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  5. LIFELINE MEDICAL, INC.

LIFELINE MEDICAL, INC. - Florida Company Profile

Company Details

Entity Name: LIFELINE MEDICAL, INC.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit

LIFELINE MEDICAL, 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: 02 Jan 2015 (10 years ago)
Document Number: P15000001057
FEI/EIN Number 22-3092585

Federal Employer Identification (FEI) Number assigned by the IRS.
Address: 3703 Lake Center Drive, Mount Dora, FL, 32757, US
Mail Address: 3703 Lake Center Drive, Mount Dora, FL, 32757, US
ZIP code: 32757
County: Lake
Place of Formation: FLORIDA

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
LIFELINE MEDICAL INC 401(K) PROFIT SHARING PLAN & TRUST 2023 223092585 2024-05-29 LIFELINE MEDICAL, INC. 18
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2012-01-01
Business code 423800
Sponsor’s telephone number 2037483806
Plan sponsor’s address 3703 LAKE CENTER DRIVE, MOUNT DORA, FL, 32757

Signature of
Role Plan administrator
Date 2024-05-29
Name of individual signing TUSHAR SHAH
Valid signature Filed with authorized/valid electronic signature
LIFELINE MEDICAL INC 401(K) PROFIT SHARING PLAN & TRUST 2022 223092585 2023-07-25 LIFELINE MEDICAL INC 17
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2012-01-01
Business code 423800
Sponsor’s telephone number 2037483806
Plan sponsor’s address 15241 TELECOM DR, BROOKSVILLE, FL, 34604

Signature of
Role Plan administrator
Date 2023-07-25
Name of individual signing TUSHAR SHAH
Valid signature Filed with authorized/valid electronic signature
LIFELINE MEDICAL INC 401(K) PROFIT SHARING PLAN & TRUST 2021 223092585 2022-05-19 LIFELINE MEDICAL INC 17
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2012-01-01
Business code 423800
Sponsor’s telephone number 2037483806
Plan sponsor’s address 15241 TELECOM DR, BROOKSVILLE, FL, 34604

Signature of
Role Plan administrator
Date 2022-05-19
Name of individual signing TUSHAR SHAH
Valid signature Filed with authorized/valid electronic signature
LIFELINE MEDICAL INC 401(K) PROFIT SHARING PLAN & TRUST 2020 223092585 2021-04-05 LIFELINE MEDICAL INC 19
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2012-01-01
Business code 423800
Sponsor’s telephone number 2037483806
Plan sponsor’s address 15241 TELECOM DR, BROOKSVILLE, FL, 34604

Signature of
Role Plan administrator
Date 2021-04-05
Name of individual signing TUSHAR SHAH
Valid signature Filed with authorized/valid electronic signature
LIFELINE MEDICAL INC 401(K) PROFIT SHARING PLAN & TRUST 2019 223092585 2020-04-28 LIFELINE MEDICAL INC 18
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2012-01-01
Business code 423800
Sponsor’s telephone number 2037483806
Plan sponsor’s address 15241 TELECOM DR, BROOKSVILLE, FL, 34604

Signature of
Role Plan administrator
Date 2020-04-28
Name of individual signing TUSHAR SHAH
Valid signature Filed with authorized/valid electronic signature
LIFELINE MEDICAL INC 401 K PROFIT SHARING PLAN TRUST 2018 223092585 2019-03-12 LIFELINE MEDICAL INC 18
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2012-01-01
Business code 423800
Sponsor’s telephone number 2037483806
Plan sponsor’s address 15241 TELECOM DR, BROOKSVILLE, FL, 34604

Signature of
Role Plan administrator
Date 2019-03-12
Name of individual signing TUSHAR SHAH
Valid signature Filed with authorized/valid electronic signature
LIFELINE MEDICAL INC 401 K PROFIT SHARING PLAN TRUST 2017 223092585 2018-04-26 LIFELINE MEDICAL INC 15
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2012-01-01
Business code 423800
Sponsor’s telephone number 2037483806
Plan sponsor’s address 15241 TELECOM DR, BROOKSVILLE, FL, 34604

Signature of
Role Plan administrator
Date 2018-04-26
Name of individual signing TUSHAR SHAH
Valid signature Filed with authorized/valid electronic signature
LIFELINE MEDICAL, INC. 401 K PROFIT SHARING PLAN TRUST 2016 223092585 2017-05-19 LIFELINE MEDICAL, INC. 13
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2012-01-01
Business code 423800
Sponsor’s telephone number 2037483806
Plan sponsor’s address 15241 TELCOM DRIVE, BROOKSVILLE, FL, 34604

Signature of
Role Plan administrator
Date 2017-05-19
Name of individual signing TUSHAR SHAH
Valid signature Filed with authorized/valid electronic signature
LIFELINE MEDICAL, INC. 401 K PROFIT SHARING PLAN TRUST 2015 223092585 2016-05-16 LIFELINE MEDICAL INC. 12
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2012-01-01
Business code 423800
Sponsor’s telephone number 2037483806
Plan sponsor’s address 15241 TELCOM DRIVE, BROOKSVILLE, FL, 34604

Signature of
Role Plan administrator
Date 2016-05-16
Name of individual signing TUSHAR SHAH
Valid signature Filed with authorized/valid electronic signature
LIFELINE MEDICAL INC 401 K PROFIT SHARING PLAN TRUST 2014 223092585 2015-06-11 LIFELINE MEDICAL INC 13
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2012-01-01
Business code 423800
Sponsor’s telephone number 2037483806
Plan sponsor’s address 15241 TELECOM DR, BROOKSVILLE, FL, 34604

Signature of
Role Plan administrator
Date 2015-06-11
Name of individual signing TUSHAR SHAH
Valid signature Filed with authorized/valid electronic signature

Key Officers & Management

Name Role Address
SHAH TUSHAR J Director 3703 Lake Center Drive, Mount Dora, FL, 32757
SHAH TUSHAR J Agent 3703 Lake Center Drive, Mount Dora, FL, 32757

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2023-12-06 3703 Lake Center Drive, Mount Dora, FL 32757 -
CHANGE OF MAILING ADDRESS 2023-12-06 3703 Lake Center Drive, Mount Dora, FL 32757 -
REGISTERED AGENT ADDRESS CHANGED 2023-12-06 3703 Lake Center Drive, Mount Dora, FL 32757 -

Documents

Name Date
ANNUAL REPORT 2025-02-10
ANNUAL REPORT 2024-02-05
AMENDED ANNUAL REPORT 2023-12-06
ANNUAL REPORT 2023-02-01
ANNUAL REPORT 2022-02-08
ANNUAL REPORT 2021-01-27
ANNUAL REPORT 2020-01-16
ANNUAL REPORT 2019-02-08
ANNUAL REPORT 2018-01-23
ANNUAL REPORT 2017-01-11

Paycheck Protection Program

Loan Number Loan Funded Date SBA Origination Office Code Loan Delivery Method Borrower Street Address
3860027200 2020-04-27 0491 PPP 15241 Telcom Drive, Brooksville, FL, 34604
Loan Status Date 2021-05-25
Loan Status Paid in Full
Loan Maturity in Months 24
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 92806.32
Loan Approval Amount (current) 92806.32
Undisbursed Amount 0
Franchise Name -
Lender Location ID 17652
Servicing Lender Name Capital City Bank
Servicing Lender Address 217 N Monroe St, TALLAHASSEE, FL, 32301-7619
Rural or Urban Indicator U
Hubzone N
LMI N
Business Age Description Existing or more than 2 years old
Project Address Brooksville, HERNANDO, FL, 34604-0002
Project Congressional District FL-12
Number of Employees 7
NAICS code 423450
Borrower Race Asian
Borrower Ethnicity Not Hispanic or Latino
Business Type Corporation
Originating Lender ID 17652
Originating Lender Name Capital City Bank
Originating Lender Address TALLAHASSEE, FL
Gender Male Owned
Veteran Non-Veteran
Forgiveness Amount 93658.1
Forgiveness Paid Date 2021-04-06

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Companies related by address

No other companies in our directory share the same address as LIFELINE MEDICAL, INC.

Date of last update: 02 Apr 2025

Sources: Florida Department of State

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