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  5. HEATHER SHAFFER, M.D., P.A.

HEATHER SHAFFER, M.D., P.A. - Florida Company Profile

Company Details

Entity Name: HEATHER SHAFFER, M.D., P.A.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit

HEATHER SHAFFER, M.D., P.A. 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: 29 Aug 2003 (22 years ago)
Last Event: REINSTATEMENT
Event Date Filed: 20 Oct 2020 (4 years ago)
Document Number: P03000095513
FEI/EIN Number 753125573

Federal Employer Identification (FEI) Number assigned by the IRS.
Address: 109 W 23rd St Ste N5, PANAMA CITY, FL, 32405, US
Mail Address: POST OFFICE BOX 1280, PANAMA CITY, FL, 32402
ZIP code: 32405
County: Bay
Place of Formation: FLORIDA

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
HEATHER SHAFFER M D P A 401(K) PROFIT SHARING PLAN & TRUST 2023 753125573 2024-07-29 HEATHER SHAFFER M D P A 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-01-01
Business code 621111
Sponsor’s telephone number 8507846300
Plan sponsor’s address PO BOX 1280, PANAMA CITY, FL, 324021280

Signature of
Role Plan administrator
Date 2024-07-29
Name of individual signing HEATHER SHAFFER
Valid signature Filed with authorized/valid electronic signature
HEATHER SHAFFER M D P A 401(K) PROFIT SHARING PLAN & TRUST 2022 753125573 2023-08-01 HEATHER SHAFFER M D P A 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-01-01
Business code 621111
Sponsor’s telephone number 8507846300
Plan sponsor’s address PO BOX 1280, PANAMA CITY, FL, 324021280

Signature of
Role Plan administrator
Date 2023-08-01
Name of individual signing HEATHER SHAFFER
Valid signature Filed with authorized/valid electronic signature
HEATHER SHAFFER M D P A 401(K) PROFIT SHARING PLAN & TRUST 2021 753125573 2022-07-28 HEATHER SHAFFER M D P A 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-01-01
Business code 621111
Sponsor’s telephone number 8507846300
Plan sponsor’s address PO BOX 1280, PANAMA CITY, FL, 324021280

Signature of
Role Plan administrator
Date 2022-07-28
Name of individual signing HEATHER SHAFFER
Valid signature Filed with authorized/valid electronic signature
HEATHER SHAFFER M D P A 401(K) PROFIT SHARING PLAN & TRUST 2020 753125573 2021-07-19 HEATHER SHAFFER M D P A 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-01-01
Business code 621111
Sponsor’s telephone number 8507846300
Plan sponsor’s address 2101 NORTHSIDE DR, UNIT 502, PANAMA CITY, FL, 324053687

Signature of
Role Plan administrator
Date 2021-07-19
Name of individual signing HEATHER S ZAWAHRY
Valid signature Filed with authorized/valid electronic signature
HEATHER SHAFFER M D P A 401 K PROFIT SHARING PLAN TRUST 2018 753125573 2019-06-18 HEATHER SHAFFER M D P A 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-01-01
Business code 621111
Sponsor’s telephone number 8507846300
Plan sponsor’s address 2101 NORTHSIDE DR, UNIT 502, PANAMA CITY, FL, 324053687

Signature of
Role Plan administrator
Date 2019-06-18
Name of individual signing HEATHER ZAWAHRY
Valid signature Filed with authorized/valid electronic signature
HEATHER SHAFFER M D P A 401 K PROFIT SHARING PLAN TRUST 2017 753125573 2018-07-31 HEATHER SHAFFER M D P A 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-01-01
Business code 621111
Sponsor’s telephone number 8507846300
Plan sponsor’s address 2101 NORTHSIDE DR UNIT 502, PANAMA CITY, FL, 324053687

Signature of
Role Plan administrator
Date 2018-07-31
Name of individual signing HEATHER ZAWAHRY
Valid signature Filed with authorized/valid electronic signature
HEATHER SHAFFER M D P A 401 K PROFIT SHARING PLAN TRUST 2016 753125573 2017-08-01 HEATHER SHAFFER M D P A 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-01-01
Business code 621111
Sponsor’s telephone number 8507846300
Plan sponsor’s address 2101 NORTHSIDE DR UNIT 502, PANAMA CITY, FL, 324053687

Signature of
Role Plan administrator
Date 2017-08-01
Name of individual signing HEATHER SHAFFER
Valid signature Filed with authorized/valid electronic signature
HEATHER SHAFFER M D P A 401 K PROFIT SHARING PLAN TRUST 2015 753125573 2016-07-19 HEATHER SHAFFER M D P A 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-01-01
Business code 621111
Sponsor’s telephone number 8507846300
Plan sponsor’s address 2101 NORTHSIDE DR UNIT 502, PANAMA CITY, FL, 324053687

Signature of
Role Plan administrator
Date 2016-07-19
Name of individual signing HEATHER SHAFFER
Valid signature Filed with authorized/valid electronic signature
HEATHER SHAFFER M D P A 401 K PROFIT SHARING PLAN TRUST 2014 753125573 2015-07-21 HEATHER SHAFFER M D P A 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-01-01
Business code 621111
Sponsor’s telephone number 8507846300
Plan sponsor’s address 1937 HARRISON AVE, PANAMA CITY, FL, 324054543

Signature of
Role Plan administrator
Date 2015-07-21
Name of individual signing HEATHER SHAFFER
Valid signature Filed with authorized/valid electronic signature
HEATHER SHAFFER M D P A 401 K PROFIT SHARING PLAN TRUST 2013 753125573 2014-06-17 HEATHER SHAFFER M D P A 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-01-01
Business code 621111
Sponsor’s telephone number 8507846300
Plan sponsor’s address 1937 HARRISON AVE, PANAMA CITY, FL, 324054543

Signature of
Role Plan administrator
Date 2014-06-17
Name of individual signing HEATHER SHAFFER
Valid signature Filed with authorized/valid electronic signature

Key Officers & Management

Name Role Address
ZAWAHRY HEATHER S President 109 W 23rd Street, PANAMA CITY, FL, 32405
ZAWAHRY HOSAM E Agent 109 W 23rd St Ste N5, PANAMA CITY, FL, 32405

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2022-03-15 109 W 23rd St Ste N5, PANAMA CITY, FL 32405 -
REGISTERED AGENT ADDRESS CHANGED 2022-03-15 109 W 23rd St Ste N5, PANAMA CITY, FL 32405 -
REINSTATEMENT 2020-10-20 - -
REGISTERED AGENT NAME CHANGED 2020-10-20 ZAWAHRY, HOSAM ESQ. -
ADMIN DISSOLUTION FOR ANNUAL REPORT 2020-09-25 - -

Documents

Name Date
ANNUAL REPORT 2024-04-23
ANNUAL REPORT 2023-03-03
ANNUAL REPORT 2022-03-15
ANNUAL REPORT 2021-03-19
REINSTATEMENT 2020-10-20
ANNUAL REPORT 2019-02-19
ANNUAL REPORT 2018-04-09
ANNUAL REPORT 2017-04-11
ANNUAL REPORT 2016-03-29
ANNUAL REPORT 2015-03-20

Paycheck Protection Program

Loan Number Loan Funded Date SBA Origination Office Code Loan Delivery Method Borrower Street Address
9622398302 2021-01-31 0491 PPS 2101 Northside Dr Unit 502, Panama City, FL, 32405-3687
Loan Status Date 2022-01-22
Loan Status Paid in Full
Loan Maturity in Months 60
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 22200
Loan Approval Amount (current) 22200
Undisbursed Amount 0
Franchise Name -
Lender Location ID 27
Servicing Lender Name MidSouth Bank
Servicing Lender Address 2526 W Main St, DOTHAN, AL, 36301-1226
Rural or Urban Indicator U
Hubzone N
LMI N
Business Age Description Existing or more than 2 years old
Project Address Panama City, BAY, FL, 32405-3687
Project Congressional District FL-02
Number of Employees 2
NAICS code 621111
Borrower Race Unanswered
Borrower Ethnicity Unknown/NotStated
Business Type Subchapter S Corporation
Originating Lender ID 27
Originating Lender Name MidSouth Bank
Originating Lender Address DOTHAN, AL
Gender Unanswered
Veteran Unanswered
Forgiveness Amount 22396.72
Forgiveness Paid Date 2021-12-22
4320437100 2020-04-13 0491 PPP 2101 Northside Dr, Suite 502, PANAMA CITY, FL, 32405-3684
Loan Status Date 2021-04-14
Loan Status Paid in Full
Loan Maturity in Months 24
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 22200
Loan Approval Amount (current) 22200
Undisbursed Amount 0
Franchise Name -
Lender Location ID 27
Servicing Lender Name MidSouth Bank
Servicing Lender Address 2526 W Main St, DOTHAN, AL, 36301-1226
Rural or Urban Indicator U
Hubzone N
LMI N
Business Age Description Existing or more than 2 years old
Project Address PANAMA CITY, BAY, FL, 32405-3684
Project Congressional District FL-02
Number of Employees 2
NAICS code 621111
Borrower Race Unanswered
Borrower Ethnicity Unknown/NotStated
Business Type Subchapter S Corporation
Originating Lender ID 27
Originating Lender Name MidSouth Bank
Originating Lender Address DOTHAN, AL
Gender Unanswered
Veteran Unanswered
Forgiveness Amount 22396.72
Forgiveness Paid Date 2021-03-03

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Companies related by address

No other companies in our directory share the same address as HEATHER SHAFFER, M.D., P.A.

Date of last update: 01 Apr 2025

Sources: Florida Department of State

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