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CHILDRENS HEALTH CENTER, INC. - Florida Company Profile

Company Details

Entity Name: CHILDRENS HEALTH CENTER, INC.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit

CHILDRENS HEALTH CENTER, 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: 09 Feb 2001 (24 years ago)
Document Number: P01000015625
FEI/EIN Number 593698701

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

Address: 11464 N. 53RD STREET, TAMPA, FL, 33617
Mail Address: 11464 N. 53RD STREET, TAMPA, FL, 33617
ZIP code: 33617
County: Hillsborough
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1467857268 2014-10-23 2023-01-06 11464 N 53RD ST, TAMPA, FL, 336172216, US 11464 N 53RD ST, TAMPA, FL, 336172216, US

Contacts

Phone +1 813-914-7772

Authorized person

Name DR. ELIZABETH YAKUBU
Role M.D
Phone 8139147772

Taxonomy

Taxonomy Code 208000000X - Pediatrics Physician
Is Primary Yes

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
CHILDREN'S HEALTH CENTER 401(K) PLAN 2023 593698701 2024-07-23 CHILDRENS HEALTH CENTER INC 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2020-01-01
Business code 621111
Sponsor’s telephone number 8139147772
Plan sponsor’s address 11464 N 53RD STREET, TAMPA, FL, 33617

Plan administrator’s name and address

Administrator’s EIN 621874769
Plan administrator’s name ADMINISTRATIVE GROUP, LLC DBA TAG RESOURCES
Plan administrator’s address 6501 DEANE HILL DRIVE, KNOXVILLE, TN, 37919
Administrator’s telephone number 8656701844

Signature of

Role Plan administrator
Date 2024-07-23
Name of individual signing TARA EVANS
Valid signature Filed with authorized/valid electronic signature
CHILDRENS HEALTH CENTER 401(K) PLAN 2022 593698701 2023-07-20 CHILDRENS HEALTH CENTER INC 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2020-01-01
Business code 621111
Sponsor’s telephone number 8139147772
Plan sponsor’s address 11464 N 53RD STREET, TAMPA, FL, 33617

Plan administrator’s name and address

Administrator’s EIN 621874769
Plan administrator’s name ADMINISTRATIVE GROUP, LLC DBA TAG RESOURCES
Plan administrator’s address 6501 DEANE HILL DRIVE, KNOXVILLE, TN, 37919
Administrator’s telephone number 8656701844

Signature of

Role Plan administrator
Date 2023-07-20
Name of individual signing TARA EVANS
Valid signature Filed with authorized/valid electronic signature
CHILDRENS HEALTH CENTER 401(K) PLAN 2021 593698701 2022-07-25 CHILDRENS HEALTH CENTER INC 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2020-01-01
Business code 621111
Sponsor’s telephone number 8139147772
Plan sponsor’s address 11464 N 53RD STREET, TAMPA, FL, 33617

Plan administrator’s name and address

Administrator’s EIN 621874769
Plan administrator’s name TAG RESOURCES LLC
Plan administrator’s address 6501 DEANE HILL DRIVE, KNOXVILLE, TN, 37919
Administrator’s telephone number 8656701844

Signature of

Role Plan administrator
Date 2022-07-25
Name of individual signing TARA EVANS
Valid signature Filed with authorized/valid electronic signature
CHILDRENS HEALTH CENTER 401(K) PLAN 2020 593698701 2021-07-09 CHILDRENS HEALTH CENTER INC 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2020-01-01
Business code 621111
Sponsor’s telephone number 8139147772
Plan sponsor’s address 11464 N 53RD STREET, TAMPA, FL, 33617

Plan administrator’s name and address

Administrator’s EIN 621874769
Plan administrator’s name TAG RESOURCES LLC
Plan administrator’s address 6501 DEANE HILL DRIVE, KNOXVILLE, TN, 37919
Administrator’s telephone number 8656701844

Signature of

Role Plan administrator
Date 2021-07-09
Name of individual signing PHIL TISUE
Valid signature Filed with authorized/valid electronic signature

Key Officers & Management

Name Role Address
YAKUBU ELIZABETH President 5016 LONDONBERRY DR., TAMPA, FL, 33637
YAKUBU ELIZABETH Secretary 5016 LONDONBERRY DR., TAMPA, FL, 33637
YAKUBU ELIZABETH Treasurer 5016 LONDONBERRY DR., TAMPA, FL, 33637
YAKUBU ELIZABETH Director 5016 LONDONBERRY DR., TAMPA, FL, 33637
YAKUBU ELIZABETH Agent 11464 N. 53RD STREET, TAMPA, FL, 33617

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2009-04-27 11464 N. 53RD STREET, TAMPA, FL 33617 -
CHANGE OF MAILING ADDRESS 2009-04-27 11464 N. 53RD STREET, TAMPA, FL 33617 -
REGISTERED AGENT ADDRESS CHANGED 2009-04-27 11464 N. 53RD STREET, TAMPA, FL 33617 -
REGISTERED AGENT NAME CHANGED 2007-04-29 YAKUBU, ELIZABETH -

Documents

Name Date
ANNUAL REPORT 2024-04-05
ANNUAL REPORT 2023-04-26
ANNUAL REPORT 2022-04-01
ANNUAL REPORT 2021-03-26
ANNUAL REPORT 2020-02-24
ANNUAL REPORT 2019-02-13
ANNUAL REPORT 2018-04-27
ANNUAL REPORT 2017-04-28
ANNUAL REPORT 2016-04-29
ANNUAL REPORT 2015-02-03

Paycheck Protection Program

Loan Number Loan Funded Date SBA Origination Office Code Loan Delivery Method Borrower Street Address
3635778507 2021-02-24 0455 PPS 10320 N. 56TH STREET STES B&K, TEMPLE TERRACE, FL, 33617
Loan Status Date 2022-04-16
Loan Status Paid in Full
Loan Maturity in Months 60
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 94170
Loan Approval Amount (current) 94170
Undisbursed Amount 0
Franchise Name -
Lender Location ID 529471
Servicing Lender Name Itria Ventures LLC
Servicing Lender Address One Penn Plaza, Suite 4530, New York, NY, 10119
Rural or Urban Indicator U
Hubzone Y
LMI N
Business Age Description Existing or more than 2 years old
Project Address TEMPLE TERRACE, HILLSBOROUGH, FL, 33617
Project Congressional District FL-14
Number of Employees 12
NAICS code 621111
Borrower Race Black or African American
Borrower Ethnicity Not Hispanic or Latino
Business Type Corporation
Originating Lender ID 529471
Originating Lender Name Itria Ventures LLC
Originating Lender Address New York, NY
Gender Female Owned
Veteran Non-Veteran
Forgiveness Amount 95132.63
Forgiveness Paid Date 2022-03-23
6420647710 2020-05-03 0455 PPP 11464 N 53RD ST, TAMPA, FL, 33617-2216
Loan Status Date 2021-05-19
Loan Status Paid in Full
Loan Maturity in Months 24
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 71622
Loan Approval Amount (current) 71622
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 TAMPA, HILLSBOROUGH, FL, 33617-2216
Project Congressional District FL-15
Number of Employees 15
NAICS code -
Borrower Race Black or African American
Borrower Ethnicity Not Hispanic or Latino
Business Type Corporation
Originating Lender ID 9551
Originating Lender Name Bank of America, National Association
Originating Lender Address CHARLOTTE, NC
Gender Female Owned
Veteran Non-Veteran
Forgiveness Amount 72285.24
Forgiveness Paid Date 2021-04-08

Date of last update: 02 Apr 2025

Sources: Florida Department of State