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  5. DR. SAMANTHA WINTON, LLC

DR. SAMANTHA WINTON, LLC - Florida Company Profile

Company Details

Entity Name: DR. SAMANTHA WINTON, LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.

DR. SAMANTHA WINTON, 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: 10 Nov 2014 (10 years ago)
Document Number: L14000174301
FEI/EIN Number 47-2509340

Federal Employer Identification (FEI) Number assigned by the IRS.
Address: 2620 5th Avenue North, St. Petersburg, FL, 33713, US
Mail Address: 2620 5th Avenue North, St. Petersburg, FL, 33713, US
ZIP code: 33713
County: Pinellas
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1386184299 2017-02-27 2017-02-27 33 6TH ST S, SUITE 200, SAINT PETERSBURG, FL, 337014153, US 33 6TH ST S, SUITE 200, SAINT PETERSBURG, FL, 337014153, US

Contacts
Phone +1 727-490-8811

Authorized person
Name DR. SAMANTHA WINTON
Role PSYCHOLOGIST / CEO
Phone 7274908811

Taxonomy
Taxonomy Code 103TC0700X - Clinical Psychologist
License Number PY9464
State FL
Is Primary Yes

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
DR. SAMANTHA WINTON, LLC 401(K) PLAN 2023 472509340 2024-05-13 DR. SAMANTHA WINTON, LLC 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2020-01-01
Business code 624100
Sponsor’s telephone number 7274908811
Plan sponsor’s address 2620 5TH AVE N, SAINT PETERSBURG, FL, 33713

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 2024-05-13
Name of individual signing QIAN LIU
Valid signature Filed with authorized/valid electronic signature
DR. SAMANTHA WINTON, LLC 401(K) PLAN 2022 472509340 2023-06-14 DR. SAMANTHA WINTON, LLC 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2020-01-01
Business code 624100
Sponsor’s telephone number 7274908811
Plan sponsor’s address 2620 5TH AVE N, SAINT PETERSBURG, FL, 33713

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 2023-06-14
Name of individual signing CHRISTINE RIMER
Valid signature Filed with authorized/valid electronic signature
DR. SAMANTHA WINTON, LLC 401(K) PLAN 2021 472509340 2022-05-31 DR. SAMANTHA WINTON, LLC 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2020-01-01
Business code 624100
Sponsor’s telephone number 7274908811
Plan sponsor’s address 2620 5TH AVE N, SAINT PETERSBURG, FL, 33713

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 2022-05-31
Name of individual signing CHRISTINE RIMER
Valid signature Filed with authorized/valid electronic signature
DR. SAMANTHA WINTON, LLC 401(K) PLAN 2020 472509340 2021-05-25 DR. SAMANTHA WINTON, LLC 0
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2020-01-01
Business code 624100
Sponsor’s telephone number 7274908811
Plan sponsor’s address 2620 5TH AVE N, SAINT PETERSBURG, FL, 33713

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 2021-05-25
Name of individual signing CAROL HO
Valid signature Filed with authorized/valid electronic signature

Key Officers & Management

Name Role Address
WINTON SAMANTHA PH.D. Manager 2620 5th Avenue North, St. Petersburg, FL, 33713
WINTON SAMANTHA PH.D. Agent 2620 5th Avenue North, St. Petersburg, FL, 33713

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G16000087194 INTEGRATED CARE CLINIC ACTIVE 2016-08-15 2026-12-31 - 2630 5TH AVENUE NORTH, SAINT PETERSBURG, FL, 33713

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2022-03-21 2620 5th Avenue North, St. Petersburg, FL 33713 -
CHANGE OF MAILING ADDRESS 2022-03-21 2620 5th Avenue North, St. Petersburg, FL 33713 -
REGISTERED AGENT ADDRESS CHANGED 2022-03-21 2620 5th Avenue North, St. Petersburg, FL 33713 -

Documents

Name Date
ANNUAL REPORT 2024-02-12
ANNUAL REPORT 2023-01-31
ANNUAL REPORT 2022-03-21
ANNUAL REPORT 2021-02-10
ANNUAL REPORT 2020-02-05
ANNUAL REPORT 2019-03-01
ANNUAL REPORT 2018-03-26
ANNUAL REPORT 2017-04-27
ANNUAL REPORT 2016-01-21
Florida Limited Liability 2014-11-10

Paycheck Protection Program

Loan Number Loan Funded Date SBA Origination Office Code Loan Delivery Method Borrower Street Address
8349507110 2020-04-15 0455 PPP 33 6th Street South Unit 205, SAINT PETERSBURG, FL, 33701-4117
Loan Status Date 2021-06-08
Loan Status Paid in Full
Loan Maturity in Months 24
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 68346.2
Loan Approval Amount (current) 68346.2
Undisbursed Amount 0
Franchise Name -
Lender Location ID 88833
Servicing Lender Name Axiom Bank, National Association
Servicing Lender Address 258 Southhall Ln, MAITLAND, FL, 32751-7449
Rural or Urban Indicator U
Hubzone Y
LMI N
Business Age Description Existing or more than 2 years old
Project Address SAINT PETERSBURG, PINELLAS, FL, 33701-4117
Project Congressional District FL-14
Number of Employees 4
NAICS code 621112
Borrower Race White
Borrower Ethnicity Not Hispanic or Latino
Business Type Limited Liability Company(LLC)
Originating Lender ID 88833
Originating Lender Name Axiom Bank, National Association
Originating Lender Address MAITLAND, FL
Gender Female Owned
Veteran Non-Veteran
Forgiveness Amount 69055.88
Forgiveness Paid Date 2021-05-12

Companies related by officers

No other companies in our directory share the same officers as DR. SAMANTHA WINTON, LLC

Companies related by address

No other companies in our directory share the same address as DR. SAMANTHA WINTON, LLC

Date of last update: 01 May 2025

Sources: Florida Department of State

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