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  5. FOUR CORNERS INTERNAL MEDICINE, LLC

FOUR CORNERS INTERNAL MEDICINE, LLC - Florida Company Profile

Company Details

Entity Name: FOUR CORNERS INTERNAL MEDICINE, LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.

FOUR CORNERS INTERNAL MEDICINE, 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: 08 Feb 2006 (19 years ago)
Document Number: L06000014010
FEI/EIN Number 204261617

Federal Employer Identification (FEI) Number assigned by the IRS.
Address: 106 POLO PARK EAST BLVD., DAVENPORT, FL, 33897, US
Mail Address: 10603 EMERALD CHASE DR., ORLANDO, FL, 32836, US
ZIP code: 33897
County: Polk
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1346295466 2006-05-24 2010-10-20 10603 EMERALD CHASE DR, ORLANDO, FL, 328365855, US 106 POLO PARK EAST BLVD, DAVENPORT, FL, 338979407, US

Contacts
Phone +1 407-217-5353
Fax 4072175353
Phone +1 863-424-8900
Fax 8634248823

Authorized person
Name DR. SRINATH REDDY KOSANAM
Role OWNER
Phone 8634248900

Taxonomy
Taxonomy Code 261Q00000X - Clinic/Center
License Number ME78339
State FL
Is Primary Yes

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
FOUR CORNERS INTERNAL MEDICINE, LLC 401K PLAN 2023 204261617 2024-07-17 FOUR CORNERS INTERNAL MEDICINE LLC 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-01-01
Business code 621111
Sponsor’s telephone number 4072175353
Plan sponsor’s address 10603 EMERALD CHASE DRIVE, ORLANDO, FL, 32836
FOUR CORNERS INTERNAL MEDICINE, LLC CB PLAN 2023 204261617 2024-07-17 FOUR CORNERS INTERNAL MEDICINE, LLC 4
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2013-01-01
Business code 621111
Sponsor’s telephone number 4072175353
Plan sponsor’s address 10603 EMERALD CHASE DR, ORLANDO, FL, 32836
FOUR CORNERS INTERNAL MEDICINE, LLC 401K PLAN 2022 204261617 2023-06-16 FOUR CORNERS INTERNAL MEDICINE LLC 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-01-01
Business code 621111
Sponsor’s telephone number 4072175353
Plan sponsor’s address 10603 EMERALD CHASE DRIVE, ORLANDO, FL, 32836
FOUR CORNERS INTERNAL MEDICINE, LLC CB PLAN 2022 204261617 2023-06-16 FOUR CORNERS INTERNAL MEDICINE, LLC 4
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2013-01-01
Business code 621111
Sponsor’s telephone number 4072175353
Plan sponsor’s address 10603 EMERALD CHASE DR, ORLANDO, FL, 32836
FOUR CORNERS INTERNAL MEDICINE, LLC CB PLAN 2021 204261617 2022-09-14 FOUR CORNERS INTERNAL MEDICINE, LLC 3
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2013-01-01
Business code 621111
Sponsor’s telephone number 4072175353
Plan sponsor’s address 10603 EMERALD CHASE DR, ORLANDO, FL, 32836
FOUR CORNERS INTERNAL MEDICINE, LLC 401K PLAN 2021 204261617 2022-09-14 FOUR CORNERS INTERNAL MEDICINE LLC 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-01-01
Business code 621111
Sponsor’s telephone number 4072175353
Plan sponsor’s address 10603 EMERALD CHASE DRIVE, ORLANDO, FL, 32836
FOUR CORNERS INTERNAL MEDICINE, LLC CB PLAN 2020 204261617 2021-06-14 FOUR CORNERS INTERNAL MEDICINE, LLC 3
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2013-01-01
Business code 621111
Sponsor’s telephone number 4072175353
Plan sponsor’s address 10603 EMERALD CHASE DR, ORLANDO, FL, 32836
FOUR CORNERS INTERNAL MEDICINE, LLC 401K PLAN 2020 204261617 2021-06-14 FOUR CORNERS INTERNAL MEDICINE LLC 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-01-01
Business code 621111
Sponsor’s telephone number 4072175353
Plan sponsor’s address 10603 EMERALD CHASE DRIVE, ORLANDO, FL, 32836
FOUR CORNERS INTERNAL MEDICINE, LLC 401K PLAN 2019 204261617 2020-04-21 FOUR CORNERS INTERNAL MEDICINE LLC 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-01-01
Business code 621111
Sponsor’s telephone number 4072175353
Plan sponsor’s address 10603 EMERALD CHASE DRIVE, ORLANDO, FL, 32836
FOUR CORNERS INTERNAL MEDICINE, LLC CB PLAN 2019 204261617 2020-06-18 FOUR CORNERS INTERNAL MEDICINE, LLC 2
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2013-01-01
Business code 621111
Sponsor’s telephone number 4072175353
Plan sponsor’s address 10603 EMERALD CHASE DR, ORLANDO, FL, 32836

Key Officers & Management

Name Role Address
KOSANAM SRINATH REDDY M Managing Member 10603 EMERALD CHASE DR., ORLANDO, FL, 32836
KOSANAM SRINATH REDDY O Agent 10603 EMERALD CHASE DR., ORLANDO, FL, 32836

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2010-01-06 106 POLO PARK EAST BLVD., DAVENPORT, FL 33897 -
CHANGE OF MAILING ADDRESS 2010-01-06 106 POLO PARK EAST BLVD., DAVENPORT, FL 33897 -
REGISTERED AGENT ADDRESS CHANGED 2010-01-06 10603 EMERALD CHASE DR., ORLANDO, FL 32836 -
REGISTERED AGENT NAME CHANGED 2007-01-26 KOSANAM, SRINATH REDDY OFFICER -

Documents

Name Date
ANNUAL REPORT 2025-01-10
ANNUAL REPORT 2024-01-17
ANNUAL REPORT 2023-01-22
ANNUAL REPORT 2022-01-22
ANNUAL REPORT 2021-01-09
ANNUAL REPORT 2020-01-14
ANNUAL REPORT 2019-01-28
ANNUAL REPORT 2018-01-11
ANNUAL REPORT 2017-01-07
ANNUAL REPORT 2016-01-22

Paycheck Protection Program

Loan Number Loan Funded Date SBA Origination Office Code Loan Delivery Method Borrower Street Address
5710957702 2020-05-01 0455 PPP 106 POLO PARK EAST BLVD, DAVENPORT, FL, 33897-9407
Loan Status Date 2021-07-22
Loan Status Paid in Full
Loan Maturity in Months 24
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 51000
Loan Approval Amount (current) 51000
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 DAVENPORT, POLK, FL, 33897-9407
Project Congressional District FL-09
Number of Employees 5
NAICS code 621111
Borrower Race Asian
Borrower Ethnicity Not Hispanic or Latino
Business Type Limited Liability Company(LLC)
Originating Lender ID 9551
Originating Lender Name Bank of America, National Association
Originating Lender Address CHARLOTTE, NC
Gender Male Owned
Veteran Non-Veteran
Forgiveness Amount 51401.01
Forgiveness Paid Date 2021-04-08
8118918310 2021-01-29 0491 PPS 10603 Emerald Chase Dr, Orlando, FL, 32836-5855
Loan Status Date 2021-09-28
Loan Status Paid in Full
Loan Maturity in Months 60
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 80292
Loan Approval Amount (current) 80292
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 Existing or more than 2 years old
Project Address Orlando, ORANGE, FL, 32836-5855
Project Congressional District FL-11
Number of Employees 5
NAICS code 621111
Borrower Race Asian
Borrower Ethnicity Not Hispanic or Latino
Business Type Limited Liability Company(LLC)
Originating Lender ID 9551
Originating Lender Name Bank of America, National Association
Originating Lender Address CHARLOTTE, NC
Gender Male Owned
Veteran Non-Veteran
Forgiveness Amount 80731.96
Forgiveness Paid Date 2021-08-18

Companies related by officers

No other companies in our directory share the same officers as FOUR CORNERS INTERNAL MEDICINE, LLC

Companies related by address

No other companies in our directory share the same address as FOUR CORNERS INTERNAL MEDICINE, LLC

Date of last update: 01 Apr 2025

Sources: Florida Department of State

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