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FOOT & ANKLE GROUP OF SOUTHWEST FLORIDA, P.A.

Company Details

Entity Name: FOOT & ANKLE GROUP OF SOUTHWEST FLORIDA, P.A.
Jurisdiction: FLORIDA
Filing Type: Florida Profit Corporation
Status: Active
Date Filed: 16 Feb 1994 (31 years ago)
Last Event: CORPORATE MERGER
Event Date Filed: 07 Jun 1999 (26 years ago)
Document Number: P94000013695
FEI/EIN Number 65-0476788
Address: 5238 MASON CORBIN COURT, SUITE 102, FT MYERS, FL 33907
Mail Address: 5238 MASON CORBIN COURT, SUITE 102, FT MYERS, FL 33907
ZIP code: 33907
County: Lee
Place of Formation: FLORIDA

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
FOOT & ANKLE GROUP OF SOUTHWEST FLORIDA, P.A. 401(K) PROFIT SHARING PLAN 2023 650476788 2024-09-25 FOOT & ANKLE GROUP OF SOUTHWEST FLORIDA, P.A. 28
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1999-01-01
Business code 621391
Sponsor’s telephone number 2399365400
Plan sponsor’s address 5238 MASON CORBIN COURT, SUITE 102, FORT MYERS, FL, 33907
FOOT & ANKLE GROUP OF SOUTHWEST FLORIDA, P.A. 401(K) PROFIT SHARING PLAN 2022 650476788 2023-09-28 FOOT & ANKLE GROUP OF SOUTHWEST FLORIDA, P.A. 29
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1999-01-01
Business code 621391
Sponsor’s telephone number 2399365400
Plan sponsor’s address 5238 MASON CORBIN COURT, SUITE 102, FORT MYERS, FL, 33907
FOOT & ANKLE GROUP OF SOUTHWEST FLORIDA, P.A. 401(K) PROFIT SHARING PLAN 2021 650476788 2022-09-14 FOOT & ANKLE GROUP OF SOUTHWEST FLORIDA, P.A. 29
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1999-01-01
Business code 621391
Sponsor’s telephone number 2399365400
Plan sponsor’s address 5238 MASON CORBIN COURT, SUITE 102, FORT MYERS, FL, 33907
FOOT & ANKLE GROUP OF SOUTHWEST FLORIDA, P.A. 401(K) PROFIT SHARING PLAN 2020 650476788 2021-09-02 FOOT & ANKLE GROUP OF SOUTHWEST FLORIDA, P.A. 29
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1999-01-01
Business code 621391
Sponsor’s telephone number 2399365400
Plan sponsor’s address 5238 MASON CORBIN COURT, SUITE 102, FORT MYERS, FL, 33907
FOOT & ANKLE GROUP OF SOUTHWEST FLORIDA, P.A. 401(K) PROFIT SHARING PLAN 2019 650476788 2020-10-07 FOOT & ANKLE GROUP OF SOUTHWEST FLORIDA, P.A. 29
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1999-01-01
Business code 621391
Sponsor’s telephone number 2399365400
Plan sponsor’s address 5238 MASON CORBIN COURT, SUITE 102, FORT MYERS, FL, 33907
FOOT & ANKLE GROUP OF SOUTHWEST FLORIDA, P.A. 401(K) PROFIT SHARING PLAN 2018 650476788 2019-09-05 FOOT & ANKLE GROUP OF SOUTHWEST FLORIDA, P.A. 28
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1999-01-01
Business code 621391
Sponsor’s telephone number 2399365400
Plan sponsor’s address 5238 MASON CORBIN COURT, SUITE 102, FORT MYERS, FL, 33907
FOOT & ANKLE GROUP OF SOUTHWEST FLORIDA, P.A. 401(K) PROFIT SHARING PLAN 2017 650476788 2018-09-17 FOOT & ANKLE GROUP OF SOUTHWEST FLORIDA, P.A. 27
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1999-01-01
Business code 621391
Sponsor’s telephone number 2399365400
Plan sponsor’s address 5238 MASON CORBIN COURT, SUITE 102, FORT MYERS, FL, 33907
FOOT & ANKLE GROUP OF SOUTHWEST FLORIDA, P.A. 401(K) PROFIT SHARING PLAN 2016 650476788 2017-10-05 FOOT & ANKLE GROUP OF SOUTHWEST FLORIDA, P.A. 27
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1999-01-01
Business code 621391
Sponsor’s telephone number 2399365400
Plan sponsor’s address 5238 MASON CORBIN COURT, SUITE 102, FORT MYERS, FL, 33907
FOOT & ANKLE GROUP OF SOUTHWEST FLORIDA, P.A. 401(K) PROFIT SHARING PLAN 2015 650476788 2016-10-12 FOOT & ANKLE GROUP OF SOUTHWEST FLORIDA, P.A. 28
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1999-01-01
Business code 621391
Sponsor’s telephone number 2399365400
Plan sponsor’s address 5238 MASON CORBIN COURT, SUITE 102, FORT MYERS, FL, 33907

Signature of

Role Plan administrator
Date 2016-10-12
Name of individual signing CHRIS A. KLIMOWICH, D.P.M.
Valid signature Filed with authorized/valid electronic signature
FOOT & ANKLE GROUP OF SOUTHWEST FLORIDA, P.A. 401(K) PROFIT SHARING PLAN 2014 650476788 2015-09-30 FOOT & ANKLE GROUP OF SOUTHWEST FLORIDA, P.A. 22
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1999-01-01
Business code 621391
Sponsor’s telephone number 2399365400
Plan sponsor’s address 5238 MASON CORBIN COURT, SUITE 102, FORT MYERS, FL, 33907

Signature of

Role Plan administrator
Date 2015-09-30
Name of individual signing CHRIS KLIMOWICH
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
GOLDSTEIN, JEROLD Agent 5238 MASON CORBIN CT., FT MYERS, FL 33907

Vice President

Name Role Address
ANDREW, DAVID S, D.P.M. Vice President 5238 MASON CORBIN COURT #102, FT MYERS, FL 33907

President

Name Role Address
GOLDSTEIN, JEROLD S, D.P.M. President 5238 MASON CORBIN COURT #102, FORT MYERS, FL 33907

Secretary

Name Role Address
WILKINS, MICHAEL, D.P.M. Secretary 5238 MASON CORBIN COURT, SUITE 102 FT MYERS, FL 33907

Treasurer

Name Role Address
Howard, Krista, D.P.M. Treasurer 5238 MASON CORBIN CT, STE 102 FORT MYERS, FL 33907

Events

Event Type Filed Date Value Description
REGISTERED AGENT NAME CHANGED 2021-03-09 GOLDSTEIN, JEROLD No data
CHANGE OF PRINCIPAL ADDRESS 2005-01-07 5238 MASON CORBIN COURT, SUITE 102, FT MYERS, FL 33907 No data
CHANGE OF MAILING ADDRESS 2005-01-07 5238 MASON CORBIN COURT, SUITE 102, FT MYERS, FL 33907 No data
REGISTERED AGENT ADDRESS CHANGED 2005-01-07 5238 MASON CORBIN CT., FT MYERS, FL 33907 No data
MERGER 1999-06-07 No data CORPORATION WAS A MERGER RESULT. TOTAL NUMBER OF QUALIFIED CORPORATION(S) INVOLVED WAS 1. MERGER NUMBER 300000023073

Documents

Name Date
ANNUAL REPORT 2024-04-03
ANNUAL REPORT 2023-03-27
ANNUAL REPORT 2022-03-07
ANNUAL REPORT 2021-03-09
ANNUAL REPORT 2020-05-06
ANNUAL REPORT 2019-03-25
ANNUAL REPORT 2018-03-13
ANNUAL REPORT 2017-03-23
ANNUAL REPORT 2016-04-12
ANNUAL REPORT 2015-04-01

Paycheck Protection Program

Loan Number Loan Funded Date SBA Origination Office Code Loan Delivery Method Borrower Street Address
9034367105 2020-04-15 0455 PPP 5238 Mason Corbin CT Ste 102, Fort Myers, FL, 33907
Loan Status Date 2021-11-11
Loan Status Paid in Full
Loan Maturity in Months 24
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 252900
Loan Approval Amount (current) 252900
Undisbursed Amount 0
Franchise Name -
Lender Location ID 124336
Servicing Lender Name Blue Ridge Bank, National Association
Servicing Lender Address 1 E Market St Imperial Plaza, MARTINSVILLE, VA, 24112
Rural or Urban Indicator U
Hubzone Y
LMI Y
Business Age Description Existing or more than 2 years old
Project Address Fort Myers, LEE, FL, 33907-1000
Project Congressional District FL-19
Number of Employees 22
NAICS code 621111
Borrower Race Unanswered
Borrower Ethnicity Unknown/NotStated
Business Type Corporation
Originating Lender ID 124336
Originating Lender Name Blue Ridge Bank, National Association
Originating Lender Address MARTINSVILLE, VA
Gender Unanswered
Veteran Unanswered
Forgiveness Amount 256630.28
Forgiveness Paid Date 2021-10-07

Date of last update: 02 Feb 2025

Sources: Florida Department of State