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  5. CULP PRIVATE MEDICINE, LLC

CULP PRIVATE MEDICINE, LLC - Florida Company Profile

Company Details

Entity Name: CULP PRIVATE MEDICINE, LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.

CULP PRIVATE MEDICINE, 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: 21 Nov 2013 (11 years ago)
Document Number: L13000163708
FEI/EIN Number 46-4173195

Federal Employer Identification (FEI) Number assigned by the IRS.
Address: 1250 S Tamiami Trail, SUITE 201, SARASOTA, FL, 34239, US
Mail Address: PO BOX 49434, SARASOTA, FL, 34230, US
ZIP code: 34239
County: Sarasota
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1922417823 2014-08-05 2014-08-05 3830 BEE RIDGE RD, SUITE 201, SARASOTA, FL, 342331105, US 3830 BEE RIDGE RD, SUITE 201, SARASOTA, FL, 342331105, US

Contacts
Phone +1 941-924-4729

Authorized person
Name STEPHEN CULP
Role MANAGER
Phone 9419244729

Taxonomy
Taxonomy Code 207RC0000X - Cardiovascular Disease Physician
Is Primary Yes

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
CULP PRIVATE MEDICINE, LLC CASH BALANCE PLAN 2022 464173195 2023-10-16 CULP PRIVATE MEDICINE, LLC 4
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2020-01-01
Business code 621111
Sponsor’s telephone number 9419287463
Plan sponsor’s address P.O. BOX 49434, SARASOTA, FL, 34230
CULP PRIVATE MEDICINE, LLC 401(K) PLAN 2022 464173195 2023-09-14 CULP PRIVATE MEDICINE, LLC 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2020-01-01
Business code 621111
Sponsor’s telephone number 9419287463
Plan sponsor’s address P.O. BOX 49434, SARASOTA, FL, 34230

Signature of
Role Plan administrator
Date 2023-09-14
Name of individual signing STEPHEN CULP
Valid signature Filed with authorized/valid electronic signature
CULP PRIVATE MEDICINE, LLC CASH BALANCE PLAN 2021 464173195 2022-10-10 CULP PRIVATE MEDICINE, LLC 4
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2020-01-01
Business code 621111
Sponsor’s telephone number 9419287463
Plan sponsor’s address P.O. BOX 49434, SARASOTA, FL, 34230
CULP PRIVATE MEDICINE, LLC 401(K) PLAN 2021 464173195 2022-08-14 CULP PRIVATE MEDICINE, LLC 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2020-01-01
Business code 621111
Sponsor’s telephone number 9419287463
Plan sponsor’s address P.O. BOX 49434, SARASOTA, FL, 34230

Signature of
Role Plan administrator
Date 2022-08-14
Name of individual signing STEPHEN CULP
Valid signature Filed with authorized/valid electronic signature
CULP PRIVATE MEDICINE, LLC CASH BALANCE PLAN 2020 464173195 2021-10-12 CULP PRIVATE MEDICINE, LLC 4
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2020-01-01
Business code 621111
Sponsor’s telephone number 9419287463
Plan sponsor’s address P.O. BOX 49434, SARASOTA, FL, 34230
CULP PRIVATE MEDICINE, LLC 401(K) PLAN 2020 464173195 2021-08-02 CULP PRIVATE MEDICINE, LLC 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2020-01-01
Business code 621111
Sponsor’s telephone number 9419287463
Plan sponsor’s address P.O. BOX 49434, SARASOTA, FL, 34230

Signature of
Role Plan administrator
Date 2021-08-02
Name of individual signing STEPHEN CULP
Valid signature Filed with authorized/valid electronic signature

Key Officers & Management

Name Role Address
CULP STEPHEN Manager 1250 S Tamiami Trail, SARASOTA, FL, 34239
BLALOCK WALTERS, P.A. Agent -

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2017-01-09 1250 S Tamiami Trail, SUITE 201, SARASOTA, FL 34239 -

Documents

Name Date
ANNUAL REPORT 2025-01-09
ANNUAL REPORT 2024-02-18
ANNUAL REPORT 2023-03-01
ANNUAL REPORT 2022-01-07
ANNUAL REPORT 2021-01-12
ANNUAL REPORT 2020-01-18
ANNUAL REPORT 2019-01-15
ANNUAL REPORT 2018-04-10
ANNUAL REPORT 2017-01-09
ANNUAL REPORT 2016-02-07

Paycheck Protection Program

Loan Number Loan Funded Date SBA Origination Office Code Loan Delivery Method Borrower Street Address
3873667105 2020-04-12 0455 PPP 1250 S Tamiami Trail, Sarasota, FL, 34239-6434
Loan Status Date 2021-07-22
Loan Status Paid in Full
Loan Maturity in Months 24
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 77325
Loan Approval Amount (current) 77500
Undisbursed Amount 0
Franchise Name -
Lender Location ID 117723
Servicing Lender Name SouthState Bank, National Association
Servicing Lender Address 1101 First St South, WINTER HAVEN, FL, 33880-3908
Rural or Urban Indicator U
Hubzone N
LMI N
Business Age Description Existing or more than 2 years old
Project Address Sarasota, SARASOTA, FL, 34239-6434
Project Congressional District FL-17
Number of Employees 4
NAICS code 621111
Borrower Race White
Borrower Ethnicity Not Hispanic or Latino
Business Type Limited Liability Company(LLC)
Originating Lender ID 117723
Originating Lender Name SouthState Bank, National Association
Originating Lender Address WINTER HAVEN, FL
Gender Male Owned
Veteran Non-Veteran
Forgiveness Amount 78417.08
Forgiveness Paid Date 2021-06-29

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1250 S Tamiami Trail, SUITE 201, SARASOTA, FL, 34239, US

HENSON CARDIOLOGY, P.A.

Date of last update: 03 Apr 2025

Sources: Florida Department of State

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