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  5. XINIM CORPORATION

XINIM CORPORATION - Florida Company Profile

Company Details

Entity Name: XINIM CORPORATION
Jurisdiction: FLORIDA
Filing Type: Domestic Profit

XINIM CORPORATION 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: 19 Apr 1983 (42 years ago)
Last Event: AMENDMENT
Event Date Filed: 12 Aug 2019 (6 years ago)
Document Number: G33883
FEI/EIN Number 592280609

Federal Employer Identification (FEI) Number assigned by the IRS.
Address: % THOMAS E HILL, 1702 RIDGEWOOD AVENUE, HOLLY HILL, FL, 32117, US
Mail Address: % THOMAS E HILL, 1702 RIDGEWOOD AVENUE, HOLLY HILL, FL, 32117, US
ZIP code: 32117
County: Volusia
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1932109667 2005-07-22 2021-04-19 1702 RIDGEWOOD AVE, SUITE C, HOLLY HILL, FL, 321175416, US 1702 RIDGEWOOD AVE, SUITE A - G, HOLLY HILL, FL, 321175416, US

Contacts
Phone +1 386-677-7377
Fax 3866770739

Authorized person
Name THOMAS HILL
Role DPT
Phone 3866777377

Taxonomy
Taxonomy Code 251E00000X - Home Health Agency
License Number 299994706
State FL
Is Primary No
Taxonomy Code 251F00000X - Home Infusion Agency
Is Primary No
Taxonomy Code 261QI0500X - Infusion Therapy Clinic/Center
Is Primary No
Taxonomy Code 332B00000X - Durable Medical Equipment & Medical Supplies
License Number PH9050
State FL
Is Primary No
Taxonomy Code 332BP3500X - Parenteral & Enteral Nutrition Supplies (DME)
License Number PH9050
State FL
Is Primary No
Taxonomy Code 332BX2000X - Oxygen Equipment & Supplies (DME)
License Number PH9050
State FL
Is Primary No
Taxonomy Code 333600000X - Pharmacy
License Number PH 9050
State FL
Is Primary Yes
Taxonomy Code 3336H0001X - Home Infusion Therapy Pharmacy
License Number PH9050
Is Primary No

Other Provider Identifiers
Issuer MEDICAID
Number 103813400
State FL

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
XINIM CORPORATION 401(K) PLAN 2023 592280609 2024-05-10 XINIM CORPORATION 42
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2020-01-01
Business code 446110
Sponsor’s telephone number 3869312457
Plan sponsor’s address 1702 RIDGEWOOD AVENUE, STE C, HOLLY HILL, FL, 32117

Plan administrator’s name and address
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 2024-05-10
Name of individual signing QIAN LIU
Valid signature Filed with authorized/valid electronic signature
XINIM CORPORATION 401(K) PLAN 2022 592280609 2023-05-27 XINIM CORPORATION 39
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2020-01-01
Business code 446110
Sponsor’s telephone number 3869312457
Plan sponsor’s address 1702 RIDGEWOOD AVENUE, STE C, HOLLY HILL, FL, 32117

Plan administrator’s name and address
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 2023-05-27
Name of individual signing CHRISTINE RIMER
Valid signature Filed with authorized/valid electronic signature
XINIM CORPORATION 401(K) PLAN 2021 592280609 2022-06-02 XINIM CORPORATION 32
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2020-01-01
Business code 446110
Sponsor’s telephone number 3869312457
Plan sponsor’s address 1702 RIDGEWOOD AVENUE, STE C, HOLLY HILL, FL, 32117

Plan administrator’s name and address
Administrator’s EIN 474474775
Plan administrator’s name GUIDELINE, INC.
Plan administrator’s address 1645 E 6TH STREET, SUITE 200, AUSTIN, TX, 78702
Administrator’s telephone number 8882283491

Signature of
Role Plan administrator
Date 2022-06-02
Name of individual signing CHRISTINE RIMER
Valid signature Filed with authorized/valid electronic signature
XINIM CORPORATION 401(K) PLAN 2020 592280609 2021-05-04 XINIM CORPORATION 0
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2020-01-01
Business code 446110
Sponsor’s telephone number 3869312457
Plan sponsor’s address 1702 RIDGEWOOD AVENUE, STE C, HOLLY HILL, FL, 32117

Plan administrator’s name and address
Administrator’s EIN 474474775
Plan administrator’s name GUIDELINE, INC.
Plan administrator’s address 3050 S DELAWARE ST, #202, SAN MATEO, CA, 94403
Administrator’s telephone number 8882283491

Signature of
Role Plan administrator
Date 2021-05-04
Name of individual signing CAROL HO
Valid signature Filed with authorized/valid electronic signature

Key Officers & Management

Name Role Address
HILL THOMAS E Chief Executive Officer 346 N 12TH ST, FLAGLER BEACH, FL, 32136
HILL THOMAS E Agent % THOMAS E HILL, HOLLY HILL, FL, 32117

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G19000113484 INTELLICARE RX EXPIRED 2019-10-18 2024-12-31 - 1702 RIDGEWOOD AVE, STE C, HOLLY HILL, FL, 32117
G17000056035 HOLLY HILL PHARMACY HOME INFUSION SERVICES ACTIVE 2017-05-19 2027-12-31 - 1702 RIDGEWOOD AVE, STE B, HOLLY HILL, FL, 32117
G92175000083 HOLLY HILL PHARMACY ACTIVE 1992-06-23 2027-12-31 - 1702 RIDGEWOOD AVE., STE C, HOLLY HILL, FL, 32117

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2024-01-08 % THOMAS E HILL, 1702 RIDGEWOOD AVENUE, STE A - G, HOLLY HILL, FL 32117 -
AMENDMENT 2019-08-12 - -
CHANGE OF MAILING ADDRESS 2019-08-12 % THOMAS E HILL, 1702 RIDGEWOOD AVENUE, STE A - G, HOLLY HILL, FL 32117 -
REGISTERED AGENT NAME CHANGED 2019-08-12 HILL, THOMAS E -
REGISTERED AGENT ADDRESS CHANGED 1998-01-29 % THOMAS E HILL, 1702 RIDGEWOOD AVENUE, STE C, HOLLY HILL, FL 32117 -

Documents

Name Date
ANNUAL REPORT 2025-01-09
ANNUAL REPORT 2024-01-08
ANNUAL REPORT 2023-01-03
ANNUAL REPORT 2022-01-17
ANNUAL REPORT 2021-01-14
ANNUAL REPORT 2020-01-14
Amendment 2019-08-12
ANNUAL REPORT 2019-04-04
ANNUAL REPORT 2018-02-01
ANNUAL REPORT 2017-01-26

Paycheck Protection Program

Loan Number Loan Funded Date SBA Origination Office Code Loan Delivery Method Borrower Street Address
2541497101 2020-04-10 0491 PPP 1702 RIDGEWOOD AVE, DAYTONA BEACH, FL, 32117-1736
Loan Status Date 2021-03-23
Loan Status Paid in Full
Loan Maturity in Months 24
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 238600
Loan Approval Amount (current) 238600
Undisbursed Amount 0
Franchise Name -
Lender Location ID 225134
Servicing Lender Name Truist Bank
Servicing Lender Address 214 N Tryon St, CHARLOTTE, NC, 28202-1078
Rural or Urban Indicator U
Hubzone Y
LMI Y
Business Age Description Existing or more than 2 years old
Project Address DAYTONA BEACH, VOLUSIA, FL, 32117-1736
Project Congressional District FL-06
Number of Employees 28
NAICS code 446110
Borrower Race Unanswered
Borrower Ethnicity Unknown/NotStated
Business Type Corporation
Originating Lender ID 225134
Originating Lender Name Truist Bank
Originating Lender Address CHARLOTTE, NC
Gender Unanswered
Veteran Unanswered
Forgiveness Amount 221735.93
Forgiveness Paid Date 2020-12-09

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Companies related by address

No other companies in our directory share the same address as XINIM CORPORATION

Date of last update: 01 Apr 2025

Sources: Florida Department of State

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