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  5. RIVERWALK AMBULATORY SURGERY CENTER, LLC

RIVERWALK AMBULATORY SURGERY CENTER, LLC - Florida Company Profile

Company Details

Entity Name: RIVERWALK AMBULATORY SURGERY CENTER, LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.

RIVERWALK AMBULATORY SURGERY 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: 25 Jul 2007 (18 years ago)
Last Event: LC STMNT OF RA/RO CHG
Event Date Filed: 15 Mar 2021 (4 years ago)
Document Number: L07000076816
FEI/EIN Number 260594903

Federal Employer Identification (FEI) Number assigned by the IRS.
Address: 200 THIRD AVENUE WEST, SUITE 170, BRADENTON, FL, 34205, US
Mail Address: 200 THIRD AVENUE WEST, SUITE 170, BRADENTON, FL, 34205, US
ZIP code: 34205
County: Manatee
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1588839609 2008-04-29 2018-12-04 200 3RD AVE W STE 170, BRADENTON, FL, 342058632, US 200 3RD AVE W., STE 170, BRADENTON, FL, 342058632, US

Contacts
Phone +1 941-782-5439
Fax 9417825438
Phone +1 941-782-5434

Authorized person
Name MRS. ALLISON L WAKELAND
Role BILLING MANAGER
Phone 9412163964

Taxonomy
Taxonomy Code 261QA1903X - Ambulatory Surgical Clinic/Center
State FL
Is Primary No
Taxonomy Code 261QA1903X - Ambulatory Surgical Clinic/Center
License Number 1304
State FL
Is Primary Yes
Taxonomy Code 261QA1903X - Ambulatory Surgical Clinic/Center
Is Primary No

Other Provider Identifiers
Issuer MEDICAID
Number 11918800
State FL

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
RIVERWALK AMBULATORY SURGERY CENTER 401(K) PLAN 2023 260594903 2024-07-09 RIVERWALK AMBULATORY SURGERY CENTER, LLC 39
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2010-01-01
Business code 621493
Sponsor’s telephone number 9417825439
Plan sponsor’s address 200 3RD AVENUE WEST, STE 170, BRADENTON, FL, 34205
RIVERWALK AMBULATORY SURGERY CENTER 401(K) PLAN 2022 260594903 2023-08-14 RIVERWALK AMBULATORY SURGERY CENTER, LLC 36
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2010-01-01
Business code 621493
Sponsor’s telephone number 9417825439
Plan sponsor’s address 200 3RD AVENUE WEST, STE 170, BRADENTON, FL, 34205
RIVERWALK AMBULATORY SURGERY CENTER 401(K) PLAN 2021 260594903 2022-10-17 RIVERWALK AMBULATORY SURGERY CENTER 35
Three-digit plan number (PN) 001
Effective date of plan 2010-01-01
Business code 621493
Sponsor’s telephone number 9417943118
Plan sponsor’s address 200 3RD AVENUE WEST, SUITE 170, BRADENTON, FL, 34205
RIVERWALK AMBULATORY SURGERY CENTER 401(K) PLAN 2021 260594903 2022-10-17 RIVERWALK AMBULATORY SURGERY CENTER 35
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2010-01-01
Business code 621493
Sponsor’s telephone number 9417943118
Plan sponsor’s address 200 3RD AVENUE WEST, SUITE 170, BRADENTON, FL, 34205
RIVERWALK AMBULATORY SURGERY CENTER 401(K) PLAN 2020 260594903 2021-05-05 RIVERWALK AMBULATORY SURGERY CENTER 34
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2010-01-01
Business code 621493
Sponsor’s telephone number 9417943118
Plan sponsor’s address 200 3RD AVENUE WEST, SUITE 170, BRADENTON, FL, 34205
RIVERWALK AMBULATORY SURGERY CENTER 401(K) PLAN 2019 260594903 2020-09-17 RIVERWALK AMBULATORY SURGERY CENTER 35
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2010-01-01
Business code 621493
Sponsor’s telephone number 9417943118
Plan sponsor’s address 200 3RD AVENUE WEST, SUITE 200, BRADENTON, FL, 34205
RIVERWALK AMBULATORY SURGERY CENTER 401(K) PLAN 2018 260594903 2019-03-15 RIVERWALK AMBULATORY SURGERY CENTER 28
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2010-01-01
Business code 621493
Sponsor’s telephone number 9417943118
Plan sponsor’s address 200 3RD AVENUE WEST, SUITE 200, BRADENTON, FL, 34205
RIVERWALK AMBULATORY SURGERY CENTER 401(K) PLAN 2017 260594903 2018-07-13 RIVERWALK AMBULATORY SURGERY CENTER 29
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2010-01-01
Business code 621493
Sponsor’s telephone number 9417943118
Plan sponsor’s address 200 3RD AVENUE WEST, SUITE 200, BRADENTON, FL, 34205

Signature of
Role Plan administrator
Date 2018-07-13
Name of individual signing LINDA REEVES
Valid signature Filed with authorized/valid electronic signature
RIVERWALK AMBULATORY SURG CNTR 401K PLAN 2016 260594903 2017-06-08 RIVERWALK AMBULATORY SURGERY CENTER 19
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2010-01-01
Business code 621493
Sponsor’s telephone number 9417943118
Plan sponsor’s address 200 3RD AVE W STE 200, BRADENTON, FL, 34205

Signature of
Role Plan administrator
Date 2017-06-08
Name of individual signing LINDA M REEVES
Valid signature Filed with authorized/valid electronic signature
RIVERWALK AMBULATORY SURG CNTR 401K PLAN 2015 260594903 2016-06-07 RIVERWALK AMBULATORY SURGERY CENTER 13
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2010-01-01
Business code 621493
Sponsor’s telephone number 9417943118
Plan sponsor’s address 200 3RD AVE W STE 200, BRADENTON, FL, 34205

Signature of
Role Plan administrator
Date 2016-06-07
Name of individual signing LINDA REEVES
Valid signature Filed with authorized/valid electronic signature

Key Officers & Management

Name Role Address
KING MICHAEL A Manager 200 3RD AVE W, SUITE 200, BRADENTON, FL, 34205
TALLY PHILIP W Manager 200 3RD AVE W, SUITE 200, BRADENTON, FL, 34205
MILLER ALAN K Manager 200 3RD AVE W, SUITE 210, BRADENTON, FL, 34205
HERRMAN EDWARD Manager 200 3RD AVE W, SUITE 210, BRADENTON, FL, 34205
Branon James F Admi 200 THIRD AVENUE WEST, BRADENTON, FL, 34205
WALKER GARY ESQUIRE Agent 401 E. JACKSON STREET, TAMPA, FL, 33602

Events

Event Type Filed Date Value Description
LC STMNT OF RA/RO CHG 2021-03-15 - -
REGISTERED AGENT ADDRESS CHANGED 2021-03-15 401 E. JACKSON STREET, SUITE 3100, TAMPA, FL 33602 -
CHANGE OF PRINCIPAL ADDRESS 2016-08-26 200 THIRD AVENUE WEST, SUITE 170, BRADENTON, FL 34205 -
CHANGE OF MAILING ADDRESS 2016-08-26 200 THIRD AVENUE WEST, SUITE 170, BRADENTON, FL 34205 -

Documents

Name Date
ANNUAL REPORT 2025-01-22
ANNUAL REPORT 2024-03-04
ANNUAL REPORT 2023-02-06
ANNUAL REPORT 2022-04-11
CORLCRACHG 2021-03-15
ANNUAL REPORT 2021-02-08
ANNUAL REPORT 2020-01-16
ANNUAL REPORT 2019-04-19
ANNUAL REPORT 2018-02-19
ANNUAL REPORT 2017-02-14

Paycheck Protection Program

Loan Number Loan Funded Date SBA Origination Office Code Loan Delivery Method Borrower Street Address
4210917308 2020-04-29 0455 PPP 200 3rd Ave W, Bradenton, FL, 34205
Loan Status Date 2021-07-15
Loan Status Paid in Full
Loan Maturity in Months 24
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 379400
Loan Approval Amount (current) 379400
Undisbursed Amount 0
Franchise Name -
Lender Location ID 2408
Servicing Lender Name Regions Bank
Servicing Lender Address 1900 Fifth Avenue North, BIRMINGHAM, AL, 35203
Rural or Urban Indicator U
Hubzone Y
LMI N
Business Age Description Existing or more than 2 years old
Project Address Bradenton, MANATEE, FL, 34205-1001
Project Congressional District FL-16
Number of Employees 28
NAICS code 622110
Borrower Race Unanswered
Borrower Ethnicity Unknown/NotStated
Business Type Partnership
Originating Lender ID 2408
Originating Lender Name Regions Bank
Originating Lender Address BIRMINGHAM, AL
Gender Unanswered
Veteran Unanswered
Forgiveness Amount 383505.84
Forgiveness Paid Date 2021-06-04

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Companies related by address

No other companies in our directory share the same address as RIVERWALK AMBULATORY SURGERY CENTER, LLC

Date of last update: 02 Apr 2025

Sources: Florida Department of State

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