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KINETIC IMAGE CORPORATION

Company Details

Entity Name: KINETIC IMAGE CORPORATION
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Active
Date Filed: 16 Jul 2010 (15 years ago)
Document Number: P10000058698
FEI/EIN Number 273091157
Address: 450-106 State Road 13 #147, St. Johns, FL, 32259, US
Mail Address: 450-106 State Road 13 #147, St. Johns, FL, 32259, US
ZIP code: 32259
County: St. Johns
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1205251915 2014-03-04 2014-03-04 450-106 STATE ROAD 13, #147, SAINT JOHNS, FL, 32259, US 1307 WHISPERING PINES RD, SAINT JOHNS, FL, 322599186, US

Contacts

Phone +1 904-635-4638

Authorized person

Name KELLY INGRAM-MITCHELL
Role PRESIDENT
Phone 9046354638

Taxonomy

Taxonomy Code 225100000X - Physical Therapist
Is Primary Yes
Taxonomy Code 225X00000X - Occupational Therapist
Is Primary No

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
KINETIC IMAGE CORPORATION 401(K) PROFIT SHARING PLAN & TRUST 2020 273091157 2021-07-16 KINETIC IMAGE CORPORATION 1
Three-digit plan number (PN) 001
Effective date of plan 2014-01-01
Business code 446190
Sponsor’s telephone number 9046265465
Plan sponsor’s address 1307 WHISPERING PINES ROAD, SAINT JOHNS, FL, 32259

Signature of

Role Plan administrator
Date 2021-07-16
Name of individual signing EDWARD ROJAS
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
INGRAM-MITCHELL KATHRYN KELLY Agent 1307 WHISPERING PINES RD, ST JOHNS, FL, 32259

President

Name Role Address
INGRAM-MITCHELL KATHRYN KELLY President 1307 Whispering Pines Road, St. Johns, FL, 32259

Secretary

Name Role Address
INGRAM-MITCHELL KATHRYN KELLY Secretary 1307 Whispering Pines Road, St. Johns, FL, 32259

Treasurer

Name Role Address
INGRAM-MITCHELL KATHRYN KELLY Treasurer 1307 Whispering Pines Road, St. Johns, FL, 32259

Director

Name Role Address
INGRAM-MITCHELL KATHRYN KELLY Director 1307 Whispering Pines Road, St. Johns, FL, 32259

Events

Event Type Filed Date Value Description
REGISTERED AGENT ADDRESS CHANGED 2025-01-24 450-106 State Road 13, #147, ST JOHNS, FL 32259 No data
CHANGE OF PRINCIPAL ADDRESS 2020-03-24 450-106 State Road 13 #147, St. Johns, FL 32259 No data
CHANGE OF MAILING ADDRESS 2020-03-24 450-106 State Road 13 #147, St. Johns, FL 32259 No data
REGISTERED AGENT ADDRESS CHANGED 2016-01-11 1307 WHISPERING PINES RD, ST JOHNS, FL 32259 No data
REGISTERED AGENT NAME CHANGED 2011-03-22 INGRAM-MITCHELL, KATHRYN KELLY No data

Documents

Name Date
ANNUAL REPORT 2025-01-24
ANNUAL REPORT 2024-01-30
ANNUAL REPORT 2023-01-26
ANNUAL REPORT 2022-02-08
ANNUAL REPORT 2021-04-06
ANNUAL REPORT 2020-03-24
ANNUAL REPORT 2019-04-02
ANNUAL REPORT 2018-01-22
ANNUAL REPORT 2017-02-13
ANNUAL REPORT 2016-03-16

Date of last update: 02 Feb 2025

Sources: Florida Department of State