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HOLIDAY MEDICAL ASSOCIATES, P.A. - Florida Company Profile

Company Details

Entity Name: HOLIDAY MEDICAL ASSOCIATES, P.A.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit

HOLIDAY MEDICAL ASSOCIATES, P.A. 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: 18 Dec 2001 (23 years ago)
Last Event: REINSTATEMENT
Event Date Filed: 12 Jan 2024 (a year ago)
Document Number: P01000119721
FEI/EIN Number 010557628

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

Address: 4642 DARLINGTON RD., HOLIDAY, FL, 34690
Mail Address: 4642 DARLINGTON RD., HOLIDAY, FL, 34690
ZIP code: 34690
County: Pasco
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1053306134 2005-09-15 2010-08-31 4642 DARLINGTON RD, HOLIDAY, FL, 346903906, US 4642 DARLINGTON RD, HOLIDAY, FL, 346903906, US

Contacts

Phone +1 727-938-2474
Fax 7279341579

Authorized person

Name DR. JEFFREY M DAVIS
Role PRESIDENT
Phone 7279382474

Taxonomy

Taxonomy Code 207R00000X - Internal Medicine Physician
Is Primary Yes

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
HOLIDAY MEDICAL ASSOCIATES, P.A. PROFIT SHARING PLAN 2010 010557628 2011-06-07 HOLIDAY MEDICAL ASSOCIATES, P.A. 13
Three-digit plan number (PN) 001
Effective date of plan 2003-01-01
Business code 621111
Sponsor’s telephone number 7279374892
Plan sponsor’s address 4642 DARLINGTON ROAD, HOLIDAY, FL, 346903906

Plan administrator’s name and address

Administrator’s EIN 010557628
Plan administrator’s name HOLIDAY MEDICAL ASSOCIATES, P.A.
Plan administrator’s address 4642 DARLINGTON ROAD, HOLIDAY, FL, 346903906
Administrator’s telephone number 7279374892

Signature of

Role Plan administrator
Date 2011-06-07
Name of individual signing JEFFREY DAVIS
Valid signature Filed with incorrect/unrecognized electronic signature
HOLIDAY MEDICAL ASSOCIATES, P.A. PROFIT SHARING PLAN 2010 010557628 2011-06-07 HOLIDAY MEDICAL ASSOCIATES, P.A. 13
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-01-01
Business code 621111
Sponsor’s telephone number 7279374892
Plan sponsor’s address 4642 DARLINGTON ROAD, HOLIDAY, FL, 346903906

Plan administrator’s name and address

Administrator’s EIN 010557628
Plan administrator’s name HOLIDAY MEDICAL ASSOCIATES, P.A.
Plan administrator’s address 4642 DARLINGTON ROAD, HOLIDAY, FL, 346903906
Administrator’s telephone number 7279374892

Signature of

Role Plan administrator
Date 2011-06-07
Name of individual signing JEFFREY DAVIS
Valid signature Filed with authorized/valid electronic signature
HOLIDAY MEDICAL ASSOCIATES, P.A. PROFIT SHARING PLAN 2009 010557628 2010-07-21 HOLIDAY MEDICAL ASSOCIATES, P.A. 11
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-01-01
Business code 621111
Sponsor’s telephone number 7279374892
Plan sponsor’s address 4642 DARLINGTON ROAD, HOLIDAY, FL, 346903906

Plan administrator’s name and address

Administrator’s EIN 010557628
Plan administrator’s name HOLIDAY MEDICAL ASSOCIATES, P.A.
Plan administrator’s address 4642 DARLINGTON ROAD, HOLIDAY, FL, 346903906
Administrator’s telephone number 7279374892

Signature of

Role Plan administrator
Date 2010-07-21
Name of individual signing JEFFREY DAVIS
Valid signature Filed with authorized/valid electronic signature

Key Officers & Management

Name Role Address
DAVIS JEFFREY M Director 4642 DARLINGTON RD., HOLIDAY, FL, 34690
MILLER RICHARD A Director 4642 DARLINGTON RD., HOLIDAY, FL, 34690
FOX GREGORY A Agent 2515 COUNTRYSIDE BLVD, CLEARWATER, FL, 33763

Events

Event Type Filed Date Value Description
REINSTATEMENT 2024-01-12 - -
ADMIN DISSOLUTION FOR ANNUAL REPORT 2023-09-22 - -
REGISTERED AGENT ADDRESS CHANGED 2019-02-20 2515 COUNTRYSIDE BLVD, SUITE G, CLEARWATER, FL 33763 -
REINSTATEMENT 2015-10-21 - -
REGISTERED AGENT NAME CHANGED 2015-10-21 FOX, GREGORY A -
ADMIN DISSOLUTION FOR ANNUAL REPORT 2015-09-25 - -

Documents

Name Date
REINSTATEMENT 2024-01-12
ANNUAL REPORT 2022-02-24
ANNUAL REPORT 2021-02-03
ANNUAL REPORT 2020-01-21
ANNUAL REPORT 2019-02-20
ANNUAL REPORT 2018-03-31
ANNUAL REPORT 2017-02-13
ANNUAL REPORT 2016-04-18
REINSTATEMENT 2015-10-21
ANNUAL REPORT 2014-03-27

Paycheck Protection Program

Loan Number Loan Funded Date SBA Origination Office Code Loan Delivery Method Borrower Street Address
2112727405 2020-05-05 0455 PPP 4642 DARLINGTON RD, HOLIDAY, FL, 34690-3906
Loan Status Date 2021-05-15
Loan Status Paid in Full
Loan Maturity in Months 24
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 104773.2
Loan Approval Amount (current) 104773.2
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 N
LMI Y
Business Age Description Unanswered
Project Address HOLIDAY, PASCO, FL, 34690-3906
Project Congressional District FL-12
Number of Employees 16
NAICS code 621111
Borrower Race Unanswered
Borrower Ethnicity Unknown/NotStated
Business Type Subchapter S Corporation
Originating Lender ID 4392
Originating Lender Name Centennial Bank
Originating Lender Address CONWAY, AR
Gender Unanswered
Veteran Unanswered
Forgiveness Amount 105694.63
Forgiveness Paid Date 2021-03-31

Date of last update: 01 Apr 2025

Sources: Florida Department of State