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MIAMI PROVISIONS, INC.

Company Details

Entity Name: MIAMI PROVISIONS, INC.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Active
Date Filed: 26 Apr 2004 (21 years ago)
Document Number: P04000068252
FEI/EIN Number 201102227
Address: 14501 NW 57th. AVENUE, MIAMI, FL, 33054, US
Mail Address: 14501 NW 57th. AVENUE, MIAMI, FL, 33054, US
ZIP code: 33054
County: Miami-Dade
Place of Formation: FLORIDA

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
MIAMI PROVISIONS, INC. SAFE HARBOR 401(K) 2023 201102227 2024-10-04 MIAMI PROVISIONS, INC. 23
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-01-01
Business code 424400
Sponsor’s telephone number 3057428926
Plan sponsor’s address 14501 NW 57 AVE, SUITE 105, MIAMI, FL, 33054

Signature of

Role Plan administrator
Date 2024-10-04
Name of individual signing JOSEPH DECOLLIBUS
Valid signature Filed with authorized/valid electronic signature
MIAMI PROVISIONS, INC. SAFE HARBOR 401(K) 2022 201102227 2023-07-18 MIAMI PROVISIONS, INC. 20
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-01-01
Business code 424400
Sponsor’s telephone number 3057428926
Plan sponsor’s address 14501 NW 57 AVE, SUITE 105, MIAMI, FL, 33054

Signature of

Role Plan administrator
Date 2023-07-18
Name of individual signing JOSEPH DECOLLIBUS
Valid signature Filed with authorized/valid electronic signature
MIAMI PROVISIONS, INC. 401(K) PLAN 2009 201102227 2010-10-07 MIAMI PROVISIONS, INC. 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-01-01
Business code 424400
Sponsor’s telephone number 9549893989
Plan sponsor’s address 3126 JOHN P. KURCI DRIVE, BAY #2, PEMBROKE PARK, FL, 33009

Plan administrator’s name and address

Administrator’s EIN 201102227
Plan administrator’s name MIAMI PROVISIONS, INC.
Plan administrator’s address 3126 JOHN P. KURCI DRIVE, BAY #2, PEMBROKE PARK, FL, 33009
Administrator’s telephone number 9549893989

Signature of

Role Plan administrator
Date 2010-10-07
Name of individual signing JOSEPH R. DECOLLIBUS
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2010-10-07
Name of individual signing JOSEPH R. DECOLLIBUS
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
MOFSEN HOWARD J Agent 5541 N. UNIVERSITY DRIVE, CORAL SPRINGS, FL, 33065

Manager

Name Role Address
DE COLLIBUS JOSEPH R Manager 1234 CATALONIA AVENUE, CORAL GABLES, FL, 33134

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2016-01-25 14501 NW 57th. AVENUE, SUITE 105, MIAMI, FL 33054 No data
CHANGE OF MAILING ADDRESS 2016-01-25 14501 NW 57th. AVENUE, SUITE 105, MIAMI, FL 33054 No data
REGISTERED AGENT ADDRESS CHANGED 2015-01-20 5541 N. UNIVERSITY DRIVE, SUITE 103, CORAL SPRINGS, FL 33065 No data

Documents

Name Date
ANNUAL REPORT 2025-01-20
ANNUAL REPORT 2024-02-07
ANNUAL REPORT 2023-01-19
ANNUAL REPORT 2022-01-26
ANNUAL REPORT 2021-02-04
ANNUAL REPORT 2020-01-21
ANNUAL REPORT 2019-02-08
ANNUAL REPORT 2018-01-15
ANNUAL REPORT 2017-01-06
ANNUAL REPORT 2016-01-25

Paycheck Protection Program

Loan Number Loan Funded Date SBA Origination Office Code Loan Delivery Method Borrower Street Address
5306387706 2020-05-01 0455 PPP 14501 NW 57TH AVE STE 105, OPA LOCKA, FL, 33054-2375
Loan Status Date 2021-01-21
Loan Status Paid in Full
Loan Maturity in Months 24
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 170000
Loan Approval Amount (current) 170000
Undisbursed Amount 0
Franchise Name -
Lender Location ID 9551
Servicing Lender Name Bank of America, National Association
Servicing Lender Address 100 N Tryon St, Ste 170, CHARLOTTE, NC, 28202-4024
Rural or Urban Indicator U
Hubzone N
LMI N
Business Age Description New Business or 2 years or less
Project Address OPA LOCKA, MIAMI-DADE, FL, 33054-2375
Project Congressional District FL-24
Number of Employees 25
NAICS code 424470
Borrower Race White
Borrower Ethnicity Not Hispanic or Latino
Business Type Corporation
Originating Lender ID 9551
Originating Lender Name Bank of America, National Association
Originating Lender Address CHARLOTTE, NC
Gender Male Owned
Veteran Non-Veteran
Forgiveness Amount 171080.55
Forgiveness Paid Date 2020-12-23

Date of last update: 01 Feb 2025

Sources: Florida Department of State