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VICKIE N. HARRELL, M.D., P.A.

VICKIE N. HARRELL, M.D., P.A.

Company Details

Entity Name:	VICKIE N. HARRELL, M.D., P.A.
Jurisdiction:	FLORIDA
Filing Type:	Domestic Profit
Status:	Active
Date Filed:	08 Jul 1998 (27 years ago)
Last Event:	REINSTATEMENT
Event Date Filed:	15 Oct 2018 (6 years ago)
Document Number:	P98000060466
FEI/EIN Number	593517414
Address:	292 FOREST PARK CIRCLE, PANAMA CITY, FL, 32405, US
Mail Address:	292 FOREST PARK CIRCLE, PANAMA CITY, FL, 32405, US
ZIP code:	32405
County:	Bay
Place of Formation:	FLORIDA

form 5500

Plan Name

Plan Year

EIN/PN

Received

Sponsor

Total number of participants

VICKIE N. HARRELL, M.D., P.A. 401K PLAN

2022

593517414

2024-02-13

VICKIE N. HARRELL, M.D., P.A.

6

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2004-01-01
Business code	621111
Sponsor’s telephone number	8509130018
Plan sponsor’s address	P.O. BOX 1330, LYNN HAVEN, FL, 32444

VICKIE N. HARRELL, M.D., P.A. 401K PLAN

2021

593517414

2022-10-17

VICKIE N. HARRELL, M.D., P.A.

6

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2004-01-01
Business code	621111
Sponsor’s telephone number	8509130018
Plan sponsor’s address	P.O. BOX 1330, LYNN HAVEN, FL, 32444

VICKIE N. HARRELL, M.D., P.A. 401K PLAN

2020

593517414

2021-10-15

VICKIE N. HARRELL, M.D., P.A.

7

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2004-01-01
Business code	621111
Sponsor’s telephone number	8509130018
Plan sponsor’s address	P.O. BOX 1330, LYNN HAVEN, FL, 32444

VICKIE N. HARRELL, M.D., P.A. 401K PLAN

2019

593517414

2020-10-14

VICKIE N. HARRELL, M.D., P.A.

6

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2004-01-01
Business code	621111
Sponsor’s telephone number	8509130018
Plan sponsor’s address	P.O. BOX 1330, LYNN HAVEN, FL, 32444

VICKIE N. HARRELL, M.D., P.A. 401K PLAN

2018

593517414

2019-10-02

VICKIE N. HARRELL, M.D., P.A.

6

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2004-01-01
Business code	621111
Sponsor’s telephone number	8509130018
Plan sponsor’s address	P.O. BOX 1330, LYNN HAVEN, FL, 32444

VICKIE N. HARRELL, M.D., P.A. 401K PLAN

2017

593517414

2018-07-24

VICKIE N. HARRELL, M.D., P.A.

6

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2004-01-01
Business code	621111
Sponsor’s telephone number	8509130018
Plan sponsor’s address	P.O. BOX 1330, LYNN HAVEN, FL, 32444

VICKIE N. HARRELL, M.D., P.A. 401K PLAN

2016

593517414

2017-07-26

VICKIE N. HARRELL, M.D., P.A.

6

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2004-01-01
Business code	621111
Sponsor’s telephone number	8509130018
Plan sponsor’s address	P.O. BOX 1330, LYNN HAVEN, FL, 32444

VICKIE N. HARRELL, M.D., P.A. 401K PLAN

2015

593517414

2016-07-25

VICKIE N. HARRELL, M.D., P.A.

6

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2004-01-01
Business code	621111
Sponsor’s telephone number	8509130018
Plan sponsor’s address	P.O. BOX 1330, LYNN HAVEN, FL, 32444

VICKIE N. HARRELL, M.D., P.A. 401K PLAN

2014

593517414

2015-06-05

VICKIE N. HARRELL, M.D., P.A.

6

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2004-01-01
Business code	621111
Sponsor’s telephone number	8509130018
Plan sponsor’s address	P.O. BOX 1330, LYNN HAVEN, FL, 32444

VICKIE N. HARRELL, M.D., P.A. 401K PLAN

2013

593517414

2014-07-17

VICKIE N. HARRELL, M.D., P.A.

6

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2004-01-01
Business code	621111
Sponsor’s telephone number	8509130018
Plan sponsor’s address	P.O. BOX 1330, LYNN HAVEN, FL, 32444

Agent

Name	Role	Address
HARRELL VICKIE NDr.	Agent	292 FOREST PARK CIRCLE, PANAMA CITY, FL, 32405

Director

Name	Role	Address
HARRELL VICKIE N	Director	292 FOREST PARK CIRCLE, PANAMA CITY, FL, 32405

Operating Manager

Name	Role	Address
HARRELL ROY L	Operating Manager	292 FOREST PARK CIRCLE, PANAMA CITY, FL, 32405

Events

Event Type	Filed Date	Value	Description
CHANGE OF PRINCIPAL ADDRESS	2020-05-18	292 FOREST PARK CIRCLE, PANAMA CITY, FL 32405	No data
CHANGE OF MAILING ADDRESS	2020-05-18	292 FOREST PARK CIRCLE, PANAMA CITY, FL 32405	No data
REGISTERED AGENT ADDRESS CHANGED	2020-05-18	292 FOREST PARK CIRCLE, PANAMA CITY, FL 32405	No data
REINSTATEMENT	2018-10-15	No data	No data
REGISTERED AGENT NAME CHANGED	2018-10-15	HARRELL, VICKIE N, Dr.	No data
ADMIN DISSOLUTION FOR ANNUAL REPORT	2018-09-28	No data	No data

Documents

Name	Date
ANNUAL REPORT	2024-04-22
ANNUAL REPORT	2023-06-06
ANNUAL REPORT	2022-07-04
ANNUAL REPORT	2021-05-20
ANNUAL REPORT	2020-05-18
ANNUAL REPORT	2019-06-28
REINSTATEMENT	2018-10-15
ANNUAL REPORT	2017-04-17
ANNUAL REPORT	2016-08-12
ANNUAL REPORT	2015-05-04
ANNUAL REPORT	2014-03-24
ANNUAL REPORT	2013-04-16
ANNUAL REPORT	2012-04-17
ANNUAL REPORT	2011-04-06
ANNUAL REPORT	2010-03-23
ANNUAL REPORT	2009-04-16
ANNUAL REPORT	2008-04-21
ANNUAL REPORT	2007-04-03
ANNUAL REPORT	2006-09-05
ANNUAL REPORT	2005-05-01

Paycheck Protection Program

Loan Number

Loan Funded Date

SBA Origination Office Code

Loan Delivery Method

Borrower Street Address

7208717203

2020-04-28

0491

PPP

801 6TH ST, PANAMA CITY, FL, 32401

Loan Status Date	2021-04-06
Loan Status	Paid in Full
Loan Maturity in Months	24
SBA Guaranty Percentage	100
Loan Approval Amount (at origination)	53010
Loan Approval Amount (current)	53010
Undisbursed Amount	0
Franchise Name	-
Lender Location ID	39232
Servicing Lender Name	Hancock Whitney Bank
Servicing Lender Address	2510 14th St One Hancock Plz, GULFPORT, MS, 39501
Rural or Urban Indicator	U
Hubzone	N
LMI	Y
Business Age Description	Existing or more than 2 years old
Project Address	PANAMA CITY, BAY, FL, 32401-0400
Project Congressional District	FL-02
Number of Employees	7
NAICS code	621111
Borrower Race	Unanswered
Borrower Ethnicity	Unknown/NotStated
Business Type	Corporation
Originating Lender ID	39232
Originating Lender Name	Hancock Whitney Bank
Originating Lender Address	GULFPORT, MS
Gender	Unanswered
Veteran	Unanswered
Forgiveness Amount	53484.14
Forgiveness Paid Date	2021-03-17

8393748410

2021-02-13

0491

PPS

801 E 6th St, Panama City, FL, 32401-3661

Loan Status Date	2022-08-02
Loan Status	Paid in Full
Loan Maturity in Months	60
SBA Guaranty Percentage	100
Loan Approval Amount (at origination)	53010
Loan Approval Amount (current)	53010
Undisbursed Amount	0
Franchise Name	-
Lender Location ID	39232
Servicing Lender Name	Hancock Whitney Bank
Servicing Lender Address	2510 14th St One Hancock Plz, GULFPORT, MS, 39501
Rural or Urban Indicator	U
Hubzone	Y
LMI	Y
Business Age Description	Existing or more than 2 years old
Project Address	Panama City, BAY, FL, 32401-3661
Project Congressional District	FL-02
Number of Employees	7
NAICS code	621111
Borrower Race	Unanswered
Borrower Ethnicity	Unknown/NotStated
Business Type	Corporation
Originating Lender ID	39232
Originating Lender Name	Hancock Whitney Bank
Originating Lender Address	GULFPORT, MS
Gender	Unanswered
Veteran	Unanswered
Forgiveness Amount	53752.14
Forgiveness Paid Date	2022-07-06

Date of last update: 02 Feb 2025

Sources: Florida Department of State