| Entity Name: | EXPERIENCE FAMILY CHIROPRACTIC, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: |
Florida Limited Liability Co.
EXPERIENCE FAMILY CHIROPRACTIC, 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. |
| 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: | 28 Dec 2015 (9 years ago) |
| Last Event: | REINSTATEMENT |
| Event Date Filed: | 14 Oct 2019 (6 years ago) |
| Document Number: | L15000212977 |
| FEI/EIN Number |
81-1079890
Federal Employer Identification (FEI) Number assigned by the IRS. |
| Address: | 2378 Surfside Blvd, Cape Coral, FL, 33991, US |
| Mail Address: | 2378 Surfside Blvd, Cape Coral, FL, 33991, US |
| ZIP code: | 33991 |
| County: | Lee |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1447794342 | 2016-12-12 | 2016-12-12 | 2378 SURFSIDE BLVD, SUITE A133, CAPE CORAL, FL, 339913181, US | 2378 SURFSIDE BLVD, SUITE A133, CAPE CORAL, FL, 339913181, US | |||||||||||||||||
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| Phone | +1 239-205-3700 |
Authorized person
| Name | DR. OMAR-SHAY CLARK |
| Role | OWNER |
| Phone | 2392053700 |
Taxonomy
| Taxonomy Code | 111N00000X - Chiropractor |
| License Number | CH11971 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| CLARK OMAR-SHAY Dr. | Managing Member | 2378 Surfside Blvd, Cape Coral, FL, 33991 |
| CLARK JAZMIN | Agent | 2378 Surfside Blvd, Cape Coral, FL, 33991 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G22000130798 | EXPERIENCE HEALTH & WELLNESS CENTER | ACTIVE | 2022-10-19 | 2027-12-31 | - | 2378 SURFSIDE BLVD SUITE A133, CAPE CORAL, FL, 33991 |
| G21000066259 | EXPERIENCE FAMILY CHIROPRACTIC & WELLNESS CENTER | ACTIVE | 2021-05-14 | 2026-12-31 | - | 2378 SURFSIDE BLVD SUITE A133, CAPE CORAL, FL, 33991 |
| G21000066266 | EXPERIENCE HEALTH & WELLNESS CENTER | ACTIVE | 2021-05-14 | 2026-12-31 | - | 2378 SURFSIDE BLVD SUITE A133, CAPE CORAL, FL, 33991 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REINSTATEMENT | 2019-10-14 | - | - |
| REGISTERED AGENT NAME CHANGED | 2019-10-14 | CLARK, JAZMIN | - |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2019-09-27 | - | - |
| CHANGE OF PRINCIPAL ADDRESS | 2017-03-06 | 2378 Surfside Blvd, A133, Cape Coral, FL 33991 | - |
| CHANGE OF MAILING ADDRESS | 2017-03-06 | 2378 Surfside Blvd, A133, Cape Coral, FL 33991 | - |
| REGISTERED AGENT ADDRESS CHANGED | 2017-03-06 | 2378 Surfside Blvd, A133, Cape Coral, FL 33991 | - |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-15 |
| ANNUAL REPORT | 2023-02-19 |
| ANNUAL REPORT | 2022-02-22 |
| ANNUAL REPORT | 2021-04-14 |
| ANNUAL REPORT | 2020-06-08 |
| REINSTATEMENT | 2019-10-14 |
| ANNUAL REPORT | 2018-04-30 |
| ANNUAL REPORT | 2017-03-06 |
| Florida Limited Liability | 2015-12-28 |
| Loan Number | Loan Funded Date | SBA Origination Office Code | Loan Delivery Method | Borrower Street Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| 7793237103 | 2020-04-14 | 0455 | PPP | 1509 NE 35th Street, CAPE CORAL, FL, 33909 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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Date of last update: 02 Apr 2025
Sources: Florida Department of State
