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MARY L.PEPINE, M.D., PLLC - Florida Company Profile

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Company Details

Entity Name: MARY L.PEPINE, M.D., PLLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Active
Date Filed: 23 Jan 2002 (24 years ago)
Last Event: LC STMNT OF RA/RO CHG
Event Date Filed: 04 Mar 2022 (3 years ago)
Document Number: L02000001737
FEI/EIN Number 010577733
Address: 727 SOUTH FL. AVE, LAKELAND, FL, 33801
Mail Address: 727 SOUTH FL. AVE, LAKELAND, FL, 33801
ZIP code: 33801
City: Lakeland
County: Polk
Place of Formation: FLORIDA

Key Officers & Management

Name Role Address
PEPINE MARY LMD Managing Member 5123 HIGHLANDS LAKEVIEW LOOP, LAKELAND, FL, 33812
GAD JEFFREY Agent 401 EAST JACKSON STREET, TAMPA, FL, 336025228

National Provider Identifier

NPI Number:
1659615995

Authorized Person:

Name:
MARY LYNN PEPINE
Role:
OWNER
Phone:

Taxonomy:

Selected Taxonomy:
174400000X - Specialist
Is Primary:
Yes

Contacts:

Fax:
8636872155

Form 5500 Series

Employer Identification Number (EIN):
010577733
Plan Year:
2024
Number Of Participants:
3
Sponsors Telephone Number:
Plan Year:
2023
Number Of Participants:
3
Sponsors Telephone Number:
Plan Year:
2022
Number Of Participants:
4
Sponsors Telephone Number:
Plan Year:
2021
Number Of Participants:
5
Sponsors Telephone Number:
Plan Year:
2020
Number Of Participants:
4
Sponsors Telephone Number:

Events

Event Type Filed Date Value Description
LC STMNT OF RA/RO CHG 2022-03-04 - -
REGISTERED AGENT NAME CHANGED 2022-03-04 GAD, JEFFREY -
REGISTERED AGENT ADDRESS CHANGED 2018-01-15 401 EAST JACKSON STREET, SUITE 3100, TAMPA, FL 33602-5228 -
CHANGE OF MAILING ADDRESS 2011-01-04 727 SOUTH FL. AVE, LAKELAND, FL 33801 -
CHANGE OF PRINCIPAL ADDRESS 2003-01-10 727 SOUTH FL. AVE, LAKELAND, FL 33801 -

Documents

Name Date
ANNUAL REPORT 2025-01-10
ANNUAL REPORT 2024-01-22
ANNUAL REPORT 2023-01-28
CORLCRACHG 2022-03-04
ANNUAL REPORT 2022-01-23
ANNUAL REPORT 2021-01-30
ANNUAL REPORT 2020-01-08
ANNUAL REPORT 2019-02-07
ANNUAL REPORT 2018-01-15
ANNUAL REPORT 2017-01-07

USAspending Awards / Financial Assistance

Date:
2020-04-13
Awarding Agency Name:
Small Business Administration
Transaction Description:
TO AID SMALL BUSINESSES IN MAINTAINING WORK FORCE DURING COVID-19 PANDEMIC.
Obligated Amount:
0.00
Face Value Of Loan:
40500.00
Total Face Value Of Loan:
40500.00

Paycheck Protection Program

Jobs Reported:
3
Initial Approval Amount:
$40,500
Date Approved:
2020-04-12
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$40,500
Race:
Unanswered
Ethnicity:
Not Hispanic or Latino
Gender:
Female Owned
Veteran:
Non-Veteran
Forgiveness Amount:
$40,786.88
Servicing Lender:
SouthState Bank, National Association
Use of Proceeds:
Payroll: $40,500

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Date of last update: 03 Aug 2025

Sources: Florida Department of State