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  5. SEASHORE RETINA LLC

SEASHORE RETINA LLC - Florida Company Profile

Company Details

Entity Name: SEASHORE RETINA LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.

SEASHORE RETINA 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: 20 May 2014 (11 years ago)
Document Number: L14000081317
FEI/EIN Number 46-5713657

Federal Employer Identification (FEI) Number assigned by the IRS.
Address: 2400 CYPRESS GLENN DR, Wesley Chapel, FL, 33544, US
Mail Address: 2400 CYPRESS GLENN DR, Wesley Chapel, FL, 33544, US
ZIP code: 33544
County: Pasco
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1225440365 2014-05-23 2014-05-23 11031 US HIGHWAY 19, SUITE 106, PORT RICHEY, FL, 346682213, US 11031 US HIGHWAY 19, SUITE 106, PORT RICHEY, FL, 346682213, US

Contacts
Phone +1 216-235-7061

Authorized person
Name AHMAD B TARABISHY
Role MANAGER
Phone 2162357061

Taxonomy
Taxonomy Code 207W00000X - Ophthalmology Physician
License Number ME117051
State FL
Is Primary Yes

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
RETINA SPECIALISTS OF TAMPA 401(K) SAVINGS PLAN 2023 465713657 2024-10-14 SEASHORE RETINA LLC 12
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-01-01
Business code 621111
Sponsor’s telephone number 8139733333
Plan sponsor’s DBA name RETINA SPECIALISTS OF TAMPA
Plan sponsor’s address 2400 CYPRESS GLEN DRIVE, WESLEY CHAPEL, FL, 33544
RETINA SPECIALISTS OF TAMPA 401(K) SAVINGS PLAN 2022 465713657 2023-06-14 SEASHORE RETINA LLC 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-01-01
Business code 621111
Sponsor’s telephone number 8139733333
Plan sponsor’s DBA name RETINA SPECIALISTS OF TAMPA
Plan sponsor’s address 26851 TANIC DRIVE, SUITE 102, WESLEY CHAPEL, FL, 33544

Signature of
Role Plan administrator
Date 2023-06-14
Name of individual signing MORNINGSTAR BARRANTES
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2023-06-14
Name of individual signing MORNINGSTAR BARRANTES
Valid signature Filed with authorized/valid electronic signature
RETINA SPECIALISTS OF TAMPA 401(K) SAVINGS PLAN 2021 465713657 2022-06-10 SEASHORE RETINA LLC 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-01-01
Business code 621111
Sponsor’s telephone number 8139733333
Plan sponsor’s DBA name RETINA SPECIALISTS OF TAMPA
Plan sponsor’s address 26851 TANIC DRIVE, SUITE 102, WESLEY CHAPEL, FL, 33544

Signature of
Role Plan administrator
Date 2022-06-10
Name of individual signing MORNINGSTAR BARRANTES
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2022-06-10
Name of individual signing MORNINGSTAR BARRANTES
Valid signature Filed with authorized/valid electronic signature
RETINA SPECIALISTS OF TAMPA 401(K) SAVINGS PLAN 2020 465713657 2021-04-13 SEASHORE RETINA LLC 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-01-01
Business code 621111
Sponsor’s telephone number 8139733333
Plan sponsor’s DBA name RETINA SPECIALISTS OF TAMPA
Plan sponsor’s address 26851 TANIC DRIVE, SUITE 102, WESLEY CHAPEL, FL, 33544

Signature of
Role Plan administrator
Date 2021-04-13
Name of individual signing MORNINGSTAR
Valid signature Filed with authorized/valid electronic signature
RETINA SPECIALISTS OF TAMPA 401(K) SAVINGS PLAN 2019 465713657 2020-05-05 SEASHORE RETINA LLC 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-01-01
Business code 621111
Sponsor’s telephone number 8139733333
Plan sponsor’s DBA name RETINA SPECIALISTS OF TAMPA
Plan sponsor’s address 26851 TANIC DRIVE, SUITE 102, WESLEY CHAPEL, FL, 33544

Signature of
Role Plan administrator
Date 2020-05-05
Name of individual signing MORNINGSTAR BARRANTES
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2020-05-05
Name of individual signing RETINA SPECIALIST OF TAMPA
Valid signature Filed with authorized/valid electronic signature
RETINA SPECIALISTS OF TAMPA 401(K) SAVINGS PLAN 2018 465713657 2019-05-23 SEASHORE RETINA LLC 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-01-01
Business code 621111
Sponsor’s telephone number 8139733333
Plan sponsor’s DBA name RETINA SPECIALISTS OF TAMPA
Plan sponsor’s address 26851 TANIC DRIVE, SUITE 102, WESLEY CHAPEL, FL, 33544

Signature of
Role Plan administrator
Date 2019-05-23
Name of individual signing PHAEDRA LUND, COE
Valid signature Filed with authorized/valid electronic signature
RETINA SPECIALISTS OF TAMPA 401(K) SAVINGS PLAN 2017 465713657 2018-07-05 SEASHORE RETINA LLC 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-01-01
Business code 621111
Sponsor’s telephone number 8139733333
Plan sponsor’s DBA name RETINA SPECIALISTS OF TAMPA
Plan sponsor’s address 26851 TANIC DRIVE, SUITE 102, WESLEY CHAPEL, FL, 33544

Signature of
Role Plan administrator
Date 2018-07-05
Name of individual signing PHAEDRA LUND, COE
Valid signature Filed with authorized/valid electronic signature
RETINA SPECIALISTS OF TAMPA 401(K) SAVINGS PLAN 2016 465713657 2017-06-20 SEASHORE RETINA LLC 2
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-01-01
Business code 621111
Sponsor’s telephone number 8139733333
Plan sponsor’s DBA name RETINA SPECIALISTS OF TAMPA
Plan sponsor’s address 26851 TANIC DRIVE, SUITE 102, WESLEY CHAPEL, FL, 33544

Signature of
Role Plan administrator
Date 2017-06-20
Name of individual signing PHAEDRA LUND
Valid signature Filed with authorized/valid electronic signature

Key Officers & Management

Name Role Address
TARABISHY AHMAD Manager 2400 CYPRESS GLENN DR, Wesley Chapel, FL, 33544
TARABISHY AHMAD B Agent 2400 CYPRESS GLENN DR, Wesley Chapel, FL, 33544

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G15000033587 RETINA SPECIALISTS OF TAMPA EXPIRED 2015-04-02 2020-12-31 - 26851 TANIC DR., SUITE 102, WESLEY CHAPEL, FL, 33544

Events

Event Type Filed Date Value Description
REGISTERED AGENT ADDRESS CHANGED 2023-04-26 2400 CYPRESS GLENN DR, Wesley Chapel, FL 33544 -
CHANGE OF PRINCIPAL ADDRESS 2022-05-12 2400 CYPRESS GLENN DR, Wesley Chapel, FL 33544 -
CHANGE OF MAILING ADDRESS 2022-05-12 2400 CYPRESS GLENN DR, Wesley Chapel, FL 33544 -

Documents

Name Date
ANNUAL REPORT 2024-03-27
ANNUAL REPORT 2023-04-26
ANNUAL REPORT 2022-04-21
ANNUAL REPORT 2021-03-08
ANNUAL REPORT 2020-03-24
ANNUAL REPORT 2019-02-19
ANNUAL REPORT 2018-03-06
ANNUAL REPORT 2017-02-09
ANNUAL REPORT 2016-01-19
ANNUAL REPORT 2015-03-20

Paycheck Protection Program

Loan Number Loan Funded Date SBA Origination Office Code Loan Delivery Method Borrower Street Address
5316177303 2020-04-30 0455 PPP 26851 TANIC DR STE 102, WESLEY CHAPEL, FL, 33544
Loan Status Date 2021-04-23
Loan Status Paid in Full
Loan Maturity in Months 24
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 125350
Loan Approval Amount (current) 116350
Undisbursed Amount 0
Franchise Name -
Lender Location ID 48270
Servicing Lender Name JPMorgan Chase Bank, National Association
Servicing Lender Address 1111 Polaris Pkwy, COLUMBUS, OH, 43240-2031
Rural or Urban Indicator U
Hubzone N
LMI N
Business Age Description Existing or more than 2 years old
Project Address WESLEY CHAPEL, PASCO, FL, 33544-0001
Project Congressional District FL-15
Number of Employees 8
NAICS code 621320
Borrower Race Unanswered
Borrower Ethnicity Unknown/NotStated
Business Type Corporation
Originating Lender ID 194093
Originating Lender Name JPMorgan Chase Bank, National Association
Originating Lender Address CHICAGO, IL
Gender Unanswered
Veteran Unanswered
Forgiveness Amount 117369.87
Forgiveness Paid Date 2021-03-22

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Companies related by address

No other companies in our directory share the same address as SEASHORE RETINA LLC

Date of last update: 02 Apr 2025

Sources: Florida Department of State

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