10
Name of individual signing GARY M. JANSON, TRUSTEE
Valid signature Filed with authorized/valid electronic signature
AMERICAN MEDICAL SUPPLIES, INC. 401(K) PLAN 2016 650422558 2017-10-02 AMERICAN MEDICAL SUPPLIES, INC. 53
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2002-01-01
Business code 424990
Sponsor’s telephone number 5619622659
Plan sponsor’s address 751 PARK OF COMMERCE DRIVE, SUITE 136, BOCA RATON, FL, 33486

Plan administrator’s name and address
Administrator’s EIN 650422558
Plan administrator’s name AMERICAN MEDICAL SUPPLIES, INC.
Plan administrator’s address 751 PARK OF COMMERCE DRIVE, SUITE 136, BOCA RATON, FL, 33486
Administrator’s telephone number 5619622659

Signature of
Role Plan administrator
Date 2017-10-02
Name of individual signing GARY M. JANSON, TRUSTEE
Valid signature Filed with authorized/valid electronic signature
AMERICAN MEDICAL SUPPLIES, INC. 401(K) PLAN 2015 650422558 2016-10-10 AMERICAN MEDICAL SUPPLIES, INC. 58
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2002-01-01
Business code 424990
Sponsor’s telephone number 5619622659
Plan sponsor’s address 751 PARK OF COMMERCE DRIVE, SUITE 136, BOCA RATON, FL, 33486

Plan administrator’s name and address
Administrator’s EIN 650422558
Plan administrator’s name AMERICAN MEDICAL SUPPLIES, INC.
Plan administrator’s address 751 PARK OF COMMERCE DRIVE, SUITE 136, BOCA RATON, FL, 33486
Administrator’s telephone number 5619622659

Signature of
Role Plan administrator
Date 2016-10-10
Name of individual signing GARY M. JANSON, TRUSTEE
Valid signature Filed with authorized/valid electronic signature
AMERICAN MEDICAL SUPPLIES, INC. 401(K) PLAN 2014 650422558 2015-09-11 AMERICAN MEDICAL SUPPLIES, INC. 67
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2002-01-01
Business code 424990
Sponsor’s telephone number 5619622659
Plan sponsor’s address 3300 S.W. 15TH STREET, DEERFIELD BEACH, FL, 33442

Plan administrator’s name and address
Administrator’s EIN 650422558
Plan administrator’s name AMERICAN MEDICAL SUPPLIES, INC.
Plan administrator’s address 3300 S.W. 15TH STREET, DEERFIELD BEACH, FL, 33442
Administrator’s telephone number 5619622659

Signature of
Role Plan administrator
Date 2015-09-11
Name of individual signing GARY M. JANSON, TRUSTEE
Valid signature Filed with authorized/valid electronic signature
AMERICAN MEDICAL SUPPLIES, INC. 401(K) PLAN 2013 650422558 2014-10-01 AMERICAN MEDICAL SUPPLIES, INC. 47
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2002-01-01
Business code 424990
Sponsor’s telephone number 5619622659
Plan sponsor’s address 3300 S.W. 15TH STREET, DEERFIELD BEACH, FL, 33442

Plan administrator’s name and address
Administrator’s EIN 650422558
Plan administrator’s name AMERICAN MEDICAL SUPPLIES, INC.
Plan administrator’s address 3300 S.W. 15TH STREET, DEERFIELD BEACH, FL, 33442
Administrator’s telephone number 5619622659

Signature of
Role Plan administrator
Date 2014-10-01
Name of individual signing GARY M. JANSON, TRUSTEE
Valid signature Filed with authorized/valid electronic signature
AMERICAN MEDICAL SUPPLIES, INC. 401(K) PLAN 2012 650422558 2013-10-02 AMERICAN MEDICAL SUPPLIES, INC. 44
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2002-01-01
Business code 424990
Sponsor’s telephone number 5619622659
Plan sponsor’s address 3300 S.W. 15TH STREET, DEERFIELD BEACH, FL, 33442

Plan administrator’s name and address
Administrator’s EIN 650422558
Plan administrator’s name AMERICAN MEDICAL SUPPLIES, INC.
Plan administrator’s address 3300 S.W. 15TH STREET, DEERFIELD BEACH, FL, 33442
Administrator’s telephone number 5619622659

Signature of
Role Plan administrator
Date 2013-10-02
Name of individual signing GARY M. JANSON, TRUSTEE
Valid signature Filed with authorized/valid electronic signature
AMERICAN MEDICAL SUPPLIES, INC. 401(K) PLAN 2011 650422558 2012-08-27 AMERICAN MEDICAL SUPPLIES, INC. 34
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2002-01-01
Business code 424990
Sponsor’s telephone number 5613627105
Plan sponsor’s address 751 PARK OF COMMERCE DRIVE, SUITE 126, BOCA RATON, FL, 33487

Plan administrator’s name and address
Administrator’s EIN 650422558
Plan administrator’s name AMERICAN MEDICAL SUPPLIES, INC.
Plan administrator’s address 751 PARK OF COMMERCE DRIVE, SUITE 126, BOCA RATON, FL, 33487
Administrator’s telephone number 5613627105

Signature of
Role Plan administrator
Date 2012-08-27
Name of individual signing GARY M. JANSON, TRUSTEE
Valid signature Filed with authorized/valid electronic signature
AMERICAN MEDICAL SUPPLIES, INC. 401(K) PLAN 2010 650422558 2011-09-20 AMERICAN MEDICAL SUPPLIES, INC. 38
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2002-01-01
Business code 424990
Sponsor’s telephone number 5613627105
Plan sponsor’s address 751 PARK OF COMMERCE DRIVE, SUITE 126, BOCA RATON, FL, 33487

Plan administrator’s name and address
Administrator’s EIN 650422558
Plan administrator’s name AMERICAN MEDICAL SUPPLIES, INC.
Plan administrator’s address 751 PARK OF COMMERCE DRIVE, SUITE 126, BOCA RATON, FL, 33487
Administrator’s telephone number 5613627105

Signature of
Role Plan administrator
Date 2011-09-20
Name of individual signing GARY M. JANSON, TRUSTEE
Valid signature Filed with authorized/valid electronic signature
AMERICAN MEDICAL SUPPLIES, INC. 401(K) PLAN 2009 650422558 2010-09-02 AMERICAN MEDICAL SUPPLIES, INC. 40
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2002-01-01
Business code 424990
Sponsor’s telephone number 5613627105
Plan sponsor’s address 751 PARK OF COMMERCE DRIVE, SUITE 126, BOCA RATON, FL, 33487

Plan administrator’s name and address
Administrator’s EIN 650422558
Plan administrator’s name AMERICAN MEDICAL SUPPLIES, INC.
Plan administrator’s address 751 PARK OF COMMERCE DRIVE, SUITE 126, BOCA RATON, FL, 33487
Administrator’s telephone number 5613627105

Signature of
Role Plan administrator
Date 2010-09-02
Name of individual signing GARY M. JANSON, TRUSTEE
Valid signature Filed with authorized/valid electronic signature

Key Officers & Management

Name Role Address
Kaesebier Tara R Asst 100 Abbott Park Road, Abbott Park, IL, 60064
Davies Alison E Vice President 100 Abbott Park Road, Abbott Park, IL, 60064
Davies Alison E a 100 Abbott Park Road, Abbott Park, IL, 60064
Malishkevich Felix Asst 100 Abbott Park Road, Abbott Park, IL, 60064
Paik Jessica H Secretary 100 Abbott Park Road, Abbott Park, IL, 60064
Tisack Gael D Asst 100 Abbott Park Road, Abbott Park, IL, 60064
Davies Alison R Director 100 Abbott Park Road, Abbott Park, IL, 60064
CT CORPORATION SYSTEM Agent 1200 SOUTH PINE ISLAND ROAD, PLANTATION, FL, 33324

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G15000116884 VILLAGE MEDICAL SUPPLIES EXPIRED 2015-11-17 2020-12-31 - 3300 S.W. 15TH STREET, DEERFIELD BEACH, FL, 33442

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2024-04-23 100 Abbott Park Road, D367 AP6D (Sales Tax), Abbott Park, IL 60064 -
CHANGE OF MAILING ADDRESS 2024-04-23 100 Abbott Park Road, D367 AP6D (Sales Tax), Abbott Park, IL 60064 -
REGISTERED AGENT NAME CHANGED 2017-10-11 CT CORPORATION SYSTEM -
REGISTERED AGENT ADDRESS CHANGED 2017-10-11 1200 SOUTH PINE ISLAND ROAD, PLANTATION, FL 33324 -

Documents

Name Date
ANNUAL REPORT 2024-04-23
ANNUAL REPORT 2023-03-01
ANNUAL REPORT 2022-05-05
ANNUAL REPORT 2021-01-06
ANNUAL REPORT 2020-03-20
ANNUAL REPORT 2019-05-10
ANNUAL REPORT 2018-05-09
Reg. Agent Change 2017-10-11
Reg. Agent Change 2017-02-17
ANNUAL REPORT 2017-01-12

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Foreign Limited Liability Co. (2008 - 2008)
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100 Abbott Park Road, D367 AP6D (Sales Tax), Abbott Park, IL, 60064, US

GLOBAL ANALYTICAL DEVELOPMENT LLC ARRIVA MEDICAL, LLC AVEE LABORATORIES INC. ALERE TOXICOLOGY, INC. ABBOTT MOLECULAR INC. NEWYU, INC. ABBOTT RAPID DIAGNOSTICS INFORMATICS, INC. THORATEC LLC FIRST CHECK DIAGNOSTICS, LLC STANDING STONE, LLC

100 Abbott Park Road, D367 AP6D (Sales Tax), Abbott Park, IL, 60064, US

GLOBAL ANALYTICAL DEVELOPMENT LLC ARRIVA MEDICAL, LLC AVEE LABORATORIES INC. ALERE TOXICOLOGY, INC. ABBOTT MOLECULAR INC. NEWYU, INC. ABBOTT RAPID DIAGNOSTICS INFORMATICS, INC. THORATEC LLC FIRST CHECK DIAGNOSTICS, LLC STANDING STONE, LLC

Date of last update: 02 Mar 2025

Sources: Florida Department of State

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