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  5. TAMPA BAY PLASTIC SURGERY INC.

TAMPA BAY PLASTIC SURGERY INC. - Florida Company Profile

Company Details

Entity Name: TAMPA BAY PLASTIC SURGERY INC.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit

TAMPA BAY PLASTIC SURGERY INC. is structured as a Domestic Profit Corporation, which, in Florida signifies a Profit Corporation (also known as a C-Corporation). This business structure is recognized as a separate legal entity from its owners. This offers shareholders the benefit of limited liability protection, safeguarding their personal assets from the corporation's debts and obligations, and facilitates raising capital through the issuance of stock. In Florida, Domestic Profit Corporations are governed by Title XXXVI, Chapter 607, Florida Statutes – Florida Business Corporation 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: 02 Feb 2000 (25 years ago)
Last Event: CANCEL ADM DISS/REV
Event Date Filed: 29 Oct 2007 (17 years ago)
Document Number: P00000011590
FEI/EIN Number 593644408

Federal Employer Identification (FEI) Number assigned by the IRS.
Address: 120 S FREMONT AVE, TAMPA, FL, 33606
Mail Address: 120 S FREMONT AVE, TAMPA, FL, 33606
ZIP code: 33606
County: Hillsborough
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1932378650 2008-02-27 2008-02-27 120 S FREMONT AVE, TAMPA, FL, 336061703, US 120 S FREMONT AVE, TAMPA, FL, 336061703, US

Contacts
Phone +1 813-871-5000
Fax 8132500108

Authorized person
Name DR. DAVID E HALPERN
Role OWNER
Phone 8138715000

Taxonomy
Taxonomy Code 174400000X - Specialist
License Number ME0078789
State FL
Is Primary Yes

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
TAMPA BAY PLASTIC SURGERY, INC. 401K PROFIT SHARING PLAN 2023 593644408 2024-07-01 TAMPA BAY PLASTIC SURGERY INC 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-01-01
Business code 541600
Sponsor’s telephone number 8138715000
Plan sponsor’s address 120 S FREMONT AVE, TAMPA, FL, 33606

Signature of
Role Plan administrator
Date 2024-07-02
Name of individual signing TAMPA BAY PLASTIC SURGERY 401K
Valid signature Filed with authorized/valid electronic signature
TAMPA BAY PLASTIC SURGERY, INC. 401K PROFIT SHARING PLAN 2022 593644408 2023-07-24 TAMPA BAY PLASTIC SURGERY INC 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-01-01
Business code 541600
Sponsor’s telephone number 8138715000
Plan sponsor’s address 120 S FREMONT AVE, TAMPA, FL, 33606

Signature of
Role Plan administrator
Date 2023-07-24
Name of individual signing DAVID HALPERN MD
Valid signature Filed with authorized/valid electronic signature
TAMPA BAY PLASTIC SURGERY 401K PROFIT SHARING PLA 2021 593644408 2022-07-20 TAMPA BAY PLASTIC SURGERY INC 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-01-01
Business code 541600
Sponsor’s telephone number 8138715000
Plan sponsor’s address 120 S FREMONT AVE, TAMPA, FL, 33606

Signature of
Role Plan administrator
Date 2022-07-20
Name of individual signing DAVID HALPERN MD
Valid signature Filed with authorized/valid electronic signature
TAMPA BAY PLASTIC SURGERY 401K PROFIT SHARING PLA 2020 593644408 2021-07-13 TAMPA BAY PLASTIC SURGERY INC 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-01-01
Business code 541600
Sponsor’s telephone number 8138715000
Plan sponsor’s address 120 S FREMONT AVE, TAMPA, FL, 33606

Signature of
Role Plan administrator
Date 2021-07-13
Name of individual signing DAVID HALPERN MD
Valid signature Filed with authorized/valid electronic signature
TAMPA BAY PLASTIC SURGERY 401K PROFIT SHARING PLA 2019 593644408 2020-06-24 TAMPA BAY PLASTIC SURGERY INC 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-01-01
Business code 541600
Sponsor’s telephone number 8138715000
Plan sponsor’s address 120 S FREMONT AVE, TAMPA, FL, 33606

Signature of
Role Plan administrator
Date 2020-06-24
Name of individual signing DAVID HALPERN
Valid signature Filed with authorized/valid electronic signature
TAMPA BAY PLASTIC SURGERY 401K PROFIT SHARING PLA 2018 593644408 2019-07-30 TAMPA BAY PLASTIC SURGERY INC 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-01-01
Business code 541600
Sponsor’s telephone number 8138715000
Plan sponsor’s address 120 S FREMONT AVE, TAMPA, FL, 33606

Signature of
Role Plan administrator
Date 2019-07-30
Name of individual signing DAVID HALPERN
Valid signature Filed with authorized/valid electronic signature
TAMPA BAY PLASTIC SURGERY 401K PROFIT SHARING PLA 2017 593644408 2018-10-11 TAMPA BAY PLASTIC SURGERY INC 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-01-01
Business code 541600
Sponsor’s telephone number 8138715000
Plan sponsor’s address 120 S FREMONT AVE, TAMPA, FL, 33606

Signature of
Role Plan administrator
Date 2018-10-11
Name of individual signing DAVID HALPERN
Valid signature Filed with authorized/valid electronic signature
TAMPA BAY PLASTIC SURGERY 401K PROFIT SHARING PLA 2016 593644408 2017-08-16 TAMPA BAY PLASTIC SURGERY 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-01-01
Business code 621111
Sponsor’s telephone number 8138715000
Plan sponsor’s address 120 SOUTH FREMONT AVENUE, TAMPA, FL, 336061703
TAMPA BAY PLASTIC SURGERY 401K PROFIT SHARING PLA 2015 593644408 2016-08-11 TAMPA BAY PLASTIC SURGERY 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-01-01
Business code 621111
Sponsor’s telephone number 8138715000
Plan sponsor’s address 120 SOUTH FREMONT AVENUE, TAMPA, FL, 336061703
TAMPA BAY PLASTIC SURGERY 401K PROFIT SHARING PLA 2014 593644408 2015-09-16 TAMPA BAY PLASTIC SURGERY 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-01-01
Business code 621111
Sponsor’s telephone number 8138715000
Plan sponsor’s address 120 SOUTH FREMONT AVENUE, TAMPA, FL, 336061703

Signature of
Role Plan administrator
Date 2015-09-16
Name of individual signing DAVID E. HALPERN, MD
Valid signature Filed with authorized/valid electronic signature

Key Officers & Management

Name Role Address
HALPERN DAVID E President 91 MARTINIQUE AVE, TAMPA, FL, 33606
HALPERN DAVID Agent 120 S FREMONT AVE, TAMPA, FL, 33606

Events

Event Type Filed Date Value Description
CANCEL ADM DISS/REV 2007-10-29 - -
ADMIN DISSOLUTION FOR ANNUAL REPORT 2007-09-14 - -
CANCEL ADM DISS/REV 2005-10-07 - -
ADMIN DISSOLUTION FOR ANNUAL REPORT 2005-09-16 - -
CANCEL ADM DISS/REV 2004-10-22 - -
ADMIN DISSOLUTION FOR ANNUAL REPORT 2004-10-01 - -
REGISTERED AGENT ADDRESS CHANGED 2003-11-06 120 S FREMONT AVE, TAMPA, FL 33606 -
CANCEL ADM DISS/REV 2003-11-06 - -
CHANGE OF PRINCIPAL ADDRESS 2003-11-06 120 S FREMONT AVE, TAMPA, FL 33606 -
CHANGE OF MAILING ADDRESS 2003-11-06 120 S FREMONT AVE, TAMPA, FL 33606 -

Documents

Name Date
ANNUAL REPORT 2024-02-07
ANNUAL REPORT 2023-04-25
ANNUAL REPORT 2022-02-08
ANNUAL REPORT 2021-01-20
ANNUAL REPORT 2020-07-23
ANNUAL REPORT 2019-01-23
ANNUAL REPORT 2018-01-16
ANNUAL REPORT 2017-05-01
ANNUAL REPORT 2016-04-29
ANNUAL REPORT 2015-01-31

Paycheck Protection Program

Loan Number Loan Funded Date SBA Origination Office Code Loan Delivery Method Borrower Street Address
5227677309 2020-04-30 0455 PPP 120 S FREMONT AVE, TAMPA, FL, 33606-1703
Loan Status Date 2021-04-16
Loan Status Paid in Full
Loan Maturity in Months 24
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 48666
Loan Approval Amount (current) 48666
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 Y
Business Age Description Existing or more than 2 years old
Project Address TAMPA, HILLSBOROUGH, FL, 33606-1703
Project Congressional District FL-14
Number of Employees 7
NAICS code 621112
Borrower Race Unanswered
Borrower Ethnicity Unknown/NotStated
Business Type Corporation
Originating Lender ID 9551
Originating Lender Name Bank of America, National Association
Originating Lender Address CHARLOTTE, NC
Gender Unanswered
Veteran Unanswered
Forgiveness Amount 49092.66
Forgiveness Paid Date 2021-03-17

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Companies related by address

120 S FREMONT AVE, TAMPA, FL, 33606

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120 S FREMONT AVE, TAMPA, FL, 33606

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Date of last update: 01 Apr 2025

Sources: Florida Department of State

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