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  5. SPACE COAST SLEEP DISORDERS CENTER, LLC

SPACE COAST SLEEP DISORDERS CENTER, LLC - Florida Company Profile

Company Details

Entity Name: SPACE COAST SLEEP DISORDERS CENTER, LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.

SPACE COAST SLEEP DISORDERS CENTER, LLC 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: 19 Sep 2005 (20 years ago)
Last Event: REINSTATEMENT
Event Date Filed: 05 Oct 2006 (19 years ago)
Document Number: L05000092047
FEI/EIN Number 203758509

Federal Employer Identification (FEI) Number assigned by the IRS.
Address: 640 CLASSIC COURT, SUITE 106, MELBOURNE, FL, 32940
Mail Address: 640 CLASSIC COURT, SUITE 106, MELBOURNE, FL, 32940
ZIP code: 32940
County: Brevard
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1023037272 2006-07-19 2017-02-28 640 CLASSIC CT, SUITE 106, MELBOURNE, FL, 329408279, US 640 CLASSIC CT, SUITE 106, MELBOURNE, FL, 329408279, US

Contacts
Phone +1 321-255-9901
Fax 3212559902

Authorized person
Name MR. ANTONIO EDWIN STIGALL
Role PRESIDENT/CEO
Phone 3212559901

Taxonomy
Taxonomy Code 261QS1200X - Sleep Disorder Diagnostic Clinic/Center
License Number HCC7135
State FL
Is Primary Yes

Other Provider Identifiers
Issuer CARE PLUS
Number 1065447
State FL
Issuer WELLCARE
Number 36521
State FL
Issuer AETNA
Number 7729847
State FL
Issuer BCBS
Number V3120
State FL
Issuer FREEDOM HEALTH
Number F301267
State FL
Issuer AMERI GROUP
Number 01092537
State FL

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
SPACE COAST SLEEP 401(K) PLAN 2023 203758509 2024-07-26 SPACE COAST SLEEP DISORDERS CENTER 2
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-05-15
Business code 621498
Sponsor’s telephone number 3212559901
Plan sponsor’s address 640 CLASSIC COURT, SUITE 106, MELBOURNE, FL, 32940

Signature of
Role Plan administrator
Date 2024-07-26
Name of individual signing JENNIFER STIGALL
Valid signature Filed with authorized/valid electronic signature
SPACE COAST SLEEP 401(K) PLAN 2022 203758509 2023-07-27 SPACE COAST SLEEP DISORDERS CENTER 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-05-15
Business code 621498
Sponsor’s telephone number 3212559901
Plan sponsor’s address 640 CLASSIC COURT, SUITE 106, MELBOURNE, FL, 32940

Signature of
Role Plan administrator
Date 2023-07-27
Name of individual signing JENNIFER STIGALL
Valid signature Filed with authorized/valid electronic signature
SPACE COAST SLEEP 401(K) PLAN 2021 203758509 2022-06-09 SPACE COAST SLEEP DISORDERS CENTER 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-05-15
Business code 621498
Sponsor’s telephone number 3212559901
Plan sponsor’s address 640 CLASSIC COURT, SUITE 106, MELBOURNE, FL, 32940

Signature of
Role Plan administrator
Date 2022-06-09
Name of individual signing JENNIFER STIGALL
Valid signature Filed with authorized/valid electronic signature
SPACE COAST SLEEP 401(K) PLAN 2020 203758509 2021-06-10 SPACE COAST SLEEP DISORDERS CENTER 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-05-15
Business code 621498
Sponsor’s telephone number 3212559901
Plan sponsor’s address 640 CLASSIC COURT, SUITE 106, MELBOURNE, FL, 32940

Signature of
Role Plan administrator
Date 2021-06-10
Name of individual signing JENNIFER STIGALL
Valid signature Filed with authorized/valid electronic signature
SPACE COAST SLEEP 401(K) PLAN 2019 203758509 2020-06-22 SPACE COAST SLEEP DISORDERS CENTER 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-05-15
Business code 621498
Sponsor’s telephone number 3212559901
Plan sponsor’s address 640 CLASSIC COURT, SUITE 106, MELBOURNE, FL, 32940

Signature of
Role Plan administrator
Date 2020-06-22
Name of individual signing JENNIFER STIGALL
Valid signature Filed with authorized/valid electronic signature
SPACE COAST SLEEP 401(K) PLAN 2018 203758509 2019-06-19 SPACE COAST SLEEP DISORDERS CENTER 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-05-15
Business code 621498
Sponsor’s telephone number 3212559901
Plan sponsor’s address 640 CLASSIC COURT, SUITE 106, MELBOURNE, FL, 32940

Signature of
Role Plan administrator
Date 2019-06-19
Name of individual signing JENNIFER STIGALL
Valid signature Filed with authorized/valid electronic signature
SPACE COAST SLEEP 401(K) PLAN 2017 203758509 2018-07-23 SPACE COAST SLEEP DISORDERS CENTER 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-05-15
Business code 621498
Sponsor’s telephone number 3212559901
Plan sponsor’s address 640 CLASSIC COURT, SUITE 106, MELBOURNE, FL, 32940

Signature of
Role Plan administrator
Date 2018-07-23
Name of individual signing JENNIFER STIGALL
Valid signature Filed with authorized/valid electronic signature
SPACE COAST SLEEP 401(K) PLAN 2016 203758509 2017-09-01 SPACE COAST SLEEP DISORDERS CENTER 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-05-15
Business code 621498
Sponsor’s telephone number 3212559901
Plan sponsor’s address 640 CLASSIC COURT, SUITE 106, MELBOURNE, FL, 32940
SPACE COAST SLEEP 401(K) PLAN 2015 203758509 2016-09-21 SPACE COAST SLEEP DISORDERS CENTER 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-05-15
Business code 621498
Sponsor’s telephone number 3212559901
Plan sponsor’s address 640 CLASSIC COURT, SUITE 106, MELBOURNE, FL, 32940

Key Officers & Management

Name Role Address
STIGALL ANTONIO E Manager 4835 N US HWY 1, MELBOURNE, FL, 32935
STIGALL JENNIFER L Manager 4835 N US HWY 1, MELBOURNE, FL, 32935
STIGALL ANTONIO E Agent 4835 N US HWY 1, MELBOURNE, FL, 32935

Events

Event Type Filed Date Value Description
REGISTERED AGENT ADDRESS CHANGED 2014-04-08 4835 N US HWY 1, MELBOURNE, FL 32935 -
REINSTATEMENT 2006-10-05 - -
ADMIN DISSOLUTION FOR ANNUAL REPORT 2006-09-15 - -
CHANGE OF PRINCIPAL ADDRESS 2006-02-23 640 CLASSIC COURT, SUITE 106, MELBOURNE, FL 32940 -
CHANGE OF MAILING ADDRESS 2006-02-23 640 CLASSIC COURT, SUITE 106, MELBOURNE, FL 32940 -
NAME CHANGE AMENDMENT 2005-11-21 SPACE COAST SLEEP DISORDERS CENTER, LLC -

Documents

Name Date
ANNUAL REPORT 2024-04-02
ANNUAL REPORT 2023-03-06
ANNUAL REPORT 2022-04-24
ANNUAL REPORT 2021-04-26
ANNUAL REPORT 2020-05-22
ANNUAL REPORT 2019-04-25
ANNUAL REPORT 2018-04-18
ANNUAL REPORT 2017-04-07
ANNUAL REPORT 2016-04-12
ANNUAL REPORT 2015-04-15

USAspending Awards. Financial Assistance

FAIN Awarding Agency Assistance Listings Start Date End Date Description
4432975002 Small Business Administration 59.041 - 504 CERTIFIED DEVELOPMENT LOANS - - TO ASSIST SMALL BUSINESS CONCERNS BY PROVIDING LONG TERM FINANCING THROUGH THE SALE OF DEBENTURES TO THE PRIVATE SECTOR
Recipient SPACE COAST SLEEP DISORDERS CENTER LLC
Recipient Name Raw SPACE COAST SLEEP DISORDERS CENTER LLC
Recipient DUNS 785045399
Recipient Address 640 CLASSIC COURT., MELBOURNE, BREVARD, FLORIDA, 32940-0000, UNITED STATES
Obligated Amount 0.00
Non-Federal Funding 0.00
Original Subsidy Cost 0.00
Face Value of Direct Loan 0.00
Link View Page

Paycheck Protection Program

Loan Number Loan Funded Date SBA Origination Office Code Loan Delivery Method Borrower Street Address
4973997700 2020-05-01 0455 PPP 640 CLASSIC CT STE 106, MELBOURNE, FL, 32940-8279
Loan Status Date 2021-10-16
Loan Status Paid in Full
Loan Maturity in Months 24
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 55402
Loan Approval Amount (current) 55402
Undisbursed Amount 0
Franchise Name -
Lender Location ID 9551
Servicing Lender Name Bank of America, National Association
Servicing Lender Address 100 N Tryon St, Ste 170, CHARLOTTE, NC, 28202-4024
Rural or Urban Indicator U
Hubzone N
LMI N
Business Age Description New Business or 2 years or less
Project Address MELBOURNE, BREVARD, FL, 32940-8279
Project Congressional District FL-08
Number of Employees 10
NAICS code 621999
Borrower Race Unanswered
Borrower Ethnicity Unknown/NotStated
Business Type Limited Liability Company(LLC)
Originating Lender ID 9551
Originating Lender Name Bank of America, National Association
Originating Lender Address CHARLOTTE, NC
Gender Unanswered
Veteran Unanswered
Forgiveness Amount 45918.77
Forgiveness Paid Date 2021-06-24
5093218801 2021-04-17 0455 PPS 640 Classic Ct Ste 106, Melbourne, FL, 32940-8279
Loan Status Date 2022-01-31
Loan Status Paid in Full
Loan Maturity in Months 60
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 59894
Loan Approval Amount (current) 59894
Undisbursed Amount 0
Franchise Name -
Lender Location ID 121536
Servicing Lender Name Customers Bank
Servicing Lender Address 40 General Warren Blvd, Malvern, PA, 19355
Rural or Urban Indicator U
Hubzone N
LMI N
Business Age Description Existing or more than 2 years old
Project Address Melbourne, BREVARD, FL, 32940-8279
Project Congressional District FL-08
Number of Employees 5
NAICS code 621498
Borrower Race Unanswered
Borrower Ethnicity Unknown/NotStated
Business Type Limited Liability Company(LLC)
Originating Lender ID 121536
Originating Lender Name Customers Bank
Originating Lender Address Malvern, PA
Gender Unanswered
Veteran Unanswered
Forgiveness Amount 60297.67
Forgiveness Paid Date 2022-01-03

Companies related by officers

STIGALL ANTONIO E

SPACE COAST DURABLE MEDICAL EQUIPMENT, LLC - Inactive
Florida Limited Liability Co. (2006 - 2008)
SPACE COAST HOME MEDICAL EQUIPMENT, LLC - Inactive
Florida Limited Liability Co. (2006 - 2007)
SPACE COAST HOME MEDICAL EQUIPMENT, LLC - Inactive
Florida Limited Liability Co. (2006 - 2007)
SPACE COAST DURABLE MEDICAL EQUIPMENT, LLC - Inactive
Florida Limited Liability Co. (2006 - 2008)

STIGALL JENNIFER L

SPACE COAST HOME MEDICAL EQUIPMENT, LLC - Inactive
Florida Limited Liability Co. (2006 - 2007)
SPACE COAST DURABLE MEDICAL EQUIPMENT, LLC - Inactive
Florida Limited Liability Co. (2006 - 2008)

Companies related by address

640 CLASSIC COURT, SUITE 106, MELBOURNE, FL, 32940

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640 CLASSIC COURT, SUITE 106, MELBOURNE, FL, 32940

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Date of last update: 02 Apr 2025

Sources: Florida Department of State

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