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COASTAL HEALTHCARE PARTNERS LLC - Florida Company Profile

Company Details

Entity Name: COASTAL HEALTHCARE PARTNERS LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.

COASTAL HEALTHCARE PARTNERS 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.
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: 14 Jun 2016 (9 years ago)
Document Number: L16000114653
FEI/EIN Number 81-2989278

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

Address: 50 LEANNI WAY, D1, PALM COAST, FL, 32137
Mail Address: 50 LEANNI WAY, D1, PALM COAST, FL, 32137
ZIP code: 32137
County: Flagler
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1053762740 2016-06-24 2022-07-21 50 LEANNI WAY, SUITE D1, PALM COAST, FL, 32137, US 50 LEANNI WAY, SUITE D1, PALM COAST, FL, 32137, US

Contacts

Phone +1 386-283-5997
Fax 3862835652

Authorized person

Name MICHAEL ALLEN OSBORNE
Role OWNER
Phone 3862835997

Taxonomy

Taxonomy Code 208D00000X - General Practice Physician
License Number ME101968
State FL
Is Primary Yes

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
COASTAL HEALTHCARE PARTNERS, LLC 401(K) PROFIT SHARING PLAN 2023 812989278 2024-09-09 COASTAL HEALTHCARE PARTNERS, LLC 12
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2019-01-01
Business code 621111
Sponsor’s telephone number 3862835997
Plan sponsor’s address 50 LEANNI WAY, D1, PALM COAST, FL, 32137

Signature of

Role Plan administrator
Date 2024-09-09
Name of individual signing AMY OSBORNE
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2024-09-09
Name of individual signing AMY OSBORNE
Valid signature Filed with authorized/valid electronic signature
COASTAL HEALTHCARE PARTNERS, LLC 401(K) PROFIT SHARING PLAN 2022 812989278 2023-06-20 COASTAL HEALTHCARE PARTNERS, LLC 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2019-01-01
Business code 621111
Sponsor’s telephone number 3862835997
Plan sponsor’s address 50 LEANNI WAY, D1, PALM COAST, FL, 32137

Signature of

Role Plan administrator
Date 2023-06-20
Name of individual signing AMY OSBORNE
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2023-06-20
Name of individual signing AMY OSBORNE
Valid signature Filed with authorized/valid electronic signature
COASTAL HEALTHCARE PARTNERS, LLC 401(K) PROFIT SHARING PLAN 2021 812989278 2022-01-20 COASTAL HEALTHCARE PARTNERS, LLC 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2019-01-01
Business code 621111
Sponsor’s telephone number 3862835997
Plan sponsor’s address 50 LEANNI WAY, D1, PALM COAST, FL, 32137

Signature of

Role Plan administrator
Date 2022-01-19
Name of individual signing AMY OSBORNE
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2022-01-19
Name of individual signing AMY OSBORNE
Valid signature Filed with authorized/valid electronic signature
COASTAL HEALTHCARE PARTNERS, LLC 401(K) PROFIT SHARING PLAN 2020 812989278 2021-08-02 COASTAL HEALTHCARE PARTNERS, LLC 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2019-01-01
Business code 621111
Sponsor’s telephone number 3862835997
Plan sponsor’s address 50 LEANNI WAY, D1, PALM COAST, FL, 32137

Signature of

Role Plan administrator
Date 2021-08-02
Name of individual signing AMY OSBORNE
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2021-08-02
Name of individual signing AMY OSBORNE
Valid signature Filed with authorized/valid electronic signature
COASTAL HEALTHCARE PARTNERS, LLC 401(K) PROFIT SHARING PLAN 2019 812989278 2020-10-08 COASTAL HEALTHCARE PARTNERS, LLC 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2019-01-01
Business code 621111
Sponsor’s telephone number 3862835997
Plan sponsor’s address 50 LEANNI WAY, D1, PALM COAST, FL, 32137

Signature of

Role Plan administrator
Date 2020-10-08
Name of individual signing AMY OSBORNE
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2020-10-08
Name of individual signing AMY OSBORNE
Valid signature Filed with authorized/valid electronic signature

Key Officers & Management

Name Role Address
OSBORNE MICHAEL AJR Manager 50 LEANNI WAY D1, PALM COAST, FL, 32137
Wojcik Chris Auth 760 S Volusia Ave #100, ORANGE CITY, FL, 32763
OSBORNE MICHAEL AJR Agent 50 LEANNI WAY, PALM COAST, FL, 32137

Documents

Name Date
ANNUAL REPORT 2024-04-01
ANNUAL REPORT 2023-01-19
ANNUAL REPORT 2022-04-26
ANNUAL REPORT 2021-02-03
ANNUAL REPORT 2020-04-16
ANNUAL REPORT 2019-05-02
ANNUAL REPORT 2018-04-24
ANNUAL REPORT 2017-03-31
Florida Limited Liability 2016-06-14

Paycheck Protection Program

Loan Number Loan Funded Date SBA Origination Office Code Loan Delivery Method Borrower Street Address
8592507001 2020-04-08 0491 PPP 50 Leanni Way D1, PALM COAST, FL, 32137
Loan Status Date 2022-01-31
Loan Status Paid in Full
Loan Maturity in Months 24
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 84529
Loan Approval Amount (current) 97000
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 N
LMI N
Business Age Description Existing or more than 2 years old
Project Address PALM COAST, FLAGLER, FL, 32137-0001
Project Congressional District FL-06
Number of Employees 11
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 98069.69
Forgiveness Paid Date 2021-05-26

Date of last update: 01 Apr 2025

Sources: Florida Department of State