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  5. CARCAMO PEDIATRICS, INC.

CARCAMO PEDIATRICS, INC.

Company Details

Entity Name: CARCAMO PEDIATRICS, INC.
Jurisdiction: FLORIDA
Filing Type: Florida Profit Corporation
Status: Inactive
Date Filed: 20 Jul 2012 (13 years ago)
Date of dissolution: 22 Sep 2023 (a year ago)
Last Event: ADMIN DISSOLUTION FOR ANNUAL REPORT
Event Date Filed: 22 Sep 2023 (a year ago)
Document Number: P12000063754
FEI/EIN Number 46-0639909
Address: 7560 RED BUG LAKE RD, 1070, OVIEDO, FL 32765
Mail Address: P O BOX 622799, OVIEDO, FL 32762-2799
ZIP code: 32765
County: Seminole
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1508113895 2012-08-06 2017-03-15 7560 RED BUG LAKE RD, SUITE 1070, OVIEDO, FL, 327656591, US 7560 RED BUG LAKE RD, SUITE 1070, OVIEDO, FL, 327656591, US

Contacts
Phone +1 407-366-4040
Fax 4073660025

Authorized person
Name DR. ANTONIO DE JESUS CARCAMO
Role OWNER
Phone 4073664040

Taxonomy
Taxonomy Code 208000000X - Pediatrics Physician
License Number ME96797
State FL
Is Primary Yes

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
CARCAMO PEDIATRICS INC. 401K PLAN 2023 460639909 2024-09-03 CARCAMO PEDIATRICS INC 17
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2014-03-01
Business code 621111
Sponsor’s telephone number 4076685519
Plan sponsor’s address 8000 RED BUG LAKE ROAD 240, OVIEDO, FL, 32765

Signature of
Role Plan administrator
Date 2024-09-03
Name of individual signing SHIRLEY HORNER
Valid signature Filed with authorized/valid electronic signature
CARCAMO PEDIATRICS INC. 401K PLAN 2022 460639909 2023-09-13 CARCAMO PEDIATRICS INC 17
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2014-03-01
Business code 621111
Sponsor’s telephone number 4076685519
Plan sponsor’s address 8000 RED BUG LAKE ROAD 240, OVIEDO, FL, 32765

Signature of
Role Plan administrator
Date 2023-09-13
Name of individual signing NICK RICE
Valid signature Filed with authorized/valid electronic signature
CARCAMO PEDIATRICS INC. 401K PLAN 2021 460639909 2022-09-23 CARCAMO PEDIATRICS INC 17
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2014-03-01
Business code 621111
Sponsor’s telephone number 4076685519
Plan sponsor’s address 8000 RED BUG LAKE ROAD 240, OVIEDO, FL, 32765

Signature of
Role Plan administrator
Date 2022-09-23
Name of individual signing NICK RICE
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
CARCAMO, ANTONIO Agent 2611 PONKAN MEADOW DR., APOPKA, FL 32712

President

Name Role Address
CARCAMO, ANTONIO President 2611 PONKAN MEADOW DR., APOPKA, FL 32712

Secretary

Name Role Address
CARCAMO, ANTONIO Secretary 2611 PONKAN MEADOW DR., APOPKA, FL 32712

Treasurer

Name Role Address
CARCAMO, ANTONIO Treasurer 2611 PONKAN MEADOW DR., APOPKA, FL 32712

Events

Event Type Filed Date Value Description
ADMIN DISSOLUTION FOR ANNUAL REPORT 2023-09-22 No data No data
CHANGE OF PRINCIPAL ADDRESS 2017-07-19 7560 RED BUG LAKE RD, 1070, OVIEDO, FL 32765 No data
REGISTERED AGENT ADDRESS CHANGED 2015-03-03 2611 PONKAN MEADOW DR., APOPKA, FL 32712 No data
AMENDMENT 2012-08-17 No data No data
CHANGE OF MAILING ADDRESS 2012-08-17 7560 RED BUG LAKE RD, 1070, OVIEDO, FL 32765 No data
ARTICLES OF CORRECT-ION/NAME CHANGE 2012-07-27 CARCAMO PEDIATRICS, INC. No data

Documents

Name Date
ANNUAL REPORT 2022-04-06
ANNUAL REPORT 2021-03-25
ANNUAL REPORT 2020-03-24
ANNUAL REPORT 2019-04-26
ANNUAL REPORT 2018-04-26
ANNUAL REPORT 2017-07-19
ANNUAL REPORT 2016-04-27
ANNUAL REPORT 2015-03-03
ANNUAL REPORT 2014-04-28
ANNUAL REPORT 2013-04-29

Paycheck Protection Program

Loan Number Loan Funded Date SBA Origination Office Code Loan Delivery Method Borrower Street Address
1473007707 2020-05-01 0491 PPP 7560 RED BUG LAKE RD STE 1070, OVIEDO, FL, 32765
Loan Status Date 2021-07-22
Loan Status Paid in Full
Loan Maturity in Months 24
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 94200
Loan Approval Amount (current) 84200
Undisbursed Amount 0
Franchise Name -
Lender Location ID 48270
Servicing Lender Name JPMorgan Chase Bank, National Association
Servicing Lender Address 1111 Polaris Pkwy, COLUMBUS, OH, 43240-2031
Rural or Urban Indicator U
Hubzone N
LMI N
Business Age Description Existing or more than 2 years old
Project Address OVIEDO, SEMINOLE, FL, 32765-0001
Project Congressional District FL-07
Number of Employees 130
NAICS code 621111
Borrower Race White
Borrower Ethnicity Hispanic or Latino
Business Type Corporation
Originating Lender ID 194093
Originating Lender Name JPMorgan Chase Bank, National Association
Originating Lender Address CHICAGO, IL
Gender Male Owned
Veteran Non-Veteran
Forgiveness Amount 85123.72
Forgiveness Paid Date 2021-06-09
9781478506 2021-03-12 0491 PPS 7560 Red Bug Lake Rd Ste 1070, Oviedo, FL, 32765-6591
Loan Status Date 2021-03-30
Loan Status Paid in Full
Loan Maturity in Months 60
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 90625
Loan Approval Amount (current) 90625
Undisbursed Amount 0
Franchise Name -
Lender Location ID 48270
Servicing Lender Name JPMorgan Chase Bank, National Association
Servicing Lender Address 1111 Polaris Pkwy, COLUMBUS, OH, 43240-2031
Rural or Urban Indicator U
Hubzone N
LMI N
Business Age Description Existing or more than 2 years old
Project Address Oviedo, SEMINOLE, FL, 32765-6591
Project Congressional District FL-07
Number of Employees 13
NAICS code 621111
Borrower Race White
Borrower Ethnicity Hispanic or Latino
Business Type Corporation
Originating Lender ID 48270
Originating Lender Name JPMorgan Chase Bank, National Association
Originating Lender Address COLUMBUS, OH
Gender Male Owned
Veteran Non-Veteran
Forgiveness Amount 91661.15
Forgiveness Paid Date 2022-05-11

Related by officers

CARCAMO, ANTONIO

ANCAR AND ASSOCIATES LLC

Related by address

No related companies by address

Date of last update: 22 Feb 2025

Sources: Florida Department of State

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