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CHAMPION 1 TRANSPORTATION LLC

Company Details

Entity Name: CHAMPION 1 TRANSPORTATION LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Company
Status: Active
Date Filed: 15 Aug 2019 (6 years ago)
Document Number: L19000209025
FEI/EIN Number 84-2823310
Address: 1650 HOWLAND BLVD, DELTONA, FL 32738
Mail Address: 1650 HOWLAND BLVD, DELTONA, FL 32738
ZIP code: 32738
County: Volusia
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1598309577 2019-11-01 2019-11-01 1650 HOWLAND BLVD, DELTONA, FL, 327385318, US 1650 HOWLAND BLVD, DELTONA, FL, 327385318, US

Contacts

Phone +1 352-364-3475

Authorized person

Name REGINALD PERNELL
Role DIRECTOR OF OPERATIONS
Phone 3523643475

Taxonomy

Taxonomy Code 343900000X - Non-emergency Medical Transport (VAN)
Is Primary Yes

Agent

Name Role
REPUBLIC REGISTERED AGENT LLC Agent

Authorized Member

Name Role Address
PERNELL, REGINALD Authorized Member 1650 HOWLAND BLVD, DELTONA, FL 32738

Events

Event Type Filed Date Value Description
REGISTERED AGENT NAME CHANGED 2023-09-12 REPUBLIC REGISTERED AGENT LLC No data
REGISTERED AGENT ADDRESS CHANGED 2023-09-12 1150 Nw 72nd Ave Tower I Ste 455, Miami, FL 33126 No data

Documents

Name Date
ANNUAL REPORT 2024-04-05
AMENDED ANNUAL REPORT 2023-09-12
ANNUAL REPORT 2023-01-25
ANNUAL REPORT 2022-01-27
ANNUAL REPORT 2021-04-06
ANNUAL REPORT 2020-04-20
Florida Limited Liability 2019-08-15

Paycheck Protection Program

Loan Number Loan Funded Date SBA Origination Office Code Loan Delivery Method Borrower Street Address
3706217407 2020-05-07 0491 PPP 1650 HOWLAND BLVD, DELTONA, FL, 32738-5318
Loan Status Date 2021-07-16
Loan Status Paid in Full
Loan Maturity in Months 24
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 743
Loan Approval Amount (current) 743
Undisbursed Amount 0
Franchise Name -
Lender Location ID 9551
Servicing Lender Name Bank of America, National Association
Servicing Lender Address 100 N Tryon St, Ste 170, CHARLOTTE, NC, 28202-4024
Rural or Urban Indicator U
Hubzone N
LMI N
Business Age Description New Business or 2 years or less
Project Address DELTONA, VOLUSIA, FL, 32738-5318
Project Congressional District FL-07
Number of Employees 1
NAICS code 488490
Borrower Race Black or African American
Borrower Ethnicity Not Hispanic or Latino
Business Type Limited Liability Company(LLC)
Originating Lender ID 9551
Originating Lender Name Bank of America, National Association
Originating Lender Address CHARLOTTE, NC
Gender Male Owned
Veteran Unanswered
Forgiveness Amount 751.08
Forgiveness Paid Date 2021-06-10

Date of last update: 16 Feb 2025

Sources: Florida Department of State