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  5. COLUMBIA EYE ASSOCIATES, PA

COLUMBIA EYE ASSOCIATES, PA - Florida Company Profile

Company Details

Entity Name: COLUMBIA EYE ASSOCIATES, PA
Jurisdiction: FLORIDA
Filing Type: Domestic Profit

COLUMBIA EYE ASSOCIATES, PA 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: 31 Mar 2003 (22 years ago)
Document Number: P03000035856
FEI/EIN Number 510457084

Federal Employer Identification (FEI) Number assigned by the IRS.
Address: 1615 SW MAIN BLVD, LAKE CITY, FL, 32025
Mail Address: P.O. BOX 489, LAKE CITY, FL, 32056
ZIP code: 32025
County: Columbia
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1295921096 2007-09-15 2011-03-21 PO BOX 489, LAKE CITY, FL, 320560489, US 1615 SW MAIN BLVD, LAKE CITY, FL, 320251108, US

Contacts
Phone +1 386-755-2785
Fax 3867551128

Authorized person
Name DR. KARL BODENDORFER
Role OWNER
Phone 3867552785

Taxonomy
Taxonomy Code 207W00000X - Ophthalmology Physician
License Number ME78478
State FL
Is Primary Yes

Other Provider Identifiers
Issuer MEDICAID
Number 001933700
State FL
Issuer RAILROAD MEDICARE
Number DB1077
State FL

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
COLUMBIA EYE ASSOCIATES, PA 401(K) PLAN 2023 510457084 2024-10-15 COLUMBIA EYE ASSOCIATES, PA 50
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-01-01
Business code 621111
Sponsor’s telephone number 3867552785
Plan sponsor’s address P.O. BOX 489, LAKE CITY, FL, 32056

Signature of
Role Plan administrator
Date 2024-10-15
Name of individual signing CRYSTAL KREIENHEDER
Valid signature Filed with authorized/valid electronic signature
COLUMBIA EYE ASSOCIATES, PA CASH BALANCE PLAN 2023 510457084 2024-10-15 COLUMBIA EYE ASSOCIATES, PA 53
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2015-01-01
Business code 621320
Sponsor’s telephone number 3867552785
Plan sponsor’s address P.O. BOX 489, LAKE CITY, FL, 32056

Signature of
Role Plan administrator
Date 2024-10-15
Name of individual signing CRYSTAL KREIENHEDER
Valid signature Filed with authorized/valid electronic signature
COLUMBIA EYE ASSOCIATES, PA CASH BALANCE PLAN 2022 510457084 2023-10-12 COLUMBIA EYE ASSOCIATES, PA 53
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2015-01-01
Business code 621320
Sponsor’s telephone number 3867552785
Plan sponsor’s address P.O. BOX 489, LAKE CITY, FL, 32056

Signature of
Role Plan administrator
Date 2023-10-12
Name of individual signing CRYSTAL KREIENHEDER
Valid signature Filed with authorized/valid electronic signature
COLUMBIA EYE ASSOCIATES, PA 401(K) PLAN 2022 510457084 2023-10-12 COLUMBIA EYE ASSOCIATES, PA 51
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-01-01
Business code 621111
Sponsor’s telephone number 3867552785
Plan sponsor’s address P.O. BOX 489, LAKE CITY, FL, 32056

Signature of
Role Plan administrator
Date 2023-10-12
Name of individual signing CRYSTAL KREIENHEDER
Valid signature Filed with authorized/valid electronic signature
COLUMBIA EYE ASSOCIATES, PA CASH BALANCE PLAN 2021 510457084 2022-10-10 COLUMBIA EYE ASSOCIATES, PA 47
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2015-01-01
Business code 621320
Sponsor’s telephone number 3867552785
Plan sponsor’s address P.O. BOX 489, LAKE CITY, FL, 32056

Signature of
Role Plan administrator
Date 2022-10-10
Name of individual signing CRYSTAL KREIENHEDER
Valid signature Filed with authorized/valid electronic signature
COLUMBIA EYE ASSOCIATES, PA 401(K) PLAN 2021 510457084 2022-10-10 COLUMBIA EYE ASSOCIATES, PA 49
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-01-01
Business code 621111
Sponsor’s telephone number 3867552785
Plan sponsor’s address P.O. BOX 489, LAKE CITY, FL, 32056

Signature of
Role Plan administrator
Date 2022-10-10
Name of individual signing CRYSTAL KREIENHEDER
Valid signature Filed with authorized/valid electronic signature
COLUMBIA EYE ASSOCIATES, PA 401(K) PLAN 2020 510457084 2021-10-11 COLUMBIA EYE ASSOCIATES, PA 43
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-01-01
Business code 621320
Sponsor’s telephone number 3867552785
Plan sponsor’s address P.O. BOX 489, LAKE CITY, FL, 32056

Signature of
Role Plan administrator
Date 2021-10-11
Name of individual signing CRYSTAL KREIENHEDER
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2021-10-11
Name of individual signing CRYSTAL KREIENHEDER
Valid signature Filed with authorized/valid electronic signature
COLUMBIA EYE ASSOCIATES, PA CASH BALANCE PLAN 2020 510457084 2021-10-11 COLUMBIA EYE ASSOCIATES, PA 42
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2015-01-01
Business code 621320
Sponsor’s telephone number 3867552785
Plan sponsor’s address P.O. BOX 489, LAKE CITY, FL, 32056

Signature of
Role Plan administrator
Date 2021-10-11
Name of individual signing CRYSTAL KREIENHEDER
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2021-10-11
Name of individual signing CRYSTAL KREIENHEDER
Valid signature Filed with authorized/valid electronic signature
COLUMBIA EYE ASSOCIATES, PA CASH BALANCE PLAN 2019 510457084 2020-10-13 COLUMBIA EYE ASSOCIATES, PA 40
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2015-01-01
Business code 621320
Sponsor’s telephone number 3867552785
Plan sponsor’s address P.O. BOX 489, LAKE CITY, FL, 32056

Signature of
Role Plan administrator
Date 2020-10-13
Name of individual signing CRYSTAL KREIENHEDER
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2020-10-13
Name of individual signing CRYSTAL KREIENHEDER
Valid signature Filed with authorized/valid electronic signature
COLUMBIA EYE ASSOCIATES, PA 401(K) PLAN 2019 510457084 2020-08-06 COLUMBIA EYE ASSOCIATES, PA 40
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-01-01
Business code 621320
Sponsor’s telephone number 3867552785
Plan sponsor’s address P.O. BOX 489, LAKE CITY, FL, 32056

Signature of
Role Plan administrator
Date 2020-08-06
Name of individual signing CRYSTAL KREIENHEDER
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2020-08-06
Name of individual signing CRYSTAL KREIENHEDER
Valid signature Filed with authorized/valid electronic signature

Key Officers & Management

Name Role Address
BODENDORFER KARL D President 2932 SW 68TH LANE, GAINESVILLE, FL, 32608
BODENDORFER KARL D Director 2932 SW 68TH LANE, GAINESVILLE, FL, 32608
Kreienheder Crystal Vice President 1223 SW Lake Montgomery Ave, Lake City, FL, 32025
BODENDORFER KARL D Agent 2932 SW 68TH LANE, GAINESVILLE, FL, 32608

Events

Event Type Filed Date Value Description
REGISTERED AGENT ADDRESS CHANGED 2022-04-08 2932 SW 68TH LANE, GAINESVILLE, FL 32608 -
CHANGE OF PRINCIPAL ADDRESS 2010-02-23 1615 SW MAIN BLVD, LAKE CITY, FL 32025 -
CHANGE OF MAILING ADDRESS 2010-02-23 1615 SW MAIN BLVD, LAKE CITY, FL 32025 -

Documents

Name Date
ANNUAL REPORT 2024-03-29
ANNUAL REPORT 2023-04-10
ANNUAL REPORT 2022-04-08
ANNUAL REPORT 2021-04-07
ANNUAL REPORT 2020-05-18
ANNUAL REPORT 2019-06-18
ANNUAL REPORT 2018-04-11
ANNUAL REPORT 2017-06-21
ANNUAL REPORT 2016-04-14
ANNUAL REPORT 2015-04-10

USAspending Awards. Financial Assistance

FAIN Awarding Agency Assistance Listings Start Date End Date Description
3442625001 Small Business Administration 59.041 - 504 CERTIFIED DEVELOPMENT LOANS - - TO ASSIST SMALL BUSINESS CONCERNS BY PROVIDING LONG TERM FINANCING THROUGH THE SALE OF DEBENTURES TO THE PRIVATE SECTOR
Recipient COLUMBIA EYE ASSOCIATES PA
Recipient Name Raw COLUMBIA EYE ASSOCIATES PA
Recipient Address 1615 SW MAIN BOULEVARD., LAKE CITY, COLUMBIA, FLORIDA, 32025-0000, UNITED STATES
Obligated Amount 0.00
Non-Federal Funding 0.00
Original Subsidy Cost 8881.00
Face Value of Direct Loan 415000.00
Link View Page
3442595005 Small Business Administration 59.041 - 504 CERTIFIED DEVELOPMENT LOANS - - TO ASSIST SMALL BUSINESS CONCERNS BY PROVIDING LONG TERM FINANCING THROUGH THE SALE OF DEBENTURES TO THE PRIVATE SECTOR
Recipient COLUMBIA EYE ASSOCIATES PA
Recipient Name Raw COLUMBIA EYE ASSOCIATES PA
Recipient Address 105 GRAND STREET NE., LIVE OAK, SUWANNEE, FLORIDA, 32060-0000, UNITED STATES
Obligated Amount 0.00
Non-Federal Funding 0.00
Original Subsidy Cost 4794.00
Face Value of Direct Loan 224000.00
Link View Page

Paycheck Protection Program

Loan Number Loan Funded Date SBA Origination Office Code Loan Delivery Method Borrower Street Address
4054317106 2020-04-12 0491 PPP 1615 SW MAIN BLVD, LAKE CITY, FL, 32025-1108
Loan Status Date 2020-12-18
Loan Status Paid in Full
Loan Maturity in Months 24
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 454000
Loan Approval Amount (current) 454000
Undisbursed Amount 0
Franchise Name -
Lender Location ID 117723
Servicing Lender Name SouthState Bank, National Association
Servicing Lender Address 1101 First St South, WINTER HAVEN, FL, 33880-3908
Rural or Urban Indicator R
Hubzone N
LMI N
Business Age Description Existing or more than 2 years old
Project Address LAKE CITY, COLUMBIA, FL, 32025-1108
Project Congressional District FL-03
Number of Employees 51
NAICS code 621111
Borrower Race Unanswered
Borrower Ethnicity Unknown/NotStated
Business Type Corporation
Originating Lender ID 117723
Originating Lender Name SouthState Bank, National Association
Originating Lender Address WINTER HAVEN, FL
Gender Male Owned
Veteran Non-Veteran
Forgiveness Amount 456610.5
Forgiveness Paid Date 2020-11-24

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Companies related by address

1615 SW MAIN BLVD, LAKE CITY, FL, 32025

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Date of last update: 02 Apr 2025

Sources: Florida Department of State

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