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EXTREME SPORTS MEDICINE & REHABILITATION INC. - Florida Company Profile

Company Details

Entity Name: EXTREME SPORTS MEDICINE & REHABILITATION INC.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit

EXTREME SPORTS MEDICINE & REHABILITATION 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: 04 Jun 2013 (12 years ago)
Last Event: AMENDMENT
Event Date Filed: 17 Nov 2016 (8 years ago)
Document Number: P13000048195
FEI/EIN Number 46-2846802

Federal Employer Identification (FEI) Number assigned by the IRS.

Address: 14125 NW 80TH AVENUE SUITE 203, MIAMI LAKES, FL, 33016, US
Mail Address: 4393 SW 130TH AVE, DAVIE, FL, 33330, US
ZIP code: 33016
County: Miami-Dade
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1215377569 2013-07-01 2019-08-14 4393 SW 130TH AVE, DAVIE, FL, 333304730, US 14125 NW 80TH AVE STE 203, MIAMI LAKES, FL, 330162351, US

Contacts

Phone +1 954-665-7326
Fax 3058469653
Phone +1 305-381-5357

Authorized person

Name MR. SEAN WILLIAMS
Role PRESIDENT
Phone 9546657326

Taxonomy

Taxonomy Code 225100000X - Physical Therapist
Is Primary Yes

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
EXTREME SPORTS MEDICINE & REHABILITATION INC. 401(K) PLAN 2023 462846802 2024-07-19 EXTREME SPORTS MEDICINE & REHABILITATION INC. 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2014-01-01
Business code 621399
Sponsor’s telephone number 3053815357
Plan sponsor’s address 14125 NW 80TH AVENUE, SUITE 203, MIAMI, FL, 33016
EXTREME SPORTS MEDICINE & REHABILITATION INC. 401(K) PLAN 2022 462846802 2023-05-01 EXTREME SPORTS MEDICINE & REHABILITATION INC. 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2014-01-01
Business code 621399
Sponsor’s telephone number 3053815357
Plan sponsor’s address 14125 NW 80TH AVENUE, SUITE 203, MIAMI, FL, 33016
EXTREME SPORTS MEDICINE & REHABILITATION INC. 401(K) PLAN 2021 462846802 2022-04-13 EXTREME SPORTS MEDICINE & REHABILITATION INC. 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2014-01-01
Business code 621399
Sponsor’s telephone number 3053815357
Plan sponsor’s address 14125 NW 80TH AVENUE, SUITE 203, MIAMI, FL, 33016
EXTREME SPORTS MEDICINE & REHABILITATION INC. 401(K) PLAN 2020 462846802 2021-04-16 EXTREME SPORTS MEDICINE & REHABILITATION INC. 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2014-01-01
Business code 621399
Sponsor’s telephone number 3053815357
Plan sponsor’s address 14125 NW 80TH AVENUE, SUITE 203, MIAMI, FL, 33016
EXTREME SPORTS MEDICINE & REHABILITATION INC. 401(K) PLAN 2019 462846802 2020-02-26 EXTREME SPORTS MEDICINE & REHABILITATION INC. 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2014-01-01
Business code 621399
Sponsor’s telephone number 3053815357
Plan sponsor’s address 14125 NW 80TH AVENUE, SUITE 203, MIAMI, FL, 33016
EXTREME SPORTS MEDICINE & REHABILITATION INC. 401(K) PLAN 2018 462846802 2019-04-08 EXTREME SPORTS MEDICINE & REHABILITATION INC. 1
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2014-01-01
Business code 621399
Sponsor’s telephone number 3053815357
Plan sponsor’s address 14125 NW 80TH AVENUE, SUITE 203, MIAMI, FL, 33016

Key Officers & Management

Name Role Address
WILLIAMS SEAN A President 4393 SW 130TH AVE, DAVIE, FL, 33330
WILLIAMS SEAN A Agent 4393 SW 130TH AVE, DAVIE, FL, 33330

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G14000021520 SEAN WILLIAMS ACTIVE 2014-02-28 2029-12-31 - 14125 NW 80TH AVE, SUITE 203, MIAMI LAKES, FL, 33016

Events

Event Type Filed Date Value Description
AMENDMENT 2016-11-17 - -
CHANGE OF PRINCIPAL ADDRESS 2016-11-17 14125 NW 80TH AVENUE SUITE 203, MIAMI LAKES, FL 33016 -
AMENDMENT 2015-04-27 - -

Documents

Name Date
ANNUAL REPORT 2025-02-19
ANNUAL REPORT 2024-01-19
ANNUAL REPORT 2023-01-19
ANNUAL REPORT 2022-01-25
ANNUAL REPORT 2021-01-13
ANNUAL REPORT 2020-01-23
ANNUAL REPORT 2019-01-27
ANNUAL REPORT 2018-01-17
ANNUAL REPORT 2017-01-09
Amendment 2016-11-17

Date of last update: 02 Apr 2025

Sources: Florida Department of State