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  5. SAI MEDICAL CENTER, LLC

SAI MEDICAL CENTER, LLC

Company Details

Entity Name: SAI MEDICAL CENTER, LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Active
Date Filed: 22 May 2000 (25 years ago)
Last Event: CANCEL ADM DISS/REV
Event Date Filed: 21 Oct 2008 (16 years ago)
Document Number: L00000005845
FEI/EIN Number 593649278
Address: 3831-16TH STREET NORTH, ST. PETERSBURG, FL, 33703
Mail Address: 3831-16TH STREET NORTH, ST. PETERSBURG, FL, 33703
ZIP code: 33703
County: Pinellas
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1467541839 2006-10-12 2009-03-05 PO BOX 24535, TAMPA, FL, 336234535, US 3831 16TH ST N, ST PETERSBURG, FL, 337035601, US

Contacts
Phone +1 727-823-2188
Phone +1 727-527-2139
Fax 7275222832

Authorized person
Name RAMANUJACHARY IYYUNNI
Role PRESIDENT
Phone 7275272139

Taxonomy
Taxonomy Code 207R00000X - Internal Medicine Physician
Is Primary Yes

Other Provider Identifiers
Issuer BCBS
Number 45551
State FL
Issuer RR MCR LOC 2
Number CH7631
State FL
Issuer RR MCR LOC 1
Number CH7639
State FL

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
SAI MEDICAL CENTER LLC PROFIT SHARING PLAN 2023 593649278 2024-10-10 SAI MEDICAL CENTER LLC 5
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2020-01-01
Business code 621111
Sponsor’s telephone number 7274241067
Plan sponsor’s address 3831 16TH ST N, ST. PETERSBURG, FL, 33703

Signature of
Role Plan administrator
Date 2024-10-10
Name of individual signing NADARAJAH NIRMALAN
Valid signature Filed with authorized/valid electronic signature
SAI MEDICAL CENTER LLC PROFIT SHARING PLAN 2022 593649278 2023-10-12 SAI MEDICAL CENTER LLC 4
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2020-01-01
Business code 621111
Sponsor’s telephone number 7274241067
Plan sponsor’s address 3831 16TH ST N, ST. PETERSBURG, FL, 33703

Signature of
Role Plan administrator
Date 2023-10-12
Name of individual signing NADARAJAH NIRMALAN
Valid signature Filed with authorized/valid electronic signature
SAI MEDICAL CENTER LLC PROFIT SHARING PLAN 2021 593649278 2022-10-11 SAI MEDICAL CENTER LLC 4
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2020-01-01
Business code 621111
Sponsor’s telephone number 7274241067
Plan sponsor’s address 3831 16TH ST N, ST. PETERSBURG, FL, 33703
SAI MEDICAL CENTER LLC PROFIT SHARING PLAN 2020 593649278 2021-10-04 SAI MEDICAL CENTER LLC 3
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2020-01-01
Business code 621111
Sponsor’s telephone number 7274241067
Plan sponsor’s address 3831 16TH STREET N, ST PETERSBURG, FL, 33703
SPIN-OFF TERMINATION PLAN FOR SAI MEDICAL CENTER, LLC 2019 593649278 2020-10-28 SAI MEDICAL CENTER, LLC 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2020-04-07
Business code 541214
Sponsor’s telephone number 7275222832
Plan sponsor’s address 4561 MAINLANDS BLVD, PINELLAS, FL, 33782

Signature of
Role Plan administrator
Date 2020-10-28
Name of individual signing SHERYL SOUTHWICK
Valid signature Filed with authorized/valid electronic signature
SPIN OFF AND TERMINATION PLAN FOR SAI MEDICAL CENTER, LLC 2016 593649278 2017-06-30 SAI MEDICAL CENTER, LLC 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-09-07
Business code 541214
Sponsor’s telephone number 7275222832
Plan sponsor’s address 4561 MAINLANDS BLVD, PINELLAS, FL, 33782

Signature of
Role Plan administrator
Date 2017-06-30
Name of individual signing DAN TOOMEY
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
NIRMALAN NADARAJAH M Agent 3831-16TH STREET NORTH, ST. PETERSBURG, FL, 33703

Manager

Name Role Address
NIRMALAN NADARAJAH M Manager 3831-16TH STREET NORTH, ST. PETERSBURG, FL, 33703

Events

Event Type Filed Date Value Description
REGISTERED AGENT NAME CHANGED 2009-06-22 NIRMALAN, NADARAJAH MD No data
CANCEL ADM DISS/REV 2008-10-21 No data No data
ADMIN DISSOLUTION FOR ANNUAL REPORT 2008-09-26 No data No data

Documents

Name Date
ANNUAL REPORT 2024-02-09
ANNUAL REPORT 2023-01-26
ANNUAL REPORT 2022-01-25
ANNUAL REPORT 2021-01-29
ANNUAL REPORT 2020-02-01
ANNUAL REPORT 2019-01-11
ANNUAL REPORT 2018-01-31
ANNUAL REPORT 2017-01-24
ANNUAL REPORT 2016-04-15
ANNUAL REPORT 2015-03-17

Paycheck Protection Program

Loan Number Loan Funded Date SBA Origination Office Code Loan Delivery Method Borrower Street Address
6079378006 2020-06-29 0455 PPP 3831 16TH ST N, ST PETERSBURG, FL, 33703-5601
Loan Status Date 2021-06-04
Loan Status Paid in Full
Loan Maturity in Months 60
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 65255
Loan Approval Amount (current) 65255
Undisbursed Amount 0
Franchise Name -
Lender Location ID 39232
Servicing Lender Name Hancock Whitney Bank
Servicing Lender Address 2510 14th St One Hancock Plz, GULFPORT, MS, 39501
Rural or Urban Indicator U
Hubzone N
LMI N
Business Age Description New Business or 2 years or less
Project Address ST PETERSBURG, PINELLAS, FL, 33703-5601
Project Congressional District FL-14
Number of Employees 7
NAICS code 621111
Borrower Race Unanswered
Borrower Ethnicity Unknown/NotStated
Business Type Limited Liability Company(LLC)
Originating Lender ID 39232
Originating Lender Name Hancock Whitney Bank
Originating Lender Address GULFPORT, MS
Gender Unanswered
Veteran Unanswered
Forgiveness Amount 65822.36
Forgiveness Paid Date 2021-05-13

Related by officers

No related officers

Related by address

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Date of last update: 02 Feb 2025

Sources: Florida Department of State

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