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  5. GASTROENTEROLOGY SPECIALIST, INC.

GASTROENTEROLOGY SPECIALIST, INC.

Company Details

Entity Name: GASTROENTEROLOGY SPECIALIST, INC.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Active
Date Filed: 29 Apr 2003 (22 years ago)
Last Event: CANCEL ADM DISS/REV
Event Date Filed: 28 Sep 2008 (16 years ago)
Document Number: P03000047586
FEI/EIN Number 753113016
Address: 3355 BURNS ROAD, 306, PALM BEACH GARDENS, FL, 33410
Mail Address: 19214 Loxahatchee River Road, Jupiter, FL, 33458, US
ZIP code: 33410
County: Palm Beach
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1336355718 2007-05-15 2008-06-24 3355 BURNS RD, SUITE 306, PALM BEACH GARDENS, FL, 334104353, US 3355 BURNS RD, SUITE 306, PALM BEACH GARDENS, FL, 334104353, US

Contacts
Phone +1 561-630-8775
Fax 5616302892

Authorized person
Name SUE ERRAMILLI
Role OFFICE MANAGER
Phone 5616308775

Taxonomy
Taxonomy Code 207RG0100X - Gastroenterology Physician
Is Primary Yes

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
GASTROENTEROLOGY SPECIALIST, INC., DEFINED BENEFIT PLAN 2012 364599832 2013-06-20 GASTROENTEROLOGY SPECIALIST, INC. 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-01-01
Business code 621111
Sponsor’s telephone number 5613868989
Plan sponsor’s address 19214 LOXAHATCHEE RIVER ROAD, JUPITER, FL, 33458

Signature of
Role Plan administrator
Date 2013-06-19
Name of individual signing KALPANA KALAHASTHY
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2013-06-19
Name of individual signing KALPANA KALAHASTHY
Valid signature Filed with authorized/valid electronic signature
GASTROENTEROLOGY SPECIALIST, INC. PROFIT SHARING PLAN 2012 364599832 2013-06-20 GASTROENTEROLOGY SPECIALIST, INC. 9
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2006-01-01
Business code 621111
Sponsor’s telephone number 5613868989
Plan sponsor’s address 19214 LOXAHATCHEE RIVER ROAD, JUPITER, FL, 33458

Signature of
Role Plan administrator
Date 2013-06-19
Name of individual signing KALPANA KALAHASTHY
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2013-06-19
Name of individual signing KALPANA KALAHASTHY
Valid signature Filed with authorized/valid electronic signature
GASTROENTEROLOGY SPECIALIST, INC. PROFIT SHARING PLAN 2012 364599832 2013-12-31 GASTROENTEROLOGY SPECIALIST, INC. 8
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2006-01-01
Business code 621111
Sponsor’s telephone number 5613868989
Plan sponsor’s address 19214 LOXAHATCHEE RIVER ROAD, JUPITER, FL, 33458

Signature of
Role Plan administrator
Date 2013-12-31
Name of individual signing KALPANA KALAHASTHY
Valid signature Filed with authorized/valid electronic signature
GASTROENTEROLOGY SPECIALIST, INC. PROFIT SHARING PLAN 2011 364599832 2012-10-15 GASTROENTEROLOGY SPECIALIST, INC. 7
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2006-01-01
Business code 621111
Sponsor’s telephone number 5616224617
Plan sponsor’s address 138 TRANQUILLA DRIVE, PALM BEACH GARDE, FL, 33418

Plan administrator’s name and address
Administrator’s EIN 364599832
Plan administrator’s name GASTROENTEROLOGY SPECIALIST, INC.
Plan administrator’s address 138 TRANQUILLA DRIVE, PALM BEACH GARDE, FL, 33418
Administrator’s telephone number 5616224617

Signature of
Role Plan administrator
Date 2012-10-13
Name of individual signing KALPANA KALAHASTHY
Valid signature Filed with authorized/valid electronic signature
GASTROENTEROLOGY SPECIALIST, INC., DEFINED BENEFIT PLAN 2011 364599832 2012-10-12 GASTROENTEROLOGY SPECIALIST, INC. 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-01-01
Business code 621111
Sponsor’s telephone number 5616224617
Plan sponsor’s address 138 TRANQUILLA DRIVE, PALM BEACH GARDE, FL, 33418

Plan administrator’s name and address
Administrator’s EIN 364599832
Plan administrator’s name GASTROENTEROLOGY SPECIALIST, INC.
Plan administrator’s address 138 TRANQUILLA DRIVE, PALM BEACH GARDE, FL, 33418
Administrator’s telephone number 5616224617

Signature of
Role Plan administrator
Date 2012-10-12
Name of individual signing KALPANA KALAHASTHY
Valid signature Filed with authorized/valid electronic signature
GASTROENTEROLOGY SPECIALIST, INC., PROFIT SHARING PLAN 2010 364599832 2011-10-15 GASTROENTEROLOGY SPECIALIST, INC. 8
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2006-01-01
Business code 621111
Sponsor’s telephone number 5616224617
Plan sponsor’s mailing address 138 TRANQUILLA DRIVE, PALM BEACH GARDENS, FL, 33418
Plan sponsor’s address 138 TRANQUILLA DRIVE, PALM BEACH GARDENS, FL, 33418

Plan administrator’s name and address
Administrator’s EIN 364599832
Plan administrator’s name GASTROENTEROLOGY SPECIALIST, INC.
Plan administrator’s address 138 TRANQUILLA DRIVE, PALM BEACH GARDENS, FL, 33418
Administrator’s telephone number 5616224617

Number of participants as of the end of the plan year
Active participants 6
Retired or separated participants receiving benefits 0
Other retired or separated participants entitled to future benefits 3
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 9
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 2011-10-15
Name of individual signing CHARLES MCKENZIE
Valid signature Filed with authorized/valid electronic signature
GASTROENTEROLOGY SPECIALIST, INC., DEFINED BENEFIT PLAN 2010 364599832 2011-10-15 GASTROENTEROLOGY SPECIALIST, INC. 2
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-01-01
Business code 621111
Sponsor’s telephone number 5616224617
Plan sponsor’s mailing address 138 TRANQUILLA DRIVE, PALM BEACH GARDENS, FL, 33418
Plan sponsor’s address 138 TRANQUILLA DRIVE, PALM BEACH GARDENS, FL, 33418

Plan administrator’s name and address
Administrator’s EIN 364599832
Plan administrator’s name GASTROENTEROLOGY SPECIALIST, INC.
Plan administrator’s address 138 TRANQUILLA DRIVE, PALM BEACH GARDENS, FL, 33418
Administrator’s telephone number 5616224617

Number of participants as of the end of the plan year
Active participants 2
Retired or separated participants receiving benefits 0
Other retired or separated participants entitled to future benefits 0
Deceased participants whose beneficiaries are receiving or are entitled to receive benefits 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 2011-10-15
Name of individual signing CHARLES MCKENZIE
Valid signature Filed with authorized/valid electronic signature
GASTROENTEROLOGY SPECIALIST, INC., PROFIT SHARING PLAN 2009 364599832 2010-09-28 GASTROENTEROLOGY SPECIALIST, INC. 5
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2006-01-01
Business code 621111
Sponsor’s telephone number 5616224617
Plan sponsor’s mailing address 138 TRANQUILLA DRIVE, PALM BEACH GARDENS, FL, 33418
Plan sponsor’s address 138 TRANQUILLA DRIVE, PALM BEACH GARDENS, FL, 33418

Plan administrator’s name and address
Administrator’s EIN 364599832
Plan administrator’s name GASTROENTEROLOGY SPECIALIST, INC.
Plan administrator’s address 138 TRANQUILLA DRIVE, PALM BEACH GARDENS, FL, 33418
Administrator’s telephone number 5616224617

Number of participants as of the end of the plan year
Active participants 8
Retired or separated participants receiving benefits 0
Other retired or separated participants entitled to future benefits 2
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 10
Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 1

Signature of
Role Plan administrator
Date 2010-09-28
Name of individual signing CHARLES MCKENZIE
Valid signature Filed with authorized/valid electronic signature
GASTROENTEROLOGY SPECIALIST, INC., DEFINED BENEFIT PLAN 2009 364599832 2010-09-28 GASTROENTEROLOGY SPECIALIST, INC. 2
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-01-01
Business code 621111
Sponsor’s telephone number 5616224617
Plan sponsor’s mailing address 138 TRANQUILLA DRIVE, PALM BEACH GARDENS, FL, 33418
Plan sponsor’s address 138 TRANQUILLA DRIVE, PALM BEACH GARDENS, FL, 33418

Plan administrator’s name and address
Administrator’s EIN 364599832
Plan administrator’s name GASTROENTEROLOGY SPECIALIST, INC.
Plan administrator’s address 138 TRANQUILLA DRIVE, PALM BEACH GARDENS, FL, 33418
Administrator’s telephone number 5616224617

Number of participants as of the end of the plan year
Active participants 2
Retired or separated participants receiving benefits 0
Other retired or separated participants entitled to future benefits 0
Deceased participants whose beneficiaries are receiving or are entitled to receive benefits 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 2010-09-28
Name of individual signing CHARLES MCKENZIE
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
KALAHASTHY KALPANA M Agent 19214 Loxahatchee River Road, Jupiter, FL, 33458

Chief Executive Officer

Name Role Address
KALAHASTHY KALPANA M Chief Executive Officer 19214 Loxahatchee River Road, Jupiter, FL, 33458

Events

Event Type Filed Date Value Description
CHANGE OF MAILING ADDRESS 2013-03-24 3355 BURNS ROAD, 306, PALM BEACH GARDENS, FL 33410 No data
REGISTERED AGENT ADDRESS CHANGED 2013-03-24 19214 Loxahatchee River Road, Jupiter, FL 33458 No data
CANCEL ADM DISS/REV 2008-09-28 No data No data
ADMIN DISSOLUTION FOR ANNUAL REPORT 2008-09-26 No data No data
CANCEL ADM DISS/REV 2007-01-23 No data No data
ADMIN DISSOLUTION FOR ANNUAL REPORT 2006-09-15 No data No data
CHANGE OF PRINCIPAL ADDRESS 2004-12-24 3355 BURNS ROAD, 306, PALM BEACH GARDENS, FL 33410 No data
CANCEL ADM DISS/REV 2004-12-24 No data No data
REGISTERED AGENT NAME CHANGED 2004-12-24 KALAHASTHY, KALPANA MD No data
ADMIN DISSOLUTION FOR ANNUAL REPORT 2004-10-01 No data No data

Documents

Name Date
ANNUAL REPORT 2024-02-15
ANNUAL REPORT 2023-02-19
ANNUAL REPORT 2022-03-23
ANNUAL REPORT 2021-02-20
ANNUAL REPORT 2020-01-20
ANNUAL REPORT 2019-03-10
ANNUAL REPORT 2018-03-31
ANNUAL REPORT 2017-01-15
ANNUAL REPORT 2016-01-25
ANNUAL REPORT 2015-01-08

Paycheck Protection Program

Loan Number Loan Funded Date SBA Origination Office Code Loan Delivery Method Borrower Street Address
9040718302 2021-01-30 0455 PPS 3355 Burns Rd Ste 306, Palm Beach Gardens, FL, 33410-4357
Loan Status Date 2021-11-18
Loan Status Paid in Full
Loan Maturity in Months 60
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 107892
Loan Approval Amount (current) 107892
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 Existing or more than 2 years old
Project Address Palm Beach Gardens, PALM BEACH, FL, 33410-4357
Project Congressional District FL-21
Number of Employees 12
NAICS code 621111
Borrower Race Unanswered
Borrower Ethnicity Unknown/NotStated
Business Type Corporation
Originating Lender ID 9551
Originating Lender Name Bank of America, National Association
Originating Lender Address CHARLOTTE, NC
Gender Unanswered
Veteran Unanswered
Forgiveness Amount 108616.21
Forgiveness Paid Date 2021-10-06
6143517707 2020-05-01 0455 PPP 3355 BURNS RD STE 306, PALM BEACH GARDENS, FL, 33410-4357
Loan Status Date 2021-07-22
Loan Status Paid in Full
Loan Maturity in Months 24
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 107893
Loan Approval Amount (current) 107893
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 PALM BEACH GARDENS, PALM BEACH, FL, 33410-4357
Project Congressional District FL-21
Number of Employees 13
NAICS code 621111
Borrower Race Unanswered
Borrower Ethnicity Unknown/NotStated
Business Type Corporation
Originating Lender ID 9551
Originating Lender Name Bank of America, National Association
Originating Lender Address CHARLOTTE, NC
Gender Unanswered
Veteran Unanswered
Forgiveness Amount 108568.62
Forgiveness Paid Date 2021-02-16

Related by officers

No related officers

Related by address

19214 Loxahatchee River Road, Jupiter, FL, 33458, US

SINDHU, LLC

Date of last update: 02 Feb 2025

Sources: Florida Department of State

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