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COASTAL HOME CARE, INC. - Florida Company Profile

Company Details

Entity Name: COASTAL HOME CARE, INC.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit

COASTAL HOME CARE, 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: 10 Dec 2003 (21 years ago)
Last Event: AMENDMENT
Event Date Filed: 16 May 2006 (19 years ago)
Document Number: P03000148765
FEI/EIN Number 200471773

Federal Employer Identification (FEI) Number assigned by the IRS.

Address: 7525 Blind Pass Road, St Pete Beach, FL, 33706, US
Mail Address: 7525 Blind Pass Road, St Pete Beach, FL, 33706, US
ZIP code: 33706
County: Pinellas
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1972565380 2006-04-03 2017-11-06 4700 140TH AVE N STE C102, CLEARWATER, FL, 337623846, US 4700 140TH AVE N STE C102, CLEARWATER, FL, 337623846, US

Contacts

Phone +1 727-576-2040
Fax 7275762050

Authorized person

Name MR. MICHAEL JACOB MOSES
Role PRESIDENT
Phone 7276387638

Taxonomy

Taxonomy Code 251E00000X - Home Health Agency
License Number HHA299991953
State FL
Is Primary Yes

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
COASTAL HOME CARE INC 401(K) PROFIT SHARING PLAN & TRUST 2023 200471773 2024-05-06 COASTAL HOME CARE INC 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2020-01-01
Business code 812990
Sponsor’s telephone number 8133760135
Plan sponsor’s address 7525 BLIND PASS RD, ST PETE BEACH, FL, 337061809

Plan administrator’s name and address

Administrator’s EIN 471637791
Plan administrator’s name ERISA FIDUCIARY SERVICES, INC.
Plan administrator’s address 1373 VETERANS HIGHWAY, SUITE 10, HAUPPAUGE, NY, 11788
Administrator’s telephone number 6312490500

Signature of

Role Plan administrator
Date 2024-05-06
Name of individual signing ERISA FIDUCIARY SERVICES
Valid signature Filed with authorized/valid electronic signature
COASTAL HOME CARE INC 401(K) PROFIT SHARING PLAN & TRUST 2022 200471773 2023-04-08 COASTAL HOME CARE INC 25
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2020-01-01
Business code 812990
Sponsor’s telephone number 8133760135
Plan sponsor’s address 7525 BLIND PASS RD, ST PETE BEACH, FL, 337061809

Plan administrator’s name and address

Administrator’s EIN 471637791
Plan administrator’s name ERISA FIDUCIARY SERVICES, INC.
Plan administrator’s address 1373 VETERANS HIGHWAY, SUITE 10, HAUPPAUGE, NY, 11788
Administrator’s telephone number 6312490500

Signature of

Role Plan administrator
Date 2023-04-08
Name of individual signing ERISA FIDUCIARY SERVICES
Valid signature Filed with authorized/valid electronic signature
COASTAL HOME CARE INC 401(K) PROFIT SHARING PLAN & TRUST 2021 200471773 2022-06-14 COASTAL HOME CARE INC 22
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2020-01-01
Business code 812990
Sponsor’s telephone number 8133760135
Plan sponsor’s address 7525 BLIND PASS RD, ST PETE BEACH, FL, 337061809

Plan administrator’s name and address

Administrator’s EIN 471637791
Plan administrator’s name ERISA FIDUCIARY SERVICES, INC.
Plan administrator’s address 1373 VETERANS HIGHWAY, SUITE 10, HAUPPAUGE, NY, 11788
Administrator’s telephone number 6312490500

Signature of

Role Plan administrator
Date 2022-06-14
Name of individual signing ERISA FIDUCIARY SERVICES
Valid signature Filed with authorized/valid electronic signature
COASTAL HOME CARE INC 401(K) PROFIT SHARING PLAN & TRUST 2020 200471773 2021-04-02 COASTAL HOME CARE INC 19
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2020-01-01
Business code 812990
Sponsor’s telephone number 8133760135
Plan sponsor’s address 7525 BLIND PASS RD, ST PETE BEACH, FL, 337061809

Signature of

Role Plan administrator
Date 2021-04-02
Name of individual signing ERISA FIDUCIARY SERVICES
Valid signature Filed with authorized/valid electronic signature

Key Officers & Management

Name Role Address
Moses, II Michael Chief Executive Officer 7525 Blind Pass Road, St Pete Beach, FL, 33706
Moses Michael Agent 7525 Blind Pass Road, St Pete Beach, FL, 33706

Events

Event Type Filed Date Value Description
REGISTERED AGENT ADDRESS CHANGED 2024-04-24 7525 Blind Pass Road, St Pete Beach, FL 33706 -
CHANGE OF PRINCIPAL ADDRESS 2021-04-29 7525 Blind Pass Road, St Pete Beach, FL 33706 -
CHANGE OF MAILING ADDRESS 2021-04-29 7525 Blind Pass Road, St Pete Beach, FL 33706 -
REGISTERED AGENT NAME CHANGED 2017-04-14 Moses, Michael -
AMENDMENT 2006-05-16 - -
AMENDMENT 2004-03-12 - -

Documents

Name Date
ANNUAL REPORT 2024-04-24
ANNUAL REPORT 2023-04-28
ANNUAL REPORT 2022-04-13
ANNUAL REPORT 2021-04-29
ANNUAL REPORT 2020-06-11
ANNUAL REPORT 2019-04-30
ANNUAL REPORT 2018-04-30
ANNUAL REPORT 2017-04-14
ANNUAL REPORT 2016-04-19
AMENDED ANNUAL REPORT 2015-11-10

Paycheck Protection Program

Loan Number Loan Funded Date SBA Origination Office Code Loan Delivery Method Borrower Street Address
1113298607 2021-03-12 0455 PPP 8130 66th St N Ste 5, Pinellas Park, FL, 33781-2111
Loan Status Date 2022-07-07
Loan Status Paid in Full
Loan Maturity in Months 60
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 211077
Loan Approval Amount (current) 211077
Undisbursed Amount 0
Franchise Name -
Lender Location ID 17616
Servicing Lender Name Seacoast National Bank
Servicing Lender Address 815 Colorado Ave, STUART, FL, 34994-3053
Rural or Urban Indicator U
Hubzone N
LMI N
Business Age Description Existing or more than 2 years old
Project Address Pinellas Park, PINELLAS, FL, 33781-2111
Project Congressional District FL-13
Number of Employees 25
NAICS code 623312
Borrower Race Unanswered
Borrower Ethnicity Unknown/NotStated
Business Type Subchapter S Corporation
Originating Lender ID 17616
Originating Lender Name Seacoast National Bank
Originating Lender Address STUART, FL
Gender Unanswered
Veteran Unanswered
Forgiveness Amount 213638.84
Forgiveness Paid Date 2022-06-02

Date of last update: 02 Apr 2025

Sources: Florida Department of State