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  5. JACKSON ANESTHESIA ASSOCIATES, INC.

JACKSON ANESTHESIA ASSOCIATES, INC. - Florida Company Profile

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Company Details

Entity Name: JACKSON ANESTHESIA ASSOCIATES, INC.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Active
Date Filed: 19 Dec 1997 (28 years ago)
Last Event: REINSTATEMENT
Event Date Filed: 16 Oct 2020 (5 years ago)
Document Number: P97000107091
FEI/EIN Number 593490826
Address: 97 West Oak Avenue, Panama City, FL, 32401, US
Mail Address: P.O. Box 459, Panama City, FL, 32402, US
ZIP code: 32401
City: Panama City
County: Bay
Place of Formation: FLORIDA

Key Officers & Management

Name Role Address
Smith Chrystal H Vice President 97 West Oak Avenue, Panama City, FL, 32401
Smith Jason CDr. President 97 West Oak Avenue, Panama City, FL, 32401
Smith Jason C Agent 97 West Oak Avenue, Panama City, FL, 32401

National Provider Identifier

NPI Number:
1033168612
Link:
View on NPI website

Authorized Person:

Name:
MR. DAVID STEPHEN ROGERS
Role:
PRESIDENT
Phone:
8504827200

Taxonomy:

Selected Taxonomy:
367500000X - Certified Registered Nurse Anesthetist
Is Primary:
Yes

Contacts:

Phone:
+1 850-482-7200

Form 5500 Series

Employer Identification Number (EIN):
593490826
Plan Year:
2023
Number Of Participants:
4
Sponsors Telephone Number:
8502154995
File:
View File
Plan Year:
2022
Number Of Participants:
4
Sponsors Telephone Number:
8502154995
File:
View File
Plan Year:
2021
Number Of Participants:
4
Sponsors Telephone Number:
8502154995
File:
View File
Plan Year:
2020
Number Of Participants:
6
Sponsors Telephone Number:
8502154995
File:
View File
Plan Year:
2019
Number Of Participants:
6
Sponsors Telephone Number:
8502154995
File:
View File

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2022-04-06 97 West Oak Avenue, Panama City, FL 32401 -
REGISTERED AGENT ADDRESS CHANGED 2022-04-06 97 West Oak Avenue, Panama City, FL 32401 -
REINSTATEMENT 2020-10-16 - -
REGISTERED AGENT NAME CHANGED 2020-10-16 Smith, Jason C -
ADMIN DISSOLUTION FOR ANNUAL REPORT 2020-09-25 - -
CHANGE OF MAILING ADDRESS 2019-07-12 97 West Oak Avenue, Panama City, FL 32401 -

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

USAspending Awards / Contracts

Procurement Instrument Identifier:
DJBMNAIVB230628
Link:
View Award on USAspending website
Award Or Idv Flag:
AWARD
Award Type:
PO
Action Obligation:
3900.00
Base And Exercised Options Value:
3900.00
Base And All Options Value:
3900.00
Awarding Agency Name:
Department of Justice
Performance Start Date:
2009-04-06
Description:
ANESTHESIA SERVICES
Naics Code:
622310: SPECIALTY (EXCEPT PSYCHIATRIC AND SUBSTANCE ABUSE) HOSPITALS
Product Or Service Code:
Q501: ANESTHESIOLOGY SERVICES

USAspending Awards / Financial Assistance

Date:
2021-01-23
Link:
View on USAspending
Awarding Agency Name:
Small Business Administration
Transaction Description:
TO AID SMALL BUSINESSES IN MAINTAINING WORK FORCE DURING COVID-19 PANDEMIC.
Obligated Amount:
0.00
Face Value Of Loan:
90000.00
Total Face Value Of Loan:
90000.00
Date:
2020-04-18
Link:
View on USAspending
Awarding Agency Name:
Small Business Administration
Transaction Description:
ECONOMIC INJURY DISASTER GRANT
Obligated Amount:
10000.00
Face Value Of Loan:
0.00
Total Face Value Of Loan:
0.00
Date:
2020-04-18
Link:
View on USAspending
Awarding Agency Name:
Small Business Administration
Transaction Description:
ECONOMIC INJURY DISASTER GRANT
Obligated Amount:
10000.00
Face Value Of Loan:
0.00
Total Face Value Of Loan:
0.00
Date:
2020-04-14
Link:
View on USAspending
Awarding Agency Name:
Small Business Administration
Transaction Description:
TO AID SMALL BUSINESSES IN MAINTAINING WORK FORCE DURING COVID-19 PANDEMIC.
Obligated Amount:
0.00
Face Value Of Loan:
58100.00
Total Face Value Of Loan:
58100.00
Date:
2019-01-02
Link:
View on USAspending
Awarding Agency Name:
Small Business Administration
Transaction Description:
TO PROVIDE LOANS TO RESTORE AS NEARLY AS POSSIBLE THE VICTIMS OF PHYSICAL TYPE DISASTERS TO PRE-DISASTER CONDITIONS
Obligated Amount:
0.00
Face Value Of Loan:
100000.00
Total Face Value Of Loan:
100000.00

Paycheck Protection Program

Jobs Reported:
3
Initial Approval Amount:
$90,000
Date Approved:
2021-01-23
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$90,000
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Unanswered
Veteran:
Unanswered
Forgiveness Amount:
$90,607.5
Servicing Lender:
Hancock Whitney Bank
Use of Proceeds:
Payroll: $89,997
Utilities: $1
Jobs Reported:
3
Initial Approval Amount:
$58,100
Date Approved:
2020-04-14
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$58,100
Race:
White
Ethnicity:
Not Hispanic or Latino
Gender:
Male Owned
Veteran:
Non-Veteran
Forgiveness Amount:
$58,551.89
Servicing Lender:
Hancock Whitney Bank
Use of Proceeds:
Payroll: $58,100

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Date of last update: 01 Aug 2025

Sources: Florida Department of State

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