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  5. CORNERSTONE SURGICARE, LLC

CORNERSTONE SURGICARE, LLC - Florida Company Profile

Company Details

Entity Name: CORNERSTONE SURGICARE, LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.

CORNERSTONE SURGICARE, 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: 01 Apr 2009 (16 years ago)
Document Number: L09000031736
FEI/EIN Number 46-0563529

Federal Employer Identification (FEI) Number assigned by the IRS.
Address: 511 Hewitt Street, Pensacola, FL, 32503, US
Mail Address: 511 Hewitt Street, Pensacola, FL, 32503, US
ZIP code: 32503
County: Escambia
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1033468442 2012-08-30 2024-10-22 511 HEWITT ST, PENSACOLA, FL, 325032363, US 511 HEWITT STREET, PENSACOLA, FL, 32503, US

Contacts
Phone +1 850-912-6505
Fax 8509126506

Authorized person
Name MRS. RENETA C DEWEY
Role BILLING SPECIALIST
Phone 8704211424

Taxonomy
Taxonomy Code 261QA1903X - Ambulatory Surgical Clinic/Center
Is Primary Yes

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
CORNERSTONE SURGICARE LLC 401(K) PROFIT SHARING PLAN & TRUST 2023 460563529 2024-04-17 CORNERSTONE SURGICARE LLC 21
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-01-01
Business code 621111
Sponsor’s telephone number 8509126505
Plan sponsor’s address 511 HEWITT ST, PENSACOLA, FL, 325032363

Signature of
Role Plan administrator
Date 2024-04-17
Name of individual signing BRYAN TAYLOR
Valid signature Filed with authorized/valid electronic signature
CORNERSTONE SURGICARE LLC 401(K) PROFIT SHARING PLAN & TRUST 2022 460563529 2023-07-07 CORNERSTONE SURGICARE LLC 22
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-01-01
Business code 621111
Sponsor’s telephone number 8509126505
Plan sponsor’s address 511 HEWITT STREET, PENSACOLA, FL, 32503

Signature of
Role Plan administrator
Date 2023-07-07
Name of individual signing AIMIE STUART
Valid signature Filed with authorized/valid electronic signature
CORNERSTONE SURGICARE LLC 401(K) PROFIT SHARING PLAN & TRUST 2021 460563529 2022-03-30 CORNERSTONE SURGICARE LLC 24
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-01-01
Business code 621111
Sponsor’s telephone number 8509126505
Plan sponsor’s address 511 HEWITT STREET, PENSACOLA, FL, 32503

Signature of
Role Plan administrator
Date 2022-03-30
Name of individual signing SHEILA BOROS
Valid signature Filed with authorized/valid electronic signature
CORNERSTONE SURGICARE LLC 401(K) PROFIT SHARING PLAN & TRUST 2020 460563529 2021-03-31 CORNERSTONE SURGICARE LLC 38
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-01-01
Business code 621111
Sponsor’s telephone number 2058246250
Plan sponsor’s address 511 HEWITT STREET, PENSACOLA, FL, 32503

Signature of
Role Plan administrator
Date 2021-03-31
Name of individual signing SHEILA BOROS
Valid signature Filed with authorized/valid electronic signature
CORNERSTONE SURGICARE LLC 401(K) PROFIT SHARING PLAN & TRUST 2019 460563529 2020-06-17 CORNERSTONE SURGICARE LLC 37
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-01-01
Business code 621111
Sponsor’s telephone number 2058246250
Plan sponsor’s address 511 HEWITT STREET, PENSACOLA, FL, 32503

Signature of
Role Plan administrator
Date 2020-06-17
Name of individual signing SHEILA BOROS
Valid signature Filed with authorized/valid electronic signature
CORNERSTONE SURGICARE LLC 401 K PROFIT SHARING PLAN TRUST 2018 460563529 2019-07-10 CORNERSTONE SURGICARE LLC 34
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-01-01
Business code 621111
Sponsor’s telephone number 2058246250
Plan sponsor’s address 511 HEWITT STREET, PENSACOLA, FL, 32503

Signature of
Role Plan administrator
Date 2019-07-10
Name of individual signing J. MARK EDWARDS
Valid signature Filed with authorized/valid electronic signature
CORNERSTONE SURGICARE LLC 401 K PROFIT SHARING PLAN TRUST 2017 460563529 2018-07-22 CORNERSTONE SURGICARE LLC 26
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-01-01
Business code 621111
Sponsor’s telephone number 2058246250
Plan sponsor’s address 511 HEWITT STREET, PENSACOLA, FL, 32503

Signature of
Role Plan administrator
Date 2018-07-22
Name of individual signing J. MARK EDWARDS
Valid signature Filed with authorized/valid electronic signature
CORNERSTONE SURGICARE LLC 401 K PROFIT SHARING PLAN TRUST 2016 460563529 2017-06-20 CORNERSTONE SURGICARE LLC 17
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-01-01
Business code 621111
Sponsor’s telephone number 2058246250
Plan sponsor’s address 511 HEWITT STREET, PENSACOLA, FL, 32503

Signature of
Role Plan administrator
Date 2017-06-20
Name of individual signing MARK EDWARDS
Valid signature Filed with authorized/valid electronic signature
CORNERSTONE SURGICARE LLC 401 K PROFIT SHARING PLAN TRUST 2015 460563529 2016-07-14 CORNERSTONE SURGICARE LLC 15
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-01-01
Business code 621111
Sponsor’s telephone number 2058246250
Plan sponsor’s address 511 HEWITT STREET, PENSACOLA, FL, 32503

Signature of
Role Plan administrator
Date 2016-07-14
Name of individual signing J. MARK EDWARDS
Valid signature Filed with authorized/valid electronic signature
CORNERSTONE SURGICARE LLC 401 K PROFIT SHARING PLAN TRUST 2014 460563529 2015-07-28 CORNERSTONE SURGICARE LLC 11
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-01-01
Business code 621111
Sponsor’s telephone number 2058246250
Plan sponsor’s address 511 HEWITT STREET, PENSACOLA, FL, 32503

Signature of
Role Plan administrator
Date 2015-07-28
Name of individual signing MARK EDWARDS
Valid signature Filed with authorized/valid electronic signature

Key Officers & Management

Name Role Address
HILL TINA Admi 511 Hewitt Street, Pensacola, FL, 32503
C T CORPORATION SYSTEM Agent -

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G12000111389 CORNERSTONE SURGICARE EXPIRED 2012-11-19 2017-12-31 - 511 HEWITT STREET, PENSACOLA, FL, 32503

Events

Event Type Filed Date Value Description
REGISTERED AGENT NAME CHANGED 2020-08-27 C T Corporation System -
REGISTERED AGENT ADDRESS CHANGED 2020-08-27 1200 South Pine Island Road, Plantation, FL 33324 -
CHANGE OF PRINCIPAL ADDRESS 2013-04-02 511 Hewitt Street, Pensacola, FL 32503 -
CHANGE OF MAILING ADDRESS 2013-04-02 511 Hewitt Street, Pensacola, FL 32503 -

Documents

Name Date
ANNUAL REPORT 2024-01-31
ANNUAL REPORT 2023-04-08
ANNUAL REPORT 2022-03-04
ANNUAL REPORT 2021-04-02
ANNUAL REPORT 2020-08-27
ANNUAL REPORT 2019-01-31
ANNUAL REPORT 2018-03-26
ANNUAL REPORT 2017-04-05
ANNUAL REPORT 2016-03-07
ANNUAL REPORT 2015-03-23

Paycheck Protection Program

Loan Number Loan Funded Date SBA Origination Office Code Loan Delivery Method Borrower Street Address
2730407204 2020-04-16 0491 PPP 511 Hewitt Street,, PENSACOLA, FL, 32503-2363
Loan Status Date 2020-12-16
Loan Status Paid in Full
Loan Maturity in Months 24
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 244800
Loan Approval Amount (current) 244800
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 Y
Business Age Description Existing or more than 2 years old
Project Address PENSACOLA, ESCAMBIA, FL, 32503-2363
Project Congressional District FL-01
Number of Employees 22
NAICS code 621493
Borrower Race Unanswered
Borrower Ethnicity Unknown/NotStated
Business Type Limited Liability Company(LLC)
Originating Lender ID 2408
Originating Lender Name Regions Bank
Originating Lender Address BIRMINGHAM, AL
Gender Unanswered
Veteran Unanswered
Forgiveness Amount 246074.3
Forgiveness Paid Date 2020-11-05

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Companies related by address

511 Hewitt Street, Pensacola, FL, 32503, US

CORNERSTONE SURGERY CENTER, LLC

511 Hewitt Street, Pensacola, FL, 32503, US

CORNERSTONE SURGERY CENTER, LLC

Date of last update: 02 Mar 2025

Sources: Florida Department of State

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