| Entity Name: | PROSPER INFUSION, 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: | 16 Apr 2020 (5 years ago) |
| Last Event: | NAME CHANGE AMENDMENT |
| Event Date Filed: | 21 Jul 2020 (5 years ago) |
| Document Number: | F20000001903 |
| FEI/EIN Number |
84-2927869
Federal Employer Identification (FEI) Number assigned by the IRS. |
| Address: | 12637 RACE TRACK ROAD, Westchase, FL, 33626, US |
| Mail Address: | 12637 RACE TRACK ROAD, Westchase, FL, 33626, US |
| ZIP code: | 33626 |
| County: | Hillsborough |
| Place of Formation: | DELAWARE |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1093471401 | 2021-11-10 | 2023-10-31 | 12637 RACE TRACK RD, WESTCHASE, FL, 336261331, US | 12637 RACE TRACK RD, WESTCHASE, FL, 336261331, US | |||||||||||||||||||||||
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| Phone | +1 813-749-0786 |
| Fax | 8139222457 |
Authorized person
| Name | RICHARD LEE DUONG |
| Role | PRESIDENT |
| Phone | 8137490786 |
Taxonomy
| Taxonomy Code | 333600000X - Pharmacy |
| Is Primary | No |
| Taxonomy Code | 3336C0003X - Community/Retail Pharmacy |
| Is Primary | Yes |
| Taxonomy Code | 3336H0001X - Home Infusion Therapy Pharmacy |
| Is Primary | No |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| PROSPER INFUSION, INC. 401(K) PLAN | 2023 | 842927869 | 2024-05-21 | PROSPER INFUSION, INC. | 0 | |||||||||||||||||||||||||||||||
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| Administrator’s EIN | 474474775 |
| Plan administrator’s name | GUIDELINE, INC. |
| Plan administrator’s address | 1412 CHAPIN AVENUE, BURLINGAME, CA, 94010 |
| Administrator’s telephone number | 8882283491 |
Signature of
| Role | Plan administrator |
| Date | 2024-05-21 |
| Name of individual signing | QIAN LIU |
| Valid signature | Filed with authorized/valid electronic signature |
| Name | Role | Address |
|---|---|---|
| DUONG RICHARD | Chairman | 12637 RACE TRACK ROAD, Westchase, FL, 33626 |
| MYCHKOVSKY ANDREW | Vice Chairman | 12637 RACE TRACK ROAD, Westchase, FL, 33626 |
| DUONG RICHARD | Agent | 12637 RACE TRACK ROAD, Westchase, FL, 33626 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G21000123315 | PROSPER INFUSION, INC. | ACTIVE | 2021-09-18 | 2026-12-31 | - | 12637 RACE TRACK RD, WESTCHASE, FL, 33626 |
| G21000086213 | PROSPER IV WELLNESS | ACTIVE | 2021-06-29 | 2026-12-31 | - | 12637 RACE TRACK RD, WESTCHASE, FL, 33626 |
| G21000035134 | PROSPER INFUSION | ACTIVE | 2021-03-12 | 2026-12-31 | - | 12637 RACE TRACK RD, WESTCHASE, FL, 33626 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2021-04-21 | 12637 RACE TRACK ROAD, Westchase, FL 33626 | - |
| CHANGE OF MAILING ADDRESS | 2021-04-21 | 12637 RACE TRACK ROAD, Westchase, FL 33626 | - |
| REGISTERED AGENT ADDRESS CHANGED | 2021-04-21 | 12637 RACE TRACK ROAD, Westchase, FL 33626 | - |
| NAME CHANGE AMENDMENT | 2020-07-21 | PROSPER INFUSION, INC. | - |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-03-06 |
| ANNUAL REPORT | 2023-07-12 |
| ANNUAL REPORT | 2022-04-25 |
| ANNUAL REPORT | 2021-04-21 |
| Reg. Agent Change | 2020-10-26 |
| Name Change | 2020-07-21 |
| Foreign Profit | 2020-04-16 |
Date of last update: 01 Apr 2025
Sources: Florida Department of State
