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JEAN CLAUDE DUBOIS, P.A. - Florida Company Profile

Company Details

Entity Name: JEAN CLAUDE DUBOIS, P.A.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit

JEAN CLAUDE DUBOIS, P.A. 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: 23 Jul 1991 (34 years ago)
Last Event: REINSTATEMENT
Event Date Filed: 11 Nov 2020 (4 years ago)
Document Number: S68705
FEI/EIN Number 650281485

Federal Employer Identification (FEI) Number assigned by the IRS.

Address: 601 EAST SAMPLE ROAD, ROOM 110, POMPANO BEACH, FL, 33064, US
Mail Address: 601 EAST SAMPLE ROAD, ROOM 110, POMPANO BEACH, FL, 33064, US
ZIP code: 33064
County: Broward
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1992067193 2012-06-13 2015-11-18 601 E SAMPLE RD, ROOM 110, POMPANO BEACH, FL, 330644443, US 601 E SAMPLE RD, ROOM 110, POMPANO BEACH, FL, 330644443, US

Contacts

Phone +1 954-783-5151
Fax 9547830219

Authorized person

Name DR. JEAN CLAUDE DUBOIS
Role PHYSICIAN/OWNER
Phone 9547835151

Taxonomy

Taxonomy Code 208D00000X - General Practice Physician
License Number ME0053632
State FL
Is Primary Yes

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
JEAN CLAUDE DUBOIS PA 2023 650281485 2024-12-13 JEAN CLAUDE DUBOIS, P.A. 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2012-12-31
Business code 621111
Sponsor’s telephone number 9547835151
Plan sponsor’s address 601 EAST SAMPLE ROAD, SUITE 110, POMPANO BEACH, FL, 33064

Signature of

Role Plan administrator
Date 2024-12-13
Name of individual signing JEAN CLAUDE DUBOIS
Valid signature Filed with authorized/valid electronic signature
JEAN CLAUDE DUBOIS, P.A. CASH BALANCE PLAN 2023 650281485 2024-10-03 JEAN CLAUDE DUBOIS, P.A. 5
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2019-01-01
Business code 621111
Sponsor’s telephone number 9547835151
Plan sponsor’s address 601 EAST SAMPLE ROAD, SUITE 110, POMPANO BEACH, FL, 33064

Signature of

Role Plan administrator
Date 2024-10-03
Name of individual signing JEAN CLAUDE DUBOIS
Valid signature Filed with authorized/valid electronic signature
JEAN CLAUDE DUBOIS, P.A. 401(K) PLAN 2023 650281485 2024-07-09 JEAN CLAUDE DUBOIS, P.A. 15
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2012-12-31
Business code 621111
Sponsor’s telephone number 9547835151
Plan sponsor’s address 601 EAST SAMPLE ROAD, SUITE 110, POMPANO BEACH, FL, 33064

Signature of

Role Plan administrator
Date 2024-07-09
Name of individual signing JEAN CLAUDE DUBOIS
Valid signature Filed with authorized/valid electronic signature
JEAN CLAUDE DUBOIS, P.A. 401(K) PLAN 2022 650281485 2023-07-17 JEAN CLAUDE DUBOIS, P.A. 17
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2012-12-31
Business code 621111
Sponsor’s telephone number 9547835151
Plan sponsor’s address 601 EAST SAMPLE ROAD, SUITE 110, POMPANO BEACH, FL, 33064

Signature of

Role Plan administrator
Date 2023-07-17
Name of individual signing JEAN CLAUDE DUBOIS
Valid signature Filed with authorized/valid electronic signature
JEAN CLAUDE DUBOIS, P.A. CASH BALANCE PLAN 2022 650281485 2023-09-11 JEAN CLAUDE DUBOIS, P.A. 8
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2019-01-01
Business code 621111
Sponsor’s telephone number 9547835151
Plan sponsor’s address 601 EAST SAMPLE ROAD, SUITE 110, POMPANO BEACH, FL, 33064

Signature of

Role Plan administrator
Date 2023-09-11
Name of individual signing JEAN CLAUDE DUBOIS
Valid signature Filed with authorized/valid electronic signature
JEAN CLAUDE DUBOIS, P.A. 401(K) PLAN 2021 650281485 2022-10-10 JEAN CLAUDE DUBOIS, P.A. 14
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2012-12-31
Business code 621111
Sponsor’s telephone number 9547835151
Plan sponsor’s address 601 EAST SAMPLE ROAD, SUITE 110, POMPANO BEACH, FL, 33064

Signature of

Role Plan administrator
Date 2022-10-10
Name of individual signing JEAN CLAUDE DUBOIS
Valid signature Filed with authorized/valid electronic signature
JEAN CLAUDE DUBOIS, P.A. CASH BALANCE PLAN 2021 650281485 2022-10-14 JEAN CLAUDE DUBOIS, P.A. 8
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2019-01-01
Business code 621111
Sponsor’s telephone number 9547835151
Plan sponsor’s address 601 EAST SAMPLE ROAD, SUITE 110, POMPANO BEACH, FL, 33064

Signature of

Role Plan administrator
Date 2022-10-14
Name of individual signing JEAN CLAUDE DUBOIS
Valid signature Filed with authorized/valid electronic signature
JEAN CLAUDE DUBOIS, P.A. CASH BALANCE PLAN 2020 650281485 2021-10-06 JEAN CLAUDE DUBOIS, P.A. 9
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2019-01-01
Business code 621111
Sponsor’s telephone number 9547835151
Plan sponsor’s address 601 EAST SAMPLE ROAD, SUITE 110, POMPANO BEACH, FL, 33064

Signature of

Role Plan administrator
Date 2021-10-06
Name of individual signing JEAN CLAUDE DUBOIS
Valid signature Filed with authorized/valid electronic signature
JEAN CLAUDE DUBOIS, P.A. 401(K) PLAN 2020 650281485 2021-10-06 JEAN CLAUDE DUBOIS, P.A. 14
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2012-12-31
Business code 621111
Sponsor’s telephone number 9547835151
Plan sponsor’s address 601 EAST SAMPLE ROAD, SUITE 110, POMPANO BEACH, FL, 33064

Signature of

Role Plan administrator
Date 2021-10-06
Name of individual signing JEAN CLAUDE DUBOIS
Valid signature Filed with authorized/valid electronic signature
JEAN CLAUDE DUBOIS, P.A. CASH BALANCE PLAN 2019 650281485 2020-10-14 JEAN CLAUDE DUBOIS, P.A. 10
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2019-01-01
Business code 621111
Sponsor’s telephone number 9547835151
Plan sponsor’s address 601 EAST SAMPLE ROAD, SUITE 110, POMPANO BEACH, FL, 33064

Key Officers & Management

Name Role Address
DUBOIS JEAN-CLAUDE President 6630 SW 15 ST, PLANTATION, FL, 33317
DUBOIS JEAN-CLAUDE Director 6630 SW 15 ST, PLANTATION, FL, 33317
DUBOIS JOCELYNE Vice President 6630 SW 15 ST, PLANTATION, FL, 33317
Dubois Jean -Claude President 601 EAST SAMPLE ROAD, POMPANO BEACH, FL, 33064
DUBOIS JEAN-CLAUDE Agent 601 EAST SAMPLE ROAD, POMPANO BEACH, FL, 33064

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G20000145724 MINI MEDICAL CENTER OF DUBOIS ACTIVE 2020-11-12 2025-12-31 - 601 EAST SAMPLE ROAD, ROOM 110, POMPANO BEACH, FL, 33064

Events

Event Type Filed Date Value Description
REINSTATEMENT 2020-11-11 - -
REGISTERED AGENT NAME CHANGED 2020-11-11 DUBOIS, JEAN-CLAUDE -
ADMIN DISSOLUTION FOR ANNUAL REPORT 2020-09-25 - -
CHANGE OF PRINCIPAL ADDRESS 2002-02-22 601 EAST SAMPLE ROAD, ROOM 110, POMPANO BEACH, FL 33064 -
CHANGE OF MAILING ADDRESS 2002-02-22 601 EAST SAMPLE ROAD, ROOM 110, POMPANO BEACH, FL 33064 -
REGISTERED AGENT ADDRESS CHANGED 2002-02-22 601 EAST SAMPLE ROAD, ROOM 110, POMPANO BEACH, FL 33064 -

Debts

Document Number Status Case Number Name of Court Date of Entry Expiration Date Amount Due Plaintiff
J13000625609 TERMINATED 1000000473504 BROWARD 2013-03-18 2023-03-27 $ 539.93 STATE OF FLORIDA, DEPARTMENT OF REVENUE, CORAL SPRINGS SERVICE CENTER, 3301 N UNIVERSITY DR STE 200, CORAL SPRINGS FL330654149

Documents

Name Date
ANNUAL REPORT 2024-04-01
ANNUAL REPORT 2023-03-13
AMENDED ANNUAL REPORT 2022-09-12
ANNUAL REPORT 2022-02-21
ANNUAL REPORT 2021-02-09
REINSTATEMENT 2020-11-11
ANNUAL REPORT 2019-04-13
ANNUAL REPORT 2018-03-16
ANNUAL REPORT 2017-03-08
ANNUAL REPORT 2016-03-05

Paycheck Protection Program

Loan Number Loan Funded Date SBA Origination Office Code Loan Delivery Method Borrower Street Address
6870967404 2020-05-15 0455 PPP 601 E Sample Rd Ste 110, DEERFIELD BEACH, FL, 33064-4443
Loan Status Date 2022-02-18
Loan Status Paid in Full
Loan Maturity in Months 24
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 82642
Loan Approval Amount (current) 82642
Undisbursed Amount 0
Franchise Name -
Lender Location ID 48270
Servicing Lender Name JPMorgan Chase Bank, National Association
Servicing Lender Address 1111 Polaris Pkwy, COLUMBUS, OH, 43240-2031
Rural or Urban Indicator U
Hubzone Y
LMI Y
Business Age Description Existing or more than 2 years old
Project Address DEERFIELD BEACH, BROWARD, FL, 33064-4443
Project Congressional District FL-20
Number of Employees 8
NAICS code 621111
Borrower Race Unanswered
Borrower Ethnicity Unknown/NotStated
Business Type Subchapter S Corporation
Originating Lender ID 194093
Originating Lender Name JPMorgan Chase Bank, National Association
Originating Lender Address CHICAGO, IL
Gender Unanswered
Veteran Unanswered
Forgiveness Amount 83980.57
Forgiveness Paid Date 2022-01-04

Date of last update: 02 Mar 2025

Sources: Florida Department of State