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  5. ANDREW ROTHBERG, O.D., P.A.

ANDREW ROTHBERG, O.D., P.A. - Florida Company Profile

Company Details

Entity Name: ANDREW ROTHBERG, O.D., P.A.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit

ANDREW ROTHBERG, O.D., P.A. 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 Jun 2014 (11 years ago)
Document Number: P14000052064
FEI/EIN Number 47-1247089

Federal Employer Identification (FEI) Number assigned by the IRS.
Address: 12950 RACE TRACK RD STE 111, TAMPA, FL, 33626, US
Mail Address: 12950 RACE TRACK RD STE 111, TAMPA, FL, 33626, US
ZIP code: 33626
County: Hillsborough
Place of Formation: FLORIDA

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
EAGLE EYE VISION CARE 401(K) PLAN 2023 471247089 2024-05-06 ANDREW ROTHBERG, O.D., P.A. 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2018-10-15
Business code 621320
Sponsor’s telephone number 8138549000
Plan sponsor’s address 12950 RACE TRACK ROAD, SUITE 111, TAMPA, FL, 33626

Plan administrator’s name and address
Administrator’s EIN 474474775
Plan administrator’s name GUIDELINE, INC.
Plan administrator’s address 1412 CHAPIN AVENUE, BURLINGAME, CA, 94010
Administrator’s telephone number 8882283491

Signature of
Role Plan administrator
Date 2024-05-06
Name of individual signing QIAN LIU
Valid signature Filed with authorized/valid electronic signature
EAGLE EYE VISION CARE 401(K) PLAN 2022 471247089 2023-05-26 ANDREW ROTHBERG, O.D., P.A. 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2018-10-15
Business code 621320
Sponsor’s telephone number 8138549000
Plan sponsor’s address 12950 RACE TRACK ROAD, SUITE 111, TAMPA, FL, 33626

Plan administrator’s name and address
Administrator’s EIN 474474775
Plan administrator’s name GUIDELINE, INC.
Plan administrator’s address 1412 CHAPIN AVENUE, BURLINGAME, CA, 94010
Administrator’s telephone number 8882283491

Signature of
Role Plan administrator
Date 2023-05-26
Name of individual signing CHRISTINE RIMER
Valid signature Filed with authorized/valid electronic signature
EAGLE EYE VISION CARE 401(K) PLAN 2021 471247089 2022-06-01 ANDREW ROTHBERG, O.D., P.A. 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2018-10-15
Business code 621320
Sponsor’s telephone number 8138549000
Plan sponsor’s address 12950 RACE TRACK ROAD, SUITE 111, TAMPA, FL, 33626

Plan administrator’s name and address
Administrator’s EIN 474474775
Plan administrator’s name GUIDELINE, INC.
Plan administrator’s address 1645 E 6TH STREET, SUITE 200, AUSTIN, TX, 78702
Administrator’s telephone number 8882283491

Signature of
Role Plan administrator
Date 2022-06-01
Name of individual signing CHRISTINE RIMER
Valid signature Filed with authorized/valid electronic signature
EAGLE EYE VISION CARE 401(K) PLAN 2020 471247089 2021-05-04 ANDREW ROTHBERG, O.D., P.A. 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2018-10-15
Business code 621320
Sponsor’s telephone number 8138549000
Plan sponsor’s address 12950 RACE TRACK ROAD, SUITE 111, TAMPA, FL, 33626

Plan administrator’s name and address
Administrator’s EIN 474474775
Plan administrator’s name GUIDELINE, INC.
Plan administrator’s address 3050 S DELAWARE ST, #202, SAN MATEO, CA, 94403
Administrator’s telephone number 8882283491

Signature of
Role Plan administrator
Date 2021-05-04
Name of individual signing CAROL HO
Valid signature Filed with authorized/valid electronic signature
EAGLE EYE VISION CARE 401(K) PLAN 2019 471247089 2020-05-20 ANDREW ROTHBERG, O.D., P.A. 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2018-10-15
Business code 621320
Sponsor’s telephone number 8138549000
Plan sponsor’s address 12950 RACE TRACK ROAD, SUITE 108, TAMPA, FL, 33626

Plan administrator’s name and address
Administrator’s EIN 474474775
Plan administrator’s name GUIDELINE, INC.
Plan administrator’s address 3050 S DELAWARE ST, #202, SAN MATEO, CA, 94403
Administrator’s telephone number 8882283491

Signature of
Role Plan administrator
Date 2020-05-20
Name of individual signing CAROL HO
Valid signature Filed with authorized/valid electronic signature
EAGLE EYE VISION CARE 401(K) PLAN 2018 471247089 2019-07-17 ANDREW ROTHBERG, O.D., P.A. 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2018-10-15
Business code 621320
Sponsor’s telephone number 8138549000
Plan sponsor’s address 12950 RACE TRACK ROAD, SUITE 108, TAMPA, FL, 33626

Plan administrator’s name and address
Administrator’s EIN 474474775
Plan administrator’s name GUIDELINE, INC.
Plan administrator’s address 3050 S DELAWARE ST, #202, SAN MATEO, CA, 94403
Administrator’s telephone number 8882283491

Signature of
Role Plan administrator
Date 2019-07-17
Name of individual signing CAROL HO
Valid signature Filed with authorized/valid electronic signature

Key Officers & Management

Name Role Address
ROTHBERG ANDREW Treasurer 12950 RACE TRACK RD STE 111, TAMPA, FL, 33626
ROTHBERG ANDREW President 12950 RACE TRACK RD STE 111, TAMPA, FL, 33626
ROTHBERG ANDREW Secretary 12950 RACE TRACK RD STE 111, TAMPA, FL, 33626
ROTHBERG ANDREW Director 12950 RACE TRACK RD STE 111, TAMPA, FL, 33626
ROTHBERG ANDREW Agent 12950 RACE TRACK RD STE 111, TAMPA, FL, 33626

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G14000079103 EAGLE EYE VISION CARE ACTIVE 2014-07-31 2029-12-31 - 12950 RACE TRACK ROAD, SUITE #111, TAMPA, FL, 33626

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2021-01-20 12950 RACE TRACK RD STE 111, TAMPA, FL 33626 -
CHANGE OF MAILING ADDRESS 2021-01-20 12950 RACE TRACK RD STE 111, TAMPA, FL 33626 -
REGISTERED AGENT ADDRESS CHANGED 2021-01-20 12950 RACE TRACK RD STE 111, TAMPA, FL 33626 -

Documents

Name Date
ANNUAL REPORT 2025-02-08
ANNUAL REPORT 2024-02-10
ANNUAL REPORT 2023-01-31
ANNUAL REPORT 2022-02-02
ANNUAL REPORT 2021-01-20
ANNUAL REPORT 2020-01-19
ANNUAL REPORT 2019-02-14
ANNUAL REPORT 2018-01-17
ANNUAL REPORT 2017-01-12
ANNUAL REPORT 2016-03-09

Paycheck Protection Program

Loan Number Loan Funded Date SBA Origination Office Code Loan Delivery Method Borrower Street Address
2488437203 2020-04-16 0455 PPP 12950 Race Track Road, Tampa, FL, 33626-1309
Loan Status Date 2020-12-16
Loan Status Paid in Full
Loan Maturity in Months 24
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 59600
Loan Approval Amount (current) 59600
Undisbursed Amount 0
Franchise Name -
Lender Location ID 2408
Servicing Lender Name Regions Bank
Servicing Lender Address 1900 Fifth Avenue North, BIRMINGHAM, AL, 35203
Rural or Urban Indicator U
Hubzone N
LMI N
Business Age Description Existing or more than 2 years old
Project Address Tampa, HILLSBOROUGH, FL, 33626-1309
Project Congressional District FL-14
Number of Employees 5
NAICS code 621320
Borrower Race Unanswered
Borrower Ethnicity Unknown/NotStated
Business Type Corporation
Originating Lender ID 2408
Originating Lender Name Regions Bank
Originating Lender Address BIRMINGHAM, AL
Gender Unanswered
Veteran Unanswered
Forgiveness Amount 59939.64
Forgiveness Paid Date 2020-11-19

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Companies related by address

No other companies in our directory share the same address as ANDREW ROTHBERG, O.D., P.A.

Date of last update: 02 Apr 2025

Sources: Florida Department of State

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