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BROWARD COUNTY MEDICAL ASSOCIATION, INC. - Florida Company Profile

Company Details

Entity Name: BROWARD COUNTY MEDICAL ASSOCIATION, INC.
Jurisdiction: FLORIDA
Filing Type: Domestic Non-Profit
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: 10 Jun 1988 (37 years ago)
Last Event: CANCEL ADM DISS/REV
Event Date Filed: 19 Sep 2005 (20 years ago)
Document Number: N26889
FEI/EIN Number 590834012

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

Address: 5101 NW 21 AVE, S-510, FT. LAUDERDALE, FL, 33309, US
Mail Address: 5101 NW 21 AVE, S-510, FT. LAUDERDALE, FL, 33309, US
ZIP code: 33309
County: Broward
Place of Formation: FLORIDA

Key Officers & Management

Name Role Address
FATTEH SHAHNAZ M.D. Director 5101 NW 21 AVE. SUITE 510, FT. LAUDERDALE, FL, 33309
ZAGHA RALPH M.D. Director 5101 NW 21 AVE, SUITE 510, FT. LAUDERDALE, FL, 33309
CHANDRAN KUTTY M.D. Director 5101 NW 21 AVE., SUITE 510, FT. LAUDERDALE, FL, 33309
FERNANDEZ VANIA EM.D. Director 5101 NW 21 AVE, FT. LAUDERDALE, FL, 33309
KENIGSBERG DAVID M.D. Director 5101 NW 21ST AVE. SUITE 510, FT. LAUDERDALE, FL, 33309
Wong Antonio M.D. President 5101 NW 21 AVE, FT. LAUDERDALE, FL, 33309
CYNTHIA PETERSON Agent 5101 NW 21 AVENUE, FT. LAUDERDALE, FL, 33309

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2022-04-28 5101 NW 21 AVE, S-510, FT. LAUDERDALE, FL 33309 -
CHANGE OF MAILING ADDRESS 2022-04-28 5101 NW 21 AVE, S-510, FT. LAUDERDALE, FL 33309 -
REGISTERED AGENT ADDRESS CHANGED 2022-04-28 5101 NW 21 AVENUE, SUITE S-510, FT. LAUDERDALE, FL 33309 -
CANCEL ADM DISS/REV 2005-09-19 - -
ADMIN DISSOLUTION FOR ANNUAL REPORT 2005-09-16 - -
REGISTERED AGENT NAME CHANGED 1991-05-15 CYNTHIA PETERSON -

Documents

Name Date
ANNUAL REPORT 2024-04-30
ANNUAL REPORT 2023-04-07
ANNUAL REPORT 2022-04-28
ANNUAL REPORT 2021-04-26
ANNUAL REPORT 2020-06-30
ANNUAL REPORT 2019-04-30
ANNUAL REPORT 2018-05-03
ANNUAL REPORT 2017-04-28
ANNUAL REPORT 2016-04-28
ANNUAL REPORT 2015-04-30

Tax Exempt

EIN Type of Organization Exempt Organization Status Address Ruling Date
59-0834012 Association Unconditional Exemption 319 S GLEN ARVEN AVE, TEMPLE TERR, FL, 33617-6301 2004-10
In Care of Name % CYNTHIA PETERSON
Group Exemption Number 0000
Subsection Board of Trade, Business League, Chamber of Commerce, Real Estate Board
Affiliation Independent - This code is used if the organization is an independent organization or an independent auxiliary (i.e., not affiliated with a National, Regional, or Geographic grouping of organizations).
Classification Government Instrumentality, Title-Holding Corporation, Charitable Organization, Agricultural Organization, Board of Trade, Pleasure, Recreational, or Social Club, Fraternal Beneficiary Society, Order or Association, Voluntary Employees' Beneficiary Association (Non-Govt. Emps.), Domestic Fraternal Societies and Associations, Teachers Retirement Fund Assoc., Benevolent Life Insurance Assoc., Burial Association, Credit Union, Mutual Insurance Company or Assoc. Other Than Life or Marine, Corp. Financing Crop Operations, Supplemental Unemployment Compensation Trust or Plan, Employee Funded Pension Trust (Created Before 6/25/59), Post or Organization of War Veterans, Legal Service Organization, Black Lung Trust, Multiemployer Pension Plan, Veterans Assoc. Formed Prior to 1880, Trust Described in Sect. 4049 of ERISA, Title Holding Co. for Pensions, etc., State-Sponsored High Risk Health Insurance Organizations, State-Sponsored Workers' Compensation Reinsurance, ACA 1322 Qualified Nonprofit Health Insurance Issuers, Apostolic and Religious Org. (501(d)), Cooperative Hospital Service Organization (501(e)), Cooperative Service Organization of Operating Educational Organization (501(f)), Child Care Organization (501(k)), Charitable Risk Pool, Qualified State-Sponsored Tuition Program, 4947(a)(1) - Private Foundation (Form 990PF Filer)
Deductibility Contributions are not deductible.
Foundation All organizations except 501(c)(3)
Tax Period 2022-12
Asset 100,000 to 499,999
Income 100,000 to 499,999
Filing Requirement 990 (all other) or 990EZ return
PF Filing Requirement No 990-PF return
Accounting Period Dec
Asset Amount 246100
Income Amount 282432
Form 990 Revenue Amount 159500
National Taxonomy of Exempt Entities -
Sort Name BROWARD CO MEDICAL ASSOCIATION

Copies of Returns (990, 990-EZ, 990-PF, 990-T)

Organization Name BROWARD COUNTY MEDICAL ASSOCIATION INC
EIN 59-0834012
Tax Period 202212
Filing Type E
Return Type 990O
File View File
Organization Name BROWARD COUNTY MEDICAL ASSOCIATION INC
EIN 59-0834012
Tax Period 202112
Filing Type E
Return Type 990O
File View File
Organization Name BROWARD COUNTY MEDICAL ASSOCIATION INC
EIN 59-0834012
Tax Period 202012
Filing Type E
Return Type 990O
File View File
Organization Name BROWARD COUNTY MEDICAL ASSOCIATION INC
EIN 59-0834012
Tax Period 201812
Filing Type E
Return Type 990O
File View File
Organization Name BROWARD COUNTY MEDICAL ASSOCIATION INC
EIN 59-0834012
Tax Period 201712
Filing Type E
Return Type 990O
File View File
Organization Name BROWARD COUNTY MEDICAL ASSOCIATION INC
EIN 59-0834012
Tax Period 201612
Filing Type E
Return Type 990O
File View File
Organization Name BROWARD COUNTY MEDICAL ASSOCIATION INC
EIN 59-0834012
Tax Period 201512
Filing Type E
Return Type 990O
File View File

Paycheck Protection Program

Loan Number Loan Funded Date SBA Origination Office Code Loan Delivery Method Borrower Street Address
8784147201 2020-04-28 0455 PPP 5101 NW 21ST AVENUE, STE 450, Fort Lauderdale, FL, 33309
Loan Status Date 2021-07-14
Loan Status Paid in Full
Loan Maturity in Months 24
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 19405.68
Loan Approval Amount (current) 19405.68
Undisbursed Amount 0
Franchise Name -
Lender Location ID 4392
Servicing Lender Name Centennial Bank
Servicing Lender Address 620 Chestnut St, CONWAY, AR, 72032-5404
Rural or Urban Indicator U
Hubzone Y
LMI Y
Business Age Description Existing or more than 2 years old
Project Address Fort Lauderdale, BROWARD, FL, 33309-0001
Project Congressional District FL-20
Number of Employees 2
NAICS code 813920
Borrower Race Unanswered
Borrower Ethnicity Unknown/NotStated
Business Type Corporation
Originating Lender ID 4392
Originating Lender Name Centennial Bank
Originating Lender Address CONWAY, AR
Gender Female Owned
Veteran Unanswered
Forgiveness Amount 19611.97
Forgiveness Paid Date 2021-06-01

Date of last update: 03 Mar 2025

Sources: Florida Department of State