| Entity Name: | AMERICARE AMBULANCE SERVICE, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Profit Corporation |
| Status: | Active |
| Date Filed: | 18 Dec 1996 (28 years ago) |
| Last Event: | CORPORATE MERGER |
| Event Date Filed: | 12 Dec 2018 (6 years ago) |
| Document Number: | P96000102150 |
| FEI/EIN Number | 59-3422981 |
| Address: | 11301 HWY 92 E, SEFFNER, FL 33584 |
| Mail Address: | 11301 HWY 92 E, SEFFNER, FL 33584 |
| ZIP code: | 33584 |
| County: | Hillsborough |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1073543021 | 2006-07-04 | 2022-07-21 | 11301 E US HIGHWAY 92, SEFFNER, FL, 335843350, US | 11301 E US HIGHWAY 92, SEFFNER, FL, 335843350, US | |||||||||||||||||||
|
|||||||||||||||||||||||
| Phone | +1 813-930-0911 |
| Fax | 8139368341 |
Authorized person
| Name | MR. DANIEL W SMITH |
| Role | DIRECTOR OF FINANCE |
| Phone | 8139300911 |
Taxonomy
| Taxonomy Code | 3416L0300X - Land Ambulance |
| License Number | 621 |
| State | FL |
| Is Primary | Yes |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| AMERICARE AMBULANCE SERVICES 401(K) PLAN | 2023 | 593422981 | 2024-07-01 | AMERICARE AMBULANCE SERVICE,INC | 207 | |||||||||||||||||||||||||||||||
|
||||||||||||||||||||||||||||||||||||
| Role | Plan administrator |
| Date | 2024-07-01 |
| Name of individual signing | JEFF YOUNGBLOOD |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 1999-01-01 |
| Business code | 621900 |
| Sponsor’s telephone number | 8139300911 |
| Plan sponsor’s address | 11301 US HIGHWAY 92 EAST, SEFFNER, FL, 33584 |
Plan administrator’s name and address
| Administrator’s EIN | 593422981 |
| Plan administrator’s name | AMERICARE AMBULANCE SERVICE, INC |
| Plan administrator’s address | 11301 US HIGHWAY 92 EAST, SEFFNER, FL, 33584 |
| Administrator’s telephone number | 8139300911 |
Signature of
| Role | Plan administrator |
| Date | 2011-10-01 |
| Name of individual signing | DAVID CARR |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 1999-01-01 |
| Business code | 621900 |
| Sponsor’s telephone number | 8139300911 |
| Plan sponsor’s address | 11301 US HIGHWAY 92 EAST, SEFFNER, FL, 33584 |
Plan administrator’s name and address
| Administrator’s EIN | 593422981 |
| Plan administrator’s name | AMERICARE AMBULANCE SERVICE, INC |
| Plan administrator’s address | 11301 US HIGHWAY 92 EAST, SEFFNER, FL, 33584 |
| Administrator’s telephone number | 8139300911 |
Signature of
| Role | Plan administrator |
| Date | 2010-09-29 |
| Name of individual signing | DAVID CARR |
| Valid signature | Filed with authorized/valid electronic signature |
| Name | Role | Address |
|---|---|---|
| CARR, DAVID M | Agent | 11301 HWY 92 E, SEFFNER, FL 33584 |
| Name | Role | Address |
|---|---|---|
| CARR, DAVID M | Managing Director | 11301 HWY 92 E, SEFFNER, FL 33584 |
| MASON, JAMES D | Managing Director | 17606 OLD OAK WAY, LITHIA, FL 33547 |
| Name | Role | Address |
|---|---|---|
| CARR, KELLI L | Director | 11503 HUMBER PL, TEMPLE TERRACE, FL 33617 |
| CARR, CHRISTOPHER R | Director | 11503 HUMBER PLACE, TEMPLE TERRACE, FL 33617 |
| CARR, AARON | Director | 11503 HUMBER PL, TEMPLE TERRACE, FL 33617 |
| RABURN, SUSAN | Director | 6904 THONOTOSASSA RD, PLANT CITY, FL 33565 |
| OTTE, JULIE | Director | 6902 THONOTOSASSA RD, PLANT CITY, FL 33565 |
| Mason, Ronald, III | Director | 14633 Coloma Lane, Odessa, FL 33556 |
| Mason, Ryan | Director | 4392 Laurel Place, Weston, FL 33332 |
| Carr, Gay | Director | 11503 Humber Place, Temple Terrace, FL 33617 |
| Name | Role | Address |
|---|---|---|
| YOUNGBLOOD, JEFFREY B | Chief Executive Officer | 11301 HWY 92 E, SEFFNER, FL 33584 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT ADDRESS CHANGED | 2019-02-13 | 11301 HWY 92 E, SEFFNER, FL 33584 | No data |
| MERGER | 2018-12-12 | No data | CORPORATION WAS A MERGER RESULT. TOTAL NUMBER OF QUALIFIED CORPORATION(S) INVOLVED WAS 1. MERGER NUMBER 300000187633 |
| AMENDMENT | 2018-04-23 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2008-01-04 | 11301 HWY 92 E, SEFFNER, FL 33584 | No data |
| CHANGE OF MAILING ADDRESS | 2008-01-04 | 11301 HWY 92 E, SEFFNER, FL 33584 | No data |
| NAME CHANGE AMENDMENT | 1997-01-27 | AMERICARE AMBULANCE SERVICE, INC. | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-01-10 |
| ANNUAL REPORT | 2023-01-23 |
| ANNUAL REPORT | 2022-01-25 |
| ANNUAL REPORT | 2021-01-28 |
| ANNUAL REPORT | 2020-05-07 |
| ANNUAL REPORT | 2019-02-13 |
| Merger | 2018-12-12 |
| Amendment | 2018-04-23 |
| ANNUAL REPORT | 2018-01-18 |
| ANNUAL REPORT | 2017-01-25 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
