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  5. UROLOGY CONSULTANTS, INC.

UROLOGY CONSULTANTS, INC. - Florida Company Profile

Company Details

Entity Name: UROLOGY CONSULTANTS, INC.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit

UROLOGY CONSULTANTS, 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: 05 Sep 2018 (7 years ago)
Document Number: P18000075309
FEI/EIN Number 83-1856185

Federal Employer Identification (FEI) Number assigned by the IRS.
Address: 6817 Southpoint Parkway, JACKSONVILLE, FL, 32216, US
Mail Address: 12620-3 BEACH BLVD, 254, JACKSONVILLE, FL, 32246, US
ZIP code: 32216
County: Duval
Place of Formation: FLORIDA

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
UROLOGY CONSULTANTS 401(K) PROFIT SHARING PLAN 2015 593180786 2016-10-10 UROLOGY CONSULTANTS 2
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1999-01-01
Business code 621111
Sponsor’s telephone number 4073320777
Plan sponsor’s address 515 WEST STATE ROAD 434, SUITE 302, LONGWOOD, FL, 32750

Signature of
Role Plan administrator
Date 2016-10-10
Name of individual signing E. JAKE JACOBO, M.D.
Valid signature Filed with authorized/valid electronic signature
UROLOGY CONSULTANTS 401(K) PLAN 2015 593180786 2016-12-08 UROLOGY CONSULTANTS 0
File View Page
Three-digit plan number (PN) 101
Effective date of plan 2012-01-01
Business code 621399
Sponsor’s telephone number 4073320777
Plan sponsor’s address 515 W.S.R. 434 #302, LONGWOOD, FL, 32750

Plan administrator’s name and address
Administrator’s EIN 621874769
Plan administrator’s name TAG RESOURCES, LLC
Plan administrator’s address 6322 DEANE HILL DRIVE, SUITE 201, KNOXVILLE, TN, 37919
Administrator’s telephone number 8656701844

Signature of
Role Plan administrator
Date 2016-12-08
Name of individual signing PHIL TISUE
Valid signature Filed with authorized/valid electronic signature
UROLOGY CONSULTANTS 401(K) PLAN 2015 593180786 2016-09-26 UROLOGY CONSULTANTS 4
File View Page
Three-digit plan number (PN) 101
Effective date of plan 2012-01-01
Business code 621399
Sponsor’s telephone number 4073320777
Plan sponsor’s address 515 W.S.R. 434 #302, LONGWOOD, FL, 32750

Plan administrator’s name and address
Administrator’s EIN 621874769
Plan administrator’s name TAG RESOURCES, LLC
Plan administrator’s address 6322 DEANE HILL DRIVE, SUITE 201, KNOXVILLE, TN, 37919
Administrator’s telephone number 8656701844

Signature of
Role Plan administrator
Date 2016-09-26
Name of individual signing PHIL TISUE
Valid signature Filed with authorized/valid electronic signature
UROLOGY CONSULTANTS 401(K) PROFIT SHARING PLAN 2014 593180786 2015-10-15 UROLOGY CONSULTANTS 2
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1999-01-01
Business code 621111
Sponsor’s telephone number 4073320777
Plan sponsor’s address 515 WEST STATE ROAD 434, SUITE 302, LONGWOOD, FL, 32750

Signature of
Role Plan administrator
Date 2015-10-15
Name of individual signing E. JAKE JACOBO, M.D.
Valid signature Filed with authorized/valid electronic signature
UROLOGY CONSULTANTS 401(K) PLAN 2014 593180786 2015-06-29 UROLOGY CONSULTANTS 8
File View Page
Three-digit plan number (PN) 101
Effective date of plan 2012-01-01
Business code 621399
Sponsor’s telephone number 4073320777
Plan sponsor’s address 515 W.S.R. 434 #302, LONGWOOD, FL, 32750

Plan administrator’s name and address
Administrator’s EIN 621874769
Plan administrator’s name TAG RESOURCES, LLC
Plan administrator’s address 6322 DEANE HILL DRIVE, SUITE 201, KNOXVILLE, TN, 37919
Administrator’s telephone number 8656701844

Signature of
Role Plan administrator
Date 2015-06-29
Name of individual signing PHIL TISUE
Valid signature Filed with authorized/valid electronic signature
UROLOGY CONSULTANTS 401(K) PLAN 2013 593180786 2014-07-23 UROLOGY CONSULTANTS 22
File View Page
Three-digit plan number (PN) 101
Effective date of plan 2012-01-01
Business code 621399
Sponsor’s telephone number 4073320777
Plan sponsor’s address 515 W.S.R. 434 #302, LONGWOOD, FL, 32750

Plan administrator’s name and address
Administrator’s EIN 621874769
Plan administrator’s name TAG RESOURCES, LLC
Plan administrator’s address 6322 DEANE HILL DRIVE, SUITE 201, KNOXVILLE, TN, 37919
Administrator’s telephone number 8656701844

Signature of
Role Plan administrator
Date 2014-07-23
Name of individual signing PHIL TISUE
Valid signature Filed with authorized/valid electronic signature
UROLOGY CONSULTANTS 401(K) PROFIT SHARING PLAN 2013 593180786 2014-10-14 UROLOGY CONSULTANTS 2
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1999-01-01
Business code 621111
Sponsor’s telephone number 4073320777
Plan sponsor’s address 515 WEST STATE ROAD 434, SUITE 302, LONGWOOD, FL, 32750

Signature of
Role Plan administrator
Date 2014-10-14
Name of individual signing E. JAKE JACOBO, M.D.
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2014-10-14
Name of individual signing E. JAKE JACOBO, M.D.
Valid signature Filed with authorized/valid electronic signature
UROLOGY CONSULTANTS 401(K) PROFIT SHARING PLAN 2012 593180786 2013-10-11 UROLOGY CONSULTANTS 2
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1999-01-01
Business code 621111
Sponsor’s telephone number 4073320777
Plan sponsor’s address 515 WEST STATE ROAD 434, SUITE 302, LONGWOOD, FL, 32750

Signature of
Role Plan administrator
Date 2013-10-11
Name of individual signing E. JAKE JACOBO, M.D.
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2013-10-11
Name of individual signing E. JAKE JACOBO, M.D.
Valid signature Filed with authorized/valid electronic signature
UROLOGY CONSULTANTS 401(K) PLAN 2012 593180786 2013-09-29 UROLOGY CONSULTANTS 0
File View Page
Three-digit plan number (PN) 101
Effective date of plan 2012-01-01
Business code 621399
Sponsor’s telephone number 4073320777
Plan sponsor’s address 515 W.S.R. 434 #302, LONGWOOD, FL, 32750

Plan administrator’s name and address
Administrator’s EIN 621874769
Plan administrator’s name TAG RESOURCES, LLC
Plan administrator’s address 6322 DEANE HILL DRIVE, SUITE 201, KNOXVILLE, TN, 37919
Administrator’s telephone number 8656701844

Signature of
Role Plan administrator
Date 2013-09-29
Name of individual signing PHIL TISUE
Valid signature Filed with authorized/valid electronic signature
UROLOGY CONSULTANTS 401(K) PROFIT SHARING PLAN 2011 593180786 2013-10-11 UROLOGY CONSULTANTS 20
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1999-01-01
Business code 621111
Sponsor’s telephone number 4073320777
Plan sponsor’s address 515 WEST STATE ROAD 434, SUITE 302, LONGWOOD, FL, 32750

Plan administrator’s name and address
Administrator’s EIN 593180786
Plan administrator’s name UROLOGY CONSULTANTS
Plan administrator’s address 515 WEST STATE ROAD 434, SUITE 302, LONGWOOD, FL, 32750
Administrator’s telephone number 4073320777

Signature of
Role Plan administrator
Date 2013-10-11
Name of individual signing E. JAKE JACOBO, M.D.
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2013-10-11
Name of individual signing E. JAKE JACOBO, M.D.
Valid signature Filed with authorized/valid electronic signature

Key Officers & Management

Name Role Address
WILLIAMS CHRISTOPHER RMD President 6817 Southpoint Parkway, JACKSONVILLE, FL, 32216
WILLIAMS NEEKA W Agent 6817 Southpoint Parkway, JACKSONVILLE, FL, 32216

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2024-04-19 6817 Southpoint Parkway, Unit 1802, JACKSONVILLE, FL 32216 -
REGISTERED AGENT ADDRESS CHANGED 2024-04-19 6817 Southpoint Parkway, Unit 1802, JACKSONVILLE, FL 32216 -

Documents

Name Date
ANNUAL REPORT 2024-04-19
ANNUAL REPORT 2023-04-13
ANNUAL REPORT 2022-04-04
ANNUAL REPORT 2021-04-08
ANNUAL REPORT 2020-03-31
ANNUAL REPORT 2019-03-11
Domestic Profit 2018-09-05

Paycheck Protection Program

Loan Number Loan Funded Date SBA Origination Office Code Loan Delivery Method Borrower Street Address
7949097302 2020-04-30 0455 PPP 13590 SOUTH JOG ROAD STE 2, DELRAY BEACH, FL, 33446
Loan Status Date 2021-06-09
Loan Status Paid in Full
Loan Maturity in Months 24
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 11860
Loan Approval Amount (current) 11860
Undisbursed Amount 0
Franchise Name -
Lender Location ID 12096
Servicing Lender Name Wells Fargo Bank, National Association
Servicing Lender Address 101 N Philips Ave, SIOUX FALLS, SD, 57104-6738
Rural or Urban Indicator U
Hubzone N
LMI Y
Business Age Description Existing or more than 2 years old
Project Address DELRAY BEACH, PALM BEACH, FL, 33446-0001
Project Congressional District FL-22
Number of Employees 2
NAICS code 621111
Borrower Race Unanswered
Borrower Ethnicity Unknown/NotStated
Business Type Corporation
Originating Lender ID 12096
Originating Lender Name Wells Fargo Bank, National Association
Originating Lender Address SIOUX FALLS, SD
Gender Unanswered
Veteran Unanswered
Forgiveness Amount 11982.5
Forgiveness Paid Date 2021-05-20
1214547210 2020-04-15 0491 PPP 8706 PERIMETER PARK BLVD STE 4, JACKSONVILLE, FL, 32216-6354
Loan Status Date 2021-06-22
Loan Status Paid in Full
Loan Maturity in Months 24
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 3750
Loan Approval Amount (current) 3750
Undisbursed Amount 0
Franchise Name -
Lender Location ID 44449
Servicing Lender Name PNC Bank, National Association
Servicing Lender Address 222 Delaware Ave, WILMINGTON, DE, 19801-1621
Rural or Urban Indicator U
Hubzone N
LMI N
Business Age Description New Business or 2 years or less
Project Address JACKSONVILLE, DUVAL, FL, 32216-6354
Project Congressional District FL-05
Number of Employees 1
NAICS code 621111
Borrower Race Unanswered
Borrower Ethnicity Unknown/NotStated
Business Type Corporation
Originating Lender ID 760
Originating Lender Name First Source Federal Credit Union
Originating Lender Address Rome, NY
Gender Unanswered
Veteran Unanswered
Forgiveness Amount 3789.38
Forgiveness Paid Date 2021-05-06

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Date of last update: 03 Apr 2025

Sources: Florida Department of State

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