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  5. AMERICAN MEDICINE, INC.

AMERICAN MEDICINE, INC. - Florida Company Profile

Company Details

Entity Name: AMERICAN MEDICINE, INC.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit

AMERICAN MEDICINE, 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: 30 May 1996 (29 years ago)
Document Number: P96000047599
FEI/EIN Number 650699469

Federal Employer Identification (FEI) Number assigned by the IRS.
Address: 817 S. UNIVERSITY DRIVE, #106, PLANTATION, FL, 33324
Mail Address: 817 S. UNIVERSITY DRIVE, #106, PLANTATION, FL, 33324
ZIP code: 33324
County: Broward
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1437349339 2007-07-26 2007-07-26 817 S UNIVERSITY DR, SUITE 106, PLANTATION, FL, 333243309, US 817 S UNIVERSITY DR, SUITE 106, PLANTATION, FL, 333243309, US

Contacts
Phone +1 954-723-0334
Fax 9547230807

Authorized person
Name DR. SHAHNAZ FATTEH
Role VICE PRESIDENT
Phone 9547230334

Taxonomy
Taxonomy Code 207K00000X - Allergy & Immunology Physician
License Number ME63504
State FL
Is Primary Yes
Taxonomy Code 2080P0201X - Pediatric Allergy/Immunology Physician
License Number ME63504
State FL
Is Primary No

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
AMERICAN MEDICINE, INC. CASH BALANCE PLAN 2020 650699469 2021-10-13 AMERICAN MEDICINE, INC. 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2010-01-01
Business code 621111
Sponsor’s telephone number 9546822415
Plan sponsor’s address 400 FAN PALM WAY, PLANTATION, FL, 33324

Signature of
Role Plan administrator
Date 2021-10-13
Name of individual signing FAIZ FATTEH
Valid signature Filed with authorized/valid electronic signature
AMERICAN MEDICINE, INC. 401(K) PLAN 2020 650699469 2021-10-13 AMERICAN MEDICINE, INC. 13
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2010-01-01
Business code 621111
Sponsor’s telephone number 9546822415
Plan sponsor’s address 400 FAN PALM WAY, PLANTATION, FL, 33324

Signature of
Role Plan administrator
Date 2021-10-13
Name of individual signing FAIZ FATTEH
Valid signature Filed with authorized/valid electronic signature
AMERICAN MEDICINE, INC. CASH BALANCE PLAN 2019 650699469 2021-10-13 AMERICAN MEDICINE, INC. 16
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2010-01-01
Business code 621111
Sponsor’s telephone number 9546822415
Plan sponsor’s address 400 FAN PALM WAY, PLANTATION, FL, 33324

Signature of
Role Plan administrator
Date 2021-10-13
Name of individual signing FAIZ FATTEH
Valid signature Filed with authorized/valid electronic signature
AMERICAN MEDICINE, INC. 401(K) PLAN 2019 650699469 2020-10-13 AMERICAN MEDICINE, INC. 14
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2010-01-01
Business code 621111
Sponsor’s telephone number 9546822415
Plan sponsor’s address 400 FAN PALM WAY, PLANTATION, FL, 33324
AMERICAN MEDICINE, INC. CASH BALANCE PLAN 2019 650699469 2020-10-14 AMERICAN MEDICINE, INC. 16
Three-digit plan number (PN) 001
Effective date of plan 2010-01-01
Business code 621111
Sponsor’s telephone number 9546822415
Plan sponsor’s address 400 FAN PALM WAY, PLANTATION, FL, 33324
AMERICAN MEDICINE INC. 401(K) PLAN 2018 650699469 2019-10-08 AMERICAN MEDICINE, INC. 13
Three-digit plan number (PN) 002
Effective date of plan 2010-01-01
Business code 621111
Sponsor’s telephone number 9547230334
Plan sponsor’s address 400 FAN PALM WAY, PLANTATION, FL, 33324
AMERICAN MEDICINE INC. 401(K) PLAN 2018 650699469 2019-10-08 AMERICAN MEDICINE, INC. 13
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2010-01-01
Business code 621111
Sponsor’s telephone number 9547230334
Plan sponsor’s address 400 FAN PALM WAY, PLANTATION, FL, 33324
AMERICAN MEDICINE INC. CASH BALANCE PLAN 2018 650699469 2019-10-12 AMERICAN MEDICINE, INC. 16
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2010-01-01
Business code 621111
Sponsor’s telephone number 9547230334
Plan sponsor’s address 400 FAN PALM WAY, PLANTATION, FL, 33324
AMERICAN MEDICINE INC. 401(K) PLAN 2017 650699469 2018-09-27 AMERICAN MEDICINE INC. 11
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2010-01-01
Business code 621111
Sponsor’s telephone number 9547230334
Plan sponsor’s address 400 FAN PALM WAY, PLANTATION, FL, 33324
AMERICAN MEDICINE INC. CASH BALANCE PLAN 2017 650699469 2018-10-05 AMERICAN MEDICINE INC. 14
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2010-01-01
Business code 621111
Sponsor’s telephone number 9547230334
Plan sponsor’s address 400 FAN PALM WAY, PLANTATION, FL, 33324

Key Officers & Management

Name Role Address
FATTEH FAIZ M Chief Executive Officer 817 S. UNIVERSITY DRIVE, #106, PLANTATION, FL, 33324
FATTEH SHAHNAZ Vice President 817 S. UNIVERSITY DRIVE, #106, PLANTATION, FL, 33324
FATTEH FAIZ M Agent 817 S. UNIVERSITY DRIVE, #106, PLANTATION, FL, 33324

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2005-01-17 817 S. UNIVERSITY DRIVE, #106, PLANTATION, FL 33324 -
CHANGE OF MAILING ADDRESS 2005-01-17 817 S. UNIVERSITY DRIVE, #106, PLANTATION, FL 33324 -
REGISTERED AGENT ADDRESS CHANGED 2005-01-17 817 S. UNIVERSITY DRIVE, #106, PLANTATION, FL 33324 -

Documents

Name Date
ANNUAL REPORT 2024-02-08
ANNUAL REPORT 2023-03-23
ANNUAL REPORT 2022-04-05
ANNUAL REPORT 2021-03-05
ANNUAL REPORT 2020-06-10
ANNUAL REPORT 2019-04-10
ANNUAL REPORT 2018-04-08
ANNUAL REPORT 2017-03-21
ANNUAL REPORT 2016-03-28
ANNUAL REPORT 2015-02-23

Paycheck Protection Program

Loan Number Loan Funded Date SBA Origination Office Code Loan Delivery Method Borrower Street Address
7198547707 2020-05-01 0455 PPP 817 UNIVERSITY DRIVE 106, PLANTATION, FL, 33324
Loan Status Date 2021-12-21
Loan Status Paid in Full
Loan Maturity in Months 24
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 77100
Loan Approval Amount (current) 77100
Undisbursed Amount 0
Franchise Name -
Lender Location ID 49274
Servicing Lender Name Citibank, N.A.
Servicing Lender Address 5800 S. Corporate Place, Sioux Falls, SD, 57108
Rural or Urban Indicator U
Hubzone N
LMI N
Business Age Description Existing or more than 2 years old
Project Address PLANTATION, BROWARD, FL, 33324-0001
Project Congressional District FL-25
Number of Employees 10
NAICS code 621999
Borrower Race Asian
Borrower Ethnicity Not Hispanic or Latino
Business Type Subchapter S Corporation
Originating Lender ID 49274
Originating Lender Name Citibank, N.A.
Originating Lender Address Sioux Falls, SD
Gender Female Owned
Veteran Non-Veteran
Forgiveness Amount 78157.14
Forgiveness Paid Date 2021-11-08

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FATTEH FAIZ M

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FATTEH SHAHNAZ

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Companies related by address

No other companies in our directory share the same address as AMERICAN MEDICINE, INC.

Date of last update: 03 Apr 2025

Sources: Florida Department of State

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