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  5. IVY SPINE & ORTHOPEDICS, LLC

IVY SPINE & ORTHOPEDICS, LLC - Florida Company Profile

Company Details

Entity Name: IVY SPINE & ORTHOPEDICS, LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.

IVY SPINE & ORTHOPEDICS, 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: 23 Dec 2016 (8 years ago)
Document Number: L16000231244
FEI/EIN Number 81-4772410

Federal Employer Identification (FEI) Number assigned by the IRS.
Address: 742 Harrison Avenue, Panama CIty, FL, 32401, US
Mail Address: 742 Harrison Avenue, Panama CIty, FL, 32401, US
ZIP code: 32401
County: Bay
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1215534011 2020-10-05 2021-09-07 2532 CAPITAL MEDICAL BLVD, TALLAHASSEE, FL, 323084424, US 2532 CAPITAL MEDICAL BLVD, TALLAHASSEE, FL, 323084424, US

Contacts
Phone +1 850-628-7679
Fax 8502578099

Authorized person
Name JENNIFER GATES
Role PRACTICE MANAGER
Phone 8506287679

Taxonomy
Taxonomy Code 207X00000X - Orthopaedic Surgery Physician
Is Primary Yes

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
IVY SPINE & ORTHOPEDICS, LLC RETIREMENT PLAN 2023 814772410 2024-10-02 IVY SPINE & ORTHOPEDICS, 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 7656351104
Plan sponsor’s address 896 MAIN STREET, CHIPLEY, FL, 32428
IVY SPINE & ORTHOSPEDICS LLC 401(K) PROFIT SHARING PLAN & TRUST 2023 814772410 2024-04-04 IVY SPINE & ORTHOPEDICS LLC 4
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2020-01-01
Business code 541990
Sponsor’s telephone number 8506287679
Plan sponsor’s address 742 HARRISON AVE, PANAMA CITY, FL, 324012524

Signature of
Role Plan administrator
Date 2024-04-04
Name of individual signing ANTHONY WARD AS ATTORNEY
Valid signature Filed with authorized/valid electronic signature
IVY SPINE & ORTHOPEDICS, LLC RETIREMENT PLAN 2022 814772410 2023-09-22 IVY SPINE & ORTHOPEDICS, LLC 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-01-01
Business code 621111
Sponsor’s telephone number 7656351104
Plan sponsor’s address 896 MAIN STREET, CHIPLEY, FL, 32428

Signature of
Role Plan administrator
Date 2023-09-22
Name of individual signing JAMES MCLOUGHLIN, MD
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2023-09-22
Name of individual signing JAMES MCLOUGHLIN, MD
Valid signature Filed with authorized/valid electronic signature
IVY SPINE & ORTHOPEDICS LLC 401(K) PROFIT SHARING PLAN & TRUST 2022 814772410 2023-04-08 IVY SPINE & ORTHOPEDICS LLC 9
Three-digit plan number (PN) 002
Effective date of plan 2020-01-01
Business code 541990
Sponsor’s telephone number 8506287679
Plan sponsor’s address 742 HARRISON AVE, PANAMA CITY, FL, 32401

Signature of
Role Plan administrator
Date 2023-04-07
Name of individual signing ERISA FIDUCIARY SERVICES
Valid signature Filed with authorized/valid electronic signature
IVY SPINE & ORTHOPEDICS LLC 401(K) PROFIT SHARING PLAN & TRUST 2021 814772410 2022-06-14 IVY SPINE & ORTHOPEDICS LLC 8
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2020-01-01
Business code 541990
Sponsor’s telephone number 8506287679
Plan sponsor’s address 742 HARRISON AVE, PANAMA CITY, FL, 32401

Plan administrator’s name and address
Administrator’s EIN 471637791
Plan administrator’s name ERISA FIDUCIARY SERVICES, INC.
Plan administrator’s address 1373 VETERANS HIGHWAY, SUITE 10, HAUPPAUGE, NY, 11788
Administrator’s telephone number 6312490500

Signature of
Role Plan administrator
Date 2022-06-14
Name of individual signing ERISA FIDUCIARY SERVICES
Valid signature Filed with authorized/valid electronic signature
IVY SPINE & ORTHOPEDICS LLC 401(K) PROFIT SHARING PLAN & TRUST 2020 814772410 2021-10-14 IVY SPINE & ORTHOPEDICS LLC 7
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2020-01-01
Business code 541990
Sponsor’s telephone number 8506287679
Plan sponsor’s address 742 HARRISON AVE, PANAMA CITY, FL, 32401

Signature of
Role Plan administrator
Date 2021-10-14
Name of individual signing ERISA FIDUCIARY SERVICES, INC
Valid signature Filed with authorized/valid electronic signature
IVY SPINE & ORTHOPEDICS LLC 401(K) PROFIT SHARING PLAN & TRUST 2020 814772410 2021-10-14 IVY SPINE & ORTHOPEDICS LLC 7
Three-digit plan number (PN) 002
Effective date of plan 2020-01-01
Business code 541990
Sponsor’s telephone number 8506287679
Plan sponsor’s address 742 HARRISON AVE, PANAMA CITY, FL, 32401

Signature of
Role Plan administrator
Date 2021-10-14
Name of individual signing ERISA FIDUCIARY SERVICES, INC
Valid signature Filed with authorized/valid electronic signature
IVY SPINE & ORTHOPEDICS LLC 401(K) PROFIT SHARING PLAN & TRUST 2020 814772410 2021-05-19 IVY SPINE & ORTHOPEDICS LLC 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2020-01-01
Business code 541990
Sponsor’s telephone number 8506287679
Plan sponsor’s address 742 HARRISON AVE, PANAMA CITY, FL, 32401

Signature of
Role Plan administrator
Date 2021-05-19
Name of individual signing EDWARD ROJAS
Valid signature Filed with authorized/valid electronic signature

Key Officers & Management

Name Role Address
MCLOUGHLIN JAMES C Authorized Member 742 Harrison Avenue, Panama CIty, FL, 32401
TAYLOR GERALD W Agent 742 Harrison Avenue, Panama CIty, FL, 32401

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2018-04-25 742 Harrison Avenue, Panama CIty, FL 32401 -
CHANGE OF MAILING ADDRESS 2018-04-25 742 Harrison Avenue, Panama CIty, FL 32401 -
REGISTERED AGENT ADDRESS CHANGED 2018-04-25 742 Harrison Avenue, Panama CIty, FL 32401 -

Documents

Name Date
ANNUAL REPORT 2025-02-05
ANNUAL REPORT 2024-02-06
ANNUAL REPORT 2023-03-28
ANNUAL REPORT 2022-02-07
ANNUAL REPORT 2021-03-19
ANNUAL REPORT 2020-06-29
ANNUAL REPORT 2019-04-29
ANNUAL REPORT 2018-04-25
ANNUAL REPORT 2017-05-01
Florida Limited Liability 2016-12-23

Paycheck Protection Program

Loan Number Loan Funded Date SBA Origination Office Code Loan Delivery Method Borrower Street Address
9067848306 2021-01-30 0491 PPS 742 Harrison Ave, Panama City, FL, 32401-2524
Loan Status Date 2023-07-28
Loan Status Paid in Full
Loan Maturity in Months 40
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 108342.5
Loan Approval Amount (current) 108342.5
Undisbursed Amount 0
Franchise Name -
Lender Location ID 188567
Servicing Lender Name Loan Source Incorporated
Servicing Lender Address 353 East 83rd Street Suite 3H, NEW YORK, NY, 10028
Rural or Urban Indicator U
Hubzone Y
LMI Y
Business Age Description Existing or more than 2 years old
Project Address Panama City, BAY, FL, 32401-2524
Project Congressional District FL-02
Number of Employees 12
NAICS code 621111
Borrower Race Unanswered
Borrower Ethnicity Unknown/NotStated
Business Type Limited Liability Company(LLC)
Originating Lender ID 39848
Originating Lender Name Cadence Bank
Originating Lender Address TUPELO, MS
Gender Unanswered
Veteran Unanswered
Forgiveness Amount -
Forgiveness Paid Date -
8310927807 2020-06-05 0491 PPP 742 HARRISON AVE, PANAMA CITY, FL, 32401-2524
Loan Status Date 2022-02-17
Loan Status Paid in Full
Loan Maturity in Months 24
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 108342
Loan Approval Amount (current) 108342
Undisbursed Amount 0
Franchise Name -
Lender Location ID 39848
Servicing Lender Name Cadence Bank
Servicing Lender Address 201 S Spring St, TUPELO, MS, 38804-4811
Rural or Urban Indicator U
Hubzone Y
LMI Y
Business Age Description Existing or more than 2 years old
Project Address PANAMA CITY, BAY, FL, 32401-2524
Project Congressional District FL-02
Number of Employees 12
NAICS code 621111
Borrower Race Unanswered
Borrower Ethnicity Unknown/NotStated
Business Type Limited Liability Company(LLC)
Originating Lender ID 39848
Originating Lender Name Cadence Bank
Originating Lender Address TUPELO, MS
Gender Unanswered
Veteran Unanswered
Forgiveness Amount 110039.36
Forgiveness Paid Date 2022-01-04

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Companies related by address

No other companies in our directory share the same address as IVY SPINE & ORTHOPEDICS, LLC

Date of last update: 02 Apr 2025

Sources: Florida Department of State

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