KP PHYSICIAN ASSISTANT, LLC

Company Details

Entity Name:	KP PHYSICIAN ASSISTANT, LLC
Jurisdiction:	FLORIDA
Filing Type:	Florida Limited Liability Company
Status:	Inactive
Date Filed:	03 Sep 2019 (5 years ago)
Date of dissolution:	24 Sep 2021 (3 years ago)
Last Event:	ADMIN DISSOLUTION FOR ANNUAL REPORT
Event Date Filed:	24 Sep 2021 (3 years ago)
Document Number:	L19000223330
FEI/EIN Number	84-3040215
Address:	7901 4TH ST N, STE 300, ST. PETERSBURG, FL 33702
Mail Address:	7901 4TH ST N, STE 300, ST. PETERSBURG, FL 33702
ZIP code:	33702
County:	Pinellas
Place of Formation:	FLORIDA

Name	Role
NORTHWEST REGISTERED AGENT LLC	Agent

Name	Role	Address
PATTERSON, KIRSTEN	Authorized Member	6318 Rivo Lakes Blvd, Sarasota, FL 34241

Event Type	Filed Date	Value	Description
CHANGE OF PRINCIPAL ADDRESS	2025-04-01	7901 4TH ST N, STE 300, ST. PETERSBURG, FL 33702	No data
CHANGE OF MAILING ADDRESS	2025-04-01	7901 4TH ST N, STE 300, ST. PETERSBURG, FL 33702	No data
CHANGE OF PRINCIPAL ADDRESS	2024-04-01	7901 4TH ST N, STE 300, ST. PETERSBURG, FL 33702	No data
CHANGE OF MAILING ADDRESS	2024-04-01	7901 4TH ST N, STE 300, ST. PETERSBURG, FL 33702	No data
ADMIN DISSOLUTION FOR ANNUAL REPORT	2021-09-24	No data	No data

Name	Date
ANNUAL REPORT	2020-04-28
Florida Limited Liability	2019-09-03

Loan Number

Loan Funded Date

SBA Origination Office Code

Loan Delivery Method

Borrower Street Address

5001528009

2020-06-26

0455

PPP

6318 RIVO LAKES BLVD, SARASOTA, FL, 34241

Loan Status Date	2021-07-14
Loan Status	Paid in Full
Loan Maturity in Months	60
SBA Guaranty Percentage	100
Loan Approval Amount (at origination)	1354
Loan Approval Amount (current)	1354
Undisbursed Amount	0
Franchise Name	-
Lender Location ID	12096
Servicing Lender Name	Wells Fargo Bank, National Association
Servicing Lender Address	101 N Philips Ave, SIOUX FALLS, SD, 57104-6738
Rural or Urban Indicator	U
Hubzone	N
LMI	N
Business Age Description	New Business or 2 years or less
Project Address	SARASOTA, SARASOTA, FL, 34241-1000
Project Congressional District	FL-17
Number of Employees	1
NAICS code	621399
Borrower Race	Unanswered
Borrower Ethnicity	Unknown/NotStated
Business Type	Limited Liability Company(LLC)
Originating Lender ID	12096
Originating Lender Name	Wells Fargo Bank, National Association
Originating Lender Address	SIOUX FALLS, SD
Gender	Unanswered
Veteran	Unanswered
Forgiveness Amount	1366.87
Forgiveness Paid Date	2021-06-15

Date of last update: 15 Feb 2025