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  5. PATRIOT PODIATRY, PLLC

PATRIOT PODIATRY, PLLC

Company Details

Entity Name: PATRIOT PODIATRY, PLLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Company
Status: Active
Date Filed: 29 Aug 2014 (10 years ago)
Document Number: L14000135973
FEI/EIN Number 47-1721154
Mail Address: 2111 SE 15th LN, OCALA, FL 34471
Address: 2760 SE 17th Street, Suite 102, OCALA, FL 34471
ZIP code: 34471
County: Marion
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1801299870 2014-10-03 2018-05-18 1747 SE 5TH ST, OCALA, FL, 344712509, US 1500 SE MAGNOLIA EXT STE 201, OCALA, FL, 344714461, US

Contacts
Phone +1 954-854-5688
Phone +1 352-351-1555
Fax 3523511330

Authorized person
Name STEPHANIE FREY
Role MANAGER
Phone 3522081140

Taxonomy
Taxonomy Code 213ES0103X - Foot & Ankle Surgery Podiatrist
License Number PO3604
State FL
Is Primary Yes
Taxonomy Code 213ES0103X - Foot & Ankle Surgery Podiatrist
License Number PO3605
State FL
Is Primary No

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
PATRIOT PODIATRY 401(K) PLAN 2023 471721154 2024-05-06 PATRIOT PODIATRY 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2018-10-29
Business code 621391
Sponsor’s telephone number 3523511555
Plan sponsor’s address 1500 SE MAGNOLIA EXT, SUITE 201, OCALA, FL, 34471

Plan administrator’s name and address
Administrator’s EIN 474474775
Plan administrator’s name GUIDELINE, INC.
Plan administrator’s address 1412 CHAPIN AVENUE, BURLINGAME, CA, 94010
Administrator’s telephone number 8882283491

Signature of
Role Plan administrator
Date 2024-05-06
Name of individual signing QIAN LIU
Valid signature Filed with authorized/valid electronic signature
PATRIOT PODIATRY 401(K) PLAN 2022 471721154 2023-05-26 PATRIOT PODIATRY 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2018-10-29
Business code 621391
Sponsor’s telephone number 3523511555
Plan sponsor’s address 1500 SE MAGNOLIA EXT, SUITE 201, OCALA, FL, 34471

Plan administrator’s name and address
Administrator’s EIN 474474775
Plan administrator’s name GUIDELINE, INC.
Plan administrator’s address 1412 CHAPIN AVENUE, BURLINGAME, CA, 94010
Administrator’s telephone number 8882283491

Signature of
Role Plan administrator
Date 2023-05-26
Name of individual signing CHRISTINE RIMER
Valid signature Filed with authorized/valid electronic signature
PATRIOT PODIATRY 401(K) PLAN 2021 471721154 2022-06-01 PATRIOT PODIATRY 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2018-10-29
Business code 621391
Sponsor’s telephone number 3523511555
Plan sponsor’s address 1500 SE MAGNOLIA EXT, SUITE 201, OCALA, FL, 34471

Plan administrator’s name and address
Administrator’s EIN 474474775
Plan administrator’s name GUIDELINE, INC.
Plan administrator’s address 1645 E 6TH STREET, SUITE 200, AUSTIN, TX, 78702
Administrator’s telephone number 8882283491

Signature of
Role Plan administrator
Date 2022-06-01
Name of individual signing CHRISTINE RIMER
Valid signature Filed with authorized/valid electronic signature
PATRIOT PODIATRY 401(K) PLAN 2020 471721154 2021-07-16 PATRIOT PODIATRY 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2018-10-29
Business code 621391
Sponsor’s telephone number 3523511555
Plan sponsor’s address 1500 SE MAGNOLIA EXT, SUITE 201, OCALA, FL, 34471

Plan administrator’s name and address
Administrator’s EIN 474474775
Plan administrator’s name GUIDELINE, INC.
Plan administrator’s address 3050 S DELAWARE ST, #202, SAN MATEO, CA, 94403
Administrator’s telephone number 8882283491

Signature of
Role Plan administrator
Date 2021-07-15
Name of individual signing CAROL HO
Valid signature Filed with authorized/valid electronic signature
PATRIOT PODIATRY 401(K) PLAN 2019 471721154 2020-05-20 PATRIOT PODIATRY 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2018-10-29
Business code 621391
Sponsor’s telephone number 3523511555
Plan sponsor’s address 1500 SE MAGNOLIA EXT, SUITE 201, OCALA, FL, 34471

Plan administrator’s name and address
Administrator’s EIN 474474775
Plan administrator’s name GUIDELINE, INC.
Plan administrator’s address 3050 S DELAWARE ST, #202, SAN MATEO, CA, 94403
Administrator’s telephone number 8882283491

Signature of
Role Plan administrator
Date 2020-05-20
Name of individual signing CAROL HO
Valid signature Filed with authorized/valid electronic signature
PATRIOT PODIATRY 401(K) PLAN 2018 471721154 2019-07-23 PATRIOT PODIATRY 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2018-10-29
Business code 621391
Sponsor’s telephone number 3523511555
Plan sponsor’s address 1500 SE MAGNOLIA EXT, SUITE 201, OCALA, FL, 34471

Plan administrator’s name and address
Administrator’s EIN 474474775
Plan administrator’s name GUIDELINE, INC.
Plan administrator’s address 3050 S DELAWARE ST, #202, SAN MATEO, CA, 94403
Administrator’s telephone number 8882283491

Signature of
Role Plan administrator
Date 2019-07-23
Name of individual signing CAROL HO
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
FREY, STEPHANIE Agent 2111 SE 15th LN, OCALA, FL 34471

Manager

Name Role Address
FREY, MARCUS A Manager 2111 SE 15th LN, OCALA, FL 34471
FREY, STEPHANIE Manager 2111 SE 15th LN, OCALA, FL 34471

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2024-03-26 2760 SE 17th Street, Suite 102, OCALA, FL 34471 No data
CHANGE OF MAILING ADDRESS 2022-01-27 2760 SE 17th Street, Suite 102, OCALA, FL 34471 No data
REGISTERED AGENT ADDRESS CHANGED 2022-01-27 2111 SE 15th LN, OCALA, FL 34471 No data

Documents

Name Date
ANNUAL REPORT 2025-02-13
ANNUAL REPORT 2024-03-26
ANNUAL REPORT 2023-02-03
ANNUAL REPORT 2022-01-27
ANNUAL REPORT 2021-01-30
ANNUAL REPORT 2020-01-24
ANNUAL REPORT 2019-01-16
ANNUAL REPORT 2018-03-08
ANNUAL REPORT 2017-01-08
ANNUAL REPORT 2016-03-14

Paycheck Protection Program

Loan Number Loan Funded Date SBA Origination Office Code Loan Delivery Method Borrower Street Address
4651077104 2020-04-13 0491 PPP 1500 Southeast Magnolia Extension 201, OCALA, FL, 34471-4100
Loan Status Date 2021-06-18
Loan Status Paid in Full
Loan Maturity in Months 24
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 43500
Loan Approval Amount (current) 43500
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 R
Hubzone Y
LMI N
Business Age Description Existing or more than 2 years old
Project Address OCALA, MARION, FL, 34471-4100
Project Congressional District FL-03
Number of Employees 8
NAICS code 621391
Borrower Race Unanswered
Borrower Ethnicity Unknown/NotStated
Business Type Subchapter S Corporation
Originating Lender ID 117723
Originating Lender Name SouthState Bank, National Association
Originating Lender Address WINTER HAVEN, FL
Gender Unanswered
Veteran Unanswered
Forgiveness Amount 43954.33
Forgiveness Paid Date 2021-05-20

Related by officers

FREY, MARCUS A

SEE FOREVER SUNDANCE, LLC DOUBLE CABIN, LLC

Related by address

2111 SE 15th LN, OCALA, FL 34471

SEE FOREVER SUNDANCE, LLC DOUBLE CABIN, LLC

Date of last update: 20 Feb 2025

Sources: Florida Department of State

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