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GRANT MEDICAL SERVICE, INC.

Company Details

Entity Name: GRANT MEDICAL SERVICE, INC.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Active
Date Filed: 21 Jun 2010 (15 years ago)
Last Event: REINSTATEMENT
Event Date Filed: 23 Oct 2015 (9 years ago)
Document Number: P10000051869
FEI/EIN Number 272892130
Address: 722 East Memorial Blvd, LAKELAND, FL, 33801, US
Mail Address: 5337 NORTH SOCRUM LOOP ROAD, SUITE 146, LAKELAND, FL, 33809, US
ZIP code: 33801
County: Polk
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1952618415 2010-09-05 2012-02-08 5337 N SOCRUM LOOP RD, SUITE 146, LAKELAND, FL, 338094256, US 5337 N SOCRUM LOOP RD, SUITE 146, LAKELAND, FL, 338094256, US

Contacts

Phone +1 863-859-7355

Authorized person

Name YVONNE EVADNEY GRANT
Role CHAIRPERSON
Phone 8633988152

Taxonomy

Taxonomy Code 363LF0000X - Family Nurse Practitioner
License Number 1899642
State FL
Is Primary Yes

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
GRANT MEDICAL SERVICE INC 401K 2023 272892130 2024-08-24 GRANT MEDICAL SERVICE INC 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2023-01-01
Business code 621399
Sponsor’s telephone number 8633988152
Plan sponsor’s address 8065 RIDGEGLEN CIR W, LAKELAND, FL, 33809

Signature of

Role Plan administrator
Date 2024-08-24
Name of individual signing SHIRLEY HORNER
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
GRANT YVONNE E Agent 5337 NORTH SOCRUM LOOP ROAD, LAKELAND, FL, 33809

President

Name Role Address
GRANT YVONNE E President 5337 NORTH SOCRUM LOOP ROAD, LAKELAND, FL, 33809

Secretary

Name Role Address
GRANT YVONNE E Secretary 5337 NORTH SOCRUM LOOP ROAD, LAKELAND, FL, 33809

Treasurer

Name Role Address
GRANT YVONNE E Treasurer 5337 NORTH SOCRUM LOOP ROAD, LAKELAND, FL, 33809

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2016-07-12 722 East Memorial Blvd, STE B, LAKELAND, FL 33801 No data
REINSTATEMENT 2015-10-23 No data No data
REGISTERED AGENT NAME CHANGED 2015-10-23 GRANT, YVONNE E No data
ADMIN DISSOLUTION FOR ANNUAL REPORT 2015-09-25 No data No data

Documents

Name Date
ANNUAL REPORT 2024-04-14
ANNUAL REPORT 2023-04-24
ANNUAL REPORT 2022-07-15
ANNUAL REPORT 2021-04-07
ANNUAL REPORT 2020-06-07
ANNUAL REPORT 2019-04-15
ANNUAL REPORT 2018-06-27
ANNUAL REPORT 2017-03-18
ANNUAL REPORT 2016-07-12
REINSTATEMENT 2015-10-23

Paycheck Protection Program

Loan Number Loan Funded Date SBA Origination Office Code Loan Delivery Method Borrower Street Address
4557927310 2020-04-29 0455 PPP 5337 SOCRUM LOOP RD Suite 140, LAKELAND, FL, 33809-4256
Loan Status Date 2021-02-05
Loan Status Paid in Full
Loan Maturity in Months 24
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 27992.5
Loan Approval Amount (current) 27992.5
Undisbursed Amount 0
Franchise Name -
Lender Location ID 17113
Servicing Lender Name Citizens Bank and Trust
Servicing Lender Address 2 E Wall St, FROSTPROOF, FL, 33843-2127
Rural or Urban Indicator U
Hubzone N
LMI Y
Business Age Description Existing or more than 2 years old
Project Address LAKELAND, POLK, FL, 33809-4256
Project Congressional District FL-18
Number of Employees 3
NAICS code 621610
Borrower Race Black or African American
Borrower Ethnicity Not Hispanic or Latino
Business Type Corporation
Originating Lender ID 17113
Originating Lender Name Citizens Bank and Trust
Originating Lender Address FROSTPROOF, FL
Gender Female Owned
Veteran Non-Veteran
Forgiveness Amount 28198.56
Forgiveness Paid Date 2021-01-28

Date of last update: 03 Feb 2025

Sources: Florida Department of State