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  5. VALRICO MEDICAL CLINIC PA

VALRICO MEDICAL CLINIC PA - Florida Company Profile

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Company Details

Entity Name: VALRICO MEDICAL CLINIC PA
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Inactive
Date Filed: 18 May 2004 (21 years ago)
Date of dissolution: 18 May 2022 (3 years ago)
Last Event: CONVERSION
Event Date Filed: 18 May 2022 (3 years ago)
Document Number: P04000079543
FEI/EIN Number 270092886
Address: 1111 Lithia Pinecrest Rd, Brandon, FL, 33511, US
Mail Address: 1111 Lithia Pinecrest Rd, Brandon, FL, 33511, US
ZIP code: 33511
City: Brandon
County: Hillsborough
Place of Formation: FLORIDA

Key Officers & Management

Name Role Address
SHAW IZABELA President 1111 LITHIA PINECREST ROAD, Brandon, FL, 33511
SHAW IZABELA Director 1111 LITHIA PINECREST ROAD, Brandon, FL, 33511
Shaw Sydney Agent 1111 Lithia Pinecrest Rd, Brandon, FL, 33511

Unique Entity ID

CAGE Code:
6ZZP8
UEI Expiration Date:
2014-10-21

Business Information

Activation Date:
2013-10-23
Initial Registration Date:
2013-10-17

Commercial and government entity program

CAGE number:
6ZZP8
Status:
Active
Type:
Non-Manufacturer
CAGE Update Date:
2023-06-23

Contact Information

POC:
SYDNEY SHAW

National Provider Identifier

NPI Number:
1083801609
Link:
View on NPI website

Authorized Person:

Name:
MR. SYDNEY SHAW
Role:
OFFICE MANAGER
Phone:
8136433242

Taxonomy:

Selected Taxonomy:
173000000X - Legal Medicine
Is Primary:
Yes

Contacts:

Phone:
+1 813-643-3242

Form 5500 Series

Employer Identification Number (EIN):
270092886
Plan Year:
2022
Number Of Participants:
11
Sponsors Telephone Number:
8136433242
File:
View File
Plan Year:
2021
Number Of Participants:
8
Sponsors Telephone Number:
8136433242
File:
View File
Plan Year:
2020
Number Of Participants:
8
Sponsors Telephone Number:
8136433242
File:
View File
Plan Year:
2019
Number Of Participants:
8
Sponsors Telephone Number:
8136433242
File:
View File
Plan Year:
2018
Number Of Participants:
5
Sponsors Telephone Number:
8136433242
File:
View File

Events

Event Type Filed Date Value Description
CONVERSION 2022-05-18 - CONVERSION MEMBER. RESULTING CORPORATION WAS L22000211416. CONVERSION NUMBER 700000226597
CHANGE OF PRINCIPAL ADDRESS 2020-03-24 1111 Lithia Pinecrest Rd, Brandon, FL 33511 -
CHANGE OF MAILING ADDRESS 2020-03-24 1111 Lithia Pinecrest Rd, Brandon, FL 33511 -
REGISTERED AGENT ADDRESS CHANGED 2019-02-06 1111 Lithia Pinecrest Rd, Brandon, FL 33511 -
REGISTERED AGENT NAME CHANGED 2013-04-15 Shaw, Sydney -
REINSTATEMENT 2010-09-27 - -
ADMIN DISSOLUTION FOR ANNUAL REPORT 2010-09-24 - -

Documents

Name Date
ANNUAL REPORT 2022-01-26
ANNUAL REPORT 2021-02-03
ANNUAL REPORT 2020-03-24
ANNUAL REPORT 2019-02-06
ANNUAL REPORT 2018-01-24
ANNUAL REPORT 2017-01-06
ANNUAL REPORT 2016-03-05
ANNUAL REPORT 2015-02-17
ANNUAL REPORT 2014-03-06
ANNUAL REPORT 2013-04-15

USAspending Awards / Financial Assistance

Date:
2020-04-30
Link:
View on USAspending
Awarding Agency Name:
Small Business Administration
Transaction Description:
TO AID SMALL BUSINESSES IN MAINTAINING WORK FORCE DURING COVID-19 PANDEMIC.
Obligated Amount:
0.00
Face Value Of Loan:
45675.00
Total Face Value Of Loan:
45675.00
Date:
2020-04-22
Link:
View on USAspending
Awarding Agency Name:
Small Business Administration
Transaction Description:
ECONOMIC INJURY DISASTER GRANT
Obligated Amount:
6000.00
Face Value Of Loan:
0.00
Total Face Value Of Loan:
0.00
Date:
2020-04-22
Link:
View on USAspending
Awarding Agency Name:
Small Business Administration
Transaction Description:
ECONOMIC INJURY DISASTER GRANT
Obligated Amount:
6000.00
Face Value Of Loan:
0.00
Total Face Value Of Loan:
0.00
Date:
2016-05-24
Link:
View on USAspending
Awarding Agency Name:
Small Business Administration
Transaction Description:
TO ASSIST SMALL BUSINESS CONCERNS BY PROVIDING LONG TERM FINANCING THROUGH THE SALE OF DEBENTURES TO THE PRIVATE SECTOR
Obligated Amount:
0.00
Face Value Of Loan:
82000.00
Total Face Value Of Loan:
433000.00
Date:
2016-05-24
Link:
View on USAspending
Awarding Agency Name:
Small Business Administration
Transaction Description:
TO ASSIST SMALL BUSINESS CONCERNS BY PROVIDING LONG TERM FINANCING THROUGH THE SALE OF DEBENTURES TO THE PRIVATE SECTOR
Obligated Amount:
0.00
Face Value Of Loan:
82000.00
Total Face Value Of Loan:
433000.00

Paycheck Protection Program

Jobs Reported:
6
Initial Approval Amount:
$45,675
Date Approved:
2020-04-30
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$45,675
Race:
Unanswered
Ethnicity:
Not Hispanic or Latino
Gender:
Female Owned
Veteran:
Non-Veteran
Forgiveness Amount:
$46,050.41
Servicing Lender:
Bank of America, National Association
Use of Proceeds:
Payroll: $45,675

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Date of last update: 02 Aug 2025

Sources: Florida Department of State

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