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  5. SUNRISE CLINICAL LABORATORY, INC.

SUNRISE CLINICAL LABORATORY, INC. - Florida Company Profile

Company Details

Entity Name: SUNRISE CLINICAL LABORATORY, INC.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit

SUNRISE CLINICAL LABORATORY, 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: 29 Jul 2004 (21 years ago)
Last Event: AMENDMENT
Event Date Filed: 19 Sep 2023 (a year ago)
Document Number: P04000112033
FEI/EIN Number 900220010

Federal Employer Identification (FEI) Number assigned by the IRS.
Address: 21216 OLEAN BLVD, #3, PORT CHARLOTTE, FL, 33952, US
Mail Address: 21216 OLEAN BLVD, #3, PORT CHARLOTTE, FL, 33952, US
ZIP code: 33952
County: Charlotte
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1801144860 2012-08-23 2012-08-23 21216 OLEAN BLVD, STE 3, PORT CHARLOTTE, FL, 339526722, US 21216 OLEAN BLVD, STE 3, PORT CHARLOTTE, FL, 339526722, US

Contacts
Phone +1 941-624-3005
Fax 9416246405

Authorized person
Name MIFTAH KEMAL
Role OWNER
Phone 9416243005

Taxonomy
Taxonomy Code 291U00000X - Clinical Medical Laboratory
License Number 800019331
State FL
Is Primary Yes

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
SUNRISE CLINICAL LABORATORY 401(K) PLAN & TRUST 2023 900220010 2025-02-20 SUNRISE CLINICAL LABORATORY, INC. 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-01-01
Business code 621510
Sponsor’s telephone number 9416243005
Plan sponsor’s address 26058 PAYSANDU DRIVE, PUNTA GORDA, FL, 33983

Signature of
Role Plan administrator
Date 2025-02-20
Name of individual signing MIFTAH KEMAL
Valid signature Filed with authorized/valid electronic signature
SUNRISE CLINICAL LABORATORY 401(K) PLAN & TRUST 2022 900220010 2024-02-15 SUNRISE CLINICAL LABORATORY, INC. 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-01-01
Business code 621510
Sponsor’s telephone number 9416243005
Plan sponsor’s address 21216 OLEAN BLVD., SUITE 3, PORT CHARLOTTE, FL, 33952

Signature of
Role Plan administrator
Date 2024-02-15
Name of individual signing MIFTAH KEMAL
Valid signature Filed with authorized/valid electronic signature
SUNRISE CLINICAL LABORATORY 401(K) PLAN & TRUST 2021 900220010 2023-02-14 SUNRISE CLINICAL LABORATORY, INC. 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-01-01
Business code 621510
Sponsor’s telephone number 9416243005
Plan sponsor’s address 21216 OLEAN BLVD., SUITE 3, PORT CHARLOTTE, FL, 33952

Signature of
Role Plan administrator
Date 2023-02-14
Name of individual signing MIFTAH KEMAL
Valid signature Filed with authorized/valid electronic signature
SUNRISE CLINICAL LABORATORY 401(K) PLAN & TRUST 2020 900220010 2021-10-14 SUNRISE CLINICAL LABORATORY, INC. 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-01-01
Business code 621510
Sponsor’s telephone number 9416243005
Plan sponsor’s address 21216 OLEAN BLVD., SUITE 3, PORT CHARLOTTE, FL, 33952

Signature of
Role Plan administrator
Date 2021-10-14
Name of individual signing MIFTAH KEMAL
Valid signature Filed with authorized/valid electronic signature
SUNRISE CLINICAL LABORATORY 401(K) PLAN & TRUST 2019 900220010 2020-10-14 SUNRISE CLINICAL LABORATORY, INC. 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-01-01
Business code 621510
Sponsor’s telephone number 9416243005
Plan sponsor’s address 21216 OLEAN BLVD., SUITE 3, PORT CHARLOTTE, FL, 33952

Signature of
Role Plan administrator
Date 2020-10-14
Name of individual signing MIFTAH KEMAL
Valid signature Filed with authorized/valid electronic signature
SUNRISE CLINICAL LABORATORY 401(K) PLAN & TRUST 2018 900220010 2019-10-14 SUNRISE CLINICAL LABORATORY, INC. 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-01-01
Business code 621510
Sponsor’s telephone number 9416243005
Plan sponsor’s address 21216 OLEAN BLVD., SUITE 3, PORT CHARLOTTE, FL, 33952

Signature of
Role Plan administrator
Date 2019-10-14
Name of individual signing MIFTAH KEMAL
Valid signature Filed with authorized/valid electronic signature
SUNRISE CLINICAL LABORATORY 401(K) PLAN & TRUST 2017 900220010 2018-10-15 SUNRISE CLINICAL LABORATORY, INC. 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-01-01
Business code 621510
Sponsor’s telephone number 9416243005
Plan sponsor’s address 21216 OLEAN BLVD., SUITE 3, PORT CHARLOTTE, FL, 33952

Signature of
Role Plan administrator
Date 2018-10-15
Name of individual signing MIFTAH KEMAL, MS
Valid signature Filed with authorized/valid electronic signature
SUNRISE CLINICAL LABORATORY 401(K) PLAN & TRUST 2016 900220010 2017-10-16 SUNRISE CLINICAL LABORATORY, INC. 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-01-01
Business code 621510
Sponsor’s telephone number 9416243005
Plan sponsor’s address 21216 OLEAN BLVD., SUITE 3, PORT CHARLOTTE, FL, 33952

Signature of
Role Plan administrator
Date 2017-10-16
Name of individual signing MIFTAH KEMAL
Valid signature Filed with authorized/valid electronic signature

Key Officers & Management

Name Role Address
ROSS JOSE AUGUSTO President 21216 OLEAN BLVD #3, PORT CHARLOTTE, FL, 33952
Ross Laura Auth 1395 BRICKELL AVENUE, MIAMI, FL, 33131
ROSS LAURA Agent 1395 BRICKELL AVENUE, MIAMI, FL, 33131

Events

Event Type Filed Date Value Description
REGISTERED AGENT ADDRESS CHANGED 2024-04-04 1395 BRICKELL AVENUE, 14TH FLOOR, MIAMI, FL 33131 -
REGISTERED AGENT NAME CHANGED 2024-04-04 ROSS, LAURA -
AMENDMENT 2023-09-19 - -
CHANGE OF PRINCIPAL ADDRESS 2008-06-25 21216 OLEAN BLVD, #3, PORT CHARLOTTE, FL 33952 -
REINSTATEMENT 2008-06-25 - -
CHANGE OF MAILING ADDRESS 2008-06-25 21216 OLEAN BLVD, #3, PORT CHARLOTTE, FL 33952 -
ADMIN DISSOLUTION FOR ANNUAL REPORT 2006-09-15 - -

Documents

Name Date
AMENDED ANNUAL REPORT 2024-04-04
ANNUAL REPORT 2024-04-01
Amendment 2023-09-19
AMENDED ANNUAL REPORT 2023-09-18
ANNUAL REPORT 2023-03-21
ANNUAL REPORT 2022-03-09
ANNUAL REPORT 2021-01-25
ANNUAL REPORT 2020-03-23
ANNUAL REPORT 2019-02-18
ANNUAL REPORT 2018-02-05

Paycheck Protection Program

Loan Number Loan Funded Date SBA Origination Office Code Loan Delivery Method Borrower Street Address
3830207401 2020-05-08 0455 PPP 21216 OLEAN BLVD, PORT CHARLOTTE, FL, 33952-6722
Loan Status Date 2021-02-20
Loan Status Paid in Full
Loan Maturity in Months 24
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 34558.55
Loan Approval Amount (current) 34558.55
Undisbursed Amount 0
Franchise Name -
Lender Location ID 4392
Servicing Lender Name Centennial Bank
Servicing Lender Address 620 Chestnut St, CONWAY, AR, 72032-5404
Rural or Urban Indicator U
Hubzone Y
LMI Y
Business Age Description Unanswered
Project Address PORT CHARLOTTE, CHARLOTTE, FL, 33952-6722
Project Congressional District FL-17
Number of Employees 9
NAICS code 541380
Borrower Race Unanswered
Borrower Ethnicity Unknown/NotStated
Business Type Subchapter S Corporation
Originating Lender ID 4392
Originating Lender Name Centennial Bank
Originating Lender Address CONWAY, AR
Gender Male Owned
Veteran Non-Veteran
Forgiveness Amount 34789.57
Forgiveness Paid Date 2021-01-14
1104938607 2021-03-12 0455 PPS 21216 Olean Blvd Ste 3, Port Charlotte, FL, 33952-6722
Loan Status Date 2022-05-14
Loan Status Paid in Full
Loan Maturity in Months 60
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 38505
Loan Approval Amount (current) 38505
Undisbursed Amount 0
Franchise Name -
Lender Location ID 4392
Servicing Lender Name Centennial Bank
Servicing Lender Address 620 Chestnut St, CONWAY, AR, 72032-5404
Rural or Urban Indicator U
Hubzone Y
LMI Y
Business Age Description Existing or more than 2 years old
Project Address Port Charlotte, CHARLOTTE, FL, 33952-6722
Project Congressional District FL-17
Number of Employees 8
NAICS code 541380
Borrower Race Unanswered
Borrower Ethnicity Unknown/NotStated
Business Type Subchapter S Corporation
Originating Lender ID 4392
Originating Lender Name Centennial Bank
Originating Lender Address CONWAY, AR
Gender Male Owned
Veteran Non-Veteran
Forgiveness Amount 38889
Forgiveness Paid Date 2022-04-07

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Companies related by address

No other companies in our directory share the same address as SUNRISE CLINICAL LABORATORY, INC.

Date of last update: 01 Mar 2025

Sources: Florida Department of State

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