| Entity Name: | SOUTHWEST SPINE AND SPORT, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: |
Domestic Profit
SOUTHWEST SPINE AND SPORT, 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: |
Inactive
The business entity is inactive. This status may signal operational issues or voluntary closure, raising concerns about the business's ability to repay loans and requiring careful risk assessment by lenders. |
| Date Filed: | 24 Jan 2002 (23 years ago) |
| Date of dissolution: | 23 Dec 2014 (10 years ago) |
| Last Event: | VOLUNTARY DISSOLUTION |
| Event Date Filed: | 23 Dec 2014 (10 years ago) |
| Document Number: | P02000008103 |
| FEI/EIN Number |
043597257
Federal Employer Identification (FEI) Number assigned by the IRS. |
| Address: | 12734 KENWOOD LANE, FORT MYERS, FL, 33907, US |
| Mail Address: | 12734 KENWOOD LANE, FORT MYERS, FL, 33917, US |
| ZIP code: | 33907 |
| County: | Lee |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1316153661 | 2007-05-15 | 2020-08-22 | 1722 DEL PRADO BLVD S STE 4, CAPE CORAL, FL, 339905522, US | 1722 DEL PRADO BLVD S STE 4, CAPE CORAL, FL, 339905522, US | |||||||||||||||||||||
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| Phone | +1 239-772-8888 |
Authorized person
| Name | DR. KEITH Q WARDE |
| Role | PRESIDENT |
| Phone | 2397728888 |
Taxonomy
| Taxonomy Code | 111N00000X - Chiropractor |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | BLUE CROSS BLUE SHIELD |
| Number | 70007 |
| State | FL |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| SOUTHWEST SPINE AND SPORT INC 401(K) PROFIT SHARING PLAN & TRUST | 2011 | 043597257 | 2012-11-29 | SOUTHWEST SPINE AND SPORT INC | 5 | |||||||||||||||||||||||||||||||||||||||||||||
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| Administrator’s EIN | 043597257 |
| Plan administrator’s name | SOUTHWEST SPINE AND SPORT INC |
| Plan administrator’s address | 12734 KENWOOD LN STE 32, FORT MYERS, FL, 33907 |
Number of participants as of the end of the plan year
| Active participants | 0 |
| Retired or separated participants receiving benefits | 0 |
| Deceased participants whose beneficiaries are receiving or are entitled to receive benefits | 0 |
| Number of participants with account balances as of the end of the plan year | 0 |
| Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested | 0 |
Signature of
| Role | Plan administrator |
| Date | 2012-11-29 |
| Name of individual signing | KRISTA CARTWRIGHT |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2008-01-01 |
| Business code | 621310 |
| Sponsor’s telephone number | 2392748005 |
| Plan sponsor’s mailing address | 12734 KENWOOD LN STE 32, FORT MYERS, FL, 33907 |
| Plan sponsor’s address | 12734 KENWOOD LN STE 32, FORT MYERS, FL, 33907 |
Plan administrator’s name and address
| Administrator’s EIN | 043597257 |
| Plan administrator’s name | SOUTHWEST SPINE AND SPORT INC |
| Plan administrator’s address | 12734 KENWOOD LN STE 32, FORT MYERS, FL, 33907 |
| Administrator’s telephone number | 2392748005 |
Number of participants as of the end of the plan year
| Active participants | 4 |
| Retired or separated participants receiving benefits | 0 |
| Other retired or separated participants entitled to future benefits | 1 |
| Deceased participants whose beneficiaries are receiving or are entitled to receive benefits | 0 |
| Number of participants with account balances as of the end of the plan year | 3 |
| Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested | 0 |
Signature of
| Role | Plan administrator |
| Date | 2012-11-29 |
| Name of individual signing | KRISTA CARTWRIGHT |
| Valid signature | Filed with authorized/valid electronic signature |
| Name | Role | Address |
|---|---|---|
| WARDE KEITH | President | 12734 KENWOOD LANE #32, FT MYERS, FL, 33907 |
| WARDE KEITH | Agent | 12734 KENWOOD LANE, FORT MYERS, FL, 33907 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| VOLUNTARY DISSOLUTION | 2014-12-23 | - | - |
| CHANGE OF PRINCIPAL ADDRESS | 2014-01-14 | 12734 KENWOOD LANE, #32, FORT MYERS, FL 33907 | - |
| CHANGE OF MAILING ADDRESS | 2014-01-14 | 12734 KENWOOD LANE, #32, FORT MYERS, FL 33907 | - |
| REGISTERED AGENT ADDRESS CHANGED | 2014-01-14 | 12734 KENWOOD LANE, #32, FORT MYERS, FL 33907 | - |
| REGISTERED AGENT NAME CHANGED | 2012-03-28 | WARDE, KEITH | - |
| Name | Date |
|---|---|
| VOLUNTARY DISSOLUTION | 2014-12-23 |
| ANNUAL REPORT | 2014-01-14 |
| ANNUAL REPORT | 2013-03-08 |
| ANNUAL REPORT | 2012-03-28 |
| ANNUAL REPORT | 2011-01-11 |
| ANNUAL REPORT | 2010-03-24 |
| ANNUAL REPORT | 2009-02-10 |
| ANNUAL REPORT | 2008-01-28 |
| ANNUAL REPORT | 2007-02-06 |
| ANNUAL REPORT | 2006-03-10 |
Date of last update: 01 Apr 2025
Sources: Florida Department of State
