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TRI COUNTY PODIATRY, P.A. - Florida Company Profile

Company Details

Entity Name: TRI COUNTY PODIATRY, P.A.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit

TRI COUNTY PODIATRY, 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: 31 Oct 2005 (19 years ago)
Last Event: REINSTATEMENT
Event Date Filed: 28 Oct 2016 (8 years ago)
Document Number: P05000146408
FEI/EIN Number 203729549

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

Address: 340 Heald Way, Bldg 100, Bldg 100, The Villages, FL, 32163, US
Mail Address: 340 Heald Way, Bldg 100, Bldg 100, The Villages, FL, 32163, US
ZIP code: 32163
County: Sumter
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1396287884 2016-11-15 2016-11-15 1585 SANTA BARBARA BLVD, STE B, THE VILLAGES, FL, 321596820, US 340 HEALD WAY, BLDG 100, THE VILLAGES, FL, 321636087, US

Contacts

Phone +1 352-259-1919
Fax 3522592042

Authorized person

Name FELIX J ESAREY
Role OWNER
Phone 3522591919

Taxonomy

Taxonomy Code 213ES0103X - Foot & Ankle Surgery Podiatrist
Is Primary No
Taxonomy Code 332B00000X - Durable Medical Equipment & Medical Supplies
Is Primary Yes

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
TRI COUNTY PODIATRY P.A. 401(K) PLAN 2023 203729549 2024-07-18 TRI COUNTY PODIATRY, P.A. 29
Three-digit plan number (PN) 001
Effective date of plan 2011-01-01
Business code 621391
Sponsor’s telephone number 3522591919
Plan sponsor’s address 340 HEALD WAY BLDG 100, THE VILLAGES, FL, 32163

Signature of

Role Plan administrator
Date 2024-07-18
Name of individual signing SHIRLEY HORNER
Valid signature Filed with authorized/valid electronic signature
TRI COUNTY PODIATRY P.A. 401(K) PLAN 2023 203729549 2024-10-02 TRI COUNTY PODIATRY, P.A. 29
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2011-01-01
Business code 621391
Sponsor’s telephone number 3522591919
Plan sponsor’s address 340 HEALD WAY BLDG 100, THE VILLAGES, FL, 32163

Signature of

Role Plan administrator
Date 2024-10-02
Name of individual signing VANESSA URREGO
Valid signature Filed with authorized/valid electronic signature
TRI COUNTY PODIATRY P.A. 401(K) PLAN 2022 203729549 2023-06-23 TRI COUNTY PODIATRY, P.A. 34
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2011-01-01
Business code 621391
Sponsor’s telephone number 3522591919
Plan sponsor’s address 1585 SANTA BARBARA BLVD, STE B, THE VILLAGES, FL, 32159

Signature of

Role Plan administrator
Date 2023-06-23
Name of individual signing NICK RICE
Valid signature Filed with authorized/valid electronic signature
TRI COUNTY PODIATRY P.A. 401(K) PLAN 2021 203729549 2022-05-25 TRI COUNTY PODIATRY, P.A. 35
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2011-01-01
Business code 621391
Sponsor’s telephone number 3522591919
Plan sponsor’s address 1585 SANTA BARBARA BLVD, STE B, THE VILLAGES, FL, 32159

Signature of

Role Plan administrator
Date 2022-05-25
Name of individual signing JENINE FRAZIER
Valid signature Filed with authorized/valid electronic signature
TRI COUNTY PODIATRY P.A. 401(K) PLAN 2020 203729549 2021-06-03 TRI COUNTY PODIATRY, P.A. 33
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2011-01-01
Business code 621391
Sponsor’s telephone number 3522591919
Plan sponsor’s address 1585 SANTA BARBARA BLVD, STE B, THE VILLAGES, FL, 32159

Signature of

Role Plan administrator
Date 2021-06-03
Name of individual signing JENINE FRAZIER
Valid signature Filed with authorized/valid electronic signature
TRI COUNTY PODIATRY P.A. 401(K) PLAN 2019 203729549 2020-06-16 TRI COUNTY PODIATRY, P.A. 32
Three-digit plan number (PN) 001
Effective date of plan 2011-01-01
Business code 621391
Sponsor’s telephone number 3522591919
Plan sponsor’s address 1585 SANTA BARBARA BLVD, STE B, THE VILLAGES, FL, 32159

Signature of

Role Plan administrator
Date 2020-06-16
Name of individual signing JFRAZIER1585
Valid signature Filed with authorized/valid electronic signature
TRI COUNTY PODIATRY P.A. 401(K) PLAN 2019 203729549 2020-06-30 TRI COUNTY PODIATRY, P.A. 32
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2011-01-01
Business code 621391
Sponsor’s telephone number 3522591919
Plan sponsor’s address 1585 SANTA BARBARA BLVD, STE B, THE VILLAGES, FL, 32159

Signature of

Role Plan administrator
Date 2020-06-30
Name of individual signing JENINE FRAZIER
Valid signature Filed with authorized/valid electronic signature
TRI COUNTY PODIATRY P.A. 401(K) PLAN 2018 203729549 2019-06-10 TRI COUNTY PODIATRY, P.A. 28
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2011-01-01
Business code 621391
Sponsor’s telephone number 3522591919
Plan sponsor’s address 1585 SANTA BARBARA BLVD, STE B, THE VILLAGES, FL, 32159

Signature of

Role Plan administrator
Date 2019-06-10
Name of individual signing JENINE FRAZIER
Valid signature Filed with authorized/valid electronic signature
TRI COUNTY PODIATRY P.A. 401(K) PLAN 2017 203729549 2018-06-13 TRI COUNTY PODIATRY, P.A. 23
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2011-01-01
Business code 621391
Sponsor’s telephone number 3522591919
Plan sponsor’s address 1585 SANTA BARBARA BLVD, STE B, THE VILLAGES, FL, 32159

Signature of

Role Plan administrator
Date 2018-06-13
Name of individual signing JENINE FRAZIER
Valid signature Filed with authorized/valid electronic signature
TRI COUNTY PODIATRY P.A. 401(K) PLAN 2016 203729549 2017-07-12 TRI COUNTY PODIATRY, P.A. 20
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2011-01-01
Business code 621391
Sponsor’s telephone number 3522591919
Plan sponsor’s address 1585 SANTA BARBARA BLVD, STE B, THE VILLAGES, FL, 32159

Signature of

Role Plan administrator
Date 2017-07-12
Name of individual signing JENINE FRAZIER
Valid signature Filed with authorized/valid electronic signature

Key Officers & Management

Name Role Address
Wu Johnny L Agent 340 Heald Way, Bldg 100, The Villages, FL, 32163
Wu Johnny L President 340 Heald Way, Bldg 100, The Villages, FL, 32163

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G16000018807 TRI COUNTY FOOT & ANKLE ACTIVE 2016-02-23 2027-12-31 - 1585 SANTA BARBARA BLVD, SUITE B, LADY LAKE, FL, 32159

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2024-01-26 340 Heald Way, Bldg 100, Bldg 100, The Villages, FL 32163 -
CHANGE OF MAILING ADDRESS 2024-01-26 340 Heald Way, Bldg 100, Bldg 100, The Villages, FL 32163 -
REGISTERED AGENT ADDRESS CHANGED 2024-01-26 340 Heald Way, Bldg 100, Bldg 100, The Villages, FL 32163 -
REINSTATEMENT 2016-10-28 - -
REGISTERED AGENT NAME CHANGED 2016-10-28 Wu, Johnny L -
ADMIN DISSOLUTION FOR ANNUAL REPORT 2016-09-23 - -

Documents

Name Date
ANNUAL REPORT 2025-01-02
ANNUAL REPORT 2024-01-26
ANNUAL REPORT 2023-01-09
ANNUAL REPORT 2022-01-11
ANNUAL REPORT 2021-01-11
ANNUAL REPORT 2020-01-13
ANNUAL REPORT 2019-02-11
ANNUAL REPORT 2018-01-17
ANNUAL REPORT 2017-01-06
REINSTATEMENT 2016-10-28

Paycheck Protection Program

Loan Number Loan Funded Date SBA Origination Office Code Loan Delivery Method Borrower Street Address
2150107103 2020-04-10 0491 PPP 1585 SANTA BARBARA BLVD, LADY LAKE, FL, 32159-6820
Loan Status Date 2021-04-20
Loan Status Paid in Full
Loan Maturity in Months 24
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 343295.7
Loan Approval Amount (current) 343295.7
Undisbursed Amount 0
Franchise Name -
Lender Location ID 225134
Servicing Lender Name Truist Bank
Servicing Lender Address 214 N Tryon St, CHARLOTTE, NC, 28202-1078
Rural or Urban Indicator R
Hubzone N
LMI Y
Business Age Description Existing or more than 2 years old
Project Address LADY LAKE, SUMTER, FL, 32159-6820
Project Congressional District FL-11
Number of Employees 40
NAICS code 621111
Borrower Race Unanswered
Borrower Ethnicity Unknown/NotStated
Business Type Professional Association
Originating Lender ID 225134
Originating Lender Name Truist Bank
Originating Lender Address CHARLOTTE, NC
Gender Unanswered
Veteran Unanswered
Forgiveness Amount 346318.61
Forgiveness Paid Date 2021-03-05

Date of last update: 03 Apr 2025

Sources: Florida Department of State