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L TAN MD LC - Florida Company Profile

Company Details

Entity Name: L TAN MD LC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.

L TAN MD LC is structured as a Limited Liability Company (LLC), a common business structure that offers its members limited liability protection, separating their personal assets from the company's debts and obligations.
In Florida, LLCs are governed by Title XXXVI, Chapter 605, Florida Revised Limited Liability Company 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: 11 Dec 2003 (21 years ago)
Document Number: L03000052148
FEI/EIN Number 200474825

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

Address: 2915 MADISON ST, MARIANNA, FL, 32446, US
Mail Address: 2915 MADISON ST, MARIANNA, FL, 32446, US
ZIP code: 32446
County: Jackson
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1346303088 2006-12-17 2020-08-22 2915 MADISON ST, MARIANNA, FL, 324463449, US 2915 MADISON ST, MARIANNA, FL, 324463449, US

Contacts

Phone +1 850-536-2460

Authorized person

Name L TAN
Role MGR
Phone 9045370954

Taxonomy

Taxonomy Code 208800000X - Urology Physician
License Number ME339964
State FL
Is Primary Yes

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
MEK TRUST 401K PLAN 2016 200474825 2017-06-06 L TAN, MD LC 2
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-01-01
Business code 541600
Sponsor’s telephone number 8503723834
Plan sponsor’s mailing address 2915 MADISON ST, MARIANNA, FL, 324463449
Plan sponsor’s address 2915 MADISON ST, MARIANNA, FL, 324463449

Number of participants as of the end of the plan year

Active participants 2
Retired or separated participants receiving benefits 0
Other retired or separated participants entitled to future benefits 0
Deceased participants whose beneficiaries are receiving or are entitled to receive benefits 0

Signature of

Role Plan administrator
Date 2017-06-06
Name of individual signing L TAN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2017-06-06
Name of individual signing L TAN
Valid signature Filed with authorized/valid electronic signature
MEK TRUST 401K PLAN 2015 200474825 2016-07-04 L TAN, MD LC 2
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-01-01
Business code 541600
Sponsor’s telephone number 7029003454
Plan sponsor’s DBA name OZONELOGICS
Plan sponsor’s address 2915 MADISON ST, MARIANNA, FL, 324463449

Signature of

Role Plan administrator
Date 2016-07-04
Name of individual signing L TAN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2016-07-04
Name of individual signing L TAN
Valid signature Filed with authorized/valid electronic signature
MEK TRUST 401K PLAN 2012 200474825 2013-06-11 L TAN, MD LC 2
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-01-01
Business code 541600
Sponsor’s telephone number 7029003454
Plan sponsor’s mailing address 2915 MADISON ST, MARIANNA, FL, 32446
Plan sponsor’s address 2915 MADISON ST, MARIANNA, FL, 32446

Number of participants as of the end of the plan year

Active participants 2

Signature of

Role Plan administrator
Date 2013-06-11
Name of individual signing L TAN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2013-06-11
Name of individual signing L TAN
Valid signature Filed with authorized/valid electronic signature
MEK TRUST 2010 200474825 2011-07-04 L TAN MD LC 2
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2006-01-01
Business code 541600
Sponsor’s telephone number 8505579691
Plan sponsor’s address 2915 MADISON ST, MARIANNA, FL, 32446

Plan administrator’s name and address

Administrator’s EIN 200474825
Plan administrator’s name L TAN MD LC
Plan administrator’s address 2915 MADISON ST, MARIANNA, FL, 32446
Administrator’s telephone number 8505579691

Signature of

Role Plan administrator
Date 2011-07-04
Name of individual signing L TAN
Valid signature Filed with authorized/valid electronic signature

Key Officers & Management

Name Role Address
TAN L Manager 2915 MADISON ST, MARIANNA, FL, 32446
TAN L Agent 2915 MADISON ST, MARIANNA, FL, 32446

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G92175000076 UROLOGY CENTER ACTIVE 1992-06-23 2027-12-31 - 4948 FLYNT DR, UR7, MARIANNA, FL, 32446

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2008-01-21 2915 MADISON ST, MARIANNA, FL 32446 -

Documents

Name Date
ANNUAL REPORT 2025-01-03
ANNUAL REPORT 2024-02-05
ANNUAL REPORT 2023-01-08
ANNUAL REPORT 2022-01-13
ANNUAL REPORT 2021-01-04
ANNUAL REPORT 2020-03-29
ANNUAL REPORT 2019-01-11
ANNUAL REPORT 2018-01-07
ANNUAL REPORT 2017-02-10
ANNUAL REPORT 2016-03-03

Paycheck Protection Program

Loan Number Loan Funded Date SBA Origination Office Code Loan Delivery Method Borrower Street Address
3601247104 2020-04-11 0491 PPP 2915 MADISON ST, MARIANNA, FL, 32446-3449
Loan Status Date 2021-02-04
Loan Status Paid in Full
Loan Maturity in Months 24
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 13600
Loan Approval Amount (current) 13600
Undisbursed Amount 0
Franchise Name -
Lender Location ID 19595
Servicing Lender Name Ameris Bank
Servicing Lender Address 3490 Piedmont Rd NE, Ste 124, ATLANTA, GA, 30305
Rural or Urban Indicator R
Hubzone Y
LMI N
Business Age Description Existing or more than 2 years old
Project Address MARIANNA, JACKSON, FL, 32446-3449
Project Congressional District FL-02
Number of Employees 4
NAICS code 621111
Borrower Race Unanswered
Borrower Ethnicity Unknown/NotStated
Business Type Independent Contractors
Originating Lender ID 19595
Originating Lender Name Ameris Bank
Originating Lender Address ATLANTA, GA
Gender Unanswered
Veteran Unanswered
Forgiveness Amount 13697.62
Forgiveness Paid Date 2021-01-14

Date of last update: 03 Apr 2025

Sources: Florida Department of State