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  5. DR ROBERT R THOUSAND III PA

DR ROBERT R THOUSAND III PA

Company Details

Entity Name: DR ROBERT R THOUSAND III PA
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Active
Date Filed: 19 Dec 2008 (16 years ago)
Document Number: P08000109929
FEI/EIN Number 263902020
Address: 15 ST JOHNS MEDICAL PARK DR, ST AUGUSTINE, FL, 32086, US
Mail Address: 15 ST JOHNS MEDICAL PARK DR, ST AUGUSTINE, FL, 32086, US
ZIP code: 32086
County: St. Johns
Place of Formation: FLORIDA

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
DR. ROBERT R. THOUSAND, III, PA 401(K) PROFIT SHARING PLAN 2023 263902020 2024-10-14 DR. ROBERT R. THOUSAND, III, PA 14
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2021-01-01
Business code 621210
Sponsor’s telephone number 9047979044
Plan sponsor’s address 15 ST. JOHN'S MEDICAL PARK DRIVE, ST. AUGUSTINE, FL, 32086
DR. ROBERT R. THOUSAND, III, PA CASH BALANCE PLAN 2023 263902020 2024-10-14 DR. ROBERT R. THOUSAND, III, PA 10
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2021-01-01
Business code 621210
Sponsor’s telephone number 9047979044
Plan sponsor’s address 15 ST. JOHN'S MEDICAL PARK DRIVE, ST. AUGUSTINE, FL, 32086
DR. ROBERT R. THOUSAND, III, PA 401(K) PROFIT SHARING PLAN 2022 263902020 2023-10-04 DR. ROBERT R. THOUSAND, III, PA 15
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2021-01-01
Business code 621210
Sponsor’s telephone number 9047979044
Plan sponsor’s address 15 ST. JOHN'S MEDICAL PARK DRIVE, ST. AUGUSTINE, FL, 32086

Signature of
Role Plan administrator
Date 2023-10-04
Name of individual signing DR. ROBERT R. THOUSAND, III PA
Valid signature Filed with authorized/valid electronic signature
DR. ROBERT R. THOUSAND, III, PA CASH BALANCE PLAN 2022 263902020 2023-10-04 DR. ROBERT R. THOUSAND, III, PA 9
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2021-01-01
Business code 621210
Sponsor’s telephone number 9047979044
Plan sponsor’s address 15 ST. JOHN'S MEDICAL PARK DRIVE, ST. AUGUSTINE, FL, 32086

Signature of
Role Plan administrator
Date 2023-10-04
Name of individual signing DR. ROBERT R. THOUSAND, III PA
Valid signature Filed with authorized/valid electronic signature
DR. ROBERT R. THOUSAND, III, PA CASH BALANCE PLAN 2021 263902020 2022-10-10 DR. ROBERT R. THOUSAND, III, PA 8
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2021-01-01
Business code 621210
Sponsor’s telephone number 9047979044
Plan sponsor’s address 15 ST. JOHN'S MEDICAL PARK DRIVE, ST. AUGUSTINE, FL, 32086

Signature of
Role Plan administrator
Date 2022-10-10
Name of individual signing DR. ROBERT R. THOUSAND, III PA
Valid signature Filed with authorized/valid electronic signature
DR. ROBERT R. THOUSAND, III, PA 401(K) PROFIT SHARING PLAN 2021 263902020 2022-10-10 DR. ROBERT R. THOUSAND, III, PA 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2021-01-01
Business code 621210
Sponsor’s telephone number 9047979044
Plan sponsor’s address 15 ST. JOHN'S MEDICAL PARK DRIVE, ST. AUGUSTINE, FL, 32086

Signature of
Role Plan administrator
Date 2022-10-10
Name of individual signing DR. ROBERT R. THOUSAND, III PA
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
THOUSAND ROBERT RIII Agent 15 ST JOHNS MEDICAL PARK DR, ST AUGUSTINE, FL, 32086

President

Name Role Address
THOUSAND ROBERT RIII President 10 ST JOHNS MEDICAL PARK DR SUITE C, ST AUGUSTINE, FL, 32086

Events

Event Type Filed Date Value Description
REGISTERED AGENT ADDRESS CHANGED 2018-06-22 15 ST JOHNS MEDICAL PARK DR, ST AUGUSTINE, FL 32086 No data
CHANGE OF PRINCIPAL ADDRESS 2018-06-07 15 ST JOHNS MEDICAL PARK DR, ST AUGUSTINE, FL 32086 No data
CHANGE OF MAILING ADDRESS 2018-06-07 15 ST JOHNS MEDICAL PARK DR, ST AUGUSTINE, FL 32086 No data

Documents

Name Date
ANNUAL REPORT 2025-01-02
ANNUAL REPORT 2024-01-04
ANNUAL REPORT 2023-01-03
ANNUAL REPORT 2022-01-04
ANNUAL REPORT 2021-03-28
ANNUAL REPORT 2020-01-22
ANNUAL REPORT 2019-01-03
Reg. Agent Change 2018-06-22
ANNUAL REPORT 2018-01-18
ANNUAL REPORT 2017-01-09

Paycheck Protection Program

Loan Number Loan Funded Date SBA Origination Office Code Loan Delivery Method Borrower Street Address
8062267309 2020-05-01 0491 PPP 15 Saint Johns Medical Park Drive, St. Augustine, FL, 32086-4332
Loan Status Date 2021-07-09
Loan Status Paid in Full
Loan Maturity in Months 24
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 104877
Loan Approval Amount (current) 104877
Undisbursed Amount 0
Franchise Name -
Lender Location ID 123118
Servicing Lender Name Transportation Alliance Bank, Inc. d/b/a TAB Bank
Servicing Lender Address 4185 Harrison Blvd, Ste 200, OGDEN, UT, 84403-6400
Rural or Urban Indicator U
Hubzone N
LMI N
Business Age Description Existing or more than 2 years old
Project Address St. Augustine, SAINT JOHNS, FL, 32086-4332
Project Congressional District FL-05
Number of Employees 11
NAICS code 621111
Borrower Race White
Borrower Ethnicity Hispanic or Latino
Business Type Corporation
Originating Lender ID 123118
Originating Lender Name Transportation Alliance Bank, Inc. d/b/a TAB Bank
Originating Lender Address OGDEN, UT
Gender Male Owned
Veteran Non-Veteran
Forgiveness Amount 106001.51
Forgiveness Paid Date 2021-06-08

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Date of last update: 03 Feb 2025

Sources: Florida Department of State

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