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MARK A. EBERBACH, M.D., P.A. - Florida Company Profile

Company Details

Entity Name: MARK A. EBERBACH, M.D., P.A.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit

MARK A. EBERBACH, M.D., 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: 12 May 1989 (36 years ago)
Document Number: K87909
FEI/EIN Number 592951217

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

Address: 18009 Crawley Rd, Odessa, FL, 33556, US
Mail Address: 18009 Crawley Rd, Odessa, FL, 33556, US
ZIP code: 33556
County: Hillsborough
Place of Formation: FLORIDA

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
EBERBACH PLASTIC SURGERY 401(K) PLAN 2014 592951217 2015-06-01 MARK A. EBERBACH, M.D., P.A. 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-01-01
Business code 621111
Sponsor’s telephone number 7278684490
Plan sponsor’s address 14012 U.S. HWY 19, HUDSON, FL, 34667

Signature of

Role Plan administrator
Date 2015-06-01
Name of individual signing MARK EBERBACH
Valid signature Filed with authorized/valid electronic signature
EBERBACH PLASTIC SURGERY 401(K) PLAN 2013 592951217 2014-06-13 MARK A. EBERBACH, M.D., P.A. 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-01-01
Business code 621111
Sponsor’s telephone number 7278684490
Plan sponsor’s address 14012 U.S. HWY 19, HUDSON, FL, 34667

Signature of

Role Plan administrator
Date 2014-06-13
Name of individual signing MARK EBERBACH
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2014-06-13
Name of individual signing MARK EBERBACH
Valid signature Filed with authorized/valid electronic signature
EBERBACH PLASTIC SURGERY 401(K) PLAN 2013 592951217 2014-06-13 MARK A. EBERBACH, M.D., P.A. 8
Three-digit plan number (PN) 001
Effective date of plan 2003-01-01
Business code 621111
Sponsor’s telephone number 7278684490
Plan sponsor’s address 14012 U.S. HWY 19, HUDSON, FL, 34667

Signature of

Role Plan administrator
Date 2014-06-13
Name of individual signing MARK EBERBACH
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2014-06-13
Name of individual signing MARK EBERBACH
Valid signature Filed with authorized/valid electronic signature
EBERBACH PLASTIC SURGERY 401K PLAN 2010 592951217 2011-10-05 MARK A. EBERBACH, M.D., P.A. 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-01-01
Business code 621111
Sponsor’s telephone number 7278687770
Plan sponsor’s address 14012 U.S. HIGHWAY 19, HUDSON, FL, 346671165

Plan administrator’s name and address

Administrator’s EIN 592951217
Plan administrator’s name MARK A. EBERBACH, M.D., P.A.
Plan administrator’s address 14012 U.S. HIGHWAY 19, HUDSON, FL, 346671165
Administrator’s telephone number 7278687770

Signature of

Role Plan administrator
Date 2011-10-05
Name of individual signing MARK EBERBACH
Valid signature Filed with authorized/valid electronic signature
EBERBACH PLASTIC SURGERY 401K PLAN 2009 592951217 2010-09-20 MARK A. EBERBACH, M.D., P.A. 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-01-01
Business code 621111
Sponsor’s telephone number 7278687770
Plan sponsor’s address 14012 U.S. HIGHWAY 19, HUDSON, FL, 346671165

Plan administrator’s name and address

Administrator’s EIN 592951217
Plan administrator’s name MARK A. EBERBACH, M.D., P.A.
Plan administrator’s address 14012 U.S. HIGHWAY 19, HUDSON, FL, 346671165
Administrator’s telephone number 7278687770

Signature of

Role Plan administrator
Date 2010-09-20
Name of individual signing MARK EBERBACH
Valid signature Filed with authorized/valid electronic signature
EBERBACH PLASTIC SURGERY 401K PLAN 2009 592951217 2010-09-20 MARK A. EBERBACH, M.D., P.A. 7
Three-digit plan number (PN) 001
Effective date of plan 2003-01-01
Business code 621111
Sponsor’s telephone number 7278687770
Plan sponsor’s address 14012 U.S. HIGHWAY 19, HUDSON, FL, 346671165

Plan administrator’s name and address

Administrator’s EIN 592951217
Plan administrator’s name MARK A. EBERBACH, M.D., P.A.
Plan administrator’s address 14012 U.S. HIGHWAY 19, HUDSON, FL, 346671165
Administrator’s telephone number 7278687770

Signature of

Role Employer/plan sponsor
Date 2010-09-20
Name of individual signing MARK EBERBACH
Valid signature Filed with authorized/valid electronic signature
EBERBACH PLASTIC SURGERY 401K PLAN 2009 592951217 2010-08-24 MARK A. EBERBACH, M.D., P.A. 7
Three-digit plan number (PN) 001
Effective date of plan 2003-01-01
Business code 621111
Sponsor’s telephone number 7278687770
Plan sponsor’s address 14012 U.S. HIGHWAY 19, HUDSON, FL, 346671165

Plan administrator’s name and address

Administrator’s EIN 592951217
Plan administrator’s name MARK A. EBERBACH, M.D., P.A.
Plan administrator’s address 14012 U.S. HIGHWAY 19, HUDSON, FL, 346671165
Administrator’s telephone number 7278687770

Signature of

Role Employer/plan sponsor
Date 2010-08-24
Name of individual signing MARK EBERBACH
Valid signature Filed with authorized/valid electronic signature

Key Officers & Management

Name Role Address
EBERBACH MARK AMD President 18009 Crawley Rd, Odessa, FL, 33556
EBERBACH MARK A Agent 18009 Crawley Rd, Odessa, FL, 33556

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2022-01-24 18009 Crawley Rd, Odessa, FL 33556 -
CHANGE OF MAILING ADDRESS 2022-01-24 18009 Crawley Rd, Odessa, FL 33556 -
REGISTERED AGENT ADDRESS CHANGED 2022-01-24 18009 Crawley Rd, Odessa, FL 33556 -
REGISTERED AGENT NAME CHANGED 2010-01-05 EBERBACH, MARK A -

Documents

Name Date
ANNUAL REPORT 2025-01-14
ANNUAL REPORT 2024-02-06
ANNUAL REPORT 2023-01-26
ANNUAL REPORT 2022-01-24
ANNUAL REPORT 2021-01-12
ANNUAL REPORT 2020-01-16
ANNUAL REPORT 2019-02-07
ANNUAL REPORT 2018-01-10
ANNUAL REPORT 2017-01-09
ANNUAL REPORT 2016-01-21

Paycheck Protection Program

Loan Number Loan Funded Date SBA Origination Office Code Loan Delivery Method Borrower Street Address
5110537102 2020-04-13 0455 PPP 14012 US HWY 19, HUDSON, FL, 34667
Loan Status Date 2021-02-09
Loan Status Paid in Full
Loan Maturity in Months 24
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 118700
Loan Approval Amount (current) 118700
Undisbursed Amount 0
Franchise Name -
Lender Location ID 17616
Servicing Lender Name Seacoast National Bank
Servicing Lender Address 815 Colorado Ave, STUART, FL, 34994-3053
Rural or Urban Indicator U
Hubzone N
LMI Y
Business Age Description Existing or more than 2 years old
Project Address HUDSON, PASCO, FL, 34667-0001
Project Congressional District FL-12
Number of Employees 9
NAICS code 621399
Borrower Race Unanswered
Borrower Ethnicity Unknown/NotStated
Business Type Corporation
Originating Lender ID 17616
Originating Lender Name Seacoast National Bank
Originating Lender Address STUART, FL
Gender Unanswered
Veteran Unanswered
Forgiveness Amount 119610.58
Forgiveness Paid Date 2021-01-28

Date of last update: 03 Apr 2025

Sources: Florida Department of State