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KASHIBEN SAY LLC.

Company Details

Entity Name: KASHIBEN SAY LLC.
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Active
Date Filed: 05 Jan 2012 (13 years ago)
Last Event: LC AMENDMENT
Event Date Filed: 19 Nov 2012 (12 years ago)
Document Number: L12000001887
FEI/EIN Number 45-4165786
Address: 11150 N Williams Street, Dunnellon, FL, 34432, US
Mail Address: 11150 N Williams Street, Dunnellon, FL, 34432, US
ZIP code: 34432
County: Marion
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1972865921 2012-06-14 2020-05-21 11150 N WILLIAMS ST, UNIT 101-B, DUNNELLON, FL, 344328363, US 11150 N WILLIAMS ST, UNIT 101-B, DUNNELLON, FL, 344328363, US

Contacts

Phone +1 352-489-4960
Fax 3524894962

Authorized person

Name MR. TAPAN VORA
Role MANAGER
Phone 3524894960

Taxonomy

Taxonomy Code 3336C0003X - Community/Retail Pharmacy
Is Primary Yes

Other Provider Identifiers

Issuer MEDICAID
Number 007631400
State FL

Agent

Name Role Address
PATEL VIJAY Agent 2010 NE 14TH ST., OCALA, FL, 34470

Managing Member

Name Role Address
VORA JITTENDRA Managing Member 20102 OAKFLOWER AVENUE, TAMPA, FL, 33647
VORA TAPAN J Managing Member 20102 OAKFLOWER AVE, TAMPA, FL, 33647

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G12000016104 DUNNELLON DISCOUNT DRUGS EXPIRED 2012-02-15 2017-12-31 No data 768 LAKEVIEW POINTE DR., CLERMONT, FL, 34711

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2024-02-04 11150 N Williams Street, Suite 101B, Dunnellon, FL 34432 No data
CHANGE OF MAILING ADDRESS 2021-03-16 11150 N Williams Street, Suite 101B, Dunnellon, FL 34432 No data
LC AMENDMENT 2012-11-19 No data No data
LC AMENDMENT 2012-09-13 No data No data
LC AMENDMENT 2012-08-27 No data No data
LC AMENDMENT 2012-08-23 No data No data

Documents

Name Date
ANNUAL REPORT 2024-02-04
ANNUAL REPORT 2023-03-20
ANNUAL REPORT 2022-01-26
ANNUAL REPORT 2021-03-16
ANNUAL REPORT 2020-06-11
ANNUAL REPORT 2019-03-02
ANNUAL REPORT 2018-02-14
ANNUAL REPORT 2017-02-20
ANNUAL REPORT 2016-03-29
ANNUAL REPORT 2015-02-25

Paycheck Protection Program

Loan Number Loan Funded Date SBA Origination Office Code Loan Delivery Method Borrower Street Address
5421407705 2020-05-01 0491 PPP 11150 N WILLIAMS ST STE 101B, DUNNELLON, FL, 34432-8364
Loan Status Date 2021-02-19
Loan Status Paid in Full
Loan Maturity in Months 24
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 56732
Loan Approval Amount (current) 56732
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 New Business or 2 years or less
Project Address DUNNELLON, MARION, FL, 34432-8364
Project Congressional District FL-03
Number of Employees 7
NAICS code 325412
Borrower Race Unanswered
Borrower Ethnicity Unknown/NotStated
Business Type Limited Liability Company(LLC)
Originating Lender ID 9551
Originating Lender Name Bank of America, National Association
Originating Lender Address CHARLOTTE, NC
Gender Unanswered
Veteran Unanswered
Forgiveness Amount 57115.91
Forgiveness Paid Date 2021-01-07

Date of last update: 02 Feb 2025

Sources: Florida Department of State