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  5. PURE LIFE RENAL, INC.

PURE LIFE RENAL, INC. - Florida Company Profile

Company Details

Entity Name: PURE LIFE RENAL, INC.
Jurisdiction: FLORIDA
Filing Type: Foreign Profit
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: 18 Feb 2014 (11 years ago)
Document Number: F14000000858
FEI/EIN Number 464660566

Federal Employer Identification (FEI) Number assigned by the IRS.
Address: 4000 HOLLYWOOD BLVD., SUITE 300N, HOLLYWOOD, FL, 33021
Mail Address: 4000 HOLLYWOOD BLVD., SUITE 300N, HOLLYWOOD, FL, 33021
ZIP code: 33021
County: Broward
Place of Formation: DELAWARE

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
PURE LIFE RENAL 401(K) PLAN 2023 464660566 2024-10-14 PURE LIFE RENAL INC 135
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2014-01-01
Business code 621492
Sponsor’s telephone number 9549625733
Plan sponsor’s address 4000 HOLLYWOOD BLVD SUITE 300N, HOLLYWOOD, FL, 33021
PURE LIFE RENAL 401(K) PLAN 2022 464660566 2023-10-06 PURE LIFE RENAL INC 99
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2014-01-01
Business code 621492
Sponsor’s telephone number 9549625733
Plan sponsor’s address 4000 HOLLYWOOD BLVD SUITE 300N, HOLLYWOOD, FL, 33021
PURE LIFE RENAL 401(K) PLAN 2021 464660566 2022-09-14 PURE LIFE RENAL INC 97
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2014-01-01
Business code 621498
Sponsor’s telephone number 9549625733
Plan sponsor’s address 4000 HOLLYWOOD BLVD SUITE 300N, HOLLYWOOD, FL, 33021
PURE LIFE RENAL 401(K) PLAN 2020 464660566 2021-10-12 PURE LIFE RENAL INC 80
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2014-01-01
Business code 621498
Sponsor’s telephone number 9549625733
Plan sponsor’s address 4000 HOLLYWOOD BLVD SUITE 300N, HOLLYWOOD, FL, 33021
PURE LIFE RENAL 401(K) PLAN 2019 464660566 2020-10-12 PURE LIFE RENAL INC 76
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2014-01-01
Business code 621498
Sponsor’s telephone number 9549625733
Plan sponsor’s address 4000 HOLLYWOOD BLVD SUITE 300N, HOLLYWOOD, FL, 33021
PURE LIFE RENAL 401(K) PLAN 2018 464660566 2019-10-08 PURE LIFE RENAL INC 69
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2014-01-01
Business code 621498
Sponsor’s telephone number 9549625733
Plan sponsor’s address 4000 HOLLYWOOD BLVD SUITE 300N, HOLLYWOOD, FL, 33021
PURE LIFE RENAL 401(K) PLAN 2017 464660566 2018-10-10 PURE LIFE RENAL INC 73
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2014-01-01
Business code 621498
Sponsor’s telephone number 9549625733
Plan sponsor’s address 4000 HOLLYWOOD BLVD SUITE 300N, HOLLYWOOD, FL, 33021
PURE LIFE RENAL 401(K) PLAN 2016 464660566 2017-10-11 PURE LIFE RENAL INC 39
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2014-01-01
Business code 621498
Sponsor’s telephone number 9549625733
Plan sponsor’s address 4000 HOLLYWOOD BLVD SUITE 300N, HOLLYWOOD, FL, 33021
PURE LIFE RENAL 401(K) PLAN 2015 464660566 2016-10-17 PURE LIFE RENAL INC 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2014-01-01
Business code 621498
Sponsor’s telephone number 9549625733
Plan sponsor’s address 4000 HOLLYWOOD BLVD SUITE 300N, HOLLYWOOD, FL, 33021
PURE LIFE RENAL 401(K) PLAN 2014 464660566 2015-07-16 PURE LIFE RENAL INC 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2014-01-01
Business code 621498
Sponsor’s telephone number 9549625733
Plan sponsor’s address 4000 HOLLYWOOD BLVD SUITE 300N, HOLLYWOOD, FL, 33021

Signature of
Role Plan administrator
Date 2015-07-16
Name of individual signing JEFF FERNANDEZ
Valid signature Filed with authorized/valid electronic signature

Key Officers & Management

Name Role Address
LUGO ORESTES L President 4000 HOLLYWOOD BLVD., SUITE 300N, HOLLYWOOD, FL, 33021
LUGO ORESTES L Director 4000 HOLLYWOOD BLVD., SUITE 300N, HOLLYWOOD, FL, 33021
CIAMPOLINI STEFANO Director 4000 HOLLYWOOD BLVD., SUITE 300N, HOLLYWOOD, FL, 33021
SOLA STEFANO Director 4000 HOLLYWOOD BLVD., SUITE 300N, HOLLYWOOD, FL, 33021
BAUMAN BRYAN Secretary 15851 SW 41ST ST., SUITE 600, DAVIE, FL, 33331
FERNANDEZ JEFF Treasurer 4000 HOLLYWOOD BLVD., SUITE 300N, HOLLYWOOD, FL, 33021
Moseley Allen L Director 4000 Hollywood Blvd. Suite 300N, Hollywood, FL, 33021
BAUMAN BRYAN W Agent 15851 SW 41ST STREET, SUITE 600, DAVIE, FL, 33331

Documents

Name Date
ANNUAL REPORT 2024-05-01
ANNUAL REPORT 2023-04-28
ANNUAL REPORT 2022-04-28
ANNUAL REPORT 2021-04-30
ANNUAL REPORT 2020-04-29
ANNUAL REPORT 2019-02-01
ANNUAL REPORT 2018-01-09
ANNUAL REPORT 2017-02-13
ANNUAL REPORT 2016-01-25
ANNUAL REPORT 2015-04-20

Paycheck Protection Program

Loan Number Loan Funded Date SBA Origination Office Code Loan Delivery Method Borrower Street Address
4035207102 2020-04-12 0455 PPP 4000 HOLLYWOOD BLVD Suite 300N, HOLLYWOOD, FL, 33021-1200
Loan Status Date 2021-04-14
Loan Status Paid in Full
Loan Maturity in Months 24
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 1456900
Loan Approval Amount (current) 1456900
Undisbursed Amount 0
Franchise Name -
Lender Location ID 33850
Servicing Lender Name Comerica Bank
Servicing Lender Address 1717 Main St, DALLAS, TX, 75201-4612
Rural or Urban Indicator U
Hubzone N
LMI N
Business Age Description Existing or more than 2 years old
Project Address HOLLYWOOD, BROWARD, FL, 33021-1200
Project Congressional District FL-25
Number of Employees 98
NAICS code 621492
Borrower Race Unanswered
Borrower Ethnicity Unknown/NotStated
Business Type Corporation
Originating Lender ID 33850
Originating Lender Name Comerica Bank
Originating Lender Address DALLAS, TX
Gender Unanswered
Veteran Unanswered
Forgiveness Amount 1470821.49
Forgiveness Paid Date 2021-03-31

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LUGO ORESTES L

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CIAMPOLINI STEFANO

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SOLA STEFANO

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BAUMAN BRYAN

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ONCALL BROADBAND, INC. - Inactive
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ORB MANAGEMENT GROUP, LLC - Active
Florida Limited Liability Co. (2017 )
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DAVIE RESTAURANT II CORPORATION - Inactive
Domestic Profit (2003 - 2004)

BAUMAN BRYAN W

AHSFPD, L.L.C. - Inactive
Florida Limited Liability Co. (2001 - 2003)
EMBEDDED LABORATORIES, L.L.C. - Inactive
Florida Limited Liability Co. (2001 - 2002)
JUST-RITE INSTALL, INC. - Inactive
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BRYAN W. BAUMAN, P.A. - Active
Domestic Profit (2004 )
BRYAN W. BAUMAN, P.A. - Active
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BRYAN W. BAUMAN, P.A. - Active
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OPTIONS IN LONG TERM CARE, INC. - Inactive
Domestic Profit (1999 - 2006)
AIR GLOBAL INTERNATIONAL, L.L.C. - Inactive
Florida Limited Liability Co. (2001 - 2004)
ADVANCED MANAGEMENT PARTNERS, INC. - Inactive
Domestic Profit (2007 - 2010)
ADVANCED MANAGEMENT PARTNERS, INC. - Inactive
Domestic Profit (2007 - 2010)

Companies related by address

4000 HOLLYWOOD BLVD., SUITE 300N, HOLLYWOOD, FL, 33021

PURE LIFE RENAL LLC

4000 HOLLYWOOD BLVD., SUITE 300N, HOLLYWOOD, FL, 33021

PURE LIFE RENAL LLC

Date of last update: 03 Apr 2025

Sources: Florida Department of State

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