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WHITE SANDS ANESTHESIA & PAIN MEDICINE, INC. - Florida Company Profile

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Company Details

Entity Name: WHITE SANDS ANESTHESIA & PAIN MEDICINE, INC.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit

WHITE SANDS ANESTHESIA & PAIN MEDICINE, 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: Inactive

The business entity is inactive. This status may signal operational issues or voluntary closure, raising concerns about the business's ability to repay loans and requiring careful risk assessment by lenders.

Date Filed: 14 Dec 2004 (21 years ago)
Date of dissolution: 03 Jan 2022 (3 years ago)
Last Event: VOLUNTARY DISSOLUTION
Event Date Filed: 03 Jan 2022 (3 years ago)
Document Number: P04000167826
FEI/EIN Number 202214491

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

Address: 2338 STATE AVENUE, PANAMA CITY, FL, 32405
Mail Address: P.O. BOX 1968, PANAMA CITY, FL, 32402
ZIP code: 32405
County: Bay
Place of Formation: FLORIDA

Key Officers & Management

Name Role Address
ZWINGELBERG KEITH M President 2338 STATE AVENUE, PANAMA CITY, FL, 32405
ZWINGELBERG KEITH M Vice President 2338 STATE AVENUE, PANAMA CITY, FL, 32405
ZWINGELBERG KEITH M Treasurer 2338 STATE AVENUE, PANAMA CITY, FL, 32405
Bancroft Cassidy H Agent 2338 STATE AVE, PANAMA CITY, FL, 32405
ZWINGELBERG KEITH M Secretary 2338 STATE AVENUE, PANAMA CITY, FL, 32405

National Provider Identifier

NPI Number:
1730100488

Authorized Person:

Name:
DR. KEITH M ZWINGELBERG
Role:
PRESIDENT
Phone:

Taxonomy:

Selected Taxonomy:
207LP2900X - Pain Medicine (Anesthesiology) Physician
Is Primary:
Yes

Contacts:

Fax:
8508720305

Form 5500 Series

Employer Identification Number (EIN):
202214491
Plan Year:
2018
Number Of Participants:
4
Sponsors Telephone Number:
Plan Year:
2017
Number Of Participants:
4
Sponsors Telephone Number:
Plan Year:
2016
Number Of Participants:
4
Sponsors Telephone Number:
Plan Year:
2015
Number Of Participants:
4
Sponsors Telephone Number:
Plan Year:
2014
Number Of Participants:
4
Sponsors Telephone Number:

Events

Event Type Filed Date Value Description
VOLUNTARY DISSOLUTION 2022-01-03 - -
REGISTERED AGENT NAME CHANGED 2013-04-30 Bancroft, Cassidy H -
REINSTATEMENT 2012-11-09 - -
ADMIN DISSOLUTION FOR ANNUAL REPORT 2012-09-28 - -
REGISTERED AGENT ADDRESS CHANGED 2008-04-30 2338 STATE AVE, PANAMA CITY, FL 32405 -

Documents

Name Date
VOLUNTARY DISSOLUTION 2022-01-03
ANNUAL REPORT 2021-01-28
ANNUAL REPORT 2020-06-25
ANNUAL REPORT 2019-02-07
ANNUAL REPORT 2018-02-08
ANNUAL REPORT 2017-02-28
ANNUAL REPORT 2016-03-09
ANNUAL REPORT 2015-01-22
ANNUAL REPORT 2014-03-26
ANNUAL REPORT 2013-04-30

USAspending Awards / Financial Assistance

Date:
2020-04-13
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:
40350.00
Total Face Value Of Loan:
40350.00

Paycheck Protection Program

Date Approved:
2020-04-12
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Initial Approval Amount:
40350
Current Approval Amount:
40350
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Unanswered
Veteran:
Unanswered
Forgiveness Amount:
40630.16

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Date of last update: 02 Jun 2025

Sources: Florida Department of State