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  5. BLUE STAR ANIMAL HOSPITAL, LLC

BLUE STAR ANIMAL HOSPITAL, LLC - Florida Company Profile

Company Details

Entity Name: BLUE STAR ANIMAL HOSPITAL, LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.

BLUE STAR ANIMAL HOSPITAL, 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: 04 Sep 2013 (12 years ago)
Last Event: LC AMENDMENT
Event Date Filed: 17 Nov 2021 (3 years ago)
Document Number: L13000124953
FEI/EIN Number 46-5006015

Federal Employer Identification (FEI) Number assigned by the IRS.
Address: 2851 CR 210 W, Saint Johns, FL, 32259, US
Mail Address: 2851 CR 210 W, Saint Johns, FL, 32259, US
ZIP code: 32259
County: St. Johns
Place of Formation: FLORIDA

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
BLUE STAR ANIMAL HOSPITAL LLC 401(K) PROFIT SHARING PLAN & TRUST 2023 465006015 2024-05-05 BLUE STAR ANIMAL HOSPITAL LLC 40
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2019-01-01
Business code 541990
Sponsor’s telephone number 9042309099
Plan sponsor’s address 2851 COUNTY ROAD 210 W - STE 119, SAINT JOHNS, FL, 32259

Plan administrator’s name and address
Administrator’s EIN 471637791
Plan administrator’s name ERISA FIDUCIARY SERVICES, INC.
Plan administrator’s address 1373 VETERANS HIGHWAY, SUITE 10, HAUPPAUGE, NY, 11788
Administrator’s telephone number 6312490500

Signature of
Role Plan administrator
Date 2024-05-05
Name of individual signing ERISA FIDUCIARY SERVICES
Valid signature Filed with authorized/valid electronic signature
BLUE STAR ANIMAL HOSPITAL LLC 401(K) PROFIT SHARING PLAN & TRUST 2022 465006015 2023-04-08 BLUE STAR ANIMAL HOSPITAL LLC 36
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2019-01-01
Business code 541990
Sponsor’s telephone number 9042309099
Plan sponsor’s address 2851 COUNTY ROAD 210 W - STE 119, SAINT JOHNS, FL, 32259

Plan administrator’s name and address
Administrator’s EIN 471637791
Plan administrator’s name ERISA FIDUCIARY SERVICES, INC.
Plan administrator’s address 1373 VETERANS HIGHWAY, SUITE 10, HAUPPAUGE, NY, 11788
Administrator’s telephone number 6312490500

Signature of
Role Plan administrator
Date 2023-04-08
Name of individual signing ERISA FIDUCIARY SERVICES
Valid signature Filed with authorized/valid electronic signature
BLUE STAR ANIMAL HOSPITAL LLC 401(K) PROFIT SHARING PLAN & TRUST 2021 465006015 2022-06-03 BLUE STAR ANIMAL HOSPITAL LLC 30
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2019-01-01
Business code 541990
Sponsor’s telephone number 9042309099
Plan sponsor’s address 2851 COUNTY ROAD 210 W - STE 119, SAINT JOHNS, FL, 32259

Signature of
Role Plan administrator
Date 2022-06-03
Name of individual signing EDWARD ROJAS
Valid signature Filed with authorized/valid electronic signature
BLUE STAR ANIMAL HOSPITAL LLC 401(K) PROFIT SHARING PLAN & TRUST 2020 465006015 2021-05-11 BLUE STAR ANIMAL HOSPITAL LLC 26
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2019-01-01
Business code 541990
Sponsor’s telephone number 9042309099
Plan sponsor’s address 2851 COUNTY ROAD 210 W - STE 119, SAINT JOHNS, FL, 32259

Signature of
Role Plan administrator
Date 2021-05-11
Name of individual signing EDWARD ROJAS
Valid signature Filed with authorized/valid electronic signature
BLUE STAR ANIMAL HOSPITAL LLC 401(K) PROFIT SHARING PLAN & TRUST 2019 465006015 2020-06-10 BLUE STAR ANIMAL HOSPITAL LLC 17
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2019-01-01
Business code 541990
Sponsor’s telephone number 9042309099
Plan sponsor’s address 2851 COUNTY ROAD 210 W - STE 119, SAINT JOHNS, FL, 32259

Signature of
Role Plan administrator
Date 2020-06-10
Name of individual signing EDWARD ROJAS
Valid signature Filed with authorized/valid electronic signature

Key Officers & Management

Name Role Address
KANCHARKUNTLA SRILATHA Manager 2851 CR 210 W, SAINT JOHNS, FL, 32259
Gutta Venkat R Manager 5309 Rising Sun Ct., Saint Johns, FL, 32259
Kancharkuntla Srilatha Agent 2851 CR 210 W, Saint Johns, FL, 32259

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G23000138134 ST. JOHNS VETS AFFORDABLE ANIMAL HOSPITAL ACTIVE 2023-11-10 2028-12-31 - 2851 CR 210 WEST, SUITE # 119, SAINT JOHNS, FL, 32259
G18000114174 PAVILION CROSSING ANIMAL HOSPITAL EXPIRED 2018-10-22 2023-12-31 - 2851 CR 210 WEST, SUITE # 119, SAINT JOHNS, FL, 32259
G17000009785 BLUESTAR PET HOSPITAL AT BAYMEADOWS/295 EXPIRED 2017-01-26 2022-12-31 - 11048 BAYMEADOWS ROAD, SUITE 4, JACKSONVILLE, FL, 32256
G15000039519 BLUESTAR PET HOSPITAL & GROOMING ACTIVE 2015-04-20 2025-12-31 - 2851 CR 210 WEST, SUITE 119, ST. JOHNS, FL, 32259

Events

Event Type Filed Date Value Description
LC AMENDMENT 2021-11-17 - -
CHANGE OF PRINCIPAL ADDRESS 2015-04-19 2851 CR 210 W, Suite 119, Saint Johns, FL 32259 -
CHANGE OF MAILING ADDRESS 2015-04-19 2851 CR 210 W, Suite 119, Saint Johns, FL 32259 -
REGISTERED AGENT NAME CHANGED 2015-04-19 Kancharkuntla, Srilatha -
REGISTERED AGENT ADDRESS CHANGED 2015-04-19 2851 CR 210 W, Suite 119, Saint Johns, FL 32259 -
LC NAME CHANGE 2015-02-03 BLUE STAR ANIMAL HOSPITAL, LLC -

Documents

Name Date
ANNUAL REPORT 2024-03-06
ANNUAL REPORT 2023-02-06
ANNUAL REPORT 2022-02-14
LC Amendment 2021-11-17
ANNUAL REPORT 2021-03-07
ANNUAL REPORT 2020-03-13
ANNUAL REPORT 2019-03-16
ANNUAL REPORT 2018-03-04
ANNUAL REPORT 2017-01-29
ANNUAL REPORT 2016-04-13

Paycheck Protection Program

Loan Number Loan Funded Date SBA Origination Office Code Loan Delivery Method Borrower Street Address
5459147705 2020-05-01 0491 PPP 2851 COUNTY ROAD 210 W STE 119, SAINT JOHNS, FL, 32259-4080
Loan Status Date 2021-01-21
Loan Status Paid in Full
Loan Maturity in Months 24
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 165206
Loan Approval Amount (current) 165206
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 SAINT JOHNS, SAINT JOHNS, FL, 32259-4080
Project Congressional District FL-05
Number of Employees 20
NAICS code 541940
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 166210.81
Forgiveness Paid Date 2020-12-16

Companies related by officers

KANCHARKUNTLA SRILATHA

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Florida Limited Liability Co. (2022 )
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SWISS OAKS FARM, LLC - Active
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Gutta Venkat R

SAN MARCO ANIMAL HOSPITAL LLC - Active
Florida Limited Liability Co. (2010 )

Companies related by address

No other companies in our directory share the same address as BLUE STAR ANIMAL HOSPITAL, LLC

Date of last update: 01 May 2025

Sources: Florida Department of State

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