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  5. SHIM MEDICAL, LLC

SHIM MEDICAL, LLC - Florida Company Profile

Company Details

Entity Name: SHIM MEDICAL, LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.

SHIM MEDICAL, 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: 23 Sep 2013 (12 years ago)
Document Number: L13000134072
FEI/EIN Number 320420816

Federal Employer Identification (FEI) Number assigned by the IRS.
Address: 309 STATE STREET EAST, OLDSMAR, FL, 34677, US
Mail Address: 309 STATE STREET EAST, OLDSMAR, FL, 34677, US
ZIP code: 34677
County: Pinellas
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1093356545 2019-10-07 2019-10-07 12780 RACE TRACK RD STE 200, TAMPA, FL, 336261395, US 12780 RACE TRACK RD STE 200, TAMPA, FL, 336261395, US

Contacts
Phone +1 813-814-9251
Fax 8138149261

Authorized person
Name JOHN H. SHIM
Role PRESIDENT
Phone 8138149251

Taxonomy
Taxonomy Code 207X00000X - Orthopaedic Surgery Physician
Is Primary Yes

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
SHIM MEDICAL, LLC 401(K) PLAN 2023 320420816 2024-06-10 SHIM MEDICAL, LLC 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2019-01-01
Business code 621111
Sponsor’s telephone number 8138149251
Plan sponsor’s address 309 STATE ST., STE. 201, OLDSMAR, FL, 34677
SHIM MEDICAL, LLC 401(K) PLAN 2022 320420816 2023-08-24 SHIM MEDICAL, LLC 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2019-01-01
Business code 621111
Sponsor’s telephone number 8138149251
Plan sponsor’s address 309 STATE ST, STE. 201, OLDSMAR, FL, 34677

Signature of
Role Plan administrator
Date 2023-08-24
Name of individual signing JOHN SHIM
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2023-08-24
Name of individual signing JOHN SHIM
Valid signature Filed with authorized/valid electronic signature
SHIM MEDICAL, LLC 401(K) PLAN 2021 320420816 2022-07-27 SHIM MEDICAL, LLC 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2019-01-01
Business code 621111
Sponsor’s telephone number 8138149251
Plan sponsor’s address 390 STATE ST, STE. 201, OLDSMAR, FL, 34677
SHIM MEDICAL, LLC 401(K) PLAN 2020 320420816 2021-08-19 SHIM MEDICAL, LLC 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2019-01-01
Business code 621111
Sponsor’s telephone number 8138149251
Plan sponsor’s address 12780 RACETRACK ROAD, SUITE 200, TAMPA, FL, 33626

Signature of
Role Plan administrator
Date 2021-08-18
Name of individual signing JOHN SHIM
Valid signature Filed with authorized/valid electronic signature
SHIM MEDICAL, LLC 401(K) PLAN 2020 320420816 2021-05-10 SHIM MEDICAL, LLC 6
Three-digit plan number (PN) 001
Effective date of plan 2019-01-01
Business code 621111
Sponsor’s telephone number 8138149251
Plan sponsor’s address 12780 RACETRACK ROAD, SUITE 200, TAMPA, FL, 33626

Signature of
Role Plan administrator
Date 2021-05-10
Name of individual signing JOHN SHIM
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2021-05-10
Name of individual signing JOHN SHIM
Valid signature Filed with authorized/valid electronic signature
SHIM MEDICAL, LLC 401(K) PLAN 2019 320420816 2020-07-29 SHIM MEDICAL, LLC 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2019-01-01
Business code 621111
Sponsor’s telephone number 8138149251
Plan sponsor’s address 12780 RACETRACK ROAD, SUITE 200, TAMPA, FL, 33626

Signature of
Role Plan administrator
Date 2020-07-29
Name of individual signing JOHN SHIM
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2020-07-29
Name of individual signing JOHN SHIM
Valid signature Filed with authorized/valid electronic signature

Key Officers & Management

Name Role Address
SHIM JOHN H Manager 309 STATE STREET EAST, OLDSMAR, FL, 34677
SHIM JOHN H Agent 309 STATE STREET EAST, OLDSMAR, FL, 34677

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G19000066444 SHIM SPINE ACTIVE 2019-06-11 2029-12-31 - 309 STATE ST E, STE 201, OLDSMAR, FL, 34677

Events

Event Type Filed Date Value Description
CHANGE OF MAILING ADDRESS 2022-11-17 309 STATE STREET EAST, SUITE 201, OLDSMAR, FL 34677 -
REGISTERED AGENT ADDRESS CHANGED 2021-01-25 309 STATE STREET EAST, SUITE 201, OLDSMAR, FL 34677 -
CHANGE OF PRINCIPAL ADDRESS 2020-10-19 309 STATE STREET EAST, SUITE 201, OLDSMAR, FL 34677 -

Documents

Name Date
ANNUAL REPORT 2025-01-02
ANNUAL REPORT 2024-01-03
ANNUAL REPORT 2023-01-09
ANNUAL REPORT 2022-01-24
ANNUAL REPORT 2021-01-25
ANNUAL REPORT 2020-01-15
ANNUAL REPORT 2019-03-05
ANNUAL REPORT 2018-01-16
ANNUAL REPORT 2017-01-18
ANNUAL REPORT 2016-03-08

Paycheck Protection Program

Loan Number Loan Funded Date SBA Origination Office Code Loan Delivery Method Borrower Street Address
6900507103 2020-04-14 0455 PPP 12780 RACE TRACK RD STE 200, TAMPA, FL, 33626-1395
Loan Status Date 2021-05-14
Loan Status Paid in Full
Loan Maturity in Months 24
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 39075
Loan Approval Amount (current) 39075
Undisbursed Amount 0
Franchise Name -
Lender Location ID 17715
Servicing Lender Name The Bank of Tampa
Servicing Lender Address 601 Bayshore Blvd, TAMPA, FL, 33606-2747
Rural or Urban Indicator U
Hubzone N
LMI N
Business Age Description Existing or more than 2 years old
Project Address TAMPA, HILLSBOROUGH, FL, 33626-1395
Project Congressional District FL-14
Number of Employees 5
NAICS code 622110
Borrower Race Unanswered
Borrower Ethnicity Unknown/NotStated
Business Type Limited Liability Company(LLC)
Originating Lender ID 17715
Originating Lender Name The Bank of Tampa
Originating Lender Address TAMPA, FL
Gender Unanswered
Veteran Unanswered
Forgiveness Amount 39449.69
Forgiveness Paid Date 2021-04-08
4838728301 2021-01-23 0455 PPS 309 State Street E., Oldsmar, FL, 34677
Loan Status Date 2021-10-15
Loan Status Paid in Full
Loan Maturity in Months 60
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 58920.6
Loan Approval Amount (current) 58920.6
Undisbursed Amount 0
Franchise Name -
Lender Location ID 17715
Servicing Lender Name The Bank of Tampa
Servicing Lender Address 601 Bayshore Blvd, TAMPA, FL, 33606-2747
Rural or Urban Indicator U
Hubzone N
LMI N
Business Age Description Existing or more than 2 years old
Project Address Oldsmar, PINELLAS, FL, 34677
Project Congressional District FL-12
Number of Employees 5
NAICS code 621111
Borrower Race Unanswered
Borrower Ethnicity Unknown/NotStated
Business Type Limited Liability Company(LLC)
Originating Lender ID 17715
Originating Lender Name The Bank of Tampa
Originating Lender Address TAMPA, FL
Gender Unanswered
Veteran Unanswered
Forgiveness Amount 59303.18
Forgiveness Paid Date 2021-09-24

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Companies related by address

No other companies in our directory share the same address as SHIM MEDICAL, LLC

Date of last update: 01 Apr 2025

Sources: Florida Department of State

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