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  5. JACKSON ANESTHESIA ASSOCIATES, INC.

JACKSON ANESTHESIA ASSOCIATES, INC.

Company Details

Entity Name: JACKSON ANESTHESIA ASSOCIATES, INC.
Jurisdiction: FLORIDA
Filing Type: Florida Profit Corporation
Status: Active
Date Filed: 19 Dec 1997 (27 years ago)
Last Event: REINSTATEMENT
Event Date Filed: 16 Oct 2020 (4 years ago)
Document Number: P97000107091
FEI/EIN Number 59-3490826
Address: 97 West Oak Avenue, Panama City, FL 32401
Mail Address: P.O. Box 459, Panama City, FL 32402
ZIP code: 32401
County: Bay
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1033168612 2006-05-09 2020-08-22 3024 4TH ST, MARIANNA, FL, 324462125, US 3024 4TH ST, MARIANNA, FL, 324462125, US

Contacts
Phone +1 850-482-7200

Authorized person
Name MR. DAVID STEPHEN ROGERS
Role PRESIDENT
Phone 8504827200

Taxonomy
Taxonomy Code 367500000X - Certified Registered Nurse Anesthetist
Is Primary Yes

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
JACKSON ANESTHESIA ASSOCIATES, INC. 401K PROFIT SHARING PLAN 2022 593490826 2024-02-08 JACKSON ANESTHESIA ASSOCIATES, INC. 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-01-01
Business code 621399
Sponsor’s telephone number 8502154995
Plan sponsor’s address P.O. BOX 459, PANAMA CITY, FL, 32402
JACKSON ANESTHESIA ASSOCIATES, INC. 401K PROFIT SHARING PLAN 2021 593490826 2024-02-08 JACKSON ANESTHESIA ASSOCIATES, INC. 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-01-01
Business code 621399
Sponsor’s telephone number 8502154995
Plan sponsor’s address P.O. BOX 459, PANAMA CITY, FL, 32402
JACKSON ANESTHESIA ASSOCIATES, INC. 401K PROFIT SHARING PLAN 2020 593490826 2021-10-12 JACKSON ANESTHESIA ASSOCIATES, INC. 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-01-01
Business code 621399
Sponsor’s telephone number 8502154995
Plan sponsor’s address P.O. BOX 459, PANAMA CITY, FL, 32402
JACKSON ANESTHESIA ASSOCIATES, INC. 401K PROFIT SHARING PLAN 2019 593490826 2020-10-14 JACKSON ANESTHESIA ASSOCIATES, INC. 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-01-01
Business code 621399
Sponsor’s telephone number 8502154995
Plan sponsor’s address P.O. BOX 459, PANAMA CITY, FL, 32402
JACKSON ANESTHESIA ASSOCIATES, INC. 401K PROFIT SHARING PLAN 2018 593490826 2019-10-10 JACKSON ANESTHESIA ASSOCIATES, INC. 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-01-01
Business code 621399
Sponsor’s telephone number 8502154995
Plan sponsor’s address P.O. BOX 459, PANAMA CITY, FL, 32402
JACKSON ANESTHESIA ASSOCIATES, INC. 401K PROFIT SHARING PLAN 2017 593490826 2018-08-20 JACKSON ANESTHESIA ASSOCIATES, INC. 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-01-01
Business code 621399
Sponsor’s telephone number 8504827200
Plan sponsor’s address 3024 4TH STREET, MARIANNA, FL, 32446
JACKSON ANESTHESIA ASSOCIATES, INC. 401K PROFIT SHARING PLAN 2016 593490826 2017-09-28 JACKSON ANESTHESIA ASSOCIATES, INC. 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-01-01
Business code 621399
Sponsor’s telephone number 8504827200
Plan sponsor’s address 3024 4TH STREET, MARIANNA, FL, 32446
JACKSON ANESTHESIA ASSOCIATES, INC. 401K PROFIT SHARING PLAN 2015 593490826 2016-09-19 JACKSON ANESTHESIA ASSOCIATES, INC. 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-01-01
Business code 621399
Sponsor’s telephone number 8504827200
Plan sponsor’s address 3024 4TH STREET, MARIANNA, FL, 32446
JACKSON ANESTHESIA ASSOCIATES, INC. 401K PROFIT SHARING PLAN 2014 593490826 2015-09-17 JACKSON ANESTHESIA ASSOCIATES, INC. 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-01-01
Business code 621399
Sponsor’s telephone number 8504827200
Plan sponsor’s address 3024 4TH STREET, MARIANNA, FL, 32446
JACKSON ANESTHESIA ASSOCIATES, INC. 401K PROFIT SHARING PLAN 2013 593490826 2014-09-16 JACKSON ANESTHESIA ASSOCIATES, INC. 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-01-01
Business code 621399
Sponsor’s telephone number 8504827200
Plan sponsor’s address 3024 4TH STREET, MARIANNA, FL, 32446

Agent

Name Role Address
Smith, Jason C Agent 97 West Oak Avenue, Panama City, FL 32401

Vice President

Name Role Address
Smith, Chrystal H Vice President 97 West Oak Avenue, Panama City, FL 32401

President

Name Role Address
Smith, Jason Chad, Dr. President 97 West Oak Avenue, Panama City, FL 32401

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2022-04-06 97 West Oak Avenue, Panama City, FL 32401 No data
REGISTERED AGENT ADDRESS CHANGED 2022-04-06 97 West Oak Avenue, Panama City, FL 32401 No data
REINSTATEMENT 2020-10-16 No data No data
REGISTERED AGENT NAME CHANGED 2020-10-16 Smith, Jason C No data
ADMIN DISSOLUTION FOR ANNUAL REPORT 2020-09-25 No data No data
CHANGE OF MAILING ADDRESS 2019-07-12 97 West Oak Avenue, Panama City, FL 32401 No data

Documents

Name Date
ANNUAL REPORT 2024-03-13
ANNUAL REPORT 2023-02-18
ANNUAL REPORT 2022-04-06
ANNUAL REPORT 2021-04-30
REINSTATEMENT 2020-10-16
AMENDED ANNUAL REPORT 2019-07-12
ANNUAL REPORT 2019-03-18
ANNUAL REPORT 2018-03-05
ANNUAL REPORT 2017-02-20
ANNUAL REPORT 2016-03-07

Related by officers

No related officers

Related by address

No related companies by address

Date of last update: 01 Feb 2025

Sources: Florida Department of State

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