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ELITE SPORTS PODIATRY, P.A. - Florida Company Profile

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Company Details

Entity Name: ELITE SPORTS PODIATRY, P.A.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit

ELITE SPORTS PODIATRY, 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: 25 Jun 2014 (11 years ago)
Document Number: P14000054964
FEI/EIN Number NOT APPLICABLE

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

Address: 701 N Hercules Ave, Suite D, CLEARWATER, FL, 33765, US
Mail Address: 701 N Hercules Ave, Suite D, CLEARWATER, FL, 33765, US
ZIP code: 33765
City: Clearwater
County: Pinellas
Place of Formation: FLORIDA

Key Officers & Management

Name Role Address
FULLEM BRIAN W President 701 N Hercules Ave, CLEARWATER, FL, 33765
FULLEM BRIAN W Secretary 701 N Hercules Ave, CLEARWATER, FL, 33765
FULLEM BRIAN W Treasurer 701 N Hercules Ave, CLEARWATER, FL, 33765
FULLEM BRIAN W Director 701 N Hercules Ave, CLEARWATER, FL, 33765
Fullem Brian Agent 701 N Hercules Ave, CLEARWATER, FL, 33765

National Provider Identifier

NPI Number:
1356743207

Authorized Person:

Name:
DR. BRIAN WILLIAM FULLEM
Role:
MEDICAL DOCTOR/OWNER
Phone:

Taxonomy:

Selected Taxonomy:
213ES0131X - Foot Surgery Podiatrist
Is Primary:
Yes

Contacts:

Fax:
7273307645
Fax:
7273304645

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2020-03-19 701 N Hercules Ave, Suite D, CLEARWATER, FL 33765 -
CHANGE OF MAILING ADDRESS 2020-03-19 701 N Hercules Ave, Suite D, CLEARWATER, FL 33765 -
REGISTERED AGENT ADDRESS CHANGED 2020-03-19 701 N Hercules Ave, Suite D, CLEARWATER, FL 33765 -
REGISTERED AGENT NAME CHANGED 2019-03-26 Fullem, Brian -

Documents

Name Date
ANNUAL REPORT 2025-02-08
ANNUAL REPORT 2024-01-27
ANNUAL REPORT 2023-01-31
ANNUAL REPORT 2022-01-31
ANNUAL REPORT 2021-04-13
ANNUAL REPORT 2020-03-19
ANNUAL REPORT 2019-03-26
ANNUAL REPORT 2018-01-23
ANNUAL REPORT 2017-08-10
ANNUAL REPORT 2016-08-11

USAspending Awards / Financial Assistance

Date:
2021-01-27
Awarding Agency Name:
Small Business Administration
Transaction Description:
TO AID SMALL BUSINESSES IN MAINTAINING WORK FORCE DURING COVID-19 PANDEMIC.
Obligated Amount:
0.00
Face Value Of Loan:
10587.00
Total Face Value Of Loan:
10587.00
Date:
2020-05-16
Awarding Agency Name:
Small Business Administration
Transaction Description:
TO PROVIDE LOANS TO RESTORE AS NEARLY AS POSSIBLE THE VICTIMS OF ECONOMIC INJURY TYPE DISASTERS TO PRE-DISASTER CONDITIONS
Obligated Amount:
0.00
Face Value Of Loan:
8800.00
Total Face Value Of Loan:
8800.00
Date:
2020-04-28
Awarding Agency Name:
Small Business Administration
Transaction Description:
TO AID SMALL BUSINESSES IN MAINTAINING WORK FORCE DURING COVID-19 PANDEMIC.
Obligated Amount:
0.00
Face Value Of Loan:
18000.00
Total Face Value Of Loan:
18000.00
Date:
2020-04-17
Awarding Agency Name:
Small Business Administration
Transaction Description:
ECONOMIC INJURY DISASTER GRANT
Obligated Amount:
2000.00
Face Value Of Loan:
0.00
Total Face Value Of Loan:
0.00
Date:
2014-08-22
Awarding Agency Name:
Small Business Administration
Transaction Description:
TO AID SMALL BUSINESSES WHICH ARE UNABLE TO OBTAIN FINANCING IN THE PRIVATE CREDIT MARKETPLACE
Obligated Amount:
0.00
Face Value Of Loan:
86000.00
Total Face Value Of Loan:
86000.00

Paycheck Protection Program

Jobs Reported:
3
Initial Approval Amount:
$10,587
Date Approved:
2021-01-27
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$10,587
Race:
Unanswered
Ethnicity:
Not Hispanic or Latino
Gender:
Male Owned
Veteran:
Unanswered
Forgiveness Amount:
$10,668.46
Servicing Lender:
Fifth Third Bank
Use of Proceeds:
Payroll: $10,585
Jobs Reported:
2
Initial Approval Amount:
$18,000
Date Approved:
2020-04-28
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$18,000
Race:
Unanswered
Ethnicity:
Not Hispanic or Latino
Gender:
Male Owned
Veteran:
Unanswered
Forgiveness Amount:
$18,301.5
Servicing Lender:
Fifth Third Bank
Use of Proceeds:
Payroll: $18,000

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Date of last update: 02 Jul 2025

Sources: Florida Department of State