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  5. PBACO HOLDING, LLC

PBACO HOLDING, LLC - Florida Company Profile

Company Details

Entity Name: PBACO HOLDING, LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.

PBACO HOLDING, 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: 30 Apr 2018 (7 years ago)
Document Number: L18000108457
FEI/EIN Number 82-5527199

Federal Employer Identification (FEI) Number assigned by the IRS.
Address: 2326 S. CONGRESS AVE., SUITE 2F, PALM SPRINGS, FL, 33406, US
Mail Address: 2326 S. CONGRESS AVE., SUITE 2F, PALM SPRINGS, FL, 33406, US
ZIP code: 33406
County: Palm Beach
Place of Formation: FLORIDA

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
PBACO HOLDING, LLC 401(K) P/S PLAN 2023 825527199 2024-09-09 PBACO HOLDING, LLC 103
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-01-01
Business code 621111
Sponsor’s telephone number 5614292680
Plan sponsor’s address 2326 S CONGRESS AVE STE 2F, WEST PALM BEACH, FL, 33406

Signature of
Role Plan administrator
Date 2024-09-09
Name of individual signing MATTHEW REESE
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2024-09-09
Name of individual signing MATTHEW REESE
Valid signature Filed with authorized/valid electronic signature
PBACO HOLDING, LLC 401(K) P/S PLAN 2022 825527199 2023-07-12 PBACO HOLDING, LLC 95
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-01-01
Business code 621111
Sponsor’s telephone number 5614292680
Plan sponsor’s address 2326 S CONGRESS AVE STE 2F, WEST PALM BEACH, FL, 33406

Plan administrator’s name and address
Administrator’s EIN 825527199
Plan administrator’s name PBACO HOLDING, LLC
Plan administrator’s address 2326 S CONGRESS AVE STE 2F, WEST PALM BEACH, FL, 33406
Administrator’s telephone number 5614292680

Signature of
Role Plan administrator
Date 2023-07-12
Name of individual signing COLIN CAMPBELL
Valid signature Filed with authorized/valid electronic signature
PBACO HOLDING, LLC 401(K) P/S PLAN 2021 825527199 2022-05-31 PBACO HOLDING, LLC 78
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-01-01
Business code 621111
Sponsor’s telephone number 5614292680
Plan sponsor’s address 2326 S CONGRESS AVE STE 2F, WEST PALM BEACH, FL, 33406

Plan administrator’s name and address
Administrator’s EIN 825527199
Plan administrator’s name PBACO HOLDING, LLC
Plan administrator’s address 2326 S CONGRESS AVE STE 2F, WEST PALM BEACH, FL, 33406
Administrator’s telephone number 5614292680

Signature of
Role Plan administrator
Date 2022-05-31
Name of individual signing COLIN CAMPBELL
Valid signature Filed with authorized/valid electronic signature
PBACO HOLDING, LLC 401(K) P/S PLAN 2020 825527199 2021-08-24 PBACO HOLDING, LLC 58
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-01-01
Business code 621111
Sponsor’s telephone number 5614292680
Plan sponsor’s address 2326 S CONGRESS AVE STE 2F, WEST PALM BEACH, FL, 33406

Plan administrator’s name and address
Administrator’s EIN 825527199
Plan administrator’s name PBACO HOLDING, LLC
Plan administrator’s address 2326 S CONGRESS AVE STE 2F, WEST PALM BEACH, FL, 33406
Administrator’s telephone number 5614292680

Signature of
Role Plan administrator
Date 2021-08-24
Name of individual signing COLIN CAMPBELL
Valid signature Filed with authorized/valid electronic signature
PBACO HOLDING, LLC 401(K) P/S PLAN 2019 825527199 2020-07-15 PBACO HOLDING, LLC 47
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-01-01
Business code 621111
Sponsor’s telephone number 5614292680
Plan sponsor’s address 2326 S CONGRESS AVE STE 2F, WEST PALM BEACH, FL, 33406

Plan administrator’s name and address
Administrator’s EIN 825527199
Plan administrator’s name PBACO HOLDING, LLC
Plan administrator’s address 2326 S CONGRESS AVE STE 2F, WEST PALM BEACH, FL, 33406
Administrator’s telephone number 5614292680

Signature of
Role Plan administrator
Date 2020-07-15
Name of individual signing COLIN CAMPBELL
Valid signature Filed with authorized/valid electronic signature
PBACO HOLDING, LLC 401(K) P/S PLAN 2018 825527199 2019-05-20 PBACO HOLDING, LLC 52
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-01-01
Business code 621111
Sponsor’s telephone number 5614292680
Plan sponsor’s address 2326 S CONGRESS AVE STE 2F, WEST PALM BEACH, FL, 33406

Plan administrator’s name and address
Administrator’s EIN 825527199
Plan administrator’s name PBACO HOLDING, LLC
Plan administrator’s address 2326 S CONGRESS AVE STE 2F, WEST PALM BEACH, FL, 33406
Administrator’s telephone number 5614292680

Signature of
Role Plan administrator
Date 2019-05-20
Name of individual signing COLIN CAMPBELL
Valid signature Filed with authorized/valid electronic signature

Key Officers & Management

Name Role Address
BANSAL RAJENDRA DR. Manager 2326 S. CONGRESS AVE. SUITE 2F, PALM SPRINGS, FL, 33406
DANDIYA ROHIT DR. Manager 2326 S. CONGRESS AVE. SUITE 2F, PALM SPRINGS, FL, 33406
SINCLAIR MICHAEL DR. Manager 2326 S. CONGRESS AVE. SUITE 2F, PALM SPRINGS, FL, 33406
HANSEN ARTHUR DR. Agent 2326 S. CONGRESS AVE., PALM SPRINGS, FL, 33406

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G24000112472 PBACO ACTIVE 2024-09-09 2029-12-31 - 2326 S. CONGRESS AVE, SUITE 2F, PALM SPRINGS, FL, 33406
G19000022000 PALM BEACH ACCOUNTABLE CARE ORGANIZATION ACTIVE 2019-02-13 2029-12-31 - 2326 S. CONGRESS AVE, SUITE 2F, SUITE 2F, PALM SPRINGS, FL, 33406
G19000021986 PALM BEACH ACO ACTIVE 2019-02-13 2029-12-31 - 2326 S. CONGRESS AVE, SUITE 2F, PALM SPRINGS, FL, 33406--761
G18000058937 PBACO EXPIRED 2018-05-15 2023-12-31 - 2326 S CONGRESS AVE STE 2F, PALM SPRINGS, FL, 33406

Documents

Name Date
ANNUAL REPORT 2024-01-05
ANNUAL REPORT 2023-03-20
ANNUAL REPORT 2022-04-05
ANNUAL REPORT 2021-04-08
ANNUAL REPORT 2020-06-25
ANNUAL REPORT 2019-04-24
Florida Limited Liability 2018-04-30

Paycheck Protection Program

Loan Number Loan Funded Date SBA Origination Office Code Loan Delivery Method Borrower Street Address
4101987210 2020-04-27 0455 PPP 2326 S. Congress Ave Ste F, WEST PALM BEACH, FL, 33406-7617
Loan Status Date 2021-02-11
Loan Status Paid in Full
Loan Maturity in Months 24
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 747112.32
Loan Approval Amount (current) 747112.32
Undisbursed Amount 0
Franchise Name -
Lender Location ID 19435
Servicing Lender Name Pinnacle Bank
Servicing Lender Address 884 Elbert St, ELBERTON, GA, 30635-2628
Rural or Urban Indicator U
Hubzone Y
LMI Y
Business Age Description Existing or more than 2 years old
Project Address WEST PALM BEACH, PALM BEACH, FL, 33406-7617
Project Congressional District FL-22
Number of Employees 62
NAICS code 621111
Borrower Race Unanswered
Borrower Ethnicity Unknown/NotStated
Business Type Limited Liability Company(LLC)
Originating Lender ID 19435
Originating Lender Name Pinnacle Bank
Originating Lender Address ELBERTON, GA
Gender Unanswered
Veteran Unanswered
Forgiveness Amount 752611.9
Forgiveness Paid Date 2021-01-20

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Companies related by address

2326 S. CONGRESS AVE., SUITE 2F, PALM SPRINGS, FL, 33406, US

PBACO R, LLC PB INVESTOR GROUP, LLC PALM BEACH PHYSICIANS HEALTH SERVICES, LLC PALM BEACH HEALTH SERVICES, LLC

2326 S. CONGRESS AVE., SUITE 2F, PALM SPRINGS, FL, 33406, US

PBACO R, LLC PB INVESTOR GROUP, LLC PALM BEACH PHYSICIANS HEALTH SERVICES, LLC PALM BEACH HEALTH SERVICES, LLC

Date of last update: 02 Mar 2025

Sources: Florida Department of State

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