Menu
Search icon
  1. Home Page
    2. ›
  2. Counties
    3. ›
  3. Polk
    4. ›
  4. 33812
    5. ›
  5. PERWAIZ RAHIM, M.D., P.A.

PERWAIZ RAHIM, M.D., P.A. - Florida Company Profile

Company Details

Entity Name: PERWAIZ RAHIM, M.D., P.A.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit

PERWAIZ RAHIM, M.D., 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: 20 Sep 2004 (21 years ago)
Last Event: REINSTATEMENT
Event Date Filed: 05 Jan 2023 (2 years ago)
Document Number: P04000132002
FEI/EIN Number 342017298

Federal Employer Identification (FEI) Number assigned by the IRS.
Address: 4712 Exploration Avenue, LAKELAND, FL, 33812, US
Mail Address: 4712 Exploration Avenue, LAKELAND, FL, 33812, US
ZIP code: 33812
County: Polk
Place of Formation: FLORIDA

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
PERWAIZ RAHIM, M.D., P. A. 401 (K) PLAN 2023 342017298 2024-10-15 PERWAIZ RAHIM, M.D., P. A. 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 621111
Sponsor’s telephone number 8635343707
Plan sponsor’s address 3651 INNOVATION DR, LAKELAND, FL, 338124106

Plan administrator’s name and address
Administrator’s EIN 200200514
Plan administrator’s name RECEIVERSHIP MANAGEMENT, INC.
Plan administrator’s address 510 HOSPITAL DR STE 490, MADISON, TN, 371155049
Administrator’s telephone number 6153700051

Signature of
Role Plan administrator
Date 2024-10-15
Name of individual signing ROBERT MOORE
Valid signature Filed with authorized/valid electronic signature
PERWAIZ RAHIM, M.D., P. A. 401 (K) PLAN 2022 342017298 2023-06-30 PERWAIZ RAHIM, M.D., P. A. 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 621111
Sponsor’s telephone number 8635343707
Plan sponsor’s address 3651 INNOVATION DR, LAKELAND, FL, 338124106

Plan administrator’s name and address
Administrator’s EIN 200200514
Plan administrator’s name RECEIVERSHIP MANAGEMENT INC
Plan administrator’s address 510 HOSPITAL DR STE 490, MADISON, TN, 371155049
Administrator’s telephone number 6153700051

Signature of
Role Plan administrator
Date 2023-06-30
Name of individual signing ROBERT MOORE
Valid signature Filed with authorized/valid electronic signature
PERWAIZ RAHIM, M. D. , P. A. 401(K) PLAN 2021 342017298 2024-11-12 PERWAIZ RAHIM, M.D., P.A. 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 621111
Sponsor’s telephone number 8635343707
Plan sponsor’s address 3651 INNOVATION DRIVE, LAKELAND, FL, 33812

Signature of
Role Plan administrator
Date 2024-11-12
Name of individual signing PERWAIZ RAHIM
Valid signature Filed with authorized/valid electronic signature
PERWAIZ RAHIM, M. D. , P. A. 401(K) PLAN 2020 342017298 2021-10-12 PERWAIZ RAHIM, M.D., P.A. 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 621111
Sponsor’s telephone number 8635343707
Plan sponsor’s address 3651 INNOVATION DRIVE, LAKELAND, FL, 33812

Signature of
Role Plan administrator
Date 2021-10-12
Name of individual signing PERWAIZ RAHIM
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2021-10-12
Name of individual signing PERWAIZ RAHIM
Valid signature Filed with authorized/valid electronic signature
PERWAIZ RAHIM, M. D. , P. A. 401(K) PLAN 2019 342017298 2020-10-15 PERWAIZ RAHIM, M.D., P.A. 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 621111
Sponsor’s telephone number 8635343707
Plan sponsor’s address 3651 INNOVATION DRIVE, LAKELAND, FL, 33812

Signature of
Role Plan administrator
Date 2020-10-15
Name of individual signing PERWAIZ H. RAHIM M.D.
Valid signature Filed with authorized/valid electronic signature
PERWAIZ RAHIM, M. D. , P. A. 401(K) PLAN 2018 342017298 2020-10-15 PERWAIZ RAHIM, M.D., P.A. 21
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 621111
Sponsor’s telephone number 8635343707
Plan sponsor’s address 3651 INNOVATION DRIVE, LAKELAND, FL, 33812
PERWAIZ RAHIM, M. D. , P. A. 401(K) PLAN 2018 342017298 2019-10-15 PERWAIZ RAHIM, M.D., P.A. 21
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 621111
Sponsor’s telephone number 8635343707
Plan sponsor’s address 3651 INNOVATION DRIVE, LAKELAND, FL, 33812
PERWAIZ RAHIM, M.D., P.A. 401(K) PLAN 2017 342017298 2018-06-04 PERWAIZ RAHIM, M.D., P.A. 21
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2007-01-01
Business code 621111
Sponsor’s telephone number 8635343707
Plan sponsor’s address 3651 INNOVATION DRIVE, LAKELAND, FL, 33812
PERWAIZ RAHIM, M.D., P.A. 401(K) PLAN 2016 342017298 2017-10-17 PERWAIZ RAHIM, M.D., P.A. 20
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2007-01-01
Business code 621111
Sponsor’s telephone number 8635343707
Plan sponsor’s address 3651 INNOVATION DRIVE, LAKELAND, FL, 33812
PERWAIZ RAHIM, M.D., P.A. 401(K) PLAN 2015 342017298 2016-10-04 PERWAIZ RAHIM, M.D., P.A. 18
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2007-01-01
Business code 621111
Sponsor’s telephone number 8635343707
Plan sponsor’s address 3651 INNOVATION DRIVE, LAKELAND, FL, 33812

Signature of
Role Plan administrator
Date 2016-10-04
Name of individual signing PERWAIZ RAHIM
Valid signature Filed with authorized/valid electronic signature

Key Officers & Management

Name Role Address
RAHIM PERWAIZ H Manager 3656 INNOVATION DRIVE, LAKELAND, FL, 33812
RAHIM PERWAIZ H Director 3656 INNOVATION DRIVE, LAKELAND, FL, 33812
RAHIM PERWAIZ H Agent 3656 INNOVATION DRIVE, LAKELAND, FL, 33812

Events

Event Type Filed Date Value Description
CHANGE OF MAILING ADDRESS 2024-12-27 4712 Exploration Avenue, LAKELAND, FL 33812 -
CHANGE OF PRINCIPAL ADDRESS 2024-12-27 4712 Exploration Avenue, LAKELAND, FL 33812 -
REINSTATEMENT 2023-01-05 - -
ADMIN DISSOLUTION FOR ANNUAL REPORT 2022-09-23 - -
REINSTATEMENT 2021-03-08 - -
ADMIN DISSOLUTION FOR ANNUAL REPORT 2020-09-25 - -
REGISTERED AGENT ADDRESS CHANGED 2018-08-06 3656 INNOVATION DRIVE, LAKELAND, FL 33812 -
REINSTATEMENT 2016-10-21 - -
ADMIN DISSOLUTION FOR ANNUAL REPORT 2016-09-23 - -
REGISTERED AGENT NAME CHANGED 2015-09-21 RAHIM, PERWAIZ H -

Documents

Name Date
ANNUAL REPORT 2024-02-09
REINSTATEMENT 2023-01-05
REINSTATEMENT 2021-03-08
ANNUAL REPORT 2019-04-30
ANNUAL REPORT 2018-08-06
ANNUAL REPORT 2017-07-03
REINSTATEMENT 2016-10-21
REINSTATEMENT 2015-09-21
ANNUAL REPORT 2013-01-16
REINSTATEMENT 2012-11-14

Paycheck Protection Program

Loan Number Loan Funded Date SBA Origination Office Code Loan Delivery Method Borrower Street Address
5875617202 2020-04-27 0455 PPP 3656 Innovation Drive,, Lakeland, FL, 33812
Loan Status Date 2021-08-12
Loan Status Paid in Full
Loan Maturity in Months 24
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 135000
Loan Approval Amount (current) 135000
Undisbursed Amount 0
Franchise Name -
Lender Location ID 2408
Servicing Lender Name Regions Bank
Servicing Lender Address 1900 Fifth Avenue North, BIRMINGHAM, AL, 35203
Rural or Urban Indicator U
Hubzone N
LMI N
Business Age Description Existing or more than 2 years old
Project Address Lakeland, POLK, FL, 33812-0200
Project Congressional District FL-18
Number of Employees 14
NAICS code 622110
Borrower Race American Indian or Alaska Native
Borrower Ethnicity Not Hispanic or Latino
Business Type Limited Liability Company(LLC)
Originating Lender ID 2408
Originating Lender Name Regions Bank
Originating Lender Address BIRMINGHAM, AL
Gender Male Owned
Veteran Non-Veteran
Forgiveness Amount 136560.82
Forgiveness Paid Date 2021-06-28

Companies related by officers

RAHIM PERWAIZ H

CYNERGY URGENT CARE, LLC - Inactive
Foreign Limited Liability Co. (2009 - 2011)
RAHIM INVESTMENT COMPANY, LLC - Inactive
Florida Limited Liability Co. (2005 - 2019)

Companies related by address

No other companies in our directory share the same address as PERWAIZ RAHIM, M.D., P.A.

Date of last update: 01 Apr 2025

Sources: Florida Department of State

Privacy policy Policy
About us About us
Contacts Contact us

© 2025 flprofile.com, Part of Big Data Integrated