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BLOSSOM FAMILY CHIROPRACTIC PLLC - Florida Company Profile

Company Details

Entity Name: BLOSSOM FAMILY CHIROPRACTIC PLLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.

BLOSSOM FAMILY CHIROPRACTIC PLLC 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: 01 Feb 2016 (9 years ago)
Document Number: L16000019547
FEI/EIN Number 81-1299758

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

Address: 360 Central Ave, Saint Petersburg, FL, 33701, US
Mail Address: 360 Central Ave, Saint Petersburg, FL, 33701, US
ZIP code: 33701
County: Pinellas
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1043663693 2016-07-19 2016-07-19 360 CENTRAL AVE, STE 480, SAINT PETERSBURG, FL, 337013857, US 360 CENTRAL AVE, STE 480, SAINT PETERSBURG, FL, 337013857, US

Contacts

Phone +1 727-498-5643

Authorized person

Name DR. SAVANNAH IRBY FORD
Role OWNER/ CHIROPRACTOR
Phone 8135052671

Taxonomy

Taxonomy Code 111N00000X - Chiropractor
License Number CH 11817
State FL
Is Primary Yes

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
BLOSSOM FAMILY CHIROPRACTIC PLLC RETIREMENT TRUST 2023 811299758 2024-12-20 BLOSSOM FAMILY CHIROPRACTIC PLLC 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2023-01-01
Business code 541600
Sponsor’s telephone number 9544611422
Plan sponsor’s address 360 CENTRAL AVE STE 1200, ST. PETERSBURG, FL, 33701

Signature of

Role Plan administrator
Date 2024-12-21
Name of individual signing PLAN SPONSOR
Valid signature Filed with authorized/valid electronic signature
BLOSSOM FAMILY CHIROPRACTIC PLLC RETIREMENT TRUST 2023 811299758 2024-07-31 BLOSSOM FAMILY CHIROPRACTIC PLLC 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2023-01-01
Business code 541600
Sponsor’s telephone number 9544611422
Plan sponsor’s address 360 CENTRAL AVE STE 1200, ST. PETERSBURG, FL, 33701

Signature of

Role Plan administrator
Date 2024-07-31
Name of individual signing PLAN SPONSOR
Valid signature Filed with authorized/valid electronic signature

Key Officers & Management

Name Role Address
SAVANNAH IRBY FORD Secretary 1470 52nd Ave NE, St. Petersburg, FL, 33703
SPIEGEL & UTRERA, P.A. Agent -
SAVANNAH IRBY FORD Manager 1470 52nd Ave NE, St. Petersburg, FL, 33703

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2022-12-22 360 Central Ave, Ste 1200, Saint Petersburg, FL 33701 -
CHANGE OF MAILING ADDRESS 2022-12-22 360 Central Ave, Ste 1200, Saint Petersburg, FL 33701 -

Documents

Name Date
ANNUAL REPORT 2025-02-03
ANNUAL REPORT 2024-03-14
ANNUAL REPORT 2023-03-21
ANNUAL REPORT 2022-01-27
ANNUAL REPORT 2021-07-26
ANNUAL REPORT 2020-06-08
ANNUAL REPORT 2019-02-11
ANNUAL REPORT 2018-01-11
ANNUAL REPORT 2017-08-07
Florida Limited Liability 2016-02-01

Paycheck Protection Program

Loan Number Loan Funded Date SBA Origination Office Code Loan Delivery Method Borrower Street Address
8848127010 2020-04-08 0455 PPP 360 Central Ave STE 480, SAINT PETERSBURG, FL, 33701-3803
Loan Status Date 2021-01-20
Loan Status Paid in Full
Loan Maturity in Months 24
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 29700
Loan Approval Amount (current) 29700
Undisbursed Amount 0
Franchise Name -
Lender Location ID 123499
Servicing Lender Name BayFirst National Bank
Servicing Lender Address 700 Central Avenue, Saint Petersburg, FL, 33701
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, 33701-3803
Project Congressional District FL-14
Number of Employees 3
NAICS code 621310
Borrower Race Unanswered
Borrower Ethnicity Unknown/NotStated
Business Type Corporation
Originating Lender ID 123499
Originating Lender Name BayFirst National Bank
Originating Lender Address Saint Petersburg, FL
Gender Unanswered
Veteran Unanswered
Forgiveness Amount 29874.9
Forgiveness Paid Date 2020-11-25

Date of last update: 02 Apr 2025

Sources: Florida Department of State