TAKE SHAPE PLASTIC SURGERY, P.A.

Company Details

Entity Name:	TAKE SHAPE PLASTIC SURGERY, P.A.
Jurisdiction:	FLORIDA
Filing Type:	Domestic Profit
Status:	Active
Date Filed:	24 Sep 2003 (21 years ago)
Last Event:	REINSTATEMENT
Event Date Filed:	20 Oct 2021 (3 years ago)
Document Number:	P03000104734
FEI/EIN Number	200245251
Address:	4161 N.W. 5TH STREET, SUITE 100, PLANTATION, FL, 33317, US
Mail Address:	4161 N.W. 5TH STREET, SUITE 100, PLANTATION, FL, 33317, US
ZIP code:	33317
County:	Broward
Place of Formation:	FLORIDA

Name	Role	Address
SASSANI RUSSELL FM.D.	Agent	4161 N.W. 5TH STREET, PLANTATION, FL, 33317

Name	Role	Address
SASSANI RUSSELL FM.D.	Director	4161 N.W. 5TH STREET, SUITE 100, PLANTATION, FL, 33317

Event Type	Filed Date	Value	Description
REINSTATEMENT	2021-10-20	No data	No data
ADMIN DISSOLUTION FOR ANNUAL REPORT	2021-09-24	No data	No data
REGISTERED AGENT NAME CHANGED	2013-04-06	SASSANI, RUSSELL F., M.D.	No data

Loan Number

Loan Funded Date

SBA Origination Office Code

Loan Delivery Method

Borrower Street Address

9388197110

2020-04-15

0455

PPP

4161 NW 5TH ST, PLANTATION, FL, 33317-2101

Loan Status Date	2021-04-10
Loan Status	Paid in Full
Loan Maturity in Months	24
SBA Guaranty Percentage	100
Loan Approval Amount (at origination)	108300
Loan Approval Amount (current)	108300
Undisbursed Amount	0
Franchise Name	-
Lender Location ID	44449
Servicing Lender Name	PNC Bank, National Association
Servicing Lender Address	222 Delaware Ave, WILMINGTON, DE, 19801-1621
Rural or Urban Indicator	U
Hubzone	N
LMI	Y
Business Age Description	Existing or more than 2 years old
Project Address	PLANTATION, BROWARD, FL, 33317-2101
Project Congressional District	FL-20
Number of Employees	11
NAICS code	621111
Borrower Race	Unanswered
Borrower Ethnicity	Unknown/NotStated
Business Type	Subchapter S Corporation
Originating Lender ID	44449
Originating Lender Name	PNC Bank, National Association
Originating Lender Address	WILMINGTON, DE
Gender	Unanswered
Veteran	Unanswered
Forgiveness Amount	109313.81
Forgiveness Paid Date	2021-03-29

3013948505

2021-02-22

0455

PPS

4161 NW 5th St 4161 Nw 5th St, Plantation, FL, 33317-2101

Loan Status Date	2022-02-11
Loan Status	Paid in Full
Loan Maturity in Months	60
SBA Guaranty Percentage	100
Loan Approval Amount (at origination)	122635
Loan Approval Amount (current)	122635
Undisbursed Amount	0
Franchise Name	-
Lender Location ID	44449
Servicing Lender Name	PNC Bank, National Association
Servicing Lender Address	222 Delaware Ave, WILMINGTON, DE, 19801-1621
Rural or Urban Indicator	U
Hubzone	N
LMI	Y
Business Age Description	Existing or more than 2 years old
Project Address	Plantation, BROWARD, FL, 33317-2101
Project Congressional District	FL-20
Number of Employees	11
NAICS code	621111
Borrower Race	Unanswered
Borrower Ethnicity	Unknown/NotStated
Business Type	Subchapter S Corporation
Originating Lender ID	44449
Originating Lender Name	PNC Bank, National Association
Originating Lender Address	WILMINGTON, DE
Gender	Unanswered
Veteran	Unanswered
Forgiveness Amount	123708.06
Forgiveness Paid Date	2022-01-07

Date of last update: 02 Feb 2025