| Entity Name: | LAKE BUTLER MEDICAL CLINIC, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: |
Domestic Profit
LAKE BUTLER MEDICAL CLINIC, 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: | 16 Jun 2003 (22 years ago) |
| Last Event: | REINSTATEMENT |
| Event Date Filed: | 23 Aug 2023 (2 years ago) |
| Document Number: | P03000068048 |
| FEI/EIN Number |
542118362
Federal Employer Identification (FEI) Number assigned by the IRS. |
| Mail Address: | PO BOX 188, LAKE BUTLER, FL, 32054 |
| Address: | 675 EAST MAIN STREET, LAKE BUTLER, FL, 32054 |
| ZIP code: | 32054 |
| County: | Union |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1871582296 | 2005-10-18 | 2010-06-29 | PO BOX 188, LAKE BUTLER, FL, 320540188, US | 675 E MAIN ST, LAKE BUTLER, FL, 320541352, US | |||||||||||||||||||||||||
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| Phone | +1 386-496-1328 |
| Fax | 3864962227 |
Authorized person
| Name | MARTHA REGINA LLOYD |
| Role | PHYSICIAN |
| Phone | 3864961328 |
Taxonomy
| Taxonomy Code | 261Q00000X - Clinic/Center |
| License Number | ME81421 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 266578600 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| LLOYD MARTHA | Director | 605 NE 1ST STREET, LAKE BUTLER, FL, 32054 |
| LLOYD MARTHA | President | 605 NE 1ST STREET, LAKE BUTLER, FL, 32054 |
| LLOYD MARTHA | Vice President | 605 NE 1ST STREET, LAKE BUTLER, FL, 32054 |
| LLOYD MARTHA | Secretary | 605 NE 1ST STREET, LAKE BUTLER, FL, 32054 |
| LLOYD MARTHA | Treasurer | 605 NE 1ST STREET, LAKE BUTLER, FL, 32054 |
| LLOYD MARTHA | Agent | 605 NE 1ST STREET, LAKE BUTLER, FL, 32054 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REINSTATEMENT | 2023-08-23 | - | - |
| REGISTERED AGENT NAME CHANGED | 2023-08-23 | LLOYD, MARTHA | - |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2022-09-23 | - | - |
| REGISTERED AGENT ADDRESS CHANGED | 2012-05-01 | 605 NE 1ST STREET, LAKE BUTLER, FL 32054 | - |
| CHANGE OF PRINCIPAL ADDRESS | 2005-02-25 | 675 EAST MAIN STREET, LAKE BUTLER, FL 32054 | - |
| CHANGE OF MAILING ADDRESS | 2005-02-25 | 675 EAST MAIN STREET, LAKE BUTLER, FL 32054 | - |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-30 |
| REINSTATEMENT | 2023-08-23 |
| ANNUAL REPORT | 2021-04-09 |
| ANNUAL REPORT | 2020-06-29 |
| ANNUAL REPORT | 2019-04-30 |
| ANNUAL REPORT | 2018-04-29 |
| ANNUAL REPORT | 2017-04-28 |
| ANNUAL REPORT | 2016-04-29 |
| ANNUAL REPORT | 2015-04-30 |
| ANNUAL REPORT | 2014-05-01 |
| Loan Number | Loan Funded Date | SBA Origination Office Code | Loan Delivery Method | Borrower Street Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| 1661517105 | 2020-04-10 | 0491 | PPP | 675 East Main Street, Lake Butler, FL, 32054-1352 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| 4758928901 | 2021-04-29 | 0491 | PPS | 675 E Main St, Lake Butler, FL, 32054-1352 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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Date of last update: 03 Apr 2025
Sources: Florida Department of State
