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  5. GRACE PEDIATRICS P.L.

GRACE PEDIATRICS P.L. - Florida Company Profile

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Company Details

Entity Name: GRACE PEDIATRICS P.L.
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Active
Date Filed: 22 Sep 2011 (14 years ago)
Last Event: REINSTATEMENT
Event Date Filed: 07 Oct 2013 (12 years ago)
Document Number: L11000108753
FEI/EIN Number 453400084
Address: 4196 W US HIGHWAY 90 STE 105, LAKE CITY, FL, 32055, US
Mail Address: P.O. BOX 549, LAKE CITY, FL, 32055
ZIP code: 32055
City: Lake City
County: Columbia
Place of Formation: FLORIDA

Key Officers & Management

Name Role Address
THOMPSON COLLEEN Manager 4196 W US HIGHWAY 90 STE 109, LAKE CITY, FL, 32055
Airth H. AJr. Agent 500 SOUTH FLORIDA AVENUE, LAKELAND, FL, 33801

U.S. Small Business Administration Profile

Phone Number:
386-243-8474
E-mail Address:
graceped@rocketmail.com
Contact Person:
SIDNEY THOMPSON
Ownership and Self-Certifications:
Self-Certified Small Disadvantaged Business, Women-Owned Small Business, Woman Owned
User ID:
P2774610
Trade Name:
GRACE PEDIATRICS

Unique Entity ID

Unique Entity ID:
TBF6XHGBKMV4
CAGE Code:
92AM9
UEI Expiration Date:
2026-03-03

Business Information

Activation Date:
2025-03-05
Initial Registration Date:
2021-06-09

Commercial and government entity program

CAGE number:
92AM9
Status:
Obsolete
Type:
Non-Manufacturer
CAGE Update Date:
2025-03-05
SAM Expiration:
2026-03-03

Contact Information

POC:
SIDNEY THOMPSON

National Provider Identifier

NPI Number:
1326885294
Certification Date:
2024-07-09
Link:
View on NPI website

Authorized Person:

Name:
COLLEEN A THOMPSON
Role:
APRN, OWNER
Phone:
3862438474

Taxonomy:

Selected Taxonomy:
261QR1300X - Rural Health Clinic/Center
Is Primary:
Yes

Contacts:

Phone:
+1 386-243-8474
Fax:
3864385945

Events

Event Type Filed Date Value Description
REGISTERED AGENT ADDRESS CHANGED 2022-03-11 500 SOUTH FLORIDA AVENUE, SUITE 800, LAKELAND, FL 33801 -
REGISTERED AGENT NAME CHANGED 2020-06-19 Airth, H. Adam, Jr. -
CHANGE OF PRINCIPAL ADDRESS 2019-02-26 4196 W US HIGHWAY 90 STE 105, LAKE CITY, FL 32055 -
REINSTATEMENT 2013-10-07 - -
ADMIN DISSOLUTION FOR ANNUAL REPORT 2013-09-27 - -
CHANGE OF MAILING ADDRESS 2012-01-13 4196 W US HIGHWAY 90 STE 105, LAKE CITY, FL 32055 -

Documents

Name Date
ANNUAL REPORT 2025-01-24
ANNUAL REPORT 2024-01-22
ANNUAL REPORT 2023-02-02
ANNUAL REPORT 2022-03-11
ANNUAL REPORT 2021-04-28
ANNUAL REPORT 2020-06-19
ANNUAL REPORT 2019-02-26
ANNUAL REPORT 2018-04-05
ANNUAL REPORT 2017-04-24
ANNUAL REPORT 2016-04-28

USAspending Awards / Financial Assistance

Date:
2021-07-23
Link:
View on USAspending
Awarding Agency Name:
Department of Health and Human Services
Transaction Description:
RURAL HEALTH CLINIC VACCINE CONFIDENCE PROGRAM
Obligated Amount:
49529.00
Face Value Of Loan:
0.00
Total Face Value Of Loan:
0.00
Date:
2021-01-23
Link:
View on USAspending
Awarding Agency Name:
Small Business Administration
Transaction Description:
TO AID SMALL BUSINESSES IN MAINTAINING WORK FORCE DURING COVID-19 PANDEMIC.
Obligated Amount:
0.00
Face Value Of Loan:
187000.00
Total Face Value Of Loan:
187000.00
Date:
2020-04-08
Link:
View on USAspending
Awarding Agency Name:
Small Business Administration
Transaction Description:
TO AID SMALL BUSINESSES IN MAINTAINING WORK FORCE DURING COVID-19 PANDEMIC.
Obligated Amount:
0.00
Face Value Of Loan:
178500.00
Total Face Value Of Loan:
178500.00
Date:
2016-05-26
Link:
View on USAspending
Awarding Agency Name:
Small Business Administration
Transaction Description:
TO AID SMALL BUSINESSES WHICH ARE UNABLE TO OBTAIN FINANCING IN THE PRIVATE CREDIT MARKETPLACE
Obligated Amount:
0.00
Face Value Of Loan:
33900.00
Total Face Value Of Loan:
174200.00
Date:
2016-04-19
Link:
View on USAspending
Awarding Agency Name:
Small Business Administration
Transaction Description:
TO AID SMALL BUSINESSES WHICH ARE UNABLE TO OBTAIN FINANCING IN THE PRIVATE CREDIT MARKETPLACE
Obligated Amount:
0.00
Face Value Of Loan:
140300.00
Total Face Value Of Loan:
174200.00

Paycheck Protection Program

Jobs Reported:
20
Initial Approval Amount:
$178,500
Date Approved:
2020-04-08
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$178,500
Race:
Unanswered
Ethnicity:
Not Hispanic or Latino
Gender:
Female Owned
Veteran:
Non-Veteran
Forgiveness Amount:
$179,466.88
Servicing Lender:
First Federal Bank
Use of Proceeds:
Payroll: $178,500
Jobs Reported:
21
Initial Approval Amount:
$187,000
Date Approved:
2021-01-21
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$187,000
Race:
Unanswered
Ethnicity:
Not Hispanic or Latino
Gender:
Female Owned
Veteran:
Non-Veteran
Forgiveness Amount:
$188,277.83
Servicing Lender:
First Federal Bank
Use of Proceeds:
Payroll: $186,996
Utilities: $1

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Date of last update: 02 Aug 2025

Sources: Florida Department of State

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