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AGNES UBANI INC - Florida Company Profile

Company Details

Entity Name: AGNES UBANI INC
Jurisdiction: FLORIDA
Filing Type: Domestic Profit

AGNES UBANI 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: 30 Sep 2004 (21 years ago)
Last Event: AMENDMENT
Event Date Filed: 17 Nov 2004 (20 years ago)
Document Number: P04000136112
FEI/EIN Number 201689923

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

Address: 9905 SORBONNE LOOP, SEFFNER, FL, 33584, US
Mail Address: WINDSOR MEDICAL CLINIC, P.O. Box 16722, TEMPLE TERRACE, FL, 33687, US
ZIP code: 33584
County: Hillsborough
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1134302748 2007-12-06 2007-12-18 PO BOX 16722, TAMPA, FL, 336876722, US 10320 N 56TH ST, SUITE 120, TEMPLE TERRACE, FL, 336174071, US

Contacts

Phone +1 813-341-7900

Authorized person

Name AGNES UBANI
Role PHYSICIAN
Phone 8133417900

Taxonomy

Taxonomy Code 261QP2300X - Primary Care Clinic/Center
License Number ME 84332
State FL
Is Primary Yes

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
WINDSOR MEDICAL CLINIC 401(K) PLAN 2023 201689983 2024-05-30 AGNES UBANI INC 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2012-01-01
Business code 541990
Sponsor’s telephone number 8139241880
Plan sponsor’s address 11434 NORTH 53RD STREET, TAMPA, FL, 33617

Signature of

Role Plan administrator
Date 2024-05-30
Name of individual signing VICTOR UBANI
Valid signature Filed with authorized/valid electronic signature
WINDSOR MEDICAL CLINIC 401(K) PLAN 2022 201689983 2023-05-30 AGNES UBANI INC 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2012-01-01
Business code 541990
Sponsor’s telephone number 8139241880
Plan sponsor’s address 11434 NORTH 53RD STREET, TAMPA, FL, 33617

Signature of

Role Plan administrator
Date 2023-05-30
Name of individual signing VICTOR UBANI
Valid signature Filed with authorized/valid electronic signature
WINDSOR MEDICAL CLINIC 401(K) PLAN 2021 201689983 2022-06-30 AGNES UBANI INC 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2012-01-01
Business code 541990
Sponsor’s telephone number 8139241880
Plan sponsor’s address 11434 NORTH 53RD STREET, TAMPA, FL, 33617

Signature of

Role Plan administrator
Date 2022-06-30
Name of individual signing VICTOR UBANI
Valid signature Filed with authorized/valid electronic signature

Key Officers & Management

Name Role Address
UBANI AGNES President WINDSOR MEDICAL CLINIC, TEMPLE TERRACE, FL, 33687
UBANI VICTOR Director 11434 N. 53RD STREET, TEMPLE TERRACE, FL, 33617
Victor Ubani Agent 11434 N. 53RD STREET, TEMPLE TERRACE, FL, 33617

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G15000108047 WINDSOR MEDICAL CLINIC ACTIVE 2015-10-22 2025-12-31 - 11434 N 53RD ST, TEMPLE TERRACE, FL, 33617
G08364900022 WINDSOR MEDICAL CLINIC EXPIRED 2008-12-30 2013-12-31 - 10320 N. 56TH STREET, #120, TEMPLE TERRACE, FL, 33617

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2024-01-12 9905 SORBONNE LOOP, SEFFNER, FL 33584 -
REGISTERED AGENT NAME CHANGED 2024-01-12 Victor, Ubani -
REGISTERED AGENT ADDRESS CHANGED 2024-01-12 9905 SORBONNE LOOP, SEFFNER, FL 33584 -
CHANGE OF MAILING ADDRESS 2023-01-24 9905 SORBONNE LOOP, SEFFNER, FL 33584 -
AMENDMENT 2004-11-17 - -

Documents

Name Date
ANNUAL REPORT 2024-01-12
ANNUAL REPORT 2023-01-24
ANNUAL REPORT 2022-01-27
ANNUAL REPORT 2021-02-04
ANNUAL REPORT 2020-03-30
ANNUAL REPORT 2019-02-13
ANNUAL REPORT 2018-01-15
ANNUAL REPORT 2017-01-17
ANNUAL REPORT 2016-04-21
ANNUAL REPORT 2015-01-08

USAspending Awards. Financial Assistance

FAIN Awarding Agency Assistance Listings Start Date End Date Description
3945935002 Small Business Administration 59.012 - 7(A) LOAN GUARANTEES - - TO AID SMALL BUSINESSES WHICH ARE UNABLE TO OBTAIN FINANCING IN THE PRIVATE CREDIT MARKETPLACE
Recipient AGNES UBANI INC
Recipient Name Raw AGNES UBANI INC
Recipient DUNS 784321098
Recipient Address 10320 NORTH 56TH ST 120, TAMPA, HILLSBOROUGH, FLORIDA, 33617-0000, UNITED STATES
Obligated Amount 0.00
Non-Federal Funding 0.00
Original Subsidy Cost 115.00
Face Value of Direct Loan 25000.00
Link View Page

Paycheck Protection Program

Loan Number Loan Funded Date SBA Origination Office Code Loan Delivery Method Borrower Street Address
3395369008 2021-05-18 0455 PPS 11434 N 53rd St, Tampa, FL, 33617-2216
Loan Status Date 2022-01-20
Loan Status Paid in Full
Loan Maturity in Months 60
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 90702
Loan Approval Amount (current) 90702
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 Existing or more than 2 years old
Project Address Tampa, HILLSBOROUGH, FL, 33617-2216
Project Congressional District FL-15
Number of Employees 10
NAICS code 621111
Borrower Race Black or African American
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 Female Owned
Veteran Non-Veteran
Forgiveness Amount 91186.57
Forgiveness Paid Date 2021-12-02
4979627706 2020-05-01 0455 PPP 11434 N 53RD ST, TEMPLE TERRACE, FL, 33617-2216
Loan Status Date 2021-05-20
Loan Status Paid in Full
Loan Maturity in Months 24
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 90701
Loan Approval Amount (current) 90701
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 TEMPLE TERRACE, HILLSBOROUGH, FL, 33617-2216
Project Congressional District FL-15
Number of Employees 11
NAICS code 621111
Borrower Race Black or African American
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 91521.04
Forgiveness Paid Date 2021-04-02

Date of last update: 01 May 2025

Sources: Florida Department of State