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  5. THE CENTER FOR SKIN CANCER SURGERY, INC.

THE CENTER FOR SKIN CANCER SURGERY, INC. - Florida Company Profile

Company Details

Entity Name: THE CENTER FOR SKIN CANCER SURGERY, INC.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit

THE CENTER FOR SKIN CANCER SURGERY, 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: 16 May 2014 (11 years ago)
Document Number: P14000044045
FEI/EIN Number 46-5702177

Federal Employer Identification (FEI) Number assigned by the IRS.
Address: 7960 N Wickham Rd, SUITE 105, MELBOURNE, FL, 32940, US
Mail Address: 7960 N Wickham Rd, Suite 105, Melbourne, FL, 32940, US
ZIP code: 32940
County: Brevard
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1871900233 2014-07-17 2023-08-25 8057 SPYGLASS HILL RD, SUITE 102, MELBOURNE, FL, 329408565, US 7960 N WICKHAM RD, SUITE 105, MELBOURNE, FL, 32940, US

Contacts
Phone +1 321-428-4545
Fax 3214217898

Authorized person
Name DR. JEANNINE STEIN
Role OWNER
Phone 3214284545

Taxonomy
Taxonomy Code 207ND0101X - MOHS-Micrographic Surgery Physician
License Number ME88079
State FL
Is Primary Yes

Other Provider Identifiers
Issuer HFMG MA
Number RH580
State FL

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
THE CENTER FOR SKIN CANCER SURGERY, INC. 401(K) PLAN 2023 465702177 2024-09-16 THE CENTER FOR SKIN CANCER SURGERY, INC. 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-01-01
Business code 621493
Sponsor’s telephone number 3214284545
Plan sponsor’s address 7960 N. WICKHAM RD, SUITE 105, MELBOURNE, FL, 32940

Signature of
Role Plan administrator
Date 2024-09-16
Name of individual signing JEANNINE STEIN
Valid signature Filed with authorized/valid electronic signature
THE CENTER FOR SKIN CANCER SURGERY, INC. CASH BALANCE PLAN 2023 465702177 2024-09-16 THE CENTER FOR SKIN CANCER SURGERY, INC. 7
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2016-01-01
Business code 621111
Sponsor’s telephone number 3214284545
Plan sponsor’s address 7960 N. WICKHAM RD, SUITE #105, MELBOURNE, FL, 32940

Signature of
Role Plan administrator
Date 2024-09-16
Name of individual signing JEANNINE STEIN
Valid signature Filed with authorized/valid electronic signature
THE CENTER FOR SKIN CANCER SURGERY, INC. CASH BALANCE PLAN 2022 465702177 2023-10-13 THE CENTER FOR SKIN CANCER SURGERY, INC. 7
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2016-01-01
Business code 621111
Sponsor’s telephone number 3214284545
Plan sponsor’s address 7960 N. WICKHAM RD, SUITE #105, MELBOURNE, FL, 32940

Signature of
Role Plan administrator
Date 2023-10-13
Name of individual signing JEANNINE STEIN
Valid signature Filed with authorized/valid electronic signature
THE CENTER FOR SKIN CANCER SURGERY, INC. 401(K) PROFIT SHARING PLAN 2022 465702177 2023-09-28 THE CENTER FOR SKIN CANCER SURGERY, INC. 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-01-01
Business code 621493
Sponsor’s telephone number 3214284545
Plan sponsor’s address 8057 SPYGLASS HILL ROAD, SUITE 102, MELBOURNE, FL, 32940

Signature of
Role Plan administrator
Date 2023-09-28
Name of individual signing JEANNINE STEIN
Valid signature Filed with authorized/valid electronic signature
THE CENTER FOR SKIN CANCER SURGERY, INC. CASH BALANCE PLAN 2021 465702177 2022-09-15 THE CENTER FOR SKIN CANCER SURGERY, INC. 6
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2016-01-01
Business code 621111
Sponsor’s telephone number 3214284545
Plan sponsor’s address 7960 N. WICKHAM RD, SUITE #105, MELBOURNE, FL, 32940

Signature of
Role Plan administrator
Date 2022-09-15
Name of individual signing JEANNINE STEIN
Valid signature Filed with authorized/valid electronic signature
THE CENTER FOR SKIN CANCER SURGERY, INC. 401(K) PROFIT SHARING PLAN 2021 465702177 2022-10-11 THE CENTER FOR SKIN CANCER SURGERY, INC. 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-01-01
Business code 621493
Sponsor’s telephone number 3214284545
Plan sponsor’s address 8057 SPYGLASS HILL ROAD, SUITE 102, MELBOURNE, FL, 32940

Signature of
Role Plan administrator
Date 2022-10-11
Name of individual signing JEANNINE STEIN
Valid signature Filed with authorized/valid electronic signature
THE CENTER FOR SKIN CANCER SURGERY, INC. CASH BALANCE PLAN 2020 465702177 2021-06-02 THE CENTER FOR SKIN CANCER SURGERY, INC. 7
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2016-01-01
Business code 621111
Sponsor’s telephone number 3214284545
Plan sponsor’s address 7960 N. WICKHAM RD, SUITE #105, MELBOURNE, FL, 32940

Signature of
Role Plan administrator
Date 2021-06-02
Name of individual signing JEANNINE STEIN
Valid signature Filed with authorized/valid electronic signature
THE CENTER FOR SKIN CANCER SURGERY, INC. 401(K) PROFIT SHARING PLAN 2020 465702177 2021-09-14 THE CENTER FOR SKIN CANCER SURGERY, INC. 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-01-01
Business code 621493
Sponsor’s telephone number 3214284545
Plan sponsor’s address 8057 SPYGLASS HILL ROAD, SUITE 102, MELBOURNE, FL, 32940

Signature of
Role Plan administrator
Date 2021-09-14
Name of individual signing JEANNINE STEIN
Valid signature Filed with authorized/valid electronic signature
THE CENTER FOR SKIN CANCER SURGERY, INC. 401(K) PROFIT SHARING PLAN 2019 465702177 2020-06-10 THE CENTER FOR SKIN CANCER SURGERY, INC. 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-01-01
Business code 621493
Sponsor’s telephone number 3214284545
Plan sponsor’s address 8057 SPYGLASS HILL ROAD, SUITE 102, MELBOURNE, FL, 32940

Signature of
Role Plan administrator
Date 2020-06-10
Name of individual signing JEANNINE STEIN
Valid signature Filed with authorized/valid electronic signature
THE CENTER FOR SKIN CANCER SURGERY, INC. CASH BALANCE PLAN 2019 465702177 2020-05-06 THE CENTER FOR SKIN CANCER SURGERY, INC. 5
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2016-01-01
Business code 621111
Sponsor’s telephone number 3214284545
Plan sponsor’s address 8057 SPYGLASS HILL ROAD, SUITE 102, MELBOURNE, FL, 32940

Signature of
Role Plan administrator
Date 2020-05-06
Name of individual signing JEANNINE STEIN
Valid signature Filed with authorized/valid electronic signature

Key Officers & Management

Name Role Address
STEIN JEANNINE M President 7960 North Wickham Road, Melbourne, FL, 32940
STEIN JEANNINE M Agent 7960 N Wickham Rd, MELBOURNE, FL, 32940

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2021-09-29 7960 N Wickham Rd, SUITE 105, MELBOURNE, FL 32940 -
CHANGE OF MAILING ADDRESS 2020-03-04 7960 N Wickham Rd, SUITE 105, MELBOURNE, FL 32940 -
REGISTERED AGENT ADDRESS CHANGED 2020-03-04 7960 N Wickham Rd, Suite 105, MELBOURNE, FL 32940 -
REGISTERED AGENT NAME CHANGED 2018-03-01 STEIN, JEANNINE M -

Documents

Name Date
ANNUAL REPORT 2025-02-11
ANNUAL REPORT 2024-02-05
ANNUAL REPORT 2023-04-11
ANNUAL REPORT 2022-01-31
ANNUAL REPORT 2021-02-02
ANNUAL REPORT 2020-03-04
ANNUAL REPORT 2019-02-06
Reg. Agent Change 2018-03-01
ANNUAL REPORT 2018-01-18
ANNUAL REPORT 2017-01-31

Paycheck Protection Program

Loan Number Loan Funded Date SBA Origination Office Code Loan Delivery Method Borrower Street Address
5439837202 2020-04-27 0455 PPP 7960 N WICKHAM RD STE 105, MELBOURNE, FL, 32940-8096
Loan Status Date 2021-04-13
Loan Status Paid in Full
Loan Maturity in Months 24
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 72962.5
Loan Approval Amount (current) 72962.5
Undisbursed Amount 0
Franchise Name -
Lender Location ID 124287
Servicing Lender Name Community Bank of the South
Servicing Lender Address 277 N Sykes Creek Pkwy, MERRITT ISLAND, FL, 32953-3428
Rural or Urban Indicator U
Hubzone N
LMI N
Business Age Description Unanswered
Project Address MELBOURNE, BREVARD, FL, 32940-8096
Project Congressional District FL-08
Number of Employees 7
NAICS code 621111
Borrower Race Unanswered
Borrower Ethnicity Unknown/NotStated
Business Type Subchapter S Corporation
Originating Lender ID 124287
Originating Lender Name Community Bank of the South
Originating Lender Address MERRITT ISLAND, FL
Gender Female Owned
Veteran Unanswered
Forgiveness Amount 73627.27
Forgiveness Paid Date 2021-03-25

Companies related by officers

STEIN JEANNINE M

WORLD SKIN CANCER FOUNDATION, INC. - Active
Domestic Non-Profit (2005 )

Companies related by address

No other companies in our directory share the same address as THE CENTER FOR SKIN CANCER SURGERY, INC.

Date of last update: 02 May 2025

Sources: Florida Department of State

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