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AHAVA-5772, LLC - Florida Company Profile

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Company Details

Entity Name: AHAVA-5772, LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.

AHAVA-5772, 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: 14 Jul 2015 (10 years ago)
Last Event: REINSTATEMENT
Event Date Filed: 19 Oct 2016 (9 years ago)
Document Number: L15000120806
FEI/EIN Number 47-4582604

Federal Employer Identification (FEI) Number assigned by the IRS.

Address: 4200 N. OCEAN DRIVE, SINGER ISLAND, FL, 33404, US
Mail Address: 5540 PGA BLVD, SUITE 100, PALM BEACH GARDENS, FL, 33418, US
ZIP code: 33404
City: West Palm Beach
County: Palm Beach
Place of Formation: FLORIDA

Key Officers & Management

Name Role Address
SIMONSON PAUL E Agent 3100 JASMINE DRIVE, DELRAY BEACH, FL, 33483
Kozak Beth Manager 4200 N Ocean Dr, West Palm Beach, FL, 33404
Kozak Steven Manager 4200 N Ocean Dr, West Palm Beach, FL, 33404

National Provider Identifier

NPI Number:
1417403221

Authorized Person:

Name:
DR. BETH JOY KOZAK
Role:
MANAGER
Phone:

Taxonomy:

Selected Taxonomy:
111N00000X - Chiropractor
Is Primary:
Yes

Contacts:

Form 5500 Series

Employer Identification Number (EIN):
474582604
Plan Year:
2023
Number Of Participants:
11
Sponsors Telephone Number:
Plan Year:
2021
Number Of Participants:
4
Sponsors Telephone Number:

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G22000155177 NAMASTE CHIROPRACTIC ACTIVE 2022-12-15 2027-12-31 - 5540 PGA BLVD, SUIT 100, PALM BEACH GARDENS, FL, 33418
G21000105082 AHAVA-5772, LLC ACTIVE 2021-08-12 2026-12-31 - 5540 PGA BLVD, SUITE 100, PALM BEACH GARDENS, FL, 33418
G15000075998 NAMASTE CHIROPRACTIC EXPIRED 2015-07-22 2020-12-31 - 209 EAGLETON LAKES BLVD, PALM BEACH GARDENS, FL, 33418

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2018-04-26 4200 N. Ocean Drive, 1-1103, Singer Island, FL 33404 -
REINSTATEMENT 2016-10-19 - -
CHANGE OF MAILING ADDRESS 2016-10-19 4200 N. Ocean Drive, 1-1103, Singer Island, FL 33404 -
REGISTERED AGENT NAME CHANGED 2016-10-19 SIMONSON, PAUL E -
ADMIN DISSOLUTION FOR ANNUAL REPORT 2016-09-23 - -

Documents

Name Date
ANNUAL REPORT 2024-01-29
ANNUAL REPORT 2023-01-12
ANNUAL REPORT 2022-01-25
ANNUAL REPORT 2021-03-12
ANNUAL REPORT 2020-03-18
ANNUAL REPORT 2019-02-12
ANNUAL REPORT 2018-04-26
ANNUAL REPORT 2017-03-20
REINSTATEMENT 2016-10-19
Florida Limited Liability 2015-07-14

USAspending Awards / Financial Assistance

Date:
2020-05-03
Awarding Agency Name:
Small Business Administration
Transaction Description:
TO AID SMALL BUSINESSES IN MAINTAINING WORK FORCE DURING COVID-19 PANDEMIC.
Obligated Amount:
0.00
Face Value Of Loan:
16200.00
Total Face Value Of Loan:
16200.00

Paycheck Protection Program

Jobs Reported:
4
Initial Approval Amount:
$16,200
Date Approved:
2020-05-01
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$16,200
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Unanswered
Veteran:
Unanswered
Forgiveness Amount:
$16,400.25
Servicing Lender:
PNC Bank, National Association
Use of Proceeds:
Payroll: $16,200

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Date of last update: 02 Jul 2025

Sources: Florida Department of State