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  5. TO YOUR HEALTH OF LAKE COUNTY, INC

TO YOUR HEALTH OF LAKE COUNTY, INC - Florida Company Profile

Company Details

Entity Name: TO YOUR HEALTH OF LAKE COUNTY, INC
Jurisdiction: FLORIDA
Filing Type: Domestic Profit

TO YOUR HEALTH OF LAKE COUNTY, 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: 02 Aug 2007 (18 years ago)
Date of dissolution: 18 Apr 2023 (2 years ago)
Last Event: VOLUNTARY DISSOLUTION
Event Date Filed: 18 Apr 2023 (2 years ago)
Document Number: P07000087096
FEI/EIN Number 260636498

Federal Employer Identification (FEI) Number assigned by the IRS.
Address: 4700 That Street, Leesburg, FL, 34748, US
Mail Address: 18550 US HWY 441, MT. DORA, FL, 32757, US
ZIP code: 34748
County: Lake
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1104017946 2007-08-07 2011-10-11 26540 ACE AVE, SUITE 108C, LEESBURG, FL, 347488279, US 26540 ACE AVE, SUITE 108C, LEESBURG, FL, 347488279, US

Contacts
Phone +1 352-326-5281
Fax 3523231761

Authorized person
Name DR. JOSEPH L CARRASCO
Role OWNER
Phone 3523265281

Taxonomy
Taxonomy Code 207R00000X - Internal Medicine Physician
License Number ME70698
State FL
Is Primary Yes

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
TO YOUR HEALTH OF LAKE COUNTY 401(K) PLAN 2023 260636498 2024-01-23 TO YOUR HEALTH OF LAKE COUNTY, INC. 6
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2017-04-15
Business code 621111
Sponsor’s telephone number 3523265281
Plan sponsor’s address 4700 THAT ST, LEESBURG, FL, 347489723

Signature of
Role Plan administrator
Date 2024-01-23
Name of individual signing JOSEPH CARRRASCO
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2024-01-23
Name of individual signing JOSEPH CARRRASCO
Valid signature Filed with authorized/valid electronic signature
TO YOUR HEALTH OF LAKE COUNTY 401(K) PLAN 2022 260636498 2023-03-24 TO YOUR HEALTH OF LAKE COUNTY, INC. 13
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2017-04-15
Business code 621111
Sponsor’s telephone number 3523265281
Plan sponsor’s address 4700 THAT ST, LEESBURG, FL, 347489723

Signature of
Role Plan administrator
Date 2023-03-24
Name of individual signing JOSEPH CARRASCO
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2023-03-24
Name of individual signing JOSEPH CARRASCO
Valid signature Filed with authorized/valid electronic signature
TO YOUR HEALTH OF LAKE COUNTY 401(K) PLAN 2021 260636498 2023-03-24 TO YOUR HEALTH OF LAKE COUNTY, INC. 14
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2017-04-15
Business code 621111
Sponsor’s telephone number 3523265281
Plan sponsor’s address 4700 THAT ST, LEESBURG, FL, 347489723

Signature of
Role Plan administrator
Date 2023-03-24
Name of individual signing JOSEPH CARRASCO
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2023-03-24
Name of individual signing JOSEPH CARRASCO
Valid signature Filed with authorized/valid electronic signature
TO YOUR HEALTH OF LAKE COUNTY 401(K) PLAN 2020 260636498 2023-03-24 TO YOUR HEALTH OF LAKE COUNTY, INC. 15
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2017-04-15
Business code 621111
Sponsor’s telephone number 3523265281
Plan sponsor’s address 4700 THAT ST, LEESBURG, FL, 347489723

Signature of
Role Plan administrator
Date 2023-03-24
Name of individual signing JOSEPH CARRASCO
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2023-03-24
Name of individual signing JOSEPH CARRASCO
Valid signature Filed with authorized/valid electronic signature
TO YOUR HEALTH OF LAKE COUNTY 401(K) PLAN 2019 260636498 2020-07-06 TO YOUR HEALTH OF LAKE COUNTY, INC. 15
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2017-04-15
Business code 621111
Sponsor’s telephone number 3523265281
Plan sponsor’s address 26540 ACE AVE SUITE 108C, LEESBURG, FL, 347488279

Signature of
Role Plan administrator
Date 2020-07-06
Name of individual signing JOSEPH CARRASCO
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2020-07-06
Name of individual signing JOSEPH CARRASCO
Valid signature Filed with authorized/valid electronic signature
TO YOUR HEALTH OF LAKE COUNTY 401(K) PLAN 2018 260636498 2019-06-21 TO YOUR HEALTH OF LAKE COUNTY, INC. 15
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2017-04-15
Business code 621111
Sponsor’s telephone number 3523265281
Plan sponsor’s address 26540 ACE AVE SUITE 108C, LEESBURG, FL, 347488279

Signature of
Role Plan administrator
Date 2019-06-21
Name of individual signing JOSEPH CARRASCO
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2019-06-21
Name of individual signing JOSEPH CARRASCO
Valid signature Filed with authorized/valid electronic signature
TO YOUR HEALTH OF LAKE COUNTY 401(K) PLAN 2017 260636498 2018-05-10 TO YOUR HEALTH OF LAKE COUNTY, INC. 12
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2017-04-15
Business code 621111
Sponsor’s telephone number 3523265281
Plan sponsor’s address 26540 ACE AVE SUITE 108C, LEESBURG, FL, 347488279

Signature of
Role Plan administrator
Date 2018-05-10
Name of individual signing JOSEPH CARRASCO
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2018-05-10
Name of individual signing JOSEPH CARRASCO
Valid signature Filed with authorized/valid electronic signature
TO YOUR HEALTH OF LAKE COUNTY, INC. 401(K) PROFIT SHARING PLAN 2014 260636498 2015-07-23 TO YOUR HEALTH OF LAKE COUNTY, INC. 18
Three-digit plan number (PN) 001
Effective date of plan 2009-01-01
Business code 621111
Sponsor’s telephone number 3523265281
Plan sponsor’s address 26540 ACE AVENUE, SUITE 108C, LEESBURG, FL, 34748
TO YOUR HEALTH OF LAKE COUNTY, INC. 401(K) PROFIT SHARING PLAN 2014 260636498 2018-04-25 TO YOUR HEALTH OF LAKE COUNTY, INC. 18
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-01-01
Business code 621111
Sponsor’s telephone number 3523265281
Plan sponsor’s address 26540 ACE AVENUE, SUITE 108C, LEESBURG, FL, 34748
TO YOUR HEALTH OF LAKE COUNTY, INC. 401(K) PROFIT SHARING PLAN 2013 260636498 2014-08-18 TO YOUR HEALTH OF LAKE COUNTY, INC. 21
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-01-01
Business code 621111
Sponsor’s telephone number 3523265281
Plan sponsor’s address 26540 ACE AVENUE, SUITE 108C, LEESBURG, FL, 34748

Signature of
Role Plan administrator
Date 2014-08-15
Name of individual signing GINA DAVIS
Valid signature Filed with authorized/valid electronic signature

Key Officers & Management

Name Role Address
CHANG KHAI President 18550 US HWY 441, MOUNT DORA, FL, 32757
CHANG KHAI Treasurer 18550 US HWY 441, MOUNT DORA, FL, 32757
CHANG KHAI Secretary 18550 US HWY 441, MOUNT DORA, FL, 32757
CARRASCO JOSEPH L Director 1015 JULIETTE BLVD, MOUNT DORA, FL, 32757
CHEENA SHAHBAZ Director 1004 PEMBLE RD, LEESBURG, FL, 34748
CHANG KHAI s Agent 18550 US HWY 441, MOUNT DORA, FL, 32757

Events

Event Type Filed Date Value Description
VOLUNTARY DISSOLUTION 2023-04-18 - -
CHANGE OF PRINCIPAL ADDRESS 2022-02-03 4700 That Street, Leesburg, FL 34748 -
REINSTATEMENT 2019-10-17 - -
ADMIN DISSOLUTION FOR ANNUAL REPORT 2019-09-27 - -
REINSTATEMENT 2016-04-04 - -
REGISTERED AGENT NAME CHANGED 2016-04-04 CHANG, KHAI s -
ADMIN DISSOLUTION FOR ANNUAL REPORT 2015-09-25 - -
REGISTERED AGENT ADDRESS CHANGED 2014-09-26 18550 US HWY 441, MOUNT DORA, FL 32757 -
CHANGE OF MAILING ADDRESS 2014-09-26 4700 That Street, Leesburg, FL 34748 -
AMENDMENT 2014-09-26 - -

Documents

Name Date
VOLUNTARY DISSOLUTION 2023-04-18
ANNUAL REPORT 2022-02-03
ANNUAL REPORT 2021-02-04
ANNUAL REPORT 2020-01-21
REINSTATEMENT 2019-10-17
ANNUAL REPORT 2018-04-09
ANNUAL REPORT 2017-03-07
REINSTATEMENT 2016-04-04
Amendment 2014-09-26
ANNUAL REPORT 2014-01-10

Paycheck Protection Program

Loan Number Loan Funded Date SBA Origination Office Code Loan Delivery Method Borrower Street Address
5636847705 2020-05-01 0491 PPP 26540 ACE AVE STE 108C, LEESBURG, FL, 34748-8279
Loan Status Date 2021-01-21
Loan Status Paid in Full
Loan Maturity in Months 24
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 150000
Loan Approval Amount (current) 150000
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 LEESBURG, LAKE, FL, 34748-8279
Project Congressional District FL-11
Number of Employees 14
NAICS code 621111
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 150953.42
Forgiveness Paid Date 2020-12-23

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Companies related by address

No other companies in our directory share the same address as TO YOUR HEALTH OF LAKE COUNTY, INC

Date of last update: 02 Apr 2025

Sources: Florida Department of State

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