Search icon

SOUTHEASTERN MEDICAL SUPPLY, INC. - Florida Company Profile

Company Details

Entity Name: SOUTHEASTERN MEDICAL SUPPLY, INC.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit

SOUTHEASTERN MEDICAL SUPPLY, 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: 24 Jan 2002 (23 years ago)
Last Event: AMENDMENT
Event Date Filed: 17 Jul 2018 (7 years ago)
Document Number: P02000010352
FEI/EIN Number 030384756

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

Address: 3615 CENTURY BLVD.,, LAKELAND, FL, 33811, US
Mail Address: 3615 CENTURY BLVD.,, LAKELAND, FL, 33811, US
ZIP code: 33811
County: Polk
Place of Formation: FLORIDA

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
SOUTHEASTERN EMPLOYEE RETIREMENT PLAN 2012 590384756 2013-09-25 SOUTHEASTERN MEDICAL SUPPLY, INC. 12
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 339110
Sponsor’s telephone number 9544866029
Plan sponsor’s address 398 DANIA BEACH BLVD, STE 373, DANIA BEACH, FL, 33004

Plan administrator’s name and address

Administrator’s EIN 590384756
Plan administrator’s name SOUTHEASTERN MEDICAL SUPPLY, INC.
Plan administrator’s address 398 DANIA BEACH BLVD, STE 373, DANIA BEACH, FL, 33004
Administrator’s telephone number 9544866029

Signature of

Role Plan administrator
Date 2013-09-25
Name of individual signing CELESTE METHOT
Valid signature Filed with authorized/valid electronic signature
SOUTHEASTERN EMPLOYEE RETIREMENT PLAN 2011 590384756 2012-07-25 SOUTHEASTERN MEDICAL SUPPLY, INC. 23
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 339110
Sponsor’s telephone number 9544866029
Plan sponsor’s address 398 DANIA BEACH BLVD, STE 373, DANIA BEACH, FL, 33004

Plan administrator’s name and address

Administrator’s EIN 590384756
Plan administrator’s name SOUTHEASTERN MEDICAL SUPPLY, INC.
Plan administrator’s address 398 DANIA BEACH BLVD, STE 373, DANIA BEACH, FL, 33004
Administrator’s telephone number 9544866029

Signature of

Role Plan administrator
Date 2012-07-25
Name of individual signing CELESTE METHOT
Valid signature Filed with authorized/valid electronic signature
SOUTHEASTERN EMPLOYEE RETIREMENT PLAN 2010 590384756 2011-09-08 SOUTHEASTERN MEDICAL SUPPLY, INC. 16
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 339110
Sponsor’s telephone number 9544866029
Plan sponsor’s address 398 DANIA BEACH BLVD, STE 373, DANIA BEACH, FL, 33004

Plan administrator’s name and address

Administrator’s EIN 590384756
Plan administrator’s name SOUTHEASTERN MEDICAL SUPPLY, INC.
Plan administrator’s address 398 DANIA BEACH BLVD, STE 373, DANIA BEACH, FL, 33004
Administrator’s telephone number 9544866029

Signature of

Role Plan administrator
Date 2011-09-08
Name of individual signing CELESTE METHOT
Valid signature Filed with authorized/valid electronic signature
SOUTHEASTERN EMPLOYEE RETIREMENT PLAN 2009 590384756 2010-09-29 SOUTHEASTERN MEDICAL SUPPLY, INC. 20
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 339110
Sponsor’s telephone number 9544866029
Plan sponsor’s address 398 DANIA BEACH BLVD, STE 373, DANIA BEACH, FL, 33004

Plan administrator’s name and address

Administrator’s EIN 590384756
Plan administrator’s name SOUTHEASTERN MEDICAL SUPPLY, INC.
Plan administrator’s address 398 DANIA BEACH BLVD, STE 373, DANIA BEACH, FL, 33004
Administrator’s telephone number 9544866029

Signature of

Role Plan administrator
Date 2010-09-29
Name of individual signing CELESTE METHOT
Valid signature Filed with authorized/valid electronic signature

Key Officers & Management

Name Role Address
ESCOBEDO JOSE President 3615 CENTURY BLVD., UNIT 1, LAKELAND, FL, 33811
ESCOBEDO JENNIFER Vice President 3615 CENTURY BLVD., UNIT 1, LAKELAND, FL, 33811
ESCOBEDO JOSE Agent 3615 CENTURY BLVD., UNIT 1, LAKELAND, FL, 33811

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G09000162527 ACTIVE BY CHOICE EXPIRED 2009-10-06 2014-12-31 - 378 E. DANIA BEACH BLVD., # 373, DANIA BEACH, FL, 33004

Events

Event Type Filed Date Value Description
REGISTERED AGENT ADDRESS CHANGED 2018-07-17 3615 CENTURY BLVD., UNIT 1, LAKELAND, FL 33811 -
AMENDMENT 2018-07-17 - -
REGISTERED AGENT NAME CHANGED 2018-07-17 ESCOBEDO, JOSE -
CHANGE OF PRINCIPAL ADDRESS 2016-06-07 3615 CENTURY BLVD.,, UNIT #1, LAKELAND, FL 33811 -
CHANGE OF MAILING ADDRESS 2016-06-07 3615 CENTURY BLVD.,, UNIT #1, LAKELAND, FL 33811 -
MERGER 2009-09-21 - CORPORATION WAS A MERGER RESULT. TOTAL NUMBER OF QUALIFIED CORPORATION(S) INVOLVED WAS 1. MERGER NUMBER 900000099429
MERGER 2005-06-20 - CORPORATION WAS A MERGER RESULT. TOTAL NUMBER OF QUALIFIED CORPORATION(S) INVOLVED WAS 1. MERGER NUMBER 500000052685
AMENDMENT 2004-10-08 - -
REINSTATEMENT 2003-09-29 - -
ADMIN DISSOLUTION FOR ANNUAL REPORT 2003-09-19 - -

Documents

Name Date
ANNUAL REPORT 2025-01-13
ANNUAL REPORT 2024-01-15
ANNUAL REPORT 2023-01-09
ANNUAL REPORT 2022-01-10
ANNUAL REPORT 2021-01-11
ANNUAL REPORT 2020-01-20
ANNUAL REPORT 2019-02-07
Amendment 2018-07-17
ANNUAL REPORT 2018-03-19
ANNUAL REPORT 2017-03-14

Paycheck Protection Program

Loan Number Loan Funded Date SBA Origination Office Code Loan Delivery Method Borrower Street Address
8566538307 2021-01-29 0455 PPS 3615 Century Blvd Ste 1, Lakeland, FL, 33811-1396
Loan Status Date 2021-12-18
Loan Status Paid in Full
Loan Maturity in Months 60
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 114203
Loan Approval Amount (current) 114203
Undisbursed Amount 0
Franchise Name -
Lender Location ID 223542
Servicing Lender Name Celtic Bank Corporation
Servicing Lender Address 268 S State St, Ste 300, SALT LAKE CITY, UT, 84111-5314
Rural or Urban Indicator U
Hubzone N
LMI N
Business Age Description Existing or more than 2 years old
Project Address Lakeland, POLK, FL, 33811-1396
Project Congressional District FL-15
Number of Employees 9
NAICS code 423450
Borrower Race Black or African American
Borrower Ethnicity Hispanic or Latino
Business Type Corporation
Originating Lender ID 223542
Originating Lender Name Celtic Bank Corporation
Originating Lender Address SALT LAKE CITY, UT
Gender Male Owned
Veteran Veteran
Forgiveness Amount 115079.08
Forgiveness Paid Date 2021-11-08

Date of last update: 01 Apr 2025

Sources: Florida Department of State