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  5. LEGACY FAMILY MEDICINE, LLC

LEGACY FAMILY MEDICINE, LLC - Florida Company Profile

Company Details

Entity Name: LEGACY FAMILY MEDICINE, LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.

LEGACY FAMILY 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: 23 Oct 2009 (15 years ago)
Document Number: L09000102557
FEI/EIN Number 271442936

Federal Employer Identification (FEI) Number assigned by the IRS.
Address: 11602 LAKE UNDERHILL ROAD, ORLANDO, FL, 32825, US
Mail Address: 11602 LAKE UNDERHILL ROAD, STE 119, ORLANDO, FL, 32825, US
ZIP code: 32825
County: Orange
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1477878940 2010-03-29 2015-01-20 11602 LAKE UNDERHILL RD, SUITE 119, ORLANDO, FL, 328254458, US 11602 LAKE UNDERHILL RD STE 119, ORLANDO, FL, 328254460, US

Contacts
Phone +1 407-781-1000
Fax 4077811001

Authorized person
Name PHILIP T HARDY
Role PHYSICIAN/OWNER
Phone 4077811000

Taxonomy
Taxonomy Code 207Q00000X - Family Medicine Physician
Is Primary Yes

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
LEGACY FAMILY MEDICINE LLC 401(K) PROFIT SHARING PLAN & TRUST 2023 271442936 2024-09-19 LEGACY FAMILY MEDICINE LLC 11
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2012-01-01
Business code 621111
Sponsor’s telephone number 4077811000
Plan sponsor’s address 11602 LAKE UNDERHILL RD., ORLANDO, FL, 32825

Signature of
Role Plan administrator
Date 2024-09-19
Name of individual signing LIZ HARDY
Valid signature Filed with authorized/valid electronic signature
LEGACY FAMILY MEDICINE LLC 401(K) PROFIT SHARING PLAN & TRUST 2022 271442936 2023-09-26 LEGACY FAMILY MEDICINE LLC 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2012-01-01
Business code 621111
Sponsor’s telephone number 4077811000
Plan sponsor’s address 11602 LAKE UNDERHILL RD., ORLANDO, FL, 32825

Signature of
Role Plan administrator
Date 2023-09-26
Name of individual signing LIZ HARDY
Valid signature Filed with authorized/valid electronic signature
LEGACY FAMILY MEDICINE LLC 401(K) PROFIT SHARING PLAN & TRUST 2021 271442936 2022-04-04 LEGACY FAMILY MEDICINE LLC 12
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2012-01-01
Business code 621111
Sponsor’s telephone number 4077811000
Plan sponsor’s address 11602 LAKE UNDERHILL RD., ORLANDO, FL, 32825

Signature of
Role Plan administrator
Date 2022-04-04
Name of individual signing LIZ HARDY
Valid signature Filed with authorized/valid electronic signature
LEGACY FAMILY MEDICINE LLC 401(K) PROFIT SHARING PLAN & TRUST 2020 271442936 2021-12-14 LEGACY FAMILY MEDICINE LLC 13
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2012-01-01
Business code 621111
Sponsor’s telephone number 4077811000
Plan sponsor’s address 11602 LAKE UNDERHILL RD., ORLANDO, FL, 32825

Signature of
Role Plan administrator
Date 2021-12-14
Name of individual signing LIZ HARDU
Valid signature Filed with authorized/valid electronic signature
LEGACY FAMILY MEDICINE LLC 401(K) PROFIT SHARING PLAN & TRUST 2019 271442936 2020-09-11 LEGACY FAMILY MEDICINE LLC 12
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2012-01-01
Business code 621111
Sponsor’s telephone number 4077811000
Plan sponsor’s address 11602 LAKE UNDERHILL RD., ORLANDO, FL, 32825

Signature of
Role Plan administrator
Date 2020-09-11
Name of individual signing LIZ HARDY
Valid signature Filed with authorized/valid electronic signature
LEGACY FAMILY MEDICINE LLC 401 K PROFIT SHARING PLAN TRUST 2018 271442936 2019-10-09 LEGACY FAMILY MEDICINE LLC 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2012-01-01
Business code 621111
Sponsor’s telephone number 4077811000
Plan sponsor’s address 11602 LAKE UNDERHILL RD., ORLANDO, FL, 32825

Signature of
Role Plan administrator
Date 2019-10-09
Name of individual signing LIZ HARDY
Valid signature Filed with authorized/valid electronic signature

Key Officers & Management

Name Role Address
HARDY PHILIP T Managing Member 11602 LAKE UNDERHILL ROAD, ORLANDO, FL, 32825
Hardy Liz Chief Financial Officer 11602 LAKE UNDERHILL ROAD, ORLANDO, FL, 32825
KATHRYN V ROSS CPA PA Agent 3823 N. ECONLOCKHATCHEE TRL,, ORLANDO, FL, 32817

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2022-02-08 11602 LAKE UNDERHILL ROAD, STE 118-119, ORLANDO, FL 32825 -
REGISTERED AGENT NAME CHANGED 2011-03-09 KATHRYN V ROSS CPA PA -
REGISTERED AGENT ADDRESS CHANGED 2011-03-09 3823 N. ECONLOCKHATCHEE TRL,, STE D-5, ORLANDO, FL 32817 -

Documents

Name Date
ANNUAL REPORT 2025-01-27
ANNUAL REPORT 2024-01-29
ANNUAL REPORT 2023-01-11
ANNUAL REPORT 2022-01-26
ANNUAL REPORT 2021-01-12
ANNUAL REPORT 2020-06-09
ANNUAL REPORT 2019-04-25
ANNUAL REPORT 2018-04-19
ANNUAL REPORT 2017-04-26
ANNUAL REPORT 2016-04-25

Paycheck Protection Program

Loan Number Loan Funded Date SBA Origination Office Code Loan Delivery Method Borrower Street Address
8523307105 2020-04-15 0491 PPP 11602 LAKE UNDERHILL RD STE 119, ORLANDO, FL, 32825
Loan Status Date 2021-07-17
Loan Status Paid in Full
Loan Maturity in Months 24
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 145125
Loan Approval Amount (current) 145125
Undisbursed Amount 0
Franchise Name -
Lender Location ID 67422
Servicing Lender Name First Horizon Bank
Servicing Lender Address 165 Madison Ave, MEMPHIS, TN, 38103-2723
Rural or Urban Indicator U
Hubzone N
LMI N
Business Age Description Existing or more than 2 years old
Project Address ORLANDO, ORANGE, FL, 32825-2700
Project Congressional District FL-10
Number of Employees 15
NAICS code 621111
Borrower Race Unanswered
Borrower Ethnicity Unknown/NotStated
Business Type Corporation
Originating Lender ID 78586
Originating Lender Name IberiaBank, A Division of First Horizon Bank
Originating Lender Address Lafayette, LA
Gender Unanswered
Veteran Unanswered
Forgiveness Amount 146761.69
Forgiveness Paid Date 2021-06-08

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Date of last update: 02 Apr 2025

Sources: Florida Department of State

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