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  5. PROVATEK, LLC

PROVATEK, LLC - Florida Company Profile

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Company Details

Entity Name: PROVATEK, LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Inactive
Date Filed: 11 Aug 2015 (10 years ago)
Date of dissolution: 13 Jan 2023 (3 years ago)
Last Event: VOLUNTARY DISSOLUTION
Event Date Filed: 13 Jan 2023 (3 years ago)
Document Number: L15000136810
FEI/EIN Number 47-5395554
Address: PROVATEK LLC, 15310 AMBERLY DRIVE, TAMPA, FL, 33647, US
Mail Address: PROVATEK LLC, 15310 AMBERLY DRIVE, TAMPA, FL, 33647, US
ZIP code: 33647
City: Tampa
County: Hillsborough
Place of Formation: FLORIDA

Key Officers & Management

Name Role Address
BLANKENSHIP LARRY D Managing Member 15310 AMBERLY DRIVE, TAMPA, FL, 33647
KELLY MATTHEW Manager 15310 AMBERLY DRIVE, TAMPA, FL, 33647
Blankenship Larry Agent 15310 AMBERLY DRIVE, TAMPA, FL, 33647

Unique Entity ID

CAGE Code:
7HT76
UEI Expiration Date:
2020-09-05

Business Information

URL:
www.provatek.com
Activation Date:
2019-09-06
Initial Registration Date:
2015-12-05

Commercial and government entity program

CAGE number:
7HT76
Status:
Active
Type:
Non-Manufacturer
CAGE Update Date:
2023-08-18
CAGE Expiration:
2027-08-25
SAM Expiration:
2023-08-18

Contact Information

POC:
LARRY BLANKENSHIP
Corporate URL:
www.provatek.com

Form 5500 Series

Employer Identification Number (EIN):
475395554
Plan Year:
2021
Number Of Participants:
20
Sponsors Telephone Number:
8133344186
File:
View File
Plan Year:
2020
Number Of Participants:
22
Sponsors Telephone Number:
8133344186
File:
View File
Plan Year:
2019
Number Of Participants:
16
Sponsors Telephone Number:
8133344186
File:
View File
Plan Year:
2019
Number Of Participants:
16
Sponsors Telephone Number:
8133344186
Plan Year:
2018
Number Of Participants:
8
Sponsors Telephone Number:
8133344186
File:
View File

Events

Event Type Filed Date Value Description
VOLUNTARY DISSOLUTION 2023-01-13 - -
CHANGE OF PRINCIPAL ADDRESS 2021-02-03 PROVATEK LLC, 15310 AMBERLY DRIVE, SUITE 175, TAMPA, FL 33647 -
CHANGE OF MAILING ADDRESS 2021-02-03 PROVATEK LLC, 15310 AMBERLY DRIVE, SUITE 175, TAMPA, FL 33647 -
REGISTERED AGENT ADDRESS CHANGED 2021-02-03 15310 AMBERLY DRIVE, 175, TAMPA, FL 33647 -
REGISTERED AGENT NAME CHANGED 2018-07-03 Blankenship, Larry -
LC AMENDMENT 2018-01-22 - -

Documents

Name Date
VOLUNTARY DISSOLUTION 2023-01-13
ANNUAL REPORT 2022-03-31
ANNUAL REPORT 2021-02-03
ANNUAL REPORT 2020-03-20
ANNUAL REPORT 2019-02-28
AMENDED ANNUAL REPORT 2018-07-03
ANNUAL REPORT 2018-03-29
LC Amendment 2018-01-22
ANNUAL REPORT 2017-04-18
ANNUAL REPORT 2016-04-14

USAspending Awards / Contracts

Procurement Instrument Identifier:
N6600121C4026
Link:
View Award on USAspending website
Award Or Idv Flag:
AWARD
Award Type:
DEFINITIVE CONTRACT
Action Obligation:
295000.00
Base And Exercised Options Value:
603305.00
Base And All Options Value:
1130034.00
Awarding Agency Name:
Department of Defense
Performance Start Date:
2021-07-01
Description:
VSPELLS DARPA ACTION
Naics Code:
541715: RESEARCH AND DEVELOPMENT IN THE PHYSICAL, ENGINEERING, AND LIFE SCIENCES (EXCEPT NANOTECHNOLOGY AND BIOTECHNOLOGY)
Product Or Service Code:
AC32: NATIONAL DEFENSE R&D SERVICES; DEFENSE-RELATED ACTIVITIES; APPLIED RESEARCH
Procurement Instrument Identifier:
FA875020C0209
Link:
View Award on USAspending website
Award Or Idv Flag:
AWARD
Award Type:
DEFINITIVE CONTRACT
Action Obligation:
531840.00
Base And Exercised Options Value:
0.00
Base And All Options Value:
0.00
Awarding Agency Name:
Department of Defense
Performance Start Date:
2020-05-13
Description:
IDAS EVALUATION TEAM
Naics Code:
541715: RESEARCH AND DEVELOPMENT IN THE PHYSICAL, ENGINEERING, AND LIFE SCIENCES (EXCEPT NANOTECHNOLOGY AND BIOTECHNOLOGY)
Product Or Service Code:
AD92: R&D- DEFENSE OTHER: OTHER (APPLIED RESEARCH/EXPLORATORY DEVELOPMENT)
Procurement Instrument Identifier:
W911SD20P0048
Link:
View Award on USAspending website
Award Or Idv Flag:
AWARD
Award Type:
PURCHASE ORDER
Action Obligation:
149980.72
Base And Exercised Options Value:
149980.72
Base And All Options Value:
149980.72
Awarding Agency Name:
Department of Defense
Performance Start Date:
2020-02-10
Description:
ADDITIONAL PLANNING CONFERENCE FOR JACK VOLTAIC 3.0 EVENT.
Naics Code:
541990: ALL OTHER PROFESSIONAL, SCIENTIFIC, AND TECHNICAL SERVICES
Product Or Service Code:
AZ17: R&D- OTHER RESEARCH AND DEVELOPMENT (COMMERCIALIZED)

USAspending Awards / Financial Assistance

Date:
2020-05-02
Link:
View on USAspending
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:
337713.17
Total Face Value Of Loan:
337713.17

Paycheck Protection Program

Jobs Reported:
19
Initial Approval Amount:
$337,713.17
Date Approved:
2020-05-01
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$337,713.17
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Unanswered
Veteran:
Unanswered
Forgiveness Amount:
$93,573.15
Servicing Lender:
Centennial Bank
Use of Proceeds:
Payroll: $337,713.17

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Date of last update: 01 Jul 2025

Sources: Florida Department of State

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