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  5. DERMATOLOGY BILLING ASSOCIATES, INC.

DERMATOLOGY BILLING ASSOCIATES, INC. - Florida Company Profile

Company Details

Entity Name: DERMATOLOGY BILLING ASSOCIATES, INC.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit

DERMATOLOGY BILLING ASSOCIATES, 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: 22 Apr 1996 (29 years ago)
Document Number: P96000035651
FEI/EIN Number 593406361

Federal Employer Identification (FEI) Number assigned by the IRS.
Address: 125 OXFORD ROAD, CASSELBERRY, FL, 32730
Mail Address: 125 OXFORD ROAD, CASSELBERRY, FL, 32730
ZIP code: 32730
County: Seminole
Place of Formation: FLORIDA

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
DERMATOLOGY BILLING ASSOCIATES 401K PROFIT SHARING PLAN & TRUST 2023 593406361 2024-06-21 DERMATOLOGY BILLING ASSOCIATES 117
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1992-01-01
Business code 541990
Sponsor’s telephone number 4075715536
Plan sponsor’s address 125 OXFORD ROAD, CASSELBERRY, FL, 32730

Signature of
Role Plan administrator
Date 2024-06-21
Name of individual signing NICK RICE
Valid signature Filed with authorized/valid electronic signature
DERMATOLOGY BILLING ASSOCIATES 401K PROFIT SHARING PLAN & TRUST 2022 593406361 2023-06-24 DERMATOLOGY BILLING ASSOCIATES 109
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1992-01-01
Business code 541990
Sponsor’s telephone number 4075715549
Plan sponsor’s address 125 OXFORD ROAD, CASSELBERRY, FL, 32730

Signature of
Role Plan administrator
Date 2023-06-24
Name of individual signing SHIRLEY HORNER
Valid signature Filed with authorized/valid electronic signature
DERMATOLOGY BILLING ASSOCIATES 401K PROFIT SHARING PLAN & TRUST 2021 593406361 2022-07-04 DERMATOLOGY BILLING ASSOCIATES 119
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1992-01-01
Business code 541990
Sponsor’s telephone number 4075715536
Plan sponsor’s address 125 OXFORD ROAD, CASSELBERRY, FL, 32730

Signature of
Role Plan administrator
Date 2022-07-04
Name of individual signing SHIRLEY HORNER
Valid signature Filed with authorized/valid electronic signature
DERMATOLOGY BILLING ASSOCIATES 401K PROFIT SHARING PLAN & TRUST 2020 593406361 2021-06-29 DERMATOLOGY BILLING ASSOCIATES 96
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1992-01-01
Business code 541990
Sponsor’s telephone number 4075715549
Plan sponsor’s address 125 OXFORD ROAD, CASSELBERRY, FL, 32730

Signature of
Role Plan administrator
Date 2021-06-29
Name of individual signing JOANNA JOHNSON
Valid signature Filed with authorized/valid electronic signature
DERMATOLOGY BILLING ASSOCIATES 401K PROFIT SHARING PLAN & TRUST 2019 593406361 2020-07-07 DERMATOLOGY BILLING ASSOCIATES 117
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1992-01-01
Business code 541990
Sponsor’s telephone number 4075715536
Plan sponsor’s address 125 OXFORD ROAD, CASSELBERRY, FL, 32730

Signature of
Role Plan administrator
Date 2020-07-07
Name of individual signing JOANNA JOHNSON
Valid signature Filed with authorized/valid electronic signature
DERMATOLOGY BILLING ASSOCIATES 401K PROFIT SHARING PLAN & TRUST 2018 593406361 2019-05-29 DERMATOLOGY BILLING ASSOCIATES 108
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1992-01-01
Business code 541990
Sponsor’s telephone number 4075715536
Plan sponsor’s address 125 OXFORD ROAD, CASSELBERRY, FL, 32730

Signature of
Role Plan administrator
Date 2019-05-29
Name of individual signing JOANNA JOHNSON
Valid signature Filed with authorized/valid electronic signature
DERMATOLOGY BILLING ASSOCIATES 401K PROFIT SHARING PLAN & TRUST 2017 593406361 2018-06-13 DERMATOLOGY BILLING ASSOCIATES 106
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1992-01-01
Business code 541990
Sponsor’s telephone number 4075715536
Plan sponsor’s address 125 OXFORD ROAD, CASSELBERRY, FL, 32730

Signature of
Role Plan administrator
Date 2018-06-13
Name of individual signing JOANNA JOHNSON
Valid signature Filed with authorized/valid electronic signature
DERMATOLOGY BILLING ASSOCIATES 401K PROFIT SHARING PLAN & TRUST 2016 593406361 2017-06-08 DERMATOLOGY BILLING ASSOCIATES 101
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1992-01-01
Business code 541990
Sponsor’s telephone number 4075715536
Plan sponsor’s address 125 OXFORD ROAD, CASSELBERRY, FL, 32730

Signature of
Role Plan administrator
Date 2017-06-08
Name of individual signing DENISE DRISCOLL
Valid signature Filed with authorized/valid electronic signature
DERMATOLOGY BILLING ASSOCIATES 401K PROFIT SHARING PLAN & TRUST 2015 593406361 2016-06-07 DERMATOLOGY BILLING ASSOCIATES 101
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1992-01-01
Business code 541990
Sponsor’s telephone number 4075715536
Plan sponsor’s address 125 OXFORD ROAD, CASSELBERRY, FL, 32730

Signature of
Role Plan administrator
Date 2016-06-07
Name of individual signing DENISE DRISCOLL
Valid signature Filed with authorized/valid electronic signature
DERMATOLOGY BILLING ASSOCIATES 401K PROFIT SHARING PLAN & TRUST 2014 593406361 2015-07-15 DERMATOLOGY BILLING ASSOCIATES 100
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1992-01-01
Business code 541990
Sponsor’s telephone number 4075715536
Plan sponsor’s address 125 OXFORD ROAD, CASSELBERRY, FL, 32730

Signature of
Role Plan administrator
Date 2015-07-15
Name of individual signing DENISE DRISCOLL
Valid signature Filed with authorized/valid electronic signature

Key Officers & Management

Name Role Address
ELLZEY INGEBORG C President 1340 GROVE TERRACE, WINTER PARK, FL, 32789
Manjura-Boody Robert Vice President 125 OXFORD ROAD, CASSELBERRY, FL, 32730
ELLZEY INGEBORG C Agent 1340 GROVE TERRACE, WINTER PARK, FL, 32789

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2006-04-11 125 OXFORD ROAD, CASSELBERRY, FL 32730 -
CHANGE OF MAILING ADDRESS 2006-04-11 125 OXFORD ROAD, CASSELBERRY, FL 32730 -
REGISTERED AGENT NAME CHANGED 2005-04-18 ELLZEY, INGEBORG C -
REGISTERED AGENT ADDRESS CHANGED 2005-04-18 1340 GROVE TERRACE, WINTER PARK, FL 32789 -

Documents

Name Date
ANNUAL REPORT 2025-01-08
ANNUAL REPORT 2024-01-15
ANNUAL REPORT 2023-01-19
ANNUAL REPORT 2022-01-10
ANNUAL REPORT 2021-01-20
ANNUAL REPORT 2020-01-15
ANNUAL REPORT 2019-01-17
ANNUAL REPORT 2018-01-22
ANNUAL REPORT 2017-02-08
ANNUAL REPORT 2016-03-04

Paycheck Protection Program

Loan Number Loan Funded Date SBA Origination Office Code Loan Delivery Method Borrower Street Address
2654498507 2021-02-22 0491 PPS 125 Oxford Rd, Fern Park, FL, 32730-2111
Loan Status Date 2021-11-18
Loan Status Paid in Full
Loan Maturity in Months 60
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 572886.7
Loan Approval Amount (current) 572886.7
Undisbursed Amount 0
Franchise Name -
Lender Location ID 225134
Servicing Lender Name Truist Bank
Servicing Lender Address 214 N Tryon St, CHARLOTTE, NC, 28202-1078
Rural or Urban Indicator U
Hubzone Y
LMI N
Business Age Description Existing or more than 2 years old
Project Address Fern Park, SEMINOLE, FL, 32730-2111
Project Congressional District FL-07
Number of Employees 87
NAICS code 541219
Borrower Race Unanswered
Borrower Ethnicity Unknown/NotStated
Business Type Subchapter S Corporation
Originating Lender ID 225134
Originating Lender Name Truist Bank
Originating Lender Address CHARLOTTE, NC
Gender Unanswered
Veteran Unanswered
Forgiveness Amount 576435.41
Forgiveness Paid Date 2021-10-06
9079787204 2020-04-28 0491 PPP 125 OXFORD RD, FERN PARK, FL, 32730-2111
Loan Status Date 2021-01-21
Loan Status Paid in Full
Loan Maturity in Months 24
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 690056.45
Loan Approval Amount (current) 690056.45
Undisbursed Amount 0
Franchise Name -
Lender Location ID 225134
Servicing Lender Name Truist Bank
Servicing Lender Address 214 N Tryon St, CHARLOTTE, NC, 28202-1078
Rural or Urban Indicator U
Hubzone N
LMI N
Business Age Description Unanswered
Project Address FERN PARK, SEMINOLE, FL, 32730-2111
Project Congressional District FL-07
Number of Employees 84
NAICS code 541219
Borrower Race Unanswered
Borrower Ethnicity Unknown/NotStated
Business Type Subchapter S Corporation
Originating Lender ID 225134
Originating Lender Name Truist Bank
Originating Lender Address CHARLOTTE, NC
Gender Unanswered
Veteran Unanswered
Forgiveness Amount 694445.98
Forgiveness Paid Date 2020-12-22

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ELLZEY INGEBORG C

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THE INGA ELLZEY PRACTICE GROUP, INC. - Active
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THE INGA ELLZEY PRACTICE GROUP, INC. - Active
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THE ELLZEY GROUP, INC. - Active
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WEST COAST DERMATOLOGY BILLERS, LLC - Active
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Manjura-Boody Robert

THE INGA ELLZEY PRACTICE GROUP, INC. - Active
Domestic Profit (1990 )
WEST COAST DERMATOLOGY BILLERS, LLC - Active
Foreign Limited Liability Co. (1997 )

Companies related by address

125 OXFORD ROAD, CASSELBERRY, FL, 32730

TC DERMPATH CONSULTANTS, LLC WEST COAST DERMATOLOGY BILLERS, LLC

125 OXFORD ROAD, CASSELBERRY, FL, 32730

TC DERMPATH CONSULTANTS, LLC WEST COAST DERMATOLOGY BILLERS, LLC

Date of last update: 01 Apr 2025

Sources: Florida Department of State

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