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  5. CORAL RIDGE GASTROENTEROLOGY ASSOCIATES, LLC

CORAL RIDGE GASTROENTEROLOGY ASSOCIATES, LLC - Florida Company Profile

Company Details

Entity Name: CORAL RIDGE GASTROENTEROLOGY ASSOCIATES, LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.

CORAL RIDGE GASTROENTEROLOGY ASSOCIATES, 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: 23 Aug 2006 (19 years ago)
Last Event: REINSTATEMENT
Event Date Filed: 03 Jan 2024 (a year ago)
Document Number: L06000083370
FEI/EIN Number 261580698

Federal Employer Identification (FEI) Number assigned by the IRS.
Address: 5301 N. DIXIE HIGHWAY, SUITE 202, OAKLAND PARK, FL, 33334, US
Mail Address: 4160 NW 1st Ave, SUITE 58, BOCA RATON, FL, 33431, US
ZIP code: 33334
County: Broward
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1265628424 2007-09-21 2008-01-09 2021 E COMMERCIAL BLVD, SUITE 202, FT LAUDERDALE, FL, 333083763, US 2021 E COMMERCIAL BLVD, SUITE 202, FT LAUDERDALE, FL, 333083763, US

Contacts
Phone +1 954-202-7850
Fax 9542027781

Authorized person
Name V. ALIN BOTOMAN
Role FACG/FACP
Phone 9542027850

Taxonomy
Taxonomy Code 207RG0100X - Gastroenterology Physician
Is Primary Yes

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
CORAL RIDGE GASTROENTEROLOGY ASSOCIATES 401(K) PLAN 2015 261580698 2016-07-05 CORAL RIDGE GASTROENTEROLOGY ASSOCIATES, LLC 39
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-04-01
Business code 621493
Sponsor’s telephone number 5614177568
Plan sponsor’s address 1325 SOUTH CONGRESS AVE. SUITE 211, BOYNTON BEACH, FL, 33426

Signature of
Role Plan administrator
Date 2016-07-05
Name of individual signing CAROLINE DELBEEK
Valid signature Filed with authorized/valid electronic signature
CORAL RIDGE GASTROENTEROLOGY ASSOCIATES 401(K) PLAN 2014 261580698 2015-09-02 CORAL RIDGE GASTROENTEROLOGY ASSOCIATES, LLC 42
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-04-01
Business code 621493
Sponsor’s telephone number 5614177568
Plan sponsor’s address 4181 NW 1ST AVE., SUITE 11, BOCA RATON, FL, 33431

Signature of
Role Plan administrator
Date 2015-09-02
Name of individual signing BONNIE CUNNINGHAM
Valid signature Filed with authorized/valid electronic signature
CORAL RIDGE GASTROENTEROLOGY ASSOCIATES 401(K) PLAN 2013 261580698 2014-10-13 CORAL RIDGE GASTROENTEROLOGY ASSOCIATES, LLC 38
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-04-01
Business code 621493
Sponsor’s telephone number 5614177568
Plan sponsor’s address 4181 NW 1ST AVE. SUITE 11, BOCA RATON, FL, 33431

Signature of
Role Plan administrator
Date 2014-10-13
Name of individual signing BONNIE CUNNINGHAM
Valid signature Filed with authorized/valid electronic signature
CORAL RIDGE GASTROENTEROLOGY ASSOCIATES 401(K) PLAN 2013 261580698 2014-09-10 CORAL RIDGE GASTROENTEROLOGY ASSOCIATES, LLC -
Three-digit plan number (PN) 001
Effective date of plan 2009-04-01
Business code 621493
Sponsor’s telephone number 5614177568
Plan sponsor’s address 4181 NW 1ST AVE. SUITE 11, BOCA RATON, FL, 33431

Signature of
Role Plan administrator
Date 2014-09-10
Name of individual signing BONNIE CUNNINGHAM
Valid signature Filed with authorized/valid electronic signature
CORAL RIDGE GASTROENTEROLOGY ASSOCIATES 401(K) PLAN 2011 261580698 2012-05-15 CORAL RIDGE GASTROENTEROLOGY ASSOCIATES, LLC 36
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-04-01
Business code 621493
Sponsor’s telephone number 5614177568
Plan sponsor’s address 4181 NW 1ST AVE. SUITE 11, BOCA RATON, FL, 33431

Plan administrator’s name and address
Administrator’s EIN 261580698
Plan administrator’s name CORAL RIDGE GASTROENTEROLOGY ASSOCIATES, LLC
Plan administrator’s address 4181 NW 1ST AVE. SUITE 11, BOCA RATON, FL, 33431
Administrator’s telephone number 5614177568

Signature of
Role Plan administrator
Date 2012-05-15
Name of individual signing BONNIE CUNNINGHAM
Valid signature Filed with authorized/valid electronic signature
CORAL RIDGE GASTROENTEROLOGY ASSOCIATES 401(K) PLAN 2010 261580698 2011-10-31 CORAL RIDGE GASTROENTEROLOGY ASSOCIATES, LLC 20
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-04-01
Business code 621493
Sponsor’s telephone number 5617402900
Plan sponsor’s address 4181 NW 1ST AVE. SUITE 11, BOCA RATON, FL, 33431

Plan administrator’s name and address
Administrator’s EIN 261580698
Plan administrator’s name CORAL RIDGE GASTROENTEROLOGY ASSOCIATES, LLC
Plan administrator’s address 4181 NW 1ST AVE. SUITE 11, BOCA RATON, FL, 33431
Administrator’s telephone number 5617402900

Signature of
Role Plan administrator
Date 2011-10-31
Name of individual signing BONNIE CUNNINGHAM
Valid signature Filed with authorized/valid electronic signature
CORAL RIDGE GASTROENTEROLOGY ASSOCIATES 401(K) PLAN 2009 261580698 2011-10-31 CORAL RIDGE GASTROENTEROLOGY ASSOCIATES, LLC 18
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-04-01
Business code 621493
Sponsor’s telephone number 5614177568
Plan sponsor’s address 4260 NW FIRST AVE SUITE 152, BOCA RATON, FL, 33431

Plan administrator’s name and address
Administrator’s EIN 261580698
Plan administrator’s name CORAL RIDGE GASTROENTEROLOGY ASSOCIATES, LLC
Plan administrator’s address 4260 NW FIRST AVE SUITE 152, BOCA RATON, FL, 33431
Administrator’s telephone number 5614177568

Signature of
Role Plan administrator
Date 2011-10-31
Name of individual signing BONNIE CUNNINGHAM
Valid signature Filed with authorized/valid electronic signature

Key Officers & Management

Name Role Address
BABAIAN MANUEL Manager 5301 N. DIXIE HIGHWAY SUITE 202, OAKLAND PARK, FL, 33334
KOSCHES DANIEL Manager 5301 N. DIXIE HIGHWAY SUITE 202, OAKLAND PARK, FL, 33334
Zakko Wisam Dr. Manager 5301 N. DIXIE HIGHWAY SUITE 202, OAKLAND PARK, FL, 33334
Singer Lieb Manager 5301 N. DIXIE HIGHWAY SUITE 202, OAKLAND PARK, FL, 33334
Lopez Arturo Manager 5301 N. DIXIE HIGHWAY SUITE 202, OAKLAND PARK, FL, 33334
Dosch Mark Manager 1325 South Congress Ave, Boynton Beach, FL, 33426
Bloom John DJr. Agent 2510 NE 46th St, Fort Lauderdale, FL, 33308

Events

Event Type Filed Date Value Description
REINSTATEMENT 2024-01-03 - -
REGISTERED AGENT NAME CHANGED 2024-01-03 Bloom, John D, Jr. -
REGISTERED AGENT ADDRESS CHANGED 2024-01-03 2510 NE 46th St, Fort Lauderdale, FL 33308 -
ADMIN DISSOLUTION FOR ANNUAL REPORT 2023-09-22 - -
CHANGE OF PRINCIPAL ADDRESS 2020-06-29 5301 N. DIXIE HIGHWAY, SUITE 202, OAKLAND PARK, FL 33334 -
CHANGE OF MAILING ADDRESS 2019-03-15 5301 N. DIXIE HIGHWAY, SUITE 202, OAKLAND PARK, FL 33334 -

Documents

Name Date
REINSTATEMENT 2024-01-03
ANNUAL REPORT 2022-03-02
ANNUAL REPORT 2021-04-08
ANNUAL REPORT 2020-06-29
AMENDED ANNUAL REPORT 2019-07-15
ANNUAL REPORT 2019-03-15
ANNUAL REPORT 2018-03-05
ANNUAL REPORT 2017-03-16
AMENDED ANNUAL REPORT 2016-05-19
ANNUAL REPORT 2016-03-30

Paycheck Protection Program

Loan Number Loan Funded Date SBA Origination Office Code Loan Delivery Method Borrower Street Address
3035287110 2020-04-11 0455 PPP 1325 South Congress Ave., Suite 212, BOYNTON BEACH, FL, 33426-4298
Loan Status Date 2022-04-19
Loan Status Paid in Full
Loan Maturity in Months 24
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 594300
Loan Approval Amount (current) 594300
Undisbursed Amount 0
Franchise Name -
Lender Location ID 225134
Servicing Lender Name Truist Bank
Servicing Lender Address 214 N Tryon St, CHARLOTTE, NC, 28202-1078
Rural or Urban Indicator U
Hubzone Y
LMI Y
Business Age Description Existing or more than 2 years old
Project Address BOYNTON BEACH, PALM BEACH, FL, 33426-4298
Project Congressional District FL-22
Number of Employees 64
NAICS code 621111
Borrower Race Unanswered
Borrower Ethnicity Unknown/NotStated
Business Type Limited Liability Company(LLC)
Originating Lender ID 225134
Originating Lender Name Truist Bank
Originating Lender Address CHARLOTTE, NC
Gender Unanswered
Veteran Unanswered
Forgiveness Amount 601580.18
Forgiveness Paid Date 2022-02-28
4044118707 2021-03-31 0455 PPS 4160 NW 1st Ave Ste 58, Boca Raton, FL, 33431-4263
Loan Status Date 2022-03-19
Loan Status Paid in Full
Loan Maturity in Months 60
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 594287
Loan Approval Amount (current) 594287
Undisbursed Amount 0
Franchise Name -
Lender Location ID 225134
Servicing Lender Name Truist Bank
Servicing Lender Address 214 N Tryon St, CHARLOTTE, NC, 28202-1078
Rural or Urban Indicator U
Hubzone N
LMI N
Business Age Description Existing or more than 2 years old
Project Address Boca Raton, PALM BEACH, FL, 33431-4263
Project Congressional District FL-23
Number of Employees 64
NAICS code 621111
Borrower Race Unanswered
Borrower Ethnicity Unknown/NotStated
Business Type Limited Liability Company(LLC)
Originating Lender ID 225134
Originating Lender Name Truist Bank
Originating Lender Address CHARLOTTE, NC
Gender Unanswered
Veteran Unanswered
Forgiveness Amount 599420.98
Forgiveness Paid Date 2022-02-22

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4160 NW 1st Ave, SUITE 58, BOCA RATON, FL, 33431, US

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Date of last update: 01 Apr 2025

Sources: Florida Department of State

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