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FLEMING ISLAND PLASTIC SURGERY, LLC - Florida Company Profile

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Company Details

Entity Name: FLEMING ISLAND PLASTIC SURGERY, LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Active
Date Filed: 27 Jul 2015 (10 years ago)
Last Event: LC STMNT OF RA/RO CHG
Event Date Filed: 07 Jan 2016 (10 years ago)
Document Number: L15000127322
FEI/EIN Number 47-4973653
Address: 1715 EAGLE HARBOR PKWY, FLEMING ISLAND, FL, 32003, US
Mail Address: 1715 EAGLE HARBOR PKWY, FLEMING ISLAND, FL, 32003, US
ZIP code: 32003
City: Fleming Island
County: Clay
Place of Formation: FLORIDA

Key Officers & Management

Name Role Address
WALLACE WILLIAM A Agent 1715 EAGLE HARBOR PKWY, FLEMING ISLAND, FL, 32003
Wallace William A Manager 1520 Majestic View Ln, Fleming Island, FL, 32003

National Provider Identifier

NPI Number:
1497128953

Authorized Person:

Name:
SHANNON DELP
Role:
DELEGATED OFFICIAL
Phone:

Taxonomy:

Selected Taxonomy:
208200000X - Plastic Surgery Physician
Is Primary:
Yes

Contacts:

Form 5500 Series

Employer Identification Number (EIN):
474973653
Plan Year:
2024
Number Of Participants:
8
Sponsors Telephone Number:
Plan Year:
2023
Number Of Participants:
8
Sponsors Telephone Number:
Plan Year:
2022
Number Of Participants:
8
Sponsors Telephone Number:
Plan Year:
2021
Number Of Participants:
8
Sponsors Telephone Number:

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2017-01-08 1715 EAGLE HARBOR PKWY, STE B, FLEMING ISLAND, FL 32003 -
CHANGE OF MAILING ADDRESS 2017-01-08 1715 EAGLE HARBOR PKWY, STE B, FLEMING ISLAND, FL 32003 -
REGISTERED AGENT ADDRESS CHANGED 2017-01-08 1715 EAGLE HARBOR PKWY, STE B, FLEMING ISLAND, FL 32003 -
LC STMNT OF RA/RO CHG 2016-01-07 - -

Documents

Name Date
ANNUAL REPORT 2024-02-12
ANNUAL REPORT 2023-02-07
ANNUAL REPORT 2022-01-29
ANNUAL REPORT 2021-01-13
ANNUAL REPORT 2020-02-18
ANNUAL REPORT 2019-02-26
ANNUAL REPORT 2018-01-10
ANNUAL REPORT 2017-01-08
ANNUAL REPORT 2016-04-29
CORLCRACHG 2016-01-07

USAspending Awards / Financial Assistance

Date:
2020-04-14
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:
80500.00
Total Face Value Of Loan:
80500.00
Date:
2020-04-14
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:
80500.00
Total Face Value Of Loan:
80500.00

Paycheck Protection Program

Jobs Reported:
7
Initial Approval Amount:
$80,500
Date Approved:
2020-04-14
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$80,500
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Unanswered
Veteran:
Unanswered
Forgiveness Amount:
$81,043.38
Servicing Lender:
Truist Bank
Use of Proceeds:
Payroll: $80,500

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Date of last update: 01 Aug 2025

Sources: Florida Department of State