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  5. CAPTIVA SPINE, INC.

CAPTIVA SPINE, INC. - Florida Company Profile

Company Details

Entity Name: CAPTIVA SPINE, INC.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit

CAPTIVA SPINE, 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: 04 Jan 2007 (18 years ago)
Last Event: AMENDMENT
Event Date Filed: 27 Nov 2017 (7 years ago)
Document Number: P07000001779
FEI/EIN Number 208154020

Federal Employer Identification (FEI) Number assigned by the IRS.
Address: 967 N ALTERNATE A1A, JUPITER, FL, 33477, US
Mail Address: 967 N ALTERNATE A1A, JUPITER, FL, 33477, US
ZIP code: 33477
County: Palm Beach
Place of Formation: FLORIDA

Central Index Key

CIK number Mailing Address Business Address Phone
0002064256 967 N ALTERNATE A1A, SUITE 1, JUPITER, FL, 33477 967 N ALTERNATE A1A, SUITE 1, JUPITER, FL, 33477 561-277-9480

Filings since 2025-04-11
Form type D
File number 021-543443
Filing date 2025-04-11
File View File

Legal Entity Identifier

LEI number Registered As Jurisdiction Of Formation General Category Entity Status Entity created at
549300DO6L2WORT30P06 P07000001779 US-FL GENERAL ACTIVE -

Addresses
Legal C/O MITCHELL, DALE, 967 N ALTERNATE A1A, Ste 1, JUPITER, US-FL, US, 33477
Headquarters 967 North Alternate A1A, Suite 1, Jupiter, US-FL, US, 33477

Registration details
Registration Date 2014-12-20
Last Update 2023-08-04
Status LAPSED
Next Renewal 2021-09-10
LEI Issuer 5493001KJTIIGC8Y1R12
Corroboration Level FULLY_CORROBORATED
Data Validated As P07000001779

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
CAPTIVA SPINE INC 401(K) PROFIT SHARING PLAN & TRUST 2023 208154020 2024-07-10 CAPTIVA SPINE INC 24
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 339900
Sponsor’s telephone number 8777725571
Plan sponsor’s address 967 N ALTERNATE A1A STE 1, JUPITER, FL, 334773206

Signature of
Role Plan administrator
Date 2024-07-10
Name of individual signing DONALD MITCHELL
Valid signature Filed with authorized/valid electronic signature
CAPTIVA SPINE INC 401(K) PROFIT SHARING PLAN & TRUST 2022 208154020 2023-10-06 CAPTIVA SPINE INC 25
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 339900
Sponsor’s telephone number 8777725571
Plan sponsor’s address 967 N ALTERNATE A1A STE 1, JUPITER, FL, 334773206

Signature of
Role Plan administrator
Date 2023-10-06
Name of individual signing DONALD MITCHELL
Valid signature Filed with authorized/valid electronic signature
CAPTIVA SPINE INC 401(K) PROFIT SHARING PLAN & TRUST 2021 208154020 2022-06-20 CAPTIVA SPINE INC 23
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 339900
Sponsor’s telephone number 8777725571
Plan sponsor’s address 967 N ALTERNATE A1A STE 1, JUPITER, FL, 334773206

Signature of
Role Plan administrator
Date 2022-06-20
Name of individual signing DALE MITCHELL
Valid signature Filed with authorized/valid electronic signature
CAPTIVA SPINE INC 401(K) PROFIT SHARING PLAN & TRUST 2020 208154020 2021-06-16 CAPTIVA SPINE INC 26
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 339900
Sponsor’s telephone number 8777725571
Plan sponsor’s address 967 N ALTERNATE A1A STE 1, JUPITER, FL, 334773206

Signature of
Role Plan administrator
Date 2021-06-16
Name of individual signing DALE MITCHELL
Valid signature Filed with authorized/valid electronic signature
CAPTIVA SPINE INC 401(K) PROFIT SHARING PLAN & TRUST 2019 208154020 2020-06-03 CAPTIVA SPINE INC 24
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 339900
Sponsor’s telephone number 8777725571
Plan sponsor’s address 967 N ALTERNATE A1A STE 1, JUPITER, FL, 334773206

Signature of
Role Plan administrator
Date 2020-06-03
Name of individual signing DALE MITCHELL
Valid signature Filed with authorized/valid electronic signature
CAPTIVA SPINE INC 401 K PROFIT SHARING PLAN TRUST 2018 208154020 2019-07-08 CAPTIVA SPINE INC 23
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 339900
Sponsor’s telephone number 8777725571
Plan sponsor’s address 967 N ALTERNATE A1A STE 1, JUPITER, FL, 334773206

Signature of
Role Plan administrator
Date 2019-07-08
Name of individual signing DONALD MITCHELL
Valid signature Filed with authorized/valid electronic signature
CAPTIVA SPINE INC 401 K PROFIT SHARING PLAN TRUST 2017 208154020 2018-06-19 CAPTIVA SPINE INC 18
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 339900
Sponsor’s telephone number 8777725571
Plan sponsor’s address 967 N ALTERNATE A1A STE 1, JUPITER, FL, 334773206

Signature of
Role Plan administrator
Date 2018-06-19
Name of individual signing DONALD MITCHELL
Valid signature Filed with authorized/valid electronic signature
CAPTIVA SPINE INC 401 K PROFIT SHARING PLAN TRUST 2016 208154020 2017-07-05 CAPTIVA SPINE INC 21
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 339900
Sponsor’s telephone number 8777725571
Plan sponsor’s address 967 N ALTERNATE A1A STE 1, JUPITER, FL, 334773206

Signature of
Role Plan administrator
Date 2017-07-05
Name of individual signing DONALD MITCHELL
Valid signature Filed with authorized/valid electronic signature
CAPTIVA SPINE INC 401 K PROFIT SHARING PLAN TRUST 2015 208154020 2016-06-29 CAPTIVA SPINE INC 17
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 339900
Sponsor’s telephone number 8777725571
Plan sponsor’s address 967 N ALTERNATE A1A STE 1, JUPITER, FL, 334773206

Signature of
Role Plan administrator
Date 2016-06-29
Name of individual signing DONALD DALE MITCHELL
Valid signature Filed with authorized/valid electronic signature
CAPTIVA SPINE INC 401 K PROFIT SHARING PLAN TRUST 2014 208154020 2015-07-27 CAPTIVA SPINE INC 13
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 339900
Sponsor’s telephone number 8777725571
Plan sponsor’s address 967 N ALTERNATE A1A STE 1, JUPITER, FL, 334773206

Signature of
Role Plan administrator
Date 2015-07-27
Name of individual signing DALE MITCHELL
Valid signature Filed with authorized/valid electronic signature

Key Officers & Management

Name Role Address
MITCHELL DALE President 967 ALTERNATE A1A, # 1, JUPITER, FL, 33477
MITCHELL DALE Agent 967 N ALTERNATE A1A, JUPITER, FL, 33477

Events

Event Type Filed Date Value Description
AMENDMENT 2025-04-02 - -
AMENDMENT 2017-11-27 - -
CHANGE OF PRINCIPAL ADDRESS 2014-04-23 967 N ALTERNATE A1A, Ste 1, JUPITER, FL 33477 -
CHANGE OF MAILING ADDRESS 2014-04-23 967 N ALTERNATE A1A, Ste 1, JUPITER, FL 33477 -
REGISTERED AGENT ADDRESS CHANGED 2014-04-23 967 N ALTERNATE A1A, Ste 1, JUPITER, FL 33477 -
AMENDMENT 2009-06-08 - -
NAME CHANGE AMENDMENT 2009-04-20 CAPTIVA SPINE, INC. -

Documents

Name Date
ANNUAL REPORT 2024-03-15
ANNUAL REPORT 2023-04-06
ANNUAL REPORT 2022-04-11
ANNUAL REPORT 2021-04-21
ANNUAL REPORT 2020-06-25
ANNUAL REPORT 2019-04-17
ANNUAL REPORT 2018-05-03
Amendment 2017-11-27
ANNUAL REPORT 2017-04-21
ANNUAL REPORT 2016-04-29

Paycheck Protection Program

Loan Number Loan Funded Date SBA Origination Office Code Loan Delivery Method Borrower Street Address
9662748305 2021-01-31 0455 PPS 967 N Alternate A1A Ste 1, Jupiter, FL, 33477-3206
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) 427985
Loan Approval Amount (current) 427985
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 Y
LMI N
Business Age Description Existing or more than 2 years old
Project Address Jupiter, PALM BEACH, FL, 33477-3206
Project Congressional District FL-21
Number of Employees 20
NAICS code 339113
Borrower Race Unanswered
Borrower Ethnicity Unknown/NotStated
Business Type Corporation
Originating Lender ID 9551
Originating Lender Name Bank of America, National Association
Originating Lender Address CHARLOTTE, NC
Gender Unanswered
Veteran Unanswered
Forgiveness Amount 431702.02
Forgiveness Paid Date 2021-12-16
5583477707 2020-05-01 0455 PPP 967 N Alternate A1a Ste 1, Jupiter, FL, 33477
Loan Status Date 2021-07-21
Loan Status Paid in Full
Loan Maturity in Months 24
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 427985
Loan Approval Amount (current) 427985
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 Jupiter, PALM BEACH, FL, 33477-1100
Project Congressional District FL-21
Number of Employees 53
NAICS code 423990
Borrower Race Unanswered
Borrower Ethnicity Unknown/NotStated
Business Type Corporation
Originating Lender ID 9551
Originating Lender Name Bank of America, National Association
Originating Lender Address CHARLOTTE, NC
Gender Unanswered
Veteran Unanswered
Forgiveness Amount 430810.87
Forgiveness Paid Date 2020-12-31

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Companies related by address

No other companies in our directory share the same address as CAPTIVA SPINE, INC.

Date of last update: 03 Apr 2025

Sources: Florida Department of State

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