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COASTAL TREATMENT CENTER, CLEARWATER LLC - Florida Company Profile

Company Details

Entity Name: COASTAL TREATMENT CENTER, CLEARWATER LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.

COASTAL TREATMENT CENTER, CLEARWATER 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: 21 May 2018 (7 years ago)
Document Number: L18000127319
FEI/EIN Number 83-0644779

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

Address: 2120 RANGE ROAD, CLEARWATER, FL, 33765
Mail Address: 28059 US Hwy 19, Clearwater, FL, 33761, US
ZIP code: 33765
County: Pinellas
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1992284285 2018-08-08 2019-06-13 2120 RANGE RD, CLEARWATER, FL, 337652125, US 2120 RANGE RD, CLEARWATER, FL, 33765, US

Contacts

Phone +1 727-205-7077

Authorized person

Name CHRISTOPHER WRIGHT FOX
Role PRESIDENT
Phone 3105477501

Taxonomy

Taxonomy Code 261QM0850X - Adult Mental Health Clinic/Center
Is Primary No
Taxonomy Code 320800000X - Mental Illness Community Based Residential Treatment Facility
Is Primary Yes

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
THE WAVE INTERNATIONAL 401(K) PLAN 2020 830644779 2021-10-15 COASTAL TREATMENT CENTER, CLEARWATER 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2020-01-01
Business code 623000
Sponsor’s telephone number 3524422643
Plan sponsor’s address 2120 RANGE ROAD, CLEARWATER, FL, 33765

Signature of

Role Plan administrator
Date 2021-10-15
Name of individual signing ASHLEE BRYANT
Valid signature Filed with authorized/valid electronic signature

Key Officers & Management

Name Role Address
Chris Fox Auth 28059 US Hwy 19, Clearwater, FL, 33761
FOX CHRIS Agent 2120 RANGE ROAD, CLEARWATER, FL, 33765

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G18000087128 THE WAVE OF CLEARWATER EXPIRED 2018-08-01 2023-12-31 - 2120 RANGE ROAD, CLEARWATER, FL, 33765

Events

Event Type Filed Date Value Description
CHANGE OF MAILING ADDRESS 2021-03-11 2120 RANGE ROAD, CLEARWATER, FL 33765 -

Documents

Name Date
AMENDED ANNUAL REPORT 2024-05-21
ANNUAL REPORT 2024-04-23
ANNUAL REPORT 2023-03-28
ANNUAL REPORT 2022-03-11
ANNUAL REPORT 2021-03-11
ANNUAL REPORT 2020-01-24
ANNUAL REPORT 2019-04-30
Florida Limited Liability 2018-05-21

Paycheck Protection Program

Loan Number Loan Funded Date SBA Origination Office Code Loan Delivery Method Borrower Street Address
9494298606 2021-03-26 0455 PPS 2120 Range Rd N/A, Clearwater, FL, 33765-2125
Loan Status Date 2022-04-23
Loan Status Paid in Full
Loan Maturity in Months 60
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 212698
Loan Approval Amount (current) 212698
Undisbursed Amount 0
Franchise Name -
Lender Location ID 121536
Servicing Lender Name Customers Bank
Servicing Lender Address 40 General Warren Blvd, Malvern, PA, 19355
Rural or Urban Indicator U
Hubzone N
LMI N
Business Age Description Existing or more than 2 years old
Project Address Clearwater, PINELLAS, FL, 33765-2125
Project Congressional District FL-13
Number of Employees 32
NAICS code 623220
Borrower Race Unanswered
Borrower Ethnicity Unknown/NotStated
Business Type Limited Liability Company(LLC)
Originating Lender ID 121536
Originating Lender Name Customers Bank
Originating Lender Address Malvern, PA
Gender Unanswered
Veteran Unanswered
Forgiveness Amount 214731.74
Forgiveness Paid Date 2022-03-17
9070287701 2020-05-01 0455 PPP 2120 Range Rd, Clearwater, FL, 33765
Loan Status Date 2022-03-18
Loan Status Paid in Full
Loan Maturity in Months 24
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 212698
Loan Approval Amount (current) 212698
Undisbursed Amount 0
Franchise Name -
Lender Location ID 121536
Servicing Lender Name Customers Bank
Servicing Lender Address 40 General Warren Blvd, Malvern, PA, 19355
Rural or Urban Indicator U
Hubzone N
LMI N
Business Age Description New Business or 2 years or less
Project Address Clearwater, PINELLAS, FL, 33765-0001
Project Congressional District FL-13
Number of Employees 36
NAICS code -
Borrower Race Unanswered
Borrower Ethnicity Unknown/NotStated
Business Type Limited Liability Company(LLC)
Originating Lender ID 121536
Originating Lender Name Customers Bank
Originating Lender Address Malvern, PA
Gender Unanswered
Veteran Unanswered
Forgiveness Amount 215232.89
Forgiveness Paid Date 2021-07-13

Date of last update: 03 Apr 2025

Sources: Florida Department of State