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  5. PAIN MEDICINE INC

PAIN MEDICINE INC - Florida Company Profile

Company Details

Entity Name: PAIN MEDICINE INC
Jurisdiction: FLORIDA
Filing Type: Domestic Profit

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: 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: 28 May 2008 (17 years ago)
Last Event: AMENDMENT
Event Date Filed: 25 Aug 2023 (2 years ago)
Document Number: P08000052652
FEI/EIN Number 262725955

Federal Employer Identification (FEI) Number assigned by the IRS.
Address: 541 S. Florida Avenue, LAKELAND, FL, 33801, US
Mail Address: 541 S. Florida Avenue, LAKELAND, FL, 33801, US
ZIP code: 33801
County: Polk
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1376706283 2008-07-10 2023-03-09 PO BOX 100910, ATLANTA, GA, 303844548, US 541 S FLORIDA AVE, LAKELAND, FL, 338015228, US

Contacts
Phone +1 863-682-7246
Fax 8636825566

Authorized person
Name SAQIB KHAN
Role DOCTOR
Phone 8636827246

Taxonomy
Taxonomy Code 208VP0000X - Pain Medicine Physician
License Number ME0070224
State FL
Is Primary Yes

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
PAIN MEDICINE, INC. 401(K) PLAN 2023 262725955 2025-01-30 PAIN MEDICINE, INC. 38
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-01-01
Business code 621111
Sponsor’s telephone number 8636827246
Plan sponsor’s address 541 S. FLORIDA AVE, LAKELAND, FL, 33801

Signature of
Role Plan administrator
Date 2025-01-30
Name of individual signing SAQIB KHAN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2025-01-30
Name of individual signing SAQIB KHAN
Valid signature Filed with authorized/valid electronic signature
PAIN MEDICINE, INC. CASH BALANCE PLAN 2022 262725955 2023-04-25 PAIN MEDICINE, INC. 24
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2011-01-01
Business code 621111
Sponsor’s telephone number 8636827246
Plan sponsor’s address 541 S. FLORIDA AVE, LAKELAND, FL, 33801
PAIN MEDICINE, INC. 401(K) PLAN 2022 262725955 2023-10-05 PAIN MEDICINE, INC. 28
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-01-01
Business code 621111
Sponsor’s telephone number 8636827246
Plan sponsor’s address 541 S. FLORIDA AVE, LAKELAND, FL, 33801

Signature of
Role Plan administrator
Date 2023-10-05
Name of individual signing SAQIB KHAN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2023-10-05
Name of individual signing SAQIB KHAN
Valid signature Filed with authorized/valid electronic signature
PAIN MEDICINE, INC. CASH BALANCE PLAN 2022 262725955 2023-04-25 PAIN MEDICINE, INC. 4
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2011-01-01
Business code 621111
Sponsor’s telephone number 8636827246
Plan sponsor’s address 541 S. FLORIDA AVE, LAKELAND, FL, 33801
PAIN MEDICINE, INC. CASH BALANCE PLAN 2021 262725955 2022-09-27 PAIN MEDICINE, INC. 26
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2011-01-01
Business code 621111
Sponsor’s telephone number 8636827246
Plan sponsor’s address 541 S. FLORIDA AVE, LAKELAND, FL, 33801
PAIN MEDICINE, INC. 401(K) PLAN 2021 262725955 2022-09-15 PAIN MEDICINE, INC. 26
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-01-01
Business code 621111
Sponsor’s telephone number 8636827246
Plan sponsor’s address 541 S. FLORIDA AVE, LAKELAND, FL, 33801

Signature of
Role Plan administrator
Date 2022-09-15
Name of individual signing SAQIB KHAN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2022-09-15
Name of individual signing SAQIB KHAN
Valid signature Filed with authorized/valid electronic signature
PAIN MEDICINE, INC. CASH BALANCE PLAN 2020 262725955 2021-09-10 PAIN MEDICINE, INC. 28
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2011-01-01
Business code 621111
Sponsor’s telephone number 8636827246
Plan sponsor’s address 541 S. FLORIDA AVE, LAKELAND, FL, 33801
PAIN MEDICINE, INC. 401(K) PLAN 2020 262725955 2021-10-12 PAIN MEDICINE, INC. 29
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-01-01
Business code 621111
Sponsor’s telephone number 8636827246
Plan sponsor’s address 541 S. FLORIDA AVE, LAKELAND, FL, 33801

Signature of
Role Plan administrator
Date 2021-10-12
Name of individual signing SAIBK KHAN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2021-10-12
Name of individual signing SAIBK KHAN
Valid signature Filed with authorized/valid electronic signature
PAIN MEDICINE, INC. CASH BALANCE PLAN 2019 262725955 2020-07-07 PAIN MEDICINE, INC. 28
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2011-01-01
Business code 621111
Sponsor’s telephone number 8636827246
Plan sponsor’s address 541 S. FLORIDA AVE, LAKELAND, FL, 33801
PAIN MEDICINE, INC. 401(K) PLAN 2019 262725955 2020-10-05 PAIN MEDICINE, INC. 26
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-01-01
Business code 621111
Sponsor’s telephone number 8636827246
Plan sponsor’s address 541 S. FLORIDA AVE, LAKELAND, FL, 33801

Signature of
Role Plan administrator
Date 2020-10-05
Name of individual signing SAQIB KHAN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2020-10-05
Name of individual signing SAQIB KHAN
Valid signature Filed with authorized/valid electronic signature

Key Officers & Management

Name Role Address
KHAN SAQIB President 541 S. Florida Avenue, LAKELAND, FL, 33801
KHAN SAQIB Director 541 S. Florida Avenue, LAKELAND, FL, 33801
KHAN SAQIB Agent 541 S. Florida Avenue, LAKELAND, FL, 33801

Events

Event Type Filed Date Value Description
AMENDMENT 2023-08-25 - -
CHANGE OF PRINCIPAL ADDRESS 2017-04-13 541 S. Florida Avenue, LAKELAND, FL 33801 -
CHANGE OF MAILING ADDRESS 2017-04-13 541 S. Florida Avenue, LAKELAND, FL 33801 -
REGISTERED AGENT ADDRESS CHANGED 2017-04-13 541 S. Florida Avenue, LAKELAND, FL 33801 -
CANCEL ADM DISS/REV 2009-10-20 - -
ADMIN DISSOLUTION FOR ANNUAL REPORT 2009-09-25 - -

Documents

Name Date
ANNUAL REPORT 2025-01-22
ANNUAL REPORT 2024-01-12
Amendment 2023-08-25
ANNUAL REPORT 2023-01-31
ANNUAL REPORT 2022-03-07
ANNUAL REPORT 2021-04-29
ANNUAL REPORT 2020-01-21
ANNUAL REPORT 2019-04-30
ANNUAL REPORT 2018-04-30
ANNUAL REPORT 2017-04-13

Paycheck Protection Program

Loan Number Loan Funded Date SBA Origination Office Code Loan Delivery Method Borrower Street Address
6653807700 2020-05-01 0455 PPP 541 S FLORIDA AVE, LAKELAND, FL, 33801-5228
Loan Status Date 2021-12-18
Loan Status Paid in Full
Loan Maturity in Months 24
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 154315
Loan Approval Amount (current) 154315
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 Y
Business Age Description New Business or 2 years or less
Project Address LAKELAND, POLK, FL, 33801-5228
Project Congressional District FL-15
Number of Employees 19
NAICS code 621999
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 149568.52
Forgiveness Paid Date 2021-08-12

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Date of last update: 01 Apr 2025

Sources: Florida Department of State

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