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  5. FIRST COAST MEDICAL CENTER, INC.

FIRST COAST MEDICAL CENTER, INC. - Florida Company Profile

Company Details

Entity Name: FIRST COAST MEDICAL CENTER, INC.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit

FIRST COAST MEDICAL CENTER, 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: 14 Mar 1997 (28 years ago)
Last Event: NAME CHANGE AMENDMENT
Event Date Filed: 26 Aug 2005 (20 years ago)
Document Number: P97000023387
FEI/EIN Number 593433709

Federal Employer Identification (FEI) Number assigned by the IRS.
Mail Address: 4211 PEARL STREET, JACKSONVILLE, FL, 32206, US
Address: 4211 PEARL STREET, JACKSONVILLE, FL, 32206
ZIP code: 32206
County: Duval
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1134157217 2006-06-29 2014-02-07 PO BOX 17809, JACKSONVILLE, FL, 322457809, US 4211 N PEARL ST, JACKSONVILLE, FL, 322066411, US

Contacts
Phone +1 904-723-0015
Fax 9043380951
Phone +1 904-358-8692
Fax 9043546908

Authorized person
Name DIANA WHEELER
Role OFFICE MANAGER
Phone 9047235665

Taxonomy
Taxonomy Code 111N00000X - Chiropractor
Is Primary Yes

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
FIRST COAST MEDICAL CENTER INC 401(K) PROFIT SHARING PLAN & TRUST 2023 593433709 2024-04-03 FIRST COAST MEDICAL CENTER INC 24
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2013-01-01
Business code 621111
Sponsor’s telephone number 9048541004
Plan sponsor’s address 4211 N PEARL ST, JACKSONVILLE, FL, 32206

Signature of
Role Plan administrator
Date 2024-04-03
Name of individual signing DIANE L CARTRETT
Valid signature Filed with authorized/valid electronic signature
FIRST COAST MEDICAL CENTER INC 401(K) PROFIT SHARING PLAN & TRUST 2022 593433709 2023-04-04 FIRST COAST MEDICAL CENTER INC 21
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2013-01-01
Business code 621111
Sponsor’s telephone number 9048541004
Plan sponsor’s address 4211 N PEARL ST, JACKSONVILLE, FL, 32206

Signature of
Role Plan administrator
Date 2023-04-04
Name of individual signing DIANE L. CARTRETT
Valid signature Filed with authorized/valid electronic signature
FIRST COAST MEDICAL CENTER INC 401(K) PROFIT SHARING PLAN & TRUST 2021 593433709 2022-04-25 FIRST COAST MEDICAL CENTER INC 23
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2013-01-01
Business code 621111
Sponsor’s telephone number 9048541004
Plan sponsor’s address 4211 N PEARL ST, JACKSONVILLE, FL, 32206

Signature of
Role Plan administrator
Date 2022-04-25
Name of individual signing DIANE L. CARTRETT
Valid signature Filed with authorized/valid electronic signature
FIRST COAST MEDICAL CENTER INC 401(K) PROFIT SHARING PLAN & TRUST 2020 593433709 2021-04-14 FIRST COAST MEDICAL CENTER INC 24
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2013-01-01
Business code 621111
Sponsor’s telephone number 9048541004
Plan sponsor’s address 4211 N PEARL ST, JACKSONVILLE, FL, 32206

Signature of
Role Plan administrator
Date 2021-04-14
Name of individual signing DIANE L CARTRETT
Valid signature Filed with authorized/valid electronic signature
FIRST COAST MEDICAL CENTER INC 401(K) PROFIT SHARING PLAN & TRUST 2019 593433709 2020-04-06 FIRST COAST MEDICAL CENTER INC 22
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2013-01-01
Business code 621111
Sponsor’s telephone number 9043581159
Plan sponsor’s address 4211 N PEARL ST, JACKSONVILLE, FL, 32206

Signature of
Role Plan administrator
Date 2020-04-06
Name of individual signing DIANE L CARTRETT
Valid signature Filed with authorized/valid electronic signature
FIRST COAST MEDICAL CENTER INC 401 K PROFIT SHARING PLAN TRUST 2018 593433709 2019-03-12 FIRST COAST MEDICAL CENTER INC 23
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2013-01-01
Business code 621111
Sponsor’s telephone number 9048541004
Plan sponsor’s address 13453 NORTH MAIN ST STE 102, JACKSONVILLE, FL, 32218

Signature of
Role Plan administrator
Date 2019-03-12
Name of individual signing DIANE L CARTRETT
Valid signature Filed with authorized/valid electronic signature
FIRST COAST MEDICAL CENTER INC 401 K PROFIT SHARING PLAN TRUST 2017 593433709 2018-04-04 FIRST COAST MEDICAL CENTER INC 20
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2013-01-01
Business code 621111
Sponsor’s telephone number 9048541004
Plan sponsor’s address 13453 NORTH MAIN ST STE 102, JACKSONVILLE, FL, 32218

Signature of
Role Plan administrator
Date 2018-04-04
Name of individual signing DIANE L CARTRETT
Valid signature Filed with authorized/valid electronic signature
FIRST COAST MEDICAL CENTER INC 401 K PROFIT SHARING PLAN TRUST 2016 593433709 2017-05-03 FIRST COAST MEDICAL CENTER INC 20
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2013-01-01
Business code 621111
Sponsor’s telephone number 9048541004
Plan sponsor’s address 13453 NORTH MAIN ST STE 102, JACKSONVILLE, FL, 32218

Signature of
Role Plan administrator
Date 2017-05-03
Name of individual signing DIANE L CARTRETT
Valid signature Filed with authorized/valid electronic signature
FIRST COAST MEDICAL CENTER INC 401 K PROFIT SHARING PLAN TRUST 2015 593433709 2016-05-23 FIRST COAST MEDICAL CENTER INC 17
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2013-01-01
Business code 621111
Sponsor’s telephone number 9048541004
Plan sponsor’s address 13453 NORTH MAIN ST STE 102, JACKSONVILLE, FL, 32218

Signature of
Role Plan administrator
Date 2016-05-23
Name of individual signing DIANE L CARTRETT
Valid signature Filed with authorized/valid electronic signature
FIRST COAST MEDICAL CENTER INC 401 K PROFIT SHARING PLAN TRUST 2014 593433709 2015-06-02 FIRST COAST MEDICAL CENTER INC 16
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2013-01-01
Business code 621111
Sponsor’s telephone number 9048541004
Plan sponsor’s address 13453 NORTH MAIN ST STE 102, JACKSONVILLE, FL, 32218

Signature of
Role Plan administrator
Date 2015-06-02
Name of individual signing DIANE L. CARTRETT
Valid signature Filed with authorized/valid electronic signature

Key Officers & Management

Name Role Address
CARTER GRADY L President 4211 PEARL STREET, JACKSONVILLE, FL, 32206
CARTRETT DIANE L Secretary 4211 PEARL ST, JAX, FL, 32206
CARTRETT DIANE L Treasurer 4211 PEARL ST, JAX, FL, 32206
CARTRETT DIANE L Vice President 4211 PEARL STREET, JACKSONVILLE, FL, 32206
CARTER GRADY L Director 4211 PEARL STREET, JACKSONVILLE, FL, 32206
LIPPES MATHIAS LLP Agent 10151 DEERWOOD PARK BOULEVARD, JACKSONVILLE, FL, 32256

Events

Event Type Filed Date Value Description
REGISTERED AGENT NAME CHANGED 2024-01-22 LIPPES MATHIAS LLP -
REGISTERED AGENT ADDRESS CHANGED 2024-01-22 10151 DEERWOOD PARK BOULEVARD, BUILDING 300, SUITE 300, JACKSONVILLE, FL 32256 -
CHANGE OF MAILING ADDRESS 2018-01-23 4211 PEARL STREET, JACKSONVILLE, FL 32206 -
NAME CHANGE AMENDMENT 2005-08-26 FIRST COAST MEDICAL CENTER, INC. -
NAME CHANGE AMENDMENT 2002-08-15 FIRST COAST MEDICAL SERVICES, INC. -

Documents

Name Date
ANNUAL REPORT 2024-01-22
ANNUAL REPORT 2023-02-07
ANNUAL REPORT 2022-02-02
ANNUAL REPORT 2021-01-27
ANNUAL REPORT 2020-01-27
ANNUAL REPORT 2019-02-21
ANNUAL REPORT 2018-01-23
ANNUAL REPORT 2017-01-20
ANNUAL REPORT 2016-01-26
ANNUAL REPORT 2015-01-15

USAspending Awards. Financial Assistance

FAIN Awarding Agency Assistance Listings Start Date End Date Description
3470735007 Small Business Administration 59.041 - 504 CERTIFIED DEVELOPMENT LOANS - - TO ASSIST SMALL BUSINESS CONCERNS BY PROVIDING LONG TERM FINANCING THROUGH THE SALE OF DEBENTURES TO THE PRIVATE SECTOR
Recipient FIRST COAST MEDICAL CENTER INC.
Recipient Name Raw FIRST COAST MEDICAL CENTER INC.
Recipient Address 13453 NORTH MAIN ST #102 103., JACKSONVILLE, DUVAL, FLORIDA, 32218-0000, UNITED STATES
Obligated Amount 0.00
Non-Federal Funding 0.00
Original Subsidy Cost 0.00
Face Value of Direct Loan 0.00
Link View Page

Paycheck Protection Program

Loan Number Loan Funded Date SBA Origination Office Code Loan Delivery Method Borrower Street Address
2466377110 2020-04-10 0491 PPP 4211 N PEARL ST, JACKSONVILLE, FL, 32206-6411
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) 302025
Loan Approval Amount (current) 302025
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 Y
LMI Y
Business Age Description Existing or more than 2 years old
Project Address JACKSONVILLE, DUVAL, FL, 32206-6411
Project Congressional District FL-04
Number of Employees 23
NAICS code 621111
Borrower Race Black or African American
Borrower Ethnicity Not Hispanic or Latino
Business Type Corporation
Originating Lender ID 760
Originating Lender Name First Source Federal Credit Union
Originating Lender Address Rome, NY
Gender Male Owned
Veteran Non-Veteran
Forgiveness Amount 305355.66
Forgiveness Paid Date 2021-05-18

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Date of last update: 02 Apr 2025

Sources: Florida Department of State

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