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PACIFICA CARE PLLC - Florida Company Profile

Company Details

Entity Name: PACIFICA CARE PLLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.

PACIFICA CARE PLLC 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: 28 Sep 2010 (14 years ago)
Last Event: LC AMENDMENT
Event Date Filed: 30 Sep 2011 (13 years ago)
Document Number: L10000100991
FEI/EIN Number 273561637

Federal Employer Identification (FEI) Number assigned by the IRS.

Address: 13121 ATLANTIC BLVD.,, SUITE 100, JACKSONVILLE, FL, 32225, US
Mail Address: 13121 ATLANTIC BLVD.,, SUITE 100, JACKSONVILLE, FL, 32225, US
ZIP code: 32225
County: Duval
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1669775037 2010-12-07 2012-01-10 13121 ATLANTIC BLVD, SUITE 100, JACKSONVILLE, FL, 32225, US 13121 ATLANTIC BLVD, SUITE 100, JACKSONVILLE, FL, 32225, US

Contacts

Phone +1 904-221-2232
Fax 9042212205

Authorized person

Name PEGGY A ARCANZ
Role ADMINISTRATOR
Phone 9042212232

Taxonomy

Taxonomy Code 261QM0850X - Adult Mental Health Clinic/Center
License Number 9102783
State FL
Is Primary No
Taxonomy Code 261QM0850X - Adult Mental Health Clinic/Center
License Number HCC8789
State FL
Is Primary Yes

Other Provider Identifiers

Issuer MEDICAID
Number 292650400
State FL

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
PACIFICA CARE 401(K) PLAN 2023 273561637 2024-04-30 PACIFICA CARE PLLC 42
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2022-01-01
Business code 621112
Sponsor’s telephone number 9042212232
Plan sponsor’s address 13121 ATLANTIC BLVD # 100, JACKSONVILLE, FL, 32225

Plan administrator’s name and address

Administrator’s EIN 474474775
Plan administrator’s name GUIDELINE, INC.
Plan administrator’s address 1412 CHAPIN AVENUE, BURLINGAME, CA, 94010
Administrator’s telephone number 8882283491

Signature of

Role Plan administrator
Date 2024-04-30
Name of individual signing QIAN LIU
Valid signature Filed with authorized/valid electronic signature
PACIFICA CARE 401(K) PLAN 2022 273561637 2023-05-27 PACIFICA CARE PLLC 36
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2022-01-01
Business code 621112
Sponsor’s telephone number 9042212232
Plan sponsor’s address 13121 ATLANTIC BLVD # 100, JACKSONVILLE, FL, 32225

Plan administrator’s name and address

Administrator’s EIN 474474775
Plan administrator’s name GUIDELINE, INC.
Plan administrator’s address 1412 CHAPIN AVENUE, BURLINGAME, CA, 94010
Administrator’s telephone number 8882283491

Signature of

Role Plan administrator
Date 2023-05-27
Name of individual signing CHRISTINE RIMER
Valid signature Filed with authorized/valid electronic signature
PACIFICA CARE PLLC 2013 273561637 2014-10-02 PACIFICA CARE PLLC 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2011-01-01
Business code 621111
Sponsor’s telephone number 9042212232
Plan sponsor’s address 13121 ATLANTIC BLVD SUITE 100, JACKSONVILLE, FL, 32225

Signature of

Role Plan administrator
Date 2014-10-02
Name of individual signing DONNA BELLINGER-TREESH
Valid signature Filed with authorized/valid electronic signature
PACIFICA CARE PLLC 2012 273561637 2014-11-17 PACIFICA CARE PLLC 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2011-01-01
Business code 621111
Sponsor’s telephone number 9042212232
Plan sponsor’s address 13121 ATLANTIC BLVD SUITE 100, JACKSONVILLE, FL, 32225

Signature of

Role Plan administrator
Date 2014-11-17
Name of individual signing DONNA BELLINGER-TREESH
Valid signature Filed with authorized/valid electronic signature
PACIFICA CARE PLLC 401 K PROFIT SHARING PLAN TRUST 2011 273561637 2012-07-02 PACIFICA CARE PLLC 0
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2011-01-01
Business code 621111
Sponsor’s telephone number 9042212232
Plan sponsor’s address 13121 ATLANTIC BLVD SUITE 100, JACKSONVILLE, FL, 32225

Plan administrator’s name and address

Administrator’s EIN 273561637
Plan administrator’s name PACIFICA CARE PLLC
Plan administrator’s address 13121 ATLANTIC BLVD SUITE 100, JACKSONVILLE, FL, 32225
Administrator’s telephone number 9042212232

Signature of

Role Plan administrator
Date 2012-07-02
Name of individual signing PACIFICA CARE PLLC
Valid signature Filed with authorized/valid electronic signature

Key Officers & Management

Name Role Address
BELLINGER TREESH DONNA Managing Member 13121 ATLANTIC BLVD., SUITE 100, JACKSONVILLE, FL, 32225
TREESH GABRIEL Managing Member 13121 ATLANTIC BLVD., SUITE 100, JACKSONVILLE, FL, 32225
BELLINGER TREESH DONNA Agent 13121 ATLANTIC BLVD.,, JACKSONVILLE, FL, 32225

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G18000061771 PACIFICA CARE OF SUNCOAST ACTIVE 2018-05-23 2028-12-31 - 24451 SANDHILL BLVD UNIT B, PUNTA GORDA, FL, 33983
G11000078218 PACIFICA CARE MIND & BODY WELLNESS CLINIC EXPIRED 2011-08-05 2016-12-31 - 13111 ATLANTIC BLVD, STE 2, JACKSONVILLE, FL, 32225

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2012-03-22 13121 ATLANTIC BLVD.,, SUITE 100, JACKSONVILLE, FL 32225 -
CHANGE OF MAILING ADDRESS 2012-03-22 13121 ATLANTIC BLVD.,, SUITE 100, JACKSONVILLE, FL 32225 -
REGISTERED AGENT ADDRESS CHANGED 2012-03-22 13121 ATLANTIC BLVD.,, SUITE 100, JACKSONVILLE, FL 32225 -
LC AMENDMENT 2011-09-30 - -
LC AMENDMENT 2011-06-22 - -
LC AMENDMENT 2010-10-27 - -

Documents

Name Date
ANNUAL REPORT 2024-02-13
ANNUAL REPORT 2023-03-15
ANNUAL REPORT 2022-03-02
ANNUAL REPORT 2021-01-29
ANNUAL REPORT 2020-05-13
ANNUAL REPORT 2019-04-09
ANNUAL REPORT 2018-04-24
ANNUAL REPORT 2017-07-07
ANNUAL REPORT 2016-03-18
ANNUAL REPORT 2015-03-13

Paycheck Protection Program

Loan Number Loan Funded Date SBA Origination Office Code Loan Delivery Method Borrower Street Address
1076708806 2021-04-09 0491 PPS 13121 Atlantic Blvd Ste 100, Jacksonville, FL, 32225-0102
Loan Status Date 2021-11-18
Loan Status Paid in Full
Loan Maturity in Months 60
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 203622
Loan Approval Amount (current) 203622
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 Jacksonville, DUVAL, FL, 32225-0102
Project Congressional District FL-05
Number of Employees 14
NAICS code 621112
Borrower Race Unanswered
Borrower Ethnicity Unknown/NotStated
Business Type Corporation
Originating Lender ID 9551
Originating Lender Name Bank of America, National Association
Originating Lender Address CHARLOTTE, NC
Gender Unanswered
Veteran Unanswered
Forgiveness Amount 204603.85
Forgiveness Paid Date 2021-10-06

Date of last update: 01 Mar 2025

Sources: Florida Department of State