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  5. FLORIDA SURGICAL CLINIC, LLC

FLORIDA SURGICAL CLINIC, LLC

Company Details

Entity Name: FLORIDA SURGICAL CLINIC, LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Active
Date Filed: 18 May 2016 (9 years ago)
Last Event: LC AMENDMENT
Event Date Filed: 14 Aug 2024 (6 months ago)
Document Number: L16000097006
FEI/EIN Number 81-2708104
Address: 701 MANATEE AVENUE WEST, SUITE 105, BRADENTON, FL, 34205, US
Mail Address: 701 MANATEE AVENUE WEST, SUITE 105, BRADENTON, FL, 34205, US
ZIP code: 34205
County: Manatee
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1932550373 2016-06-27 2016-06-28 701 MANATEE AVE W, SUITE 105, BRADENTON, FL, 342058604, US 701 MANATEE AVE W, SUITE 105, BRADENTON, FL, 342058604, US

Contacts
Phone +1 941-592-9240

Authorized person
Name PETER KAZIL
Role CEO
Phone 9415929240

Taxonomy
Taxonomy Code 208600000X - Surgery Physician
Is Primary Yes

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
FLORIDA SURGICAL CLINIC LLC 401K PLAN 2023 812708104 2024-04-17 FLORIDA SURGICAL CLINIC LLC 12
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-01-01
Business code 621111
Sponsor’s telephone number 7277874379
Plan sponsor’s address 701 MANATEE AVE. W. STE 105, BRADENTON, FL, 34205

Signature of
Role Plan administrator
Date 2024-04-17
Name of individual signing PETER KAZIL
Valid signature Filed with authorized/valid electronic signature
FLORIDA SURGICAL CLINIC LLC 401K PLAN 2022 812708104 2023-05-08 FLORIDA SURGICAL CLINIC LLC 13
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-01-01
Business code 621111
Sponsor’s telephone number 7277874379
Plan sponsor’s address 701 MANATEE AVE. W. STE 105, BRADENTON, FL, 34205

Signature of
Role Plan administrator
Date 2023-05-08
Name of individual signing PETER KAZIL
Valid signature Filed with authorized/valid electronic signature
FLORIDA SURGICAL CLINIC LLC 401K PLAN 2021 812708104 2022-06-21 FLORIDA SURGICAL CLINIC LLC 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-01-01
Business code 621111
Sponsor’s telephone number 7277874379
Plan sponsor’s address 701 MANATEE AVE. W. STE 105, BRADENTON, FL, 34205

Signature of
Role Plan administrator
Date 2022-06-21
Name of individual signing PETER KAZIL
Valid signature Filed with authorized/valid electronic signature
FLORIDA SURGICAL CLINIC LLC 401K PLAN 2020 812708104 2021-06-23 FLORIDA SURGICAL CLINIC LLC 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-01-01
Business code 621111
Sponsor’s telephone number 7277874379
Plan sponsor’s address 701 MANATEE AVE. W. STE 105, BRADENTON, FL, 34205

Signature of
Role Plan administrator
Date 2021-06-23
Name of individual signing PETER KAZIL
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2021-06-23
Name of individual signing PETER KAZIL
Valid signature Filed with authorized/valid electronic signature
FLORIDA SURGICAL CLINIC LLC 401K PLAN 2019 812708104 2020-06-12 FLORIDA SURGICAL CLINIC LLC 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-01-01
Business code 621111
Sponsor’s telephone number 7277874379
Plan sponsor’s address 701 MANATEE AVE. W. STE 105, BRADENTON, FL, 34205

Signature of
Role Plan administrator
Date 2020-06-12
Name of individual signing PETER KAZIL
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2020-06-12
Name of individual signing PETER KAZIL
Valid signature Filed with authorized/valid electronic signature
FLORIDA SURGICAL CLINIC LLC 401K PLAN 2018 812708104 2019-06-04 FLORIDA SURGICAL CLINIC LLC 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-01-01
Business code 621111
Sponsor’s telephone number 7277874379
Plan sponsor’s address 701 MANATEE AVE. W. STE 105, BRADENTON, FL, 34205

Signature of
Role Plan administrator
Date 2019-06-04
Name of individual signing PETER KAZIL
Valid signature Filed with authorized/valid electronic signature
FLORIDA SURGICAL CLINIC LLC 401K PLAN 2017 812708104 2018-05-15 FLORIDA SURGICAL CLINIC LLC 2
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-01-01
Business code 621111
Sponsor’s telephone number 7277874379
Plan sponsor’s address 701 MANATEE AVE. W. STE 105, BRADENTON, FL, 34205

Signature of
Role Plan administrator
Date 2018-05-15
Name of individual signing PETER KAZIL
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2018-05-15
Name of individual signing PETER KAZIL
Valid signature Filed with authorized/valid electronic signature
FLORIDA SURGICAL CLINIC LLC 401K PLAN 2016 812708104 2017-05-05 FLORIDA SURGICAL CLINIC LLC 0
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-01-01
Business code 621111
Sponsor’s telephone number 7277874379
Plan sponsor’s address 701 MANATEE AVE. W. STE 105, BRADENTON, FL, 34205

Signature of
Role Plan administrator
Date 2017-05-05
Name of individual signing PETER KAZIL
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
Kazil Jenna Agent 701 Manatee Ave. W., Bradenton, FL, 342058624

Manager

Name Role Address
KAZIL JENNA Manager 701 MANATEE AVENUE WEST, BRADENTON, FL, 34205

Events

Event Type Filed Date Value Description
LC AMENDMENT 2024-08-14 No data No data
REGISTERED AGENT NAME CHANGED 2024-08-14 Kazil, Jenna No data
REGISTERED AGENT ADDRESS CHANGED 2024-04-03 701 Manatee Ave. W., Suite 105, Bradenton, FL 34205-8624 No data

Documents

Name Date
AMENDED ANNUAL REPORT 2024-08-14
LC Amendment 2024-08-14
ANNUAL REPORT 2024-04-03
ANNUAL REPORT 2023-04-14
ANNUAL REPORT 2022-04-05
ANNUAL REPORT 2021-01-22
ANNUAL REPORT 2020-03-18
ANNUAL REPORT 2019-03-04
ANNUAL REPORT 2018-01-14
ANNUAL REPORT 2017-04-10

Paycheck Protection Program

Loan Number Loan Funded Date SBA Origination Office Code Loan Delivery Method Borrower Street Address
3949647303 2020-04-29 0455 PPP 701 Manatee Ave. W. Suite 105, Bradenton, FL, 34205
Loan Status Date 2021-03-20
Loan Status Paid in Full
Loan Maturity in Months 24
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 83200
Loan Approval Amount (current) 83200
Undisbursed Amount 0
Franchise Name -
Lender Location ID 225134
Servicing Lender Name Truist Bank
Servicing Lender Address 214 N Tryon St, CHARLOTTE, NC, 28202-1078
Rural or Urban Indicator U
Hubzone Y
LMI N
Business Age Description Existing or more than 2 years old
Project Address Bradenton, MANATEE, FL, 34205-1001
Project Congressional District FL-16
Number of Employees 5
NAICS code 621111
Borrower Race Unanswered
Borrower Ethnicity Unknown/NotStated
Business Type Limited Liability Company(LLC)
Originating Lender ID 225134
Originating Lender Name Truist Bank
Originating Lender Address CHARLOTTE, NC
Gender Unanswered
Veteran Unanswered
Forgiveness Amount 83805.51
Forgiveness Paid Date 2021-02-01
6532478501 2021-03-03 0455 PPS 701 Manatee Ave W Ste 105, Bradenton, FL, 34205-8624
Loan Status Date 2021-09-28
Loan Status Paid in Full
Loan Maturity in Months 60
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 71670
Loan Approval Amount (current) 71670
Undisbursed Amount 0
Franchise Name -
Lender Location ID 225134
Servicing Lender Name Truist Bank
Servicing Lender Address 214 N Tryon St, CHARLOTTE, NC, 28202-1078
Rural or Urban Indicator U
Hubzone Y
LMI N
Business Age Description Existing or more than 2 years old
Project Address Bradenton, MANATEE, FL, 34205-8624
Project Congressional District FL-16
Number of Employees 6
NAICS code 621111
Borrower Race Unanswered
Borrower Ethnicity Unknown/NotStated
Business Type Limited Liability Company(LLC)
Originating Lender ID 225134
Originating Lender Name Truist Bank
Originating Lender Address CHARLOTTE, NC
Gender Unanswered
Veteran Unanswered
Forgiveness Amount 72002.47
Forgiveness Paid Date 2021-08-19

Related by officers

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Date of last update: 02 Feb 2025

Sources: Florida Department of State

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