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  5. AXIOM CLINICAL RESEARCH OF FLORIDA, INC.

AXIOM CLINICAL RESEARCH OF FLORIDA, INC.

Company Details

Entity Name: AXIOM CLINICAL RESEARCH OF FLORIDA, INC.
Jurisdiction: FLORIDA
Filing Type: Florida Profit Corporation
Status: Inactive
Date Filed: 23 Feb 1998 (27 years ago)
Date of dissolution: 27 Sep 2024 (5 months ago)
Last Event: ADMIN DISSOLUTION FOR ANNUAL REPORT
Event Date Filed: 27 Sep 2024 (5 months ago)
Document Number: P98000017202
FEI/EIN Number 59-3493892
Address: 2919 SWANN AVENUE, SUITE 105A, TAMPA, FL 33609
Mail Address: 2919 SWANN AVENUE, SUITE 105A, TAMPA, FL 33609
ZIP code: 33609
County: Hillsborough
Place of Formation: FLORIDA

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
AXIOM CLINICAL RESEARCH OF FLORIDA, INC. 401(K) PLAN 2023 593493892 2024-06-11 AXIOM CLINICAL RESEARCH OF FLORIDA, INC. 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1981-09-01
Business code 621111
Sponsor’s telephone number 8138721548
Plan sponsor’s address 2919 SWANN AVENUE, SUITE 105A, TAMPA, FL, 33609
AXIOM CLINICAL RESEARCH OF FLORIDA, INC. 2023 593493892 2024-11-14 AXIOM CLINICAL RESEARCH OF FLORIDA, INC. 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1981-09-01
Business code 621111
Sponsor’s telephone number 8138721548
Plan sponsor’s address 2919 SWANN AVENUE, SUITE 105A, TAMPA, FL, 33609
AXIOM CLINICAL RESEARCH OF FLORIDA, INC. 401(K) PLAN 2022 593493892 2023-06-29 AXIOM CLINICAL RESEARCH OF FLORIDA, INC. 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1981-09-01
Business code 621111
Sponsor’s telephone number 8138721548
Plan sponsor’s address 2919 SWANN AVENUE, SUITE 105A, TAMPA, FL, 33609
AXIOM CLINICAL RESEARCH OF FLORIDA, INC. 401(K) PLAN 2021 593493892 2022-10-17 AXIOM CLINICAL RESEARCH OF FLORIDA, INC. 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1981-09-01
Business code 621111
Sponsor’s telephone number 8138721548
Plan sponsor’s address 2919 SWANN AVENUE, SUITE 105A, TAMPA, FL, 33609
AXIOM CLINICAL RESEARCH OF FLORIDA, INC. 401(K) PLAN 2020 593493892 2021-09-28 AXIOM CLINICAL RESEARCH OF FLORIDA, INC. 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1981-09-01
Business code 621111
Sponsor’s telephone number 8138721548
Plan sponsor’s address 2919 SWANN AVENUE, SUITE 105A, TAMPA, FL, 33609

Signature of
Role Plan administrator
Date 2021-09-28
Name of individual signing JAMES WATERS
Valid signature Filed with authorized/valid electronic signature
AXIOM CLINICAL RESEARCH OF FLORIDA, INC. 401(K) PLAN 2019 593493892 2020-10-05 AXIOM CLINICAL RESEARCH OF FLORIDA, INC. 18
Three-digit plan number (PN) 001
Effective date of plan 1981-09-01
Business code 621111
Sponsor’s telephone number 8138721548
Plan sponsor’s address 2919 SWANN AVENUE, SUITE 105A, TAMPA, FL, 33609

Signature of
Role Plan administrator
Date 2020-10-05
Name of individual signing JAMES WATERS
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2020-10-05
Name of individual signing SUSAN J STEEN MD
Valid signature Filed with authorized/valid electronic signature
AXIOM CLINICAL RESEARCH OF FLORIDA, INC. 401(K) PLAN 2019 593493892 2021-09-29 AXIOM CLINICAL RESEARCH OF FLORIDA, INC. 18
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1981-09-01
Business code 621111
Sponsor’s telephone number 8138721548
Plan sponsor’s address 2919 SWANN AVENUE, SUITE 105A, TAMPA, FL, 33609
AXIOM CLINICAL RESEARCH OF FLORIDA, INC. 401(K) PLAN 2018 593493892 2019-09-24 AXIOM CLINICAL RESEARCH OF FLORIDA, INC. 20
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1981-09-01
Business code 621111
Sponsor’s telephone number 8138721548
Plan sponsor’s address 2919 SWANN AVENUE, SUITE 105A, TAMPA, FL, 33609

Signature of
Role Plan administrator
Date 2019-09-24
Name of individual signing JAMES S. WATERS, JR.
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2019-09-24
Name of individual signing SUSAN J STEEN MD
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
DIRECTOR, FINANCE Agent 1200 South Pine Island Road, Plantation, FL 33324

cfo

Name Role Address
waters, james cfo 2919 SWANN AVENUE, TAMPA, FL 33609

Events

Event Type Filed Date Value Description
ADMIN DISSOLUTION FOR ANNUAL REPORT 2024-09-27 No data No data
REGISTERED AGENT NAME CHANGED 2023-05-01 DIRECTOR, FINANCE No data
REGISTERED AGENT ADDRESS CHANGED 2007-12-28 1200 South Pine Island Road, Plantation, FL 33324 No data
CHANGE OF PRINCIPAL ADDRESS 2007-01-11 2919 SWANN AVENUE, SUITE 105A, TAMPA, FL 33609 No data
CHANGE OF MAILING ADDRESS 2007-01-11 2919 SWANN AVENUE, SUITE 105A, TAMPA, FL 33609 No data
NAME CHANGE AMENDMENT 1998-03-09 AXIOM CLINICAL RESEARCH OF FLORIDA, INC. No data

Documents

Name Date
AMENDED ANNUAL REPORT 2023-05-01
ANNUAL REPORT 2023-01-23
ANNUAL REPORT 2022-01-26
ANNUAL REPORT 2021-01-13
ANNUAL REPORT 2020-01-16
ANNUAL REPORT 2019-01-03
ANNUAL REPORT 2018-02-23
ANNUAL REPORT 2017-01-10
ANNUAL REPORT 2016-01-25
ANNUAL REPORT 2015-01-12

Paycheck Protection Program

Loan Number Loan Funded Date SBA Origination Office Code Loan Delivery Method Borrower Street Address
7140077106 2020-04-14 0455 PPP 2919 W. SWANN AVE SUITE 105, TAMPA, FL, 33609-4049
Loan Status Date 2021-04-15
Loan Status Paid in Full
Loan Maturity in Months 24
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 89810
Loan Approval Amount (current) 89810
Undisbursed Amount 0
Franchise Name -
Lender Location ID 17715
Servicing Lender Name The Bank of Tampa
Servicing Lender Address 601 Bayshore Blvd, TAMPA, FL, 33606-2747
Rural or Urban Indicator U
Hubzone N
LMI N
Business Age Description Existing or more than 2 years old
Project Address TAMPA, HILLSBOROUGH, FL, 33609-4049
Project Congressional District FL-14
Number of Employees 8
NAICS code 541715
Borrower Race Unanswered
Borrower Ethnicity Unknown/NotStated
Business Type Corporation
Originating Lender ID 17715
Originating Lender Name The Bank of Tampa
Originating Lender Address TAMPA, FL
Gender Unanswered
Veteran Unanswered
Forgiveness Amount 90629.36
Forgiveness Paid Date 2021-03-23

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Date of last update: 01 Feb 2025

Sources: Florida Department of State

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