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BREVARD MEDICAL DERMATOLOGY, P.A. - Florida Company Profile

Company Details

Entity Name: BREVARD MEDICAL DERMATOLOGY, P.A.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit

BREVARD MEDICAL DERMATOLOGY, 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 Sep 2014 (11 years ago)
Document Number: P14000079514
FEI/EIN Number 36-4796769

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

Address: 7960 N Wickham Road, MELBOURNE, FL, 32940, US
Mail Address: 7960 N Wickham Road, MELBOURNE, FL, 32940, US
ZIP code: 32940
County: Brevard
Place of Formation: FLORIDA

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
BREVARD MEDICAL DERMATOLOGY, P.A. 401(K) PLAN 2023 364796769 2024-09-09 BREVARD MEDICAL DERMATOLOGY, P.A. 61
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-01-01
Business code 621111
Sponsor’s telephone number 3215677530
Plan sponsor’s address 7960 N. WICKHAM RD., STE. 103, MELBOURNE, FL, 32940

Signature of

Role Plan administrator
Date 2024-09-09
Name of individual signing MICHAEL S SPICER
Valid signature Filed with authorized/valid electronic signature
BREVARD MEDICAL DERMATOLOGY, P.A. 401(K) PLAN 2022 364796769 2023-07-10 BREVARD MEDICAL DERMATOLOGY, P.A. 55
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-01-01
Business code 621111
Sponsor’s telephone number 3215677530
Plan sponsor’s address 7960 N. WICKHAM RD., STE. 103, MELBOURNE, FL, 32940

Signature of

Role Plan administrator
Date 2023-07-10
Name of individual signing MICHAEL S SPICER
Valid signature Filed with authorized/valid electronic signature
BREVARD MEDICAL DERMATOLOGY, P.A. 401(K) PLAN 2021 364796769 2022-08-08 BREVARD MEDICAL DERMATOLOGY, P.A. 57
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-01-01
Business code 621111
Sponsor’s telephone number 3215677530
Plan sponsor’s address 7960 N. WICKHAM RD., STE. 103, MELBOURNE, FL, 32940

Signature of

Role Plan administrator
Date 2022-08-08
Name of individual signing MICHAEL S SPICER
Valid signature Filed with authorized/valid electronic signature
BREVARD MEDICAL DERMATOLOGY, P.A. 401(K) PLAN 2020 364796769 2021-09-02 BREVARD MEDICAL DERMATOLOGY, P.A. 50
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-01-01
Business code 621111
Sponsor’s telephone number 3215677530
Plan sponsor’s address 7960 N. WICKHAM RD., STE. 103, MELBOURNE, FL, 32940

Signature of

Role Plan administrator
Date 2021-09-02
Name of individual signing MICHAEL S SPICER
Valid signature Filed with authorized/valid electronic signature
BREVARD MEDICAL DERMATOLOGY, P.A. 401(K) PLAN 2019 364796769 2020-08-03 BREVARD MEDICAL DERMATOLOGY, P.A. 43
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-01-01
Business code 621111
Sponsor’s telephone number 3215677530
Plan sponsor’s address 800 CENTURY MEDICAL DRIVE, SUITE B, TITUSVILLE, FL, 32796
BREVARD MEDICAL DERMATOLOGY, P.A. 401(K) PLAN 2018 364796769 2019-09-11 BREVARD MEDICAL DERMATOLOGY, P.A. 36
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-01-01
Business code 621111
Sponsor’s telephone number 3215677530
Plan sponsor’s address 800 CENTURY MEDICAL DRIVE, SUITE B, TITUSVILLE, FL, 32796
BREVARD MEDICAL DERMATOLOGY, P.A. 401(K) PLAN 2017 364796769 2018-06-20 BREVARD MEDICAL DERMATOLOGY, P.A. 30
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-01-01
Business code 621111
Sponsor’s telephone number 3215677530
Plan sponsor’s address 800 CENTURY MEDICAL DRIVE, SUITE B, TITUSVILLE, FL, 32796
BREVARD MEDICAL DERMATOLOGY, P.A. 401(K) PLAN 2016 364796769 2017-07-13 BREVARD MEDICAL DERMATOLOGY, P.A. 14
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-01-01
Business code 621111
Sponsor’s telephone number 3215677530
Plan sponsor’s address 800 CENTURY MEDICAL DRIVE, SUITE B, TITUSVILLE, FL, 32796
BREVARD MEDICAL DERMATOLOGY, P.A. 401(K) PLAN 2015 364796769 2016-06-22 BREVARD MEDICAL DERMATOLOGY, P.A. 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-01-01
Business code 621111
Sponsor’s telephone number 3215677530
Plan sponsor’s address 800 CENTURY MEDICAL DRIVE, SUITE B, TITUSVILLE, FL, 32796

Key Officers & Management

Name Role Address
UNITED STATES CORPORATION AGENTS, INC. Agent -
SPICER MICHAEL SMD President 7960 N Wickham Road, MELBOURNE, FL, 32940
SPICER MICHAEL SMD Secretary 7960 N Wickham Road, MELBOURNE, FL, 32940
SPICER MICHAEL SMD Treasurer 7960 N Wickham Road, MELBOURNE, FL, 32940
SPICER MICHAEL SMD Director 7960 N Wickham Road, MELBOURNE, FL, 32940
Thompson Jessica L Othe 7960 N Wickham Road, MELBOURNE, FL, 32940

Events

Event Type Filed Date Value Description
REGISTERED AGENT ADDRESS CHANGED 2023-02-18 476 RIVERSIDE AVE., JACKSONVILLE, FL 32202 -
CHANGE OF PRINCIPAL ADDRESS 2021-01-31 7960 N Wickham Road, Suite 103, MELBOURNE, FL 32940 -
CHANGE OF MAILING ADDRESS 2021-01-31 7960 N Wickham Road, Suite 103, MELBOURNE, FL 32940 -

Documents

Name Date
ANNUAL REPORT 2025-01-07
ANNUAL REPORT 2024-01-16
ANNUAL REPORT 2023-02-09
ANNUAL REPORT 2022-01-29
ANNUAL REPORT 2021-01-31
ANNUAL REPORT 2020-02-16
ANNUAL REPORT 2019-02-09
ANNUAL REPORT 2018-01-21
ANNUAL REPORT 2017-06-30
ANNUAL REPORT 2016-03-04

Paycheck Protection Program

Loan Number Loan Funded Date SBA Origination Office Code Loan Delivery Method Borrower Street Address
3474927103 2020-04-11 0455 PPP 7960 N Wickham Rd. Ste 103, MELBOURNE, FL, 32940-7917
Loan Status Date 2021-04-22
Loan Status Paid in Full
Loan Maturity in Months 24
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 562500
Loan Approval Amount (current) 562500
Undisbursed Amount 0
Franchise Name -
Lender Location ID 117723
Servicing Lender Name SouthState Bank, National Association
Servicing Lender Address 1101 First St South, WINTER HAVEN, FL, 33880-3908
Rural or Urban Indicator U
Hubzone N
LMI N
Business Age Description Existing or more than 2 years old
Project Address MELBOURNE, BREVARD, FL, 32940-7917
Project Congressional District FL-08
Number of Employees 46
NAICS code 621111
Borrower Race Unanswered
Borrower Ethnicity Unknown/NotStated
Business Type Corporation
Originating Lender ID 117723
Originating Lender Name SouthState Bank, National Association
Originating Lender Address WINTER HAVEN, FL
Gender Unanswered
Veteran Unanswered
Forgiveness Amount 567765.62
Forgiveness Paid Date 2021-03-31

Date of last update: 02 Apr 2025

Sources: Florida Department of State