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BLISS MYOFASCIAL RELEASE LLC

Company Details

Entity Name: BLISS MYOFASCIAL RELEASE LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Company
Status: Inactive
Date Filed: 30 Aug 2012 (12 years ago)
Date of dissolution: 02 May 2024 (10 months ago)
Last Event: VOLUNTARY DISSOLUTION
Event Date Filed: 02 May 2024 (10 months ago)
Document Number: L12000111517
FEI/EIN Number 46-0890023
Address: 3340 Covered Bridge Drive East, Dunedin, FL 34698
Mail Address: 3340 COVERED BRIDGE DR E, DUNEDIN, FL 34698
ZIP code: 34698
County: Pinellas
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1992055073 2012-09-14 2017-03-28 800 TARPON WOODS BLVD, SUITE F1, PALM HARBOR, FL, 346852011, US 800 TARPON WOODS BLVD STE F1, PALM HARBOR, FL, 346852000, US

Contacts

Phone +1 727-365-8838

Authorized person

Name MS. CAROLYN PUCKETT
Role OWNER
Phone 7273658838

Taxonomy

Taxonomy Code 225100000X - Physical Therapist
License Number PT23951
State FL
Is Primary Yes

Agent

Name Role Address
Puckett, Carolyn Agent 3340 COVERED BRIDGE DR E, DUNEDIN, FL 34698

Manager

Name Role Address
PUCKETT, CAROLYN K Manager 3340 COVERED BRIDGE DR, E DUNEDIN, FL 34695

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G14000008847 PRINCESS MANI EXPIRED 2014-01-26 2019-12-31 No data 3340 COVERED BRIDGE DRIVE EAST, DUNEDIN, FL, 34698

Events

Event Type Filed Date Value Description
VOLUNTARY DISSOLUTION 2024-05-02 No data No data
CHANGE OF PRINCIPAL ADDRESS 2023-03-20 3340 Covered Bridge Drive East, Dunedin, FL 34698 No data
REGISTERED AGENT NAME CHANGED 2013-02-01 Puckett, Carolyn No data
REGISTERED AGENT ADDRESS CHANGED 2013-02-01 3340 COVERED BRIDGE DR E, DUNEDIN, FL 34698 No data

Documents

Name Date
VOLUNTARY DISSOLUTION 2024-05-02
ANNUAL REPORT 2023-03-20
ANNUAL REPORT 2022-03-11
ANNUAL REPORT 2021-03-31
ANNUAL REPORT 2020-04-30
ANNUAL REPORT 2019-04-29
ANNUAL REPORT 2018-02-28
ANNUAL REPORT 2017-02-06
ANNUAL REPORT 2016-02-06
ANNUAL REPORT 2015-01-18

Paycheck Protection Program

Loan Number Loan Funded Date SBA Origination Office Code Loan Delivery Method Borrower Street Address
2881958002 2020-06-24 0455 PPP 935 Main Street, Ste. B2, SAFETY HARBOR, FL, 34695-3400
Loan Status Date 2021-03-23
Loan Status Paid in Full
Loan Maturity in Months 60
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 2700
Loan Approval Amount (current) 2700
Undisbursed Amount 0
Franchise Name -
Lender Location ID 225134
Servicing Lender Name Truist Bank
Servicing Lender Address 214 N Tryon St, CHARLOTTE, NC, 28202-1078
Rural or Urban Indicator U
Hubzone N
LMI N
Business Age Description Existing or more than 2 years old
Project Address SAFETY HARBOR, PINELLAS, FL, 34695-3400
Project Congressional District FL-13
Number of Employees 1
NAICS code 621340
Borrower Race Unanswered
Borrower Ethnicity Unknown/NotStated
Business Type Limited Liability Company(LLC)
Originating Lender ID 225134
Originating Lender Name Truist Bank
Originating Lender Address CHARLOTTE, NC
Gender Unanswered
Veteran Unanswered
Forgiveness Amount 2717.33
Forgiveness Paid Date 2021-02-16

Date of last update: 22 Feb 2025

Sources: Florida Department of State