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  5. KALPANA GORTHI, MD, PLLC

KALPANA GORTHI, MD, PLLC - Florida Company Profile

Company Details

Entity Name: KALPANA GORTHI, MD, PLLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.

KALPANA GORTHI, MD, 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: 29 Jan 2018 (7 years ago)
Document Number: L18000025832
FEI/EIN Number 82-4261420

Federal Employer Identification (FEI) Number assigned by the IRS.
Address: 3155 SUNTREE BLVD, ROCKLEDGE, FL, 32955, US
Mail Address: 3155 SUNTREE BLVD, ROCKLEDGE, FL, 32955, US
ZIP code: 32955
County: Brevard
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1134616220 2018-04-16 2022-02-10 3155 SUNTREE BLVD STE 102, ROCKLEDGE, FL, 329555720, US 3155 SUNTREE BLVD STE 102, ROCKLEDGE, FL, 329555720, US

Contacts
Phone +1 321-425-3187
Fax 3214253188

Authorized person
Name KALPANA GORTHI
Role OWNER/ PHYSICIAN
Phone 9315757833

Taxonomy
Taxonomy Code 207R00000X - Internal Medicine Physician
Is Primary Yes

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
KALPANA GORTHI, MD, PLLC 401(K) PROFIT SHARING PLAN 2023 824261420 2024-07-16 KALPANA GORTHI, MD, PLLC 3
Three-digit plan number (PN) 001
Effective date of plan 2019-01-01
Business code 621111
Sponsor’s telephone number 3214253187
Plan sponsor’s address 6450 N WICKHAM ROAD, SUITE 106, MELBOURNE, FL, 32940

Signature of
Role Plan administrator
Date 2024-07-15
Name of individual signing KALPANA GORTHI
Valid signature Filed with authorized/valid electronic signature
KALPANA GORTHI, MD, PLLC 401(K) PROFIT SHARING PLAN 2023 824261420 2024-08-01 KALPANA GORTHI, MD, PLLC 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2019-01-01
Business code 621111
Sponsor’s telephone number 3214253187
Plan sponsor’s address 3155 , SUNTREE BLVD, STE 102, ROCKLEDGE, FL, 32955

Signature of
Role Plan administrator
Date 2024-08-01
Name of individual signing KALPANA GORTHI
Valid signature Filed with authorized/valid electronic signature
KALPANA GORTHI, MD, PLLC 401(K) PROFIT SHARING PLAN 2022 824261420 2023-09-01 KALPANA GORTHI, MD, PLLC 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2019-01-01
Business code 621111
Sponsor’s telephone number 3214253187
Plan sponsor’s address 6450 N WICKHAM ROAD, SUITE 106, MELBOURNE, FL, 32940

Signature of
Role Plan administrator
Date 2023-09-01
Name of individual signing KALPANA GORTHI
Valid signature Filed with authorized/valid electronic signature
KALPANA GORTHI, MD, PLLC 401(K) PROFIT SHARING PLAN 2021 824261420 2022-08-29 KALPANA GORTHI, MD, PLLC 1
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2019-01-01
Business code 621111
Sponsor’s telephone number 3214253187
Plan sponsor’s address 6450 N WICKHAM ROAD, SUITE 106, MELBOURNE, FL, 32940

Signature of
Role Plan administrator
Date 2022-08-29
Name of individual signing KALPANA GORTHI
Valid signature Filed with authorized/valid electronic signature
KALPANA GORTHI, MD, PLLC 401(K) PROFIT SHARING PLAN 2020 824261420 2021-09-29 KALPANA GORTHI, MD, PLLC 2
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2019-01-01
Business code 621111
Sponsor’s telephone number 3214253187
Plan sponsor’s address 6450 N WICKHAM ROAD, SUITE 106, MELBOURNE, FL, 32940

Signature of
Role Plan administrator
Date 2021-09-29
Name of individual signing KALPANA GORTHI
Valid signature Filed with authorized/valid electronic signature
KALPANA GORTHI, MD, PLLC 401(K) PROFIT SHARING PLAN 2019 824261420 2020-06-24 KALPANA GORTHI, MD, PLLC 0
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2019-01-01
Business code 621111
Sponsor’s telephone number 3214253187
Plan sponsor’s address 6450 N WICKHAM ROAD, SUITE 106, MELBOURNE, FL, 32940

Signature of
Role Plan administrator
Date 2020-06-24
Name of individual signing KALPANA GORTHI
Valid signature Filed with authorized/valid electronic signature

Key Officers & Management

Name Role Address
GORTHI KALPANA Auth 2942 BELLWIND CIRCLE, ROCKLEDGE, FL, 32955
Amit Sharma Auth 2942 BELLWIND CIRCLE, ROCKLEDGE, FL, 32955
Gorthi Kalpana Agent 3155 SUNTREE BLVD, ROCKLEDGE, FL, 32955

Events

Event Type Filed Date Value Description
REGISTERED AGENT ADDRESS CHANGED 2022-03-08 3155 SUNTREE BLVD, STE 102, ROCKLEDGE, FL 32955 -
CHANGE OF PRINCIPAL ADDRESS 2022-01-26 3155 SUNTREE BLVD, STE 102, ROCKLEDGE, FL 32955 -
CHANGE OF MAILING ADDRESS 2022-01-26 3155 SUNTREE BLVD, STE 102, ROCKLEDGE, FL 32955 -
REGISTERED AGENT NAME CHANGED 2020-03-16 Gorthi, Kalpana -

Documents

Name Date
ANNUAL REPORT 2024-03-20
ANNUAL REPORT 2023-04-05
ANNUAL REPORT 2022-03-08
ANNUAL REPORT 2021-04-14
ANNUAL REPORT 2020-03-16
ANNUAL REPORT 2019-04-09
Florida Limited Liability 2018-01-29

Paycheck Protection Program

Loan Number Loan Funded Date SBA Origination Office Code Loan Delivery Method Borrower Street Address
5590167303 2020-04-30 0455 PPP 6450 N WICKHAM ROAD ,STE 106, MELBOURNE, FL, 32940
Loan Status Date 2021-05-19
Loan Status Paid in Full
Loan Maturity in Months 24
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 31435
Loan Approval Amount (current) 31435
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 MELBOURNE, BREVARD, FL, 32940-1100
Project Congressional District FL-08
Number of Employees 3
NAICS code 621111
Borrower Race Unanswered
Borrower Ethnicity Unknown/NotStated
Business Type Corporation
Originating Lender ID 225134
Originating Lender Name Truist Bank
Originating Lender Address CHARLOTTE, NC
Gender Unanswered
Veteran Unanswered
Forgiveness Amount 31725.77
Forgiveness Paid Date 2021-04-12

Companies related by officers

GORTHI KALPANA

SRISAIRAM LLC - Active
Florida Limited Liability Co. (2021 )

Gorthi Kalpana

SRISAIRAM LLC - Active
Florida Limited Liability Co. (2021 )

Companies related by address

3155 SUNTREE BLVD, ROCKLEDGE, FL, 32955, US

EXECUTIVE NON-EMERGENCY TRANSPORTATION, INC. HECTOR OCASIO, LLC GARY MCCAULEY, LLC WAYNE SPEER, LLC CARL SWANSON, LLC EDWARD DATO, LLC GLENN JABBAR, LLC EVER FONSECA, LLC MYRA L. AYALA, LLC

3155 SUNTREE BLVD, ROCKLEDGE, FL, 32955, US

EXECUTIVE NON-EMERGENCY TRANSPORTATION, INC. HECTOR OCASIO, LLC GARY MCCAULEY, LLC WAYNE SPEER, LLC CARL SWANSON, LLC EDWARD DATO, LLC GLENN JABBAR, LLC EVER FONSECA, LLC MYRA L. AYALA, LLC

Date of last update: 01 Apr 2025

Sources: Florida Department of State

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