| Entity Name: | PLATINUM MEDICAL ADMINISTRATION LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: |
Florida Limited Liability Co.
PLATINUM MEDICAL ADMINISTRATION 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. |
| Status: |
Inactive
The business entity is inactive. This status may signal operational issues or voluntary closure, raising concerns about the business's ability to repay loans and requiring careful risk assessment by lenders. |
| Date Filed: | 17 Apr 2019 (6 years ago) |
| Date of dissolution: | 27 Sep 2024 (7 months ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 27 Sep 2024 (7 months ago) |
| Document Number: | L19000105390 |
| FEI/EIN Number |
834538696
Federal Employer Identification (FEI) Number assigned by the IRS. |
| Address: | 5318 W CRENSHAW ST, TAMPA, FL, 33634, US |
| Mail Address: | 5318 W CRENSHAW ST, TAMPA, FL, 33634, US |
| ZIP code: | 33634 |
| County: | Hillsborough |
| Place of Formation: | FLORIDA |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| PLATINUM MEDICAL ADMINISTRATION, LLC 401K | 2021 | 834538696 | 2022-07-11 | PLATINUM MEDICAL ADMINISTRATION, | 20 | |||||||||||||||||||||||
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| Role | Plan administrator |
| Date | 2022-07-11 |
| Name of individual signing | JULIE KOCH |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2019-01-01 |
| Business code | 524210 |
| Sponsor’s telephone number | 8133216819 |
| Plan sponsor’s address | 5318 W CRENSHAW STREET, TAMPA, FL, 33634 |
Signature of
| Role | Plan administrator |
| Date | 2021-09-09 |
| Name of individual signing | JULIE KOCH |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2019-01-01 |
| Business code | 524210 |
| Sponsor’s telephone number | 8133216819 |
| Plan sponsor’s address | 5318 W CRENSHAW STREET, TAMPA, FL, 33634 |
Signature of
| Role | Plan administrator |
| Date | 2020-07-30 |
| Name of individual signing | JULIE KOCH |
| Valid signature | Filed with authorized/valid electronic signature |
| Name | Role | Address |
|---|---|---|
| PLATINUM WEALTH VENTURE, LLC | Agent | - |
| POTTER DAVID L | Authorized Member | 5318 W CRENSHAW ST, TAMPA, FL, 33634 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2024-09-27 | - | - |
| LC DISSOCIATION MEM | 2021-06-07 | - | - |
| REGISTERED AGENT ADDRESS CHANGED | 2020-06-24 | 5318 W CRENSHAW ST, TAMPA, FL 33634 | - |
| LC AMENDMENT | 2019-12-23 | - | - |
| CHANGE OF PRINCIPAL ADDRESS | 2019-12-23 | 5318 W CRENSHAW ST, TAMPA, FL 33634 | - |
| CHANGE OF MAILING ADDRESS | 2019-12-23 | 5318 W CRENSHAW ST, TAMPA, FL 33634 | - |
| Document Number | Status | Case Number | Name of Court | Date of Entry | Expiration Date | Amount Due | Plaintiff |
|---|---|---|---|---|---|---|---|
| J22000312597 | ACTIVE | 1000000926552 | HILLSBOROU | 2022-06-22 | 2032-06-29 | $ 2,542.57 | STATE OF FLORIDA, DEPARTMENT OF REVENUE, TAMPA SERVICE CENTER, 5483 W WATERS AVE STE 1210, TAMPA FL336341236 |
| J22000056921 | ACTIVE | 1000000912513 | HILLSBOROU | 2022-01-12 | 2032-02-02 | $ 4,110.64 | STATE OF FLORIDA, DEPARTMENT OF REVENUE, TAMPA SERVICE CENTER, 5483 W WATERS AVE STE 1210, TAMPA FL336341236 |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2023-02-08 |
| ANNUAL REPORT | 2022-05-02 |
| CORLCDSMEM | 2021-06-07 |
| ANNUAL REPORT | 2021-04-30 |
| ANNUAL REPORT | 2020-06-24 |
| LC Amendment | 2019-12-23 |
| Florida Limited Liability | 2019-04-17 |
| Loan Number | Loan Funded Date | SBA Origination Office Code | Loan Delivery Method | Borrower Street Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| 8971298409 | 2021-02-14 | 0455 | PPS | 5318 W Crenshaw St, Tampa, FL, 33634-2407 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| 4136907110 | 2020-04-12 | 0455 | PPP | 5318 W Crenshaw St, TAMPA, FL, 33634-2407 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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Date of last update: 01 May 2025
Sources: Florida Department of State
