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  5. ROACH FAMILY WELLNESS, PLLC

ROACH FAMILY WELLNESS, PLLC - Florida Company Profile

Company Details

Entity Name: ROACH FAMILY WELLNESS, PLLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.

ROACH FAMILY WELLNESS, 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: 28 Jul 2016 (9 years ago)
Document Number: L16000139997
FEI/EIN Number 81-3396448

Federal Employer Identification (FEI) Number assigned by the IRS.
Mail Address: PO BOX 941912, MAITLAND, FL, 32794, US
Address: 623 Maitland Ave, Suite 1101, Altamonte springs, FL, 32701, US
ZIP code: 32701
County: Seminole
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1750822821 2017-03-09 2017-03-09 475 MAITLAND AVE, ALTAMONTE SPRINGS, FL, 327015444, US 475 MAITLAND AVE, ALTAMONTE SPRINGS, FL, 327015444, US

Contacts
Phone +1 407-678-2009

Authorized person
Name DR. ERIK ROACH
Role CEO/OWNER
Phone 4076782009

Taxonomy
Taxonomy Code 111N00000X - Chiropractor
License Number CH 9409
State FL
Is Primary Yes
Taxonomy Code 111N00000X - Chiropractor
License Number CH 10874
State FL
Is Primary No
Taxonomy Code 207P00000X - Emergency Medicine Physician
License Number ME 96405
State FL
Is Primary No
Taxonomy Code 363L00000X - Nurse Practitioner
License Number ARNP 9165596
State FL
Is Primary No

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
ROACH FAMILY WELLNESS, PLLC 401(K) & PROFIT SHARING PLAN 2023 813396448 2024-02-02 ROACH FAMILY WELLNESS, PLLC 2
Three-digit plan number (PN) 001
Effective date of plan 2011-01-01
Business code 621310
Sponsor’s telephone number 4076782009
Plan sponsor’s address P.O. BOX 941912, MAITLAND, FL, 32794
ROACH FAMILY WELLNESS, PLLC 401(K) & PROFIT SHARING PLAN 2023 813396448 2024-02-09 ROACH FAMILY WELLNESS, PLLC 2
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2011-01-01
Business code 621310
Sponsor’s telephone number 4076782009
Plan sponsor’s address P.O. BOX 941912, MAITLAND, FL, 32794
ROACH FAMILY WELLNESS, PLLC 401(K) & PROFIT SHARING PLAN 2022 813396448 2024-01-02 ROACH FAMILY WELLNESS, PLLC 2
Three-digit plan number (PN) 001
Effective date of plan 2011-01-01
Business code 621310
Sponsor’s telephone number 4076782009
Plan sponsor’s address 623 MAITLAND AVENUE, SUITE 1101, ALTAMONTE SPRINGS, FL, 32701

Signature of
Role Plan administrator
Date 2024-01-02
Name of individual signing LISSETTE ROACH
Valid signature Filed with authorized/valid electronic signature
ROACH FAMILY WELLNESS, PLLC 401(K) & PROFIT SHARING PLAN 2022 813396448 2023-06-21 ROACH FAMILY WELLNESS, PLLC 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2011-01-01
Business code 621310
Sponsor’s telephone number 4076782009
Plan sponsor’s address 623 MAITLAND AVENUE, SUITE 1101, ALTAMONTE SPRINGS, FL, 32701

Signature of
Role Plan administrator
Date 2023-06-21
Name of individual signing LISSETTE ROACH
Valid signature Filed with authorized/valid electronic signature
ROACH FAMILY WELLNESS, PLLC 401(K) & PROFIT SHARING PLAN 2021 813396448 2022-10-04 ROACH FAMILY WELLNESS, PLLC 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2011-01-01
Business code 621310
Sponsor’s telephone number 4076782009
Plan sponsor’s address 623 MAITLAND AVENUE, SUITE 1101, ALTAMONTE SPRINGS, FL, 32701

Signature of
Role Plan administrator
Date 2022-10-04
Name of individual signing LISSETTE ROACH
Valid signature Filed with authorized/valid electronic signature
ROACH FAMILY WELLNESS,PLLC 401(K) & PROFIT SHARING PLAN 2020 813396448 2021-09-27 ROACH FAMILY WELLNESS,PLLC 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2011-01-01
Business code 621310
Sponsor’s telephone number 4076472009
Plan sponsor’s address 623 MAITLAND AVENUE - SUITE 1101, ALTAMONTE SPRINGS, FL, 32701

Signature of
Role Plan administrator
Date 2021-09-27
Name of individual signing ERIK ROACH
Valid signature Filed with authorized/valid electronic signature
ROACH FAMILY WELLNESS,PLLC 401(K) & PROFIT SHARING PLAN 2019 813396448 2020-09-30 ROACH FAMILY WELLNESS,PLLC 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2011-01-01
Business code 621310
Sponsor’s telephone number 4076472009
Plan sponsor’s address 623 MAITLAND AVENUE - SUITE 1101, ALTAMONTE SPRINGS, FL, 32701

Signature of
Role Plan administrator
Date 2020-09-30
Name of individual signing ERIK ROACH
Valid signature Filed with authorized/valid electronic signature

Key Officers & Management

Name Role Address
ROACH ERIK D Manager 623 Maitland Ave, Altamonte springs, FL, 32701
ROACH ERIK D Agent 623 Maitland Ave, Altamonte springs, FL, 32701

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G23000069088 ROACH SPINE AND DISC CENTER ACTIVE 2023-06-06 2028-12-31 - PO BOX 941912, MAITLAND, FL, 32794
G17000072033 ROACH FAMILY WELLNESS EXPIRED 2017-07-03 2022-12-31 - 475, ALTAMONTE SPRINGS, FL, 32701

Events

Event Type Filed Date Value Description
CHANGE OF MAILING ADDRESS 2022-05-03 623 Maitland Ave, Suite 1101, Altamonte springs, FL 32701 -
CHANGE OF PRINCIPAL ADDRESS 2021-03-13 623 Maitland Ave, Suite 1101, Altamonte springs, FL 32701 -
REGISTERED AGENT ADDRESS CHANGED 2021-03-13 623 Maitland Ave, Suite 1101, Altamonte springs, FL 32701 -

Documents

Name Date
ANNUAL REPORT 2024-02-21
ANNUAL REPORT 2023-03-06
ANNUAL REPORT 2022-05-03
ANNUAL REPORT 2021-03-13
ANNUAL REPORT 2020-02-05
ANNUAL REPORT 2019-04-08
ANNUAL REPORT 2018-06-01
ANNUAL REPORT 2017-02-12
Florida Limited Liability 2016-07-28

Paycheck Protection Program

Loan Number Loan Funded Date SBA Origination Office Code Loan Delivery Method Borrower Street Address
3142188607 2021-03-16 0491 PPS 334 Vista Oak Dr, Longwood, FL, 32779-3067
Loan Status Date 2021-12-18
Loan Status Paid in Full
Loan Maturity in Months 60
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 28235
Loan Approval Amount (current) 28235
Undisbursed Amount 0
Franchise Name -
Lender Location ID 48270
Servicing Lender Name JPMorgan Chase Bank, National Association
Servicing Lender Address 1111 Polaris Pkwy, COLUMBUS, OH, 43240-2031
Rural or Urban Indicator U
Hubzone N
LMI N
Business Age Description Existing or more than 2 years old
Project Address Longwood, SEMINOLE, FL, 32779-3067
Project Congressional District FL-07
Number of Employees 4
NAICS code 621310
Borrower Race Unanswered
Borrower Ethnicity Unknown/NotStated
Business Type Limited Liability Company(LLC)
Originating Lender ID 48270
Originating Lender Name JPMorgan Chase Bank, National Association
Originating Lender Address COLUMBUS, OH
Gender Unanswered
Veteran Unanswered
Forgiveness Amount 28407.94
Forgiveness Paid Date 2021-10-29
2829857700 2020-05-01 0491 PPP 334 Vista Oak Drive, LONGWOOD, FL, 32779
Loan Status Date 2021-09-30
Loan Status Paid in Full
Loan Maturity in Months 24
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 28237
Loan Approval Amount (current) 28237
Undisbursed Amount 0
Franchise Name -
Lender Location ID 48270
Servicing Lender Name JPMorgan Chase Bank, National Association
Servicing Lender Address 1111 Polaris Pkwy, COLUMBUS, OH, 43240-2031
Rural or Urban Indicator U
Hubzone N
LMI N
Business Age Description Existing or more than 2 years old
Project Address LONGWOOD, SEMINOLE, FL, 32779-2000
Project Congressional District FL-07
Number of Employees 3
NAICS code 621310
Borrower Race Unanswered
Borrower Ethnicity Unknown/NotStated
Business Type Limited Liability Company(LLC)
Originating Lender ID 194093
Originating Lender Name JPMorgan Chase Bank, National Association
Originating Lender Address CHICAGO, IL
Gender Unanswered
Veteran Unanswered
Forgiveness Amount 28601.35
Forgiveness Paid Date 2021-08-19

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PO BOX 941912, MAITLAND, FL, 32794, US

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Date of last update: 02 Apr 2025

Sources: Florida Department of State

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