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  5. RIZWANA THANAWALA, M.D., P.A.

RIZWANA THANAWALA, M.D., P.A. - Florida Company Profile

Company Details

Entity Name: RIZWANA THANAWALA, M.D., P.A.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit

RIZWANA THANAWALA, M.D., P.A. 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: 07 May 1997 (28 years ago)
Last Event: REINSTATEMENT
Event Date Filed: 20 Oct 2016 (9 years ago)
Document Number: P97000040962
FEI/EIN Number 593445857

Federal Employer Identification (FEI) Number assigned by the IRS.
Address: 4367 NW AMERICAN LANE, LAKE CITY, FL, 32055, US
Mail Address: 4367 NW AMERICAN LANE, LAKE CITY, FL, 32055, US
ZIP code: 32055
County: Columbia
Place of Formation: FLORIDA

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
RIZWANA THANAWALA, M.D., P.A. 401(K) PROFIT SHARING PLAN 2023 593445857 2024-10-16 RIZWANA THANAWALA, M.D., P.A. 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1999-01-01
Business code 621111
Sponsor’s telephone number 3867586094
Plan sponsor’s address 4367 N.W. AMERICAN LANE, LAKE CITY, FL, 32055
RIZWANA THANAWALA, M.D., P.A. 401(K) PROFIT SHARING PLAN 2022 593445857 2024-02-01 RIZWANA THANAWALA, M.D., P.A. 13
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1999-01-01
Business code 621111
Sponsor’s telephone number 3867586094
Plan sponsor’s address 4367 N.W. AMERICAN LANE, LAKE CITY, FL, 32055
RIZWANA THANAWALA, M.D., P.A. 401(K) PROFIT SHARING PLAN 2021 593445857 2022-10-14 RIZWANA THANAWALA, M.D., P.A. 15
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1999-01-01
Business code 621111
Sponsor’s telephone number 3867586094
Plan sponsor’s address 4367 N.W. AMERICAN LANE, LAKE CITY, FL, 32055

Signature of
Role Plan administrator
Date 2022-10-14
Name of individual signing RIZWANA THANAWALA
Valid signature Filed with authorized/valid electronic signature
RIZWANA THANAWALA, M.D., P.A. 401(K) PROFIT SHARING PLAN 2020 593445857 2021-10-12 RIZWANA THANAWALA, M.D., P.A. 15
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1999-01-01
Business code 621111
Sponsor’s telephone number 3867586094
Plan sponsor’s address 4367 N.W. AMERICAN LANE, LAKE CITY, FL, 32055

Signature of
Role Plan administrator
Date 2021-10-12
Name of individual signing RIZWANA THANAWALA
Valid signature Filed with authorized/valid electronic signature
RIZWANA THANAWALA, M.D., P.A. 401(K) PROFIT SHARING PLAN 2019 593445857 2021-01-07 RIZWANA THANAWALA, M.D., P.A. 13
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1999-01-01
Business code 621111
Sponsor’s telephone number 3867586094
Plan sponsor’s address 4367 N.W. AMERICAN LANE, LAKE CITY, FL, 32055

Signature of
Role Plan administrator
Date 2021-01-07
Name of individual signing RIZWANA THANAWALA
Valid signature Filed with authorized/valid electronic signature
RIZWANA THANAWALA, M.D., P.A. 401(K) PROFIT SHARING PLAN 2018 593445857 2019-10-15 RIZWANA THANAWALA, M.D., P.A. 17
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1999-01-01
Business code 621111
Sponsor’s telephone number 3867586094
Plan sponsor’s address 4367 N.W. AMERICAN LANE, LAKE CITY, FL, 32055

Signature of
Role Plan administrator
Date 2019-10-15
Name of individual signing RIZWANA THANAWALA
Valid signature Filed with authorized/valid electronic signature
RIZWANA THANAWALA, M.D., P.A. 401(K) PROFIT SHARING PLAN 2017 593445857 2018-10-15 RIZWANA THANAWALA, M.D., P.A. 15
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1999-01-01
Business code 621111
Sponsor’s telephone number 3867586094
Plan sponsor’s address 4367 N.W. AMERICAN LANE, LAKE CITY, FL, 32055

Signature of
Role Plan administrator
Date 2018-10-15
Name of individual signing RIZWANA THANAWALA
Valid signature Filed with authorized/valid electronic signature
RIZWANA THANAWALA, M.D., P.A. 401(K) PROFIT SHARING PLAN 2016 593445857 2018-01-16 RIZWANA THANAWALA, M.D., P.A. 19
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1999-01-01
Business code 621111
Sponsor’s telephone number 3867586094
Plan sponsor’s address 4367 N.W. AMERICAN LANE, LAKE CITY, FL, 32055

Plan administrator’s name and address
Administrator’s EIN 593445857
Plan administrator’s name RIZWANA THANAWALA, M.D., P.A.
Plan administrator’s address 4367 N.W. AMERICAN LANE, LAKE CITY, FL, 32055
Administrator’s telephone number 3867586094

Signature of
Role Plan administrator
Date 2018-01-16
Name of individual signing RIZWANA THANAWALA
Valid signature Filed with authorized/valid electronic signature
RIZWANA THANAWALA, M.D., P.A. 401(K) PROFIT SHARING PLAN 2015 593445857 2016-07-22 RIZWANA THANAWALA, M.D., P.A. 19
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1999-01-01
Business code 621111
Sponsor’s telephone number 3867586094
Plan sponsor’s address 4367 N.W. AMERICAN LANE, LAKE CITY, FL, 32055

Plan administrator’s name and address
Administrator’s EIN 593445857
Plan administrator’s name RIZWANA THANAWALA, M.D., P.A.
Plan administrator’s address 4367 N.W. AMERICAN LANE, LAKE CITY, FL, 32055
Administrator’s telephone number 3867586094

Signature of
Role Plan administrator
Date 2016-07-22
Name of individual signing RIZWANA THANAWALA
Valid signature Filed with authorized/valid electronic signature
RIZWANA THANAWALA, M.D., P.A. 401(K) PROFIT SHARING PLAN 2014 593445857 2015-09-23 RIZWANA THANAWALA, M.D., P.A. 18
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1999-01-01
Business code 621111
Sponsor’s telephone number 3867586094
Plan sponsor’s address 4367 N.W. AMERICAN LANE, LAKE CITY, FL, 32055

Plan administrator’s name and address
Administrator’s EIN 593445857
Plan administrator’s name RIZWANA THANAWALA, M.D., P.A.
Plan administrator’s address 4367 N.W. AMERICAN LANE, LAKE CITY, FL, 32055
Administrator’s telephone number 3867586094

Signature of
Role Plan administrator
Date 2015-09-23
Name of individual signing RIZWANA THANAWALA
Valid signature Filed with authorized/valid electronic signature

Key Officers & Management

Name Role Address
THANAWALA RIZWANA M Director 4367 NW AMERICAN LANE, LAKE CITY, FL, 32055
DUTERTE MITCHELL M Director 4367 NW AMERICAN LANE, LAKE CITY, FL, 32055
THANAWALA RIZWANA Agent 4367 NW AMERICAN LANE, LAKE CITY, FL, 32055

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G15000029297 PATHOLOGY ASSOCIATES OF NORTH FLORIDA EXPIRED 2015-03-20 2020-12-31 - 4355 NW AMERICAN LANE, LAKE CITY, FL, 32055
G09000122135 GASTROENTEROLOGY ASSOCIATES EXPIRED 2009-06-17 2014-12-31 - 4355 NW AMERICAN LANE, SUITE 1, LAKE CITY, FL, 32055, US

Events

Event Type Filed Date Value Description
REINSTATEMENT 2016-10-20 - -
REGISTERED AGENT NAME CHANGED 2016-10-20 THANAWALA, RIZWANA -
ADMIN DISSOLUTION FOR ANNUAL REPORT 2016-09-23 - -
CHANGE OF PRINCIPAL ADDRESS 2010-03-01 4367 NW AMERICAN LANE, LAKE CITY, FL 32055 -
CHANGE OF MAILING ADDRESS 2010-03-01 4367 NW AMERICAN LANE, LAKE CITY, FL 32055 -
REGISTERED AGENT ADDRESS CHANGED 2010-03-01 4367 NW AMERICAN LANE, LAKE CITY, FL 32055 -
AMENDMENT 2004-06-21 - -

Documents

Name Date
ANNUAL REPORT 2024-04-13
ANNUAL REPORT 2023-04-01
ANNUAL REPORT 2022-04-29
ANNUAL REPORT 2021-04-09
ANNUAL REPORT 2020-05-24
ANNUAL REPORT 2019-02-09
ANNUAL REPORT 2018-01-18
ANNUAL REPORT 2017-03-20
REINSTATEMENT 2016-10-20
ANNUAL REPORT 2015-03-31

Paycheck Protection Program

Loan Number Loan Funded Date SBA Origination Office Code Loan Delivery Method Borrower Street Address
6465978410 2021-02-10 0491 PPS 4367 NW American Ln, Lake City, FL, 32055-4828
Loan Status Date 2021-11-06
Loan Status Paid in Full
Loan Maturity in Months 60
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 162800
Loan Approval Amount (current) 162800
Undisbursed Amount 0
Franchise Name -
Lender Location ID 88793
Servicing Lender Name First Federal Bank
Servicing Lender Address 4705 W US Hwy 90, LAKE CITY, FL, 32055-4884
Rural or Urban Indicator R
Hubzone N
LMI N
Business Age Description Existing or more than 2 years old
Project Address Lake City, COLUMBIA, FL, 32055-4828
Project Congressional District FL-03
Number of Employees 10
NAICS code 621112
Borrower Race Asian
Borrower Ethnicity Unknown/NotStated
Business Type Corporation
Originating Lender ID 88793
Originating Lender Name First Federal Bank
Originating Lender Address LAKE CITY, FL
Gender Male Owned
Veteran Unanswered
Forgiveness Amount 163921.51
Forgiveness Paid Date 2021-10-27
8983627010 2020-04-09 0491 PPP 4367 NW AMERICAN LN, LAKE CITY, FL, 32055-4828
Loan Status Date 2021-03-06
Loan Status Paid in Full
Loan Maturity in Months 24
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 122500
Loan Approval Amount (current) 122500
Undisbursed Amount 0
Franchise Name -
Lender Location ID 88793
Servicing Lender Name First Federal Bank
Servicing Lender Address 4705 W US Hwy 90, LAKE CITY, FL, 32055-4884
Rural or Urban Indicator R
Hubzone N
LMI N
Business Age Description Existing or more than 2 years old
Project Address LAKE CITY, COLUMBIA, FL, 32055-4828
Project Congressional District FL-03
Number of Employees 10
NAICS code 621112
Borrower Race Asian
Borrower Ethnicity Unknown/NotStated
Business Type Corporation
Originating Lender ID 88793
Originating Lender Name First Federal Bank
Originating Lender Address LAKE CITY, FL
Gender Female Owned
Veteran Unanswered
Forgiveness Amount 123459.58
Forgiveness Paid Date 2021-02-01

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Date of last update: 01 Apr 2025

Sources: Florida Department of State

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