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  5. LAKE GASTROENTEROLOGY ASSOCIATES, LLC

LAKE GASTROENTEROLOGY ASSOCIATES, LLC - Florida Company Profile

Company Details

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

LAKE 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: 15 Dec 2010 (14 years ago)
Document Number: L10000128338
FEI/EIN Number 274317031

Federal Employer Identification (FEI) Number assigned by the IRS.
Address: 1858 MAYO DRIVE, TAVARES, FL, 32778, US
Mail Address: PO BOX 1345, MOUNT DORA, FL, 32756, US
ZIP code: 32778
County: Lake
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1972801827 2011-03-02 2011-05-04 PO BOX 1345, MOUNT DORA, FL, 327561345, US 1703 MAYO DR, TAVARES, FL, 327784307, US

Contacts
Phone +1 352-383-5200
Fax 3523833534

Authorized person
Name SOUNDARAPANDIAN BASKAR
Role OWNER/OFFICER
Phone 3526363652

Taxonomy
Taxonomy Code 207RG0100X - Gastroenterology Physician
Is Primary Yes

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
LAKE GASTROENTEROLOGY ASSOCIATES, LLC 401(K) PLAN AND TRUST 2023 274317031 2024-04-23 LAKE GASTROENTEROLOGY ASSOCIATES, LLC 35
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2011-05-06
Business code 621111
Sponsor’s telephone number 3523835200
Plan sponsor’s address PO BOX 1345, MOUNT DORA, FL, 32756

Signature of
Role Plan administrator
Date 2024-04-23
Name of individual signing SRINIVASA REDDY
Valid signature Filed with authorized/valid electronic signature
LAKE GASTROENTEROLOGY ASSOCIATES, LLC 401(K) PLAN AND TRUST 2022 274317031 2023-06-08 LAKE GASTROENTEROLOGY ASSOCIATES, LLC 36
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2011-05-06
Business code 621111
Sponsor’s telephone number 3523835200
Plan sponsor’s address PO BOX 1345, MOUNT DORA, FL, 32756

Signature of
Role Plan administrator
Date 2023-06-08
Name of individual signing SRINIVASA REDDY
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2023-06-08
Name of individual signing SRINIVASA REDDY
Valid signature Filed with authorized/valid electronic signature
LAKE GASTROENTEROLOGY ASSOCIATES, LLC 401(K) PLAN AND TRUST 2021 274317031 2022-05-16 LAKE GASTROENTEROLOGY ASSOCIATES, LLC 33
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2011-05-06
Business code 621111
Sponsor’s telephone number 3523835200
Plan sponsor’s address PO BOX 1345, MOUNT DORA, FL, 32756

Signature of
Role Plan administrator
Date 2022-05-16
Name of individual signing SRINIVASA REDDY
Valid signature Filed with authorized/valid electronic signature
LAKE GASTROENTEROLOGY ASSOCIATES, LLC 401(K) PLAN AND TRUST 2020 274317031 2021-06-16 LAKE GASTROENTEROLOGY ASSOCIATES, LLC 33
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2011-05-06
Business code 621111
Sponsor’s telephone number 3523835200
Plan sponsor’s address PO BOX 1345, MOUNT DORA, FL, 32756

Signature of
Role Plan administrator
Date 2021-06-16
Name of individual signing SRINIVASA REDDY
Valid signature Filed with authorized/valid electronic signature
LAKE GASTROENTEROLOGY ASSOCIATES, LLC 401(K) PLAN AND TRUST 2019 274317031 2020-06-14 LAKE GASTROENTEROLOGY ASSOCIATES, LLC 25
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2011-05-06
Business code 621111
Sponsor’s telephone number 3523835200
Plan sponsor’s address PO BOX 1345, MOUNT DORA, FL, 32756

Signature of
Role Plan administrator
Date 2020-06-14
Name of individual signing SRINIVASA REDDY
Valid signature Filed with authorized/valid electronic signature
LAKE GASTROENTEROLOGY ASSOCIATES, LLC 401(K) PLAN AND TRUST 2018 274317031 2019-06-20 LAKE GASTROENTEROLOGY ASSOCIATES, LLC 22
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2011-05-06
Business code 621111
Sponsor’s telephone number 3523835200
Plan sponsor’s address PO BOX 1345, MOUNT DORA, FL, 32756

Signature of
Role Plan administrator
Date 2019-06-20
Name of individual signing SRINIVASA REDDY
Valid signature Filed with authorized/valid electronic signature
LAKE GASTROENTEROLOGY ASSOCIATES, LLC 401(K) PLAN AND TRUST 2017 274317031 2018-05-29 LAKE GASTROENTEROLOGY ASSOCIATES, LLC 22
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2011-05-06
Business code 621111
Sponsor’s telephone number 3523835200
Plan sponsor’s address PO BOX 1345, MOUNT DORA, FL, 32756

Signature of
Role Plan administrator
Date 2018-05-29
Name of individual signing SRINIVASA REDDY
Valid signature Filed with authorized/valid electronic signature
LAKE GASTROENTEROLOGY ASSOCIATES, LLC 401(K) PLAN AND TRUST 2016 274317031 2017-08-07 LAKE GASTROENTEROLOGY ASSOCIATES, LLC 17
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2011-05-06
Business code 621111
Sponsor’s telephone number 3523835200
Plan sponsor’s address PO BOX 1345, MOUNT DORA, FL, 32756

Signature of
Role Plan administrator
Date 2017-08-07
Name of individual signing SRINIVASA REDDY
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2017-08-07
Name of individual signing SRINIVASA REDDY
Valid signature Filed with authorized/valid electronic signature
LAKE GASTROENTEROLOGY ASSOCIATES, LLC 401(K) PLAN AND TRUST 2015 274317031 2016-07-12 LAKE GASTROENTEROLOGY ASSOCIATES, LLC 14
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2011-05-06
Business code 621111
Sponsor’s telephone number 3523835200
Plan sponsor’s address PO BOX 1345, MOUNT DORA, FL, 32756

Signature of
Role Plan administrator
Date 2016-07-12
Name of individual signing SRINIVASA REDDY
Valid signature Filed with authorized/valid electronic signature
LAKE GASTROENTEROLOGY ASSOCIATES, LLC. 401(K) PLAN AND TRUST 2014 274317031 2015-07-21 LAKE GASTROENTEROLOGY ASSOCIATES, LLC. 11
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2011-05-06
Business code 621111
Sponsor’s telephone number 3523835200
Plan sponsor’s address 1703 MAYO DRIVE, TAVARES, FL, 32778

Signature of
Role Plan administrator
Date 2015-07-21
Name of individual signing SRINIVASA REDDY
Valid signature Filed with authorized/valid electronic signature

Key Officers & Management

Name Role Address
BASKAR, SOUNDARAPANDIAN , MD Manager 1858 MAYO DRIVE, TAVARES, FL, 32778
RAMAIAH BHARATHI MD Manager 1858 MAYO DRIVE, TAVARES, FL, 32778
CB&G SERVICES, INC. Agent -

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2015-04-23 1858 MAYO DRIVE, TAVARES, FL 32778 -
CHANGE OF MAILING ADDRESS 2012-04-25 1858 MAYO DRIVE, TAVARES, FL 32778 -

Documents

Name Date
ANNUAL REPORT 2025-02-08
ANNUAL REPORT 2024-02-06
ANNUAL REPORT 2023-03-15
ANNUAL REPORT 2022-04-21
ANNUAL REPORT 2021-04-27
ANNUAL REPORT 2020-04-30
ANNUAL REPORT 2019-04-23
ANNUAL REPORT 2018-04-24
ANNUAL REPORT 2017-04-26
ANNUAL REPORT 2016-04-26

Paycheck Protection Program

Loan Number Loan Funded Date SBA Origination Office Code Loan Delivery Method Borrower Street Address
6295807100 2020-04-14 0491 PPP 1858 Mayo Drive, TAVARES, FL, 32778-4320
Loan Status Date 2021-05-19
Loan Status Paid in Full
Loan Maturity in Months 24
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 122700
Loan Approval Amount (current) 122700
Undisbursed Amount 0
Franchise Name -
Lender Location ID 117285
Servicing Lender Name Citizens First Bank
Servicing Lender Address 1050 Lake Sumter Landing, THE VILLAGES, FL, 32162-2697
Rural or Urban Indicator U
Hubzone N
LMI Y
Business Age Description Existing or more than 2 years old
Project Address TAVARES, LAKE, FL, 32778-4320
Project Congressional District FL-11
Number of Employees 13
NAICS code 621111
Borrower Race Unanswered
Borrower Ethnicity Unknown/NotStated
Business Type Subchapter S Corporation
Originating Lender ID 117285
Originating Lender Name Citizens First Bank
Originating Lender Address THE VILLAGES, FL
Gender Male Owned
Veteran Unanswered
Forgiveness Amount 123967.34
Forgiveness Paid Date 2021-04-29

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Companies related by address

No other companies in our directory share the same address as LAKE GASTROENTEROLOGY ASSOCIATES, LLC

Date of last update: 03 May 2025

Sources: Florida Department of State

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