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GENESIS DERMATOLOGY INC. - Florida Company Profile

Company Details

Entity Name: GENESIS DERMATOLOGY INC.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit

GENESIS DERMATOLOGY 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: 05 May 1998 (27 years ago)
Last Event: NAME CHANGE AMENDMENT
Event Date Filed: 15 Jan 2004 (21 years ago)
Document Number: P98000041588
FEI/EIN Number 650842039

Federal Employer Identification (FEI) Number assigned by the IRS.

Address: 600 HERITAGE DR, SUITE 101, JUPITER, FL, 33458, US
Mail Address: 600 HERITAGE DR, SUITE 101, JUPITER, FL, 33458, US
ZIP code: 33458
County: Palm Beach
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1801093661 2007-06-27 2012-02-21 600 HERITAGE DR, SUITE 100, JUPITER, FL, 334583000, US 600 HERITAGE DR, SUITE 100, JUPITER, FL, 334583000, US

Contacts

Phone +1 561-296-5222
Fax 5612965221

Authorized person

Name SHAWNA FLANAGAN
Role OWNER
Phone 5612965222

Taxonomy

Taxonomy Code 207N00000X - Dermatology Physician
Is Primary Yes

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
GENESIS DERMATOLOGY, INC. CASH BALANCE PLAN 2023 650842039 2024-07-01 GENESIS DERMATOLOGY, INC. 9
File View Page
Three-digit plan number (PN) 004
Effective date of plan 2021-01-01
Business code 621111
Sponsor’s telephone number 5617487770
Plan sponsor’s address 600 HERITAGE DRIVE, SUITE 101, JUPITER, FL, 33458

Signature of

Role Plan administrator
Date 2024-07-01
Name of individual signing SHAWNA A. FLANAGAN
Valid signature Filed with authorized/valid electronic signature
GENESIS DERMATOLOGY, INC. 401(K) PLAN 2023 650842039 2024-07-11 GENESIS DERMATOLOGY, INC. 14
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2002-01-01
Business code 621111
Sponsor’s telephone number 5617487770
Plan sponsor’s address 600 HERITAGE DRIVE SUITE 101, JUPITER, FL, 33458
GENESIS DERMATOLOGY, INC. CASH BALANCE PLAN 2022 650842039 2023-09-28 GENESIS DERMATOLOGY, INC 9
File View Page
Three-digit plan number (PN) 004
Effective date of plan 2021-01-01
Business code 621111
Sponsor’s telephone number 5617487770
Plan sponsor’s address 600 HERITAGE DRIVE, SUITE 101, JUPITER, FL, 33458
GENESIS DERMATOLOGY, INC. 401(K) PLAN 2022 650842039 2023-07-21 GENESIS DERMATOLOGY, INC. 15
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2002-01-01
Business code 621111
Sponsor’s telephone number 5617487770
Plan sponsor’s address 600 HERITAGE DRIVE SUITE 101, JUPITER, FL, 33458
GENESIS DERMATOLOGY, INC. CASH BALANCE PLAN 2021 650842039 2023-07-31 GENESIS DERMATOLOGY, INC. 9
File View Page
Three-digit plan number (PN) 004
Effective date of plan 2021-01-01
Business code 621111
Sponsor’s telephone number 5617487770
Plan sponsor’s address 600 HERITAGE DRIVE, SUITE 101, JUPITER, FL, 33458
GENESIS DERMATOLOGY, INC. CASH BALANCE PLAN 2021 650842039 2022-10-17 GENESIS DERMATOLOGY, INC. 9
Three-digit plan number (PN) 004
Effective date of plan 2021-01-01
Business code 621111
Sponsor’s telephone number 5617487770
Plan sponsor’s address 600 HERITAGE DRIVE, SUITE 101, JUPITER, FL, 33458

Key Officers & Management

Name Role Address
FLANAGAN SHAWNA President 600 HERITAGE DR, JUPITER, FL, 33458
FLANAGAN SHAWNA Agent 600 Heritage Drive, JUPITER, FL, 33458

Events

Event Type Filed Date Value Description
REGISTERED AGENT ADDRESS CHANGED 2014-03-21 600 Heritage Drive, Suite 101, JUPITER, FL 33458 -
CHANGE OF PRINCIPAL ADDRESS 2005-04-27 600 HERITAGE DR, SUITE 101, JUPITER, FL 33458 -
CHANGE OF MAILING ADDRESS 2005-04-27 600 HERITAGE DR, SUITE 101, JUPITER, FL 33458 -
NAME CHANGE AMENDMENT 2004-01-15 GENESIS DERMATOLOGY INC. -

Documents

Name Date
ANNUAL REPORT 2024-02-14
ANNUAL REPORT 2023-04-04
ANNUAL REPORT 2022-02-20
ANNUAL REPORT 2021-04-15
ANNUAL REPORT 2020-06-25
ANNUAL REPORT 2019-04-09
ANNUAL REPORT 2018-03-29
ANNUAL REPORT 2017-04-19
ANNUAL REPORT 2016-01-25
ANNUAL REPORT 2015-03-05

USAspending Awards. Financial Assistance

FAIN Awarding Agency Assistance Listings Start Date End Date Description
3724975010 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 GENESIS DERMATOLOGY INC.
Recipient Name Raw GENESIS DERMATOLOGY INC.
Recipient DUNS 199270930
Recipient Address MILITARY ROAD AND UNIVERSITY, JUPITER, PALM BEACH, FLORIDA, 33458-0000, 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
9124067004 2020-04-09 0455 PPP 600 HERITAGE DR STE 101, JUPITER, FL, 33458-3000
Loan Status Date 2021-04-13
Loan Status Paid in Full
Loan Maturity in Months 24
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 157146.35
Loan Approval Amount (current) 157146.35
Undisbursed Amount 0
Franchise Name -
Lender Location ID 4392
Servicing Lender Name Centennial Bank
Servicing Lender Address 620 Chestnut St, CONWAY, AR, 72032-5404
Rural or Urban Indicator U
Hubzone N
LMI N
Business Age Description Existing or more than 2 years old
Project Address JUPITER, PALM BEACH, FL, 33458-3000
Project Congressional District FL-21
Number of Employees 9
NAICS code 621111
Borrower Race Unanswered
Borrower Ethnicity Not Hispanic or Latino
Business Type Corporation
Originating Lender ID 4392
Originating Lender Name Centennial Bank
Originating Lender Address CONWAY, AR
Gender Female Owned
Veteran Non-Veteran
Forgiveness Amount 158472.41
Forgiveness Paid Date 2021-02-23
6382338509 2021-03-03 0455 PPS 600 Heritage Dr Ste 101, Jupiter, FL, 33458-3098
Loan Status Date 2021-09-28
Loan Status Paid in Full
Loan Maturity in Months 60
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 135574.85
Loan Approval Amount (current) 135574.85
Undisbursed Amount 0
Franchise Name -
Lender Location ID 4392
Servicing Lender Name Centennial Bank
Servicing Lender Address 620 Chestnut St, CONWAY, AR, 72032-5404
Rural or Urban Indicator U
Hubzone N
LMI N
Business Age Description Existing or more than 2 years old
Project Address Jupiter, PALM BEACH, FL, 33458-3098
Project Congressional District FL-21
Number of Employees 10
NAICS code 621111
Borrower Race Unanswered
Borrower Ethnicity Not Hispanic or Latino
Business Type Corporation
Originating Lender ID 4392
Originating Lender Name Centennial Bank
Originating Lender Address CONWAY, AR
Gender Female Owned
Veteran Non-Veteran
Forgiveness Amount 136146.86
Forgiveness Paid Date 2021-08-13

Date of last update: 02 Apr 2025

Sources: Florida Department of State