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  5. SELECT PHYSICIANS SURGERY CENTER, LLC

SELECT PHYSICIANS SURGERY CENTER, LLC - Florida Company Profile

Company Details

Entity Name: SELECT PHYSICIANS SURGERY CENTER, LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.

SELECT PHYSICIANS SURGERY CENTER, 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 Jun 2014 (11 years ago)
Last Event: REINSTATEMENT
Event Date Filed: 12 Oct 2022 (3 years ago)
Document Number: L14000100531
FEI/EIN Number 38-3935220

Federal Employer Identification (FEI) Number assigned by the IRS.
Mail Address: 14201 DALLAS PKWY, FL 13, Dallas, TX, 75254, US
Address: 3440 W Dr. Martin Luther King Jr. Blvd, Tampa, FL, 33607, US
ZIP code: 33607
County: Hillsborough
Place of Formation: FLORIDA

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
SELECT PHYSICIANS SURGERY CENTER 401(K) RETIREMENT PLAN 2021 383935220 2022-07-15 SELECT PHYSICIANS SURGERY CENTER, LLC 16
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-12-01
Business code 621493
Sponsor’s telephone number 8133211618
Plan sponsor’s address 3440 W. DR. MARTIN LUTHER KING JR., BLVD. SUITE 103, TAMPA, FL, 336076214

Signature of
Role Plan administrator
Date 2022-07-15
Name of individual signing MERISSA COLON
Valid signature Filed with authorized/valid electronic signature
SELECT PHYSICIANS SURGERY CENTER 401(K) RETIREMENT PLAN 2020 383935220 2021-10-21 SELECT PHYSICIANS SURGERY CENTER, LLC 17
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-12-01
Business code 621493
Sponsor’s telephone number 8133211618
Plan sponsor’s address 3440 W. DR. MARTIN LUTHER KING JR., BLVD. SUITE 103, TAMPA, FL, 336076214

Signature of
Role Plan administrator
Date 2021-10-21
Name of individual signing LAURA SMITH
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2021-10-21
Name of individual signing LAURA SMITH
Valid signature Filed with authorized/valid electronic signature
SELECT PHYSICIANS SURGERY CENTER 401(K) RETIREMENT PLAN 2019 383935220 2020-06-01 SELECT PHYSICIANS SURGERY CENTER, LLC 15
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-12-01
Business code 621493
Sponsor’s telephone number 8133211618
Plan sponsor’s address 3440 W. DR. MARTIN LUTHER KING JR., BLVD. SUITE 103, TAMPA, FL, 336076214

Signature of
Role Plan administrator
Date 2020-06-01
Name of individual signing MERISSA COLON
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2020-06-01
Name of individual signing MERISSA COLON
Valid signature Filed with authorized/valid electronic signature
SELECT PHYSICIANS SURGERY CENTER 401(K) RETIREMENT PLAN 2018 383935220 2020-01-24 SELECT PHYSICIANS SURGERY CENTER, LLC 16
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-12-01
Business code 621493
Sponsor’s telephone number 8133211618
Plan sponsor’s address 3440 W. DR. MARTIN LUTHER KING JR., BLVD. SUITE 103, TAMPA, FL, 336076214

Signature of
Role Plan administrator
Date 2020-01-24
Name of individual signing MERISSA COLON
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2020-01-24
Name of individual signing MERISSA COLON
Valid signature Filed with authorized/valid electronic signature
SELECT PHYSICIANS SURGERY CENTER 401(K) RETIREMENT PLAN 2017 383935220 2018-03-22 SELECT PHYSICIANS SURGERY CENTER, LLC 12
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-12-01
Business code 621493
Sponsor’s telephone number 8133211618
Plan sponsor’s address 3440 W. DR. MARTIN LUTHER KING JR., BLVD. SUITE 103, TAMPA, FL, 336076214

Signature of
Role Plan administrator
Date 2018-03-22
Name of individual signing LAURA SMITH
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2018-03-22
Name of individual signing LAURA SMITH
Valid signature Filed with authorized/valid electronic signature
SELECT PHYSICIANS SURGERY CENTER 401(K) RETIREMENT PLAN 2016 383935220 2017-02-28 SELECT PHYSICIANS SURGERY CENTER, LLC 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-12-01
Business code 621111
Sponsor’s telephone number 8133211618
Plan sponsor’s address 3440 W. DR. MARTIN LUTHER KING JR., BLVD. SUITE 103, TAMPA, FL, 336076214

Signature of
Role Plan administrator
Date 2017-02-28
Name of individual signing LAURA SMITH
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2017-02-28
Name of individual signing LAURA SMITH
Valid signature Filed with authorized/valid electronic signature
SELECT PHYSICIANS SURGERY CENTER 401(K) RETIREMENT PLAN 2015 383935220 2016-08-29 SELECT PHYSICIANS SURGERY CENTER, LLC 2
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-12-01
Business code 621111
Sponsor’s telephone number 7277427317
Plan sponsor’s address 3440 W. DR. MARTIN LUTHER, KING JR. BLVD, TAMPA, FL, 336076214

Signature of
Role Plan administrator
Date 2016-08-29
Name of individual signing LAURA SMITH
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2016-08-29
Name of individual signing LAURA SMITH
Valid signature Filed with authorized/valid electronic signature

Key Officers & Management

Name Role Address
CT Corporation System Agent 1200 South Pine Island Road, Plantation, FL, 33324
Farrington Pam Vice President 14201 DALLAS PKWY, Dallas, TX, 75254
LeMaistre Collin President 14201 DALLAS PKWY, Dallas, TX, 75254
Bowden James Secretary 14201 DALLAS PKWY, Dallas, TX, 75254
Sims Karen Auth 14201 DALLAS PKWY, Dallas, TX, 75254

Events

Event Type Filed Date Value Description
REINSTATEMENT 2022-10-12 - -
CHANGE OF MAILING ADDRESS 2022-10-12 3440 W Dr. Martin Luther King Jr. Blvd, Suite 103, Tampa, FL 33607 -
REGISTERED AGENT NAME CHANGED 2022-10-12 CT Corporation System -
REGISTERED AGENT ADDRESS CHANGED 2022-10-12 1200 South Pine Island Road, Plantation, FL 33324 -
ADMIN DISSOLUTION FOR ANNUAL REPORT 2022-09-23 - -
CHANGE OF PRINCIPAL ADDRESS 2016-02-04 3440 W Dr. Martin Luther King Jr. Blvd, Suite 103, Tampa, FL 33607 -

Documents

Name Date
ANNUAL REPORT 2024-05-02
ANNUAL REPORT 2023-04-19
REINSTATEMENT 2022-10-12
ANNUAL REPORT 2021-04-06
ANNUAL REPORT 2020-06-26
ANNUAL REPORT 2019-04-12
ANNUAL REPORT 2018-03-19
ANNUAL REPORT 2017-02-17
ANNUAL REPORT 2016-02-04
ANNUAL REPORT 2015-03-17

Paycheck Protection Program

Loan Number Loan Funded Date SBA Origination Office Code Loan Delivery Method Borrower Street Address
1086899109 2021-06-22 0455 PPS 3440 W DR MARTIN LUTHER KING JR BLVD STE 103, TAMPA, FL, 33607-6223
Loan Status Date 2021-11-05
Loan Status Paid in Full
Loan Maturity in Months 60
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 201580
Loan Approval Amount (current) 201580
Undisbursed Amount 0
Franchise Name -
Lender Location ID 188204
Servicing Lender Name Sunshine State Economic Development Corporation
Servicing Lender Address 14141 46th St., N. Suite 1206, Clearwater, FL, 33762
Rural or Urban Indicator U
Hubzone Y
LMI N
Business Age Description Existing or more than 2 years old
Project Address Tampa, HILLSBOROUGH, FL, 33607
Project Congressional District FL-14
Number of Employees 28
NAICS code 621493
Borrower Race Unanswered
Borrower Ethnicity Unknown/NotStated
Business Type Limited Liability Company(LLC)
Originating Lender ID 188204
Originating Lender Name Sunshine State Economic Development Corporation
Originating Lender Address Clearwater, FL
Gender Unanswered
Veteran Unanswered
Forgiveness Amount 202082.57
Forgiveness Paid Date 2021-10-08
2308267106 2020-04-10 0455 PPP 3440 W Dr. Martin Luther King Jr Blvd Suite 103, TAMPA, FL, 33607-6214
Loan Status Date 2021-09-21
Loan Status Paid in Full
Loan Maturity in Months 24
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 217100
Loan Approval Amount (current) 217100
Undisbursed Amount 0
Franchise Name -
Lender Location ID 51009
Servicing Lender Name First-Citizens Bank & Trust Company
Servicing Lender Address 100 E. Tryon Rd DAC - 90, Raleigh, NC, 27603-3581
Rural or Urban Indicator U
Hubzone Y
LMI Y
Business Age Description New Business or 2 years or less
Project Address TAMPA, HILLSBOROUGH, FL, 33607-6214
Project Congressional District FL-14
Number of Employees 14
NAICS code 621493
Borrower Race Unanswered
Borrower Ethnicity Unknown/NotStated
Business Type Limited Liability Company(LLC)
Originating Lender ID 51009
Originating Lender Name First-Citizens Bank & Trust Company
Originating Lender Address Raleigh, NC
Gender Unanswered
Veteran Unanswered
Forgiveness Amount 219913.38
Forgiveness Paid Date 2021-08-03

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Bowden James

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Sims Karen

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SURGCENTER PINELLAS, LLC - Active
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ORLANDO HEALTH/USP SURGERY CENTERS, L.L.C. - Active
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Companies related by address

14201 DALLAS PKWY, FL 13, Dallas, TX, 75254, US

SURGCENTER PINELLAS, LLC SURGCENTER OF PALM BEACH GARDENS LLC ADVANCED SURGERY CENTER OF TAMPA LLC MIAMI SURGICAL SUITES LLC SEASIDE SURGERY CENTER LLC SURGCENTER OF ST. LUCIE, LLC JACKSONVILLE ENDOSCOPY CENTERS, LLC INTRACOASTAL SURGERY CENTER, LLC MINIMALLY INVASIVE SURGICENTER LLC

Date of last update: 01 Apr 2025

Sources: Florida Department of State

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