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MMA WELLNESS, INC

Company Details

Entity Name: MMA WELLNESS, INC
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Active
Date Filed: 21 May 2018 (7 years ago)
Document Number: P18000046523
FEI/EIN Number 83-0635045
Address: 207 Aberdeen Parkway, Panama City, FL, 32405, US
Mail Address: 207 Aberdeen Parkway, Panama City, FL, 32405, US
ZIP code: 32405
County: Bay
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1053892620 2018-08-22 2020-05-20 1417 MAINE AVE, LYNN HAVEN, FL, 324442129, US 2428 JENKS AVE, PANAMA CITY, FL, 324054304, US

Contacts

Phone +1 850-788-3120
Fax 8507883125

Authorized person

Name MRS. MARY MARGARET ANDREWS
Role PRESIDENT
Phone 8508146562

Taxonomy

Taxonomy Code 363LF0000X - Family Nurse Practitioner
License Number ARNP9266378
State FL
Is Primary Yes

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
MMA WELLNESS 401(K) PROFIT SHARING PLAN & TRUST 2022 830635045 2023-07-31 MMA WELLNESS 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2020-01-01
Business code 541990
Sponsor’s telephone number 8508146562
Plan sponsor’s address 1417 MAINE AVE, LYNN HAVEN, FL, 32444

Signature of

Role Plan administrator
Date 2023-07-31
Name of individual signing MARY ANDREWS
Valid signature Filed with authorized/valid electronic signature
MMA WELLNESS 401(K) PROFIT SHARING PLAN & TRUST 2021 830635045 2022-09-02 MMA WELLNESS 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2020-01-01
Business code 541990
Sponsor’s telephone number 8508146562
Plan sponsor’s address 1417 MAINE AVE, LYNN HAVEN, FL, 32444

Signature of

Role Plan administrator
Date 2022-09-02
Name of individual signing MARY M. ANDREWS
Valid signature Filed with authorized/valid electronic signature
MMA WELLNESS 401(K) PROFIT SHARING PLAN & TRUST 2020 830635045 2021-10-06 MMA WELLNESS 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2020-01-01
Business code 541990
Sponsor’s telephone number 8508146562
Plan sponsor’s address 1417 MAINE AVE, LYNN HAVEN, FL, 32444

Signature of

Role Plan administrator
Date 2021-10-06
Name of individual signing MARY M. ANDREWS
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
ANDREWS MARY M Agent 207 Aberdeen Parkway, Panama City, FL, 32405

President

Name Role Address
ANDREWS MARY M President 207 Aberdeen Parkway, Panama City, FL, 32405

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G19000062555 FAITH FAMILY WELLNESS EXPIRED 2019-05-29 2024-12-31 No data 1417 MAINE AVENUE, LYNN HAVEN, FL, 32444
G19000023724 FIRST CHOICE WELLNESS CENTER EXPIRED 2019-02-18 2024-12-31 No data 1417 MAINE AVENUE, LYNN HAVEN, FL, 32444

Events

Event Type Filed Date Value Description
CHANGE OF MAILING ADDRESS 2024-04-30 207 Aberdeen Parkway, Panama City, FL 32405 No data
REGISTERED AGENT ADDRESS CHANGED 2024-04-30 207 Aberdeen Parkway, Panama City, FL 32405 No data
CHANGE OF PRINCIPAL ADDRESS 2023-04-17 207 Aberdeen Parkway, Panama City, FL 32405 No data

Documents

Name Date
ANNUAL REPORT 2024-04-30
ANNUAL REPORT 2023-04-17
ANNUAL REPORT 2022-05-11
ANNUAL REPORT 2021-03-29
ANNUAL REPORT 2020-03-09
ANNUAL REPORT 2019-02-18
Domestic Profit 2018-05-21

Date of last update: 01 Feb 2025

Sources: Florida Department of State