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  5. PLANT CITY ALLERGY, P.A.

PLANT CITY ALLERGY, P.A. - Florida Company Profile

Company Details

Entity Name: PLANT CITY ALLERGY, P.A.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit

PLANT CITY ALLERGY, 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: 14 Oct 2003 (22 years ago)
Last Event: REINSTATEMENT
Event Date Filed: 19 Oct 2016 (9 years ago)
Document Number: P03000113386
FEI/EIN Number 562404133

Federal Employer Identification (FEI) Number assigned by the IRS.
Address: 106 SOUTHERN OAK DRIVE, PLANT CITY, FL, 33563
Mail Address: P.O. BOX 2156, PLANT CITY, FL, 33564
ZIP code: 33563
County: Hillsborough
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1083760748 2007-01-26 2020-08-22 PO BOX 2156, PLANT CITY, FL, 335642156, US 106 SOUTHERN OAKS DR, PLANT CITY, FL, 335631446, US

Contacts
Phone +1 813-752-8595

Authorized person
Name DR. DAVID E. PROVENCHER JR.
Role OWNER-PHYSICIAN
Phone 8137528595

Taxonomy
Taxonomy Code 207K00000X - Allergy & Immunology Physician
License Number ME81615
State FL
Is Primary Yes

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
PLANT CITY ALLERGY, P.A. 401(K) PROFIT SHARING PLAN 2023 562404133 2024-11-13 PLANT CITY ALLERGY, P.A. 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-03-01
Business code 621111
Sponsor’s telephone number 8137528595
Plan sponsor’s address 106 SOUTHERN OAKS DRIVE, PLANT CITY, FL, 33564

Signature of
Role Plan administrator
Date 2024-11-13
Name of individual signing DAVID PROVENCHER
Valid signature Filed with authorized/valid electronic signature
PLANT CITY ALLERGY, P.A. 401(K) PROFIT SHARING PLAN 2023 562404133 2024-04-19 PLANT CITY ALLERGY, P.A. 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-03-01
Business code 621111
Sponsor’s telephone number 8137528595
Plan sponsor’s address 106 SOUTHERN OAKS DRIVE, PLANT CITY, FL, 33564

Signature of
Role Plan administrator
Date 2024-04-19
Name of individual signing DAVID E PROVENCHER
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2024-04-19
Name of individual signing DAVID E PROVENCHER
Valid signature Filed with authorized/valid electronic signature
PLANT CITY ALLERGY, P.A. 401(K) PROFIT SHARING PLAN 2022 562404133 2023-06-15 PLANT CITY ALLERGY, P.A. 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-03-01
Business code 621111
Sponsor’s telephone number 8137528595
Plan sponsor’s address 106 SOUTHERN OAKS DRIVE, PLANT CITY, FL, 33564

Signature of
Role Plan administrator
Date 2023-06-15
Name of individual signing DAVID PROVENCHER
Valid signature Filed with authorized/valid electronic signature
PLANT CITY ALLERGY, P.A. 401(K) PROFIT SHARING PLAN 2021 562404133 2022-04-27 PLANT CITY ALLERGY, P.A. 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-03-01
Business code 621111
Sponsor’s telephone number 8137528595
Plan sponsor’s address 106 SOUTHERN OAKS DRIVE, PLANT CITY, FL, 33564

Signature of
Role Plan administrator
Date 2022-04-27
Name of individual signing DAVID PROVENCHER
Valid signature Filed with authorized/valid electronic signature
PLANT CITY ALLERGY, P.A. 401(K) PROFIT SHARING PLAN 2020 562404133 2021-04-28 PLANT CITY ALLERGY, P.A. 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-03-01
Business code 621111
Sponsor’s telephone number 8137528595
Plan sponsor’s address 106 SOUTHERN OAKS DRIVE, PLANT CITY, FL, 33564

Signature of
Role Plan administrator
Date 2021-04-28
Name of individual signing DAVID E PROVENCHER
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2021-04-28
Name of individual signing DAVID E PROVENCHER
Valid signature Filed with authorized/valid electronic signature
PLANT CITY ALLERGY, P.A. 401(K) PROFIT SHARING PLAN 2019 562404133 2020-07-23 PLANT CITY ALLERGY, P.A. 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-03-01
Business code 621111
Sponsor’s telephone number 8137528595
Plan sponsor’s address 106 SOUTHERN OAKS DRIVE, PLANT CITY, FL, 33564

Signature of
Role Plan administrator
Date 2020-07-23
Name of individual signing DAVID E PROVENCHER
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2020-07-23
Name of individual signing DAVID E PROVENCHER
Valid signature Filed with authorized/valid electronic signature
PLANT CITY ALLERGY, P.A. 401(K) PROFIT SHARING PLAN 2018 562404133 2019-06-04 PLANT CITY ALLERGY, P.A. 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-03-01
Business code 621111
Sponsor’s telephone number 8137528595
Plan sponsor’s address 106 SOUTHERN OAKS DRIVE, PLANT CITY, FL, 33564

Signature of
Role Plan administrator
Date 2019-06-04
Name of individual signing DAVID PROVENCHER
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2019-06-04
Name of individual signing DAVID PROVENCHER
Valid signature Filed with authorized/valid electronic signature
PLANT CITY ALLERGY, P.A. 401(K) PROFIT SHARING PLAN 2017 562404133 2018-08-23 PLANT CITY ALLERGY, P.A. 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-03-01
Business code 621111
Sponsor’s telephone number 8137528595
Plan sponsor’s address 106 SOUTHERN OAKS DRIVE, PLANT CITY, FL, 33564

Signature of
Role Plan administrator
Date 2018-08-23
Name of individual signing DAVID PROVENCHER
Valid signature Filed with authorized/valid electronic signature
PLANT CITY ALLERGY, P.A. 401(K) PROFIT SHARING PLAN 2016 562404133 2017-05-02 PLANT CITY ALLERGY, P.A. 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-03-01
Business code 621111
Sponsor’s telephone number 8137528595
Plan sponsor’s address 106 SOUTHERN OAKS DRIVE, PLANT CITY, FL, 33564

Signature of
Role Plan administrator
Date 2017-05-02
Name of individual signing DAVID PROVENCHER
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2017-05-02
Name of individual signing DAVID PROVENCHER
Valid signature Filed with authorized/valid electronic signature
PLANT CITY ALLERGY, P.A. 401(K) PROFIT SHARING PLAN 2015 562404133 2016-05-05 PLANT CITY ALLERGY, P.A. 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-03-01
Business code 621111
Sponsor’s telephone number 8137528595
Plan sponsor’s address 106 SOUTHERN OAKS DRIVE, PLANT CITY, FL, 33564

Signature of
Role Plan administrator
Date 2016-05-05
Name of individual signing DAVID E. PROVENCHER, JR.
Valid signature Filed with authorized/valid electronic signature

Key Officers & Management

Name Role Address
PROVENCHER DAVID E Director 1501 W. HORATIO ST APT 221, TAMPA, FL, 33606
PROVENCHER DAVID E Agent 106 SOUTHERN OAK DR, PLANT CITY, FL, 33563

Events

Event Type Filed Date Value Description
REINSTATEMENT 2016-10-19 - -
REGISTERED AGENT NAME CHANGED 2016-10-19 PROVENCHER, DAVID EJR. -
ADMIN DISSOLUTION FOR ANNUAL REPORT 2016-09-23 - -
REGISTERED AGENT ADDRESS CHANGED 2006-03-01 106 SOUTHERN OAK DR, PLANT CITY, FL 33563 -
CHANGE OF PRINCIPAL ADDRESS 2006-01-12 106 SOUTHERN OAK DRIVE, PLANT CITY, FL 33563 -
CHANGE OF MAILING ADDRESS 2004-03-19 106 SOUTHERN OAK DRIVE, PLANT CITY, FL 33563 -

Documents

Name Date
ANNUAL REPORT 2024-02-07
ANNUAL REPORT 2023-02-01
ANNUAL REPORT 2022-02-02
ANNUAL REPORT 2021-02-03
ANNUAL REPORT 2020-02-05
ANNUAL REPORT 2019-04-10
ANNUAL REPORT 2018-03-07
ANNUAL REPORT 2017-01-12
REINSTATEMENT 2016-10-19
ANNUAL REPORT 2015-01-21

Paycheck Protection Program

Loan Number Loan Funded Date SBA Origination Office Code Loan Delivery Method Borrower Street Address
3683297100 2020-04-12 0455 PPP 104 Southern Oaks Drive, PLANT CITY, FL, 33563-1446
Loan Status Date 2021-02-17
Loan Status Paid in Full
Loan Maturity in Months 24
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 50000
Loan Approval Amount (current) 50000
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 U
Hubzone Y
LMI Y
Business Age Description Existing or more than 2 years old
Project Address PLANT CITY, HILLSBOROUGH, FL, 33563-1446
Project Congressional District FL-15
Number of Employees 4
NAICS code 621111
Borrower Race Unanswered
Borrower Ethnicity Not Hispanic or Latino
Business Type Subchapter S Corporation
Originating Lender ID 117723
Originating Lender Name SouthState Bank, National Association
Originating Lender Address WINTER HAVEN, FL
Gender Male Owned
Veteran Unanswered
Forgiveness Amount 50308.33
Forgiveness Paid Date 2020-12-09

Companies related by officers

No other companies in our directory share the same officers as PLANT CITY ALLERGY, P.A.

Companies related by address

No other companies in our directory share the same address as PLANT CITY ALLERGY, P.A.

Date of last update: 02 May 2025

Sources: Florida Department of State

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