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HEALTHMARK OF WALTON RURAL HEALTH CLINIC, INC. - Florida Company Profile

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Company Details

Entity Name: HEALTHMARK OF WALTON RURAL HEALTH CLINIC, INC.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Inactive
Date Filed: 18 Dec 1992 (33 years ago)
Date of dissolution: 22 Sep 2023 (2 years ago)
Last Event: ADMIN DISSOLUTION FOR ANNUAL REPORT
Event Date Filed: 22 Sep 2023 (2 years ago)
Document Number: P92000012940
FEI/EIN Number 593156240
Address: 4415 HWY 331 SOUTH, DEFUNIAK SPRINGS, FL, 32435, US
Mail Address: 4415 HWY 331 SOUTH, DEFUNIAK SPRINGS, FL, 32435, US
ZIP code: 32435
City: Defuniak Springs
County: Walton
Place of Formation: FLORIDA

Key Officers & Management

Name Role Address
THOMPSON JAMES H Director 4413 HWY 331 SOUTH, DEFUNIAK SPRINGS, FL, 32435
Holley Lisa Director 4413 HWY 331 SOUTH, DEFUNIAK SPRINGS, FL, 32435
Jenkins Terri L Director 4413 US Hwy 331 South, DeFuniak Springs, FL, 32435
THOMPSON JAMES HPhd Agent 4413 HWY 331- SOUTH, DEFUNIAK SPRINGS, FL, 32435

National Provider Identifier

NPI Number:
1013908201
Certification Date:
2021-09-27

Authorized Person:

Name:
MS. LISA SHIRLEY HOLLEY
Role:
COO
Phone:

Taxonomy:

Selected Taxonomy:
261QR1300X - Rural Health Clinic/Center
Is Primary:
Yes

Contacts:

Fax:
8508927079

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G22000086531 331 MEDICAL CENTER ACTIVE 2022-07-21 2027-12-31 - 4415 HWY 331 SOUTH, DEFUNIAK SPRINGS, FL, 32435
G12000069726 HEALTHMARK CLINIC ACTIVE 2012-07-12 2027-12-31 - 4415 HWY 331 SOUTH, DEFUNIAK SPRINGS, FL, 32435

Events

Event Type Filed Date Value Description
ADMIN DISSOLUTION FOR ANNUAL REPORT 2023-09-22 - -
REGISTERED AGENT NAME CHANGED 2013-03-26 THOMPSON, JAMES H, Phd -
CHANGE OF PRINCIPAL ADDRESS 2007-04-02 4415 HWY 331 SOUTH, DEFUNIAK SPRINGS, FL 32435 -
CHANGE OF MAILING ADDRESS 2007-04-02 4415 HWY 331 SOUTH, DEFUNIAK SPRINGS, FL 32435 -
REGISTERED AGENT ADDRESS CHANGED 2001-04-19 4413 HWY 331- SOUTH, DEFUNIAK SPRINGS, FL 32435 -

Documents

Name Date
ANNUAL REPORT 2022-02-23
ANNUAL REPORT 2021-07-29
ANNUAL REPORT 2020-02-05
ANNUAL REPORT 2019-05-15
ANNUAL REPORT 2018-03-28
ANNUAL REPORT 2017-04-06
ANNUAL REPORT 2016-01-22
ANNUAL REPORT 2015-03-23
ANNUAL REPORT 2014-03-03
ANNUAL REPORT 2013-03-26

USAspending Awards / Financial Assistance

Date:
2020-04-29
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:
115121.52
Total Face Value Of Loan:
115121.52
Date:
2020-04-29
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:
115121.52
Total Face Value Of Loan:
115121.52

Paycheck Protection Program

Jobs Reported:
7
Initial Approval Amount:
$115,121.52
Date Approved:
2020-04-29
Loan Status:
Charged Off
SBA Guaranty Percentage:
100
Current Approval Amount:
$115,121.52
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Unanswered
Veteran:
Unanswered
Forgiveness Amount:
$77,828.49
Servicing Lender:
SouthPoint Bank
Use of Proceeds:
Payroll: $115,121.52

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Date of last update: 01 Aug 2025

Sources: Florida Department of State