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  5. CAMELOT HEALTHCARE MANAGEMENT, INC.

CAMELOT HEALTHCARE MANAGEMENT, INC. - Florida Company Profile

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Company Details

Entity Name: CAMELOT HEALTHCARE MANAGEMENT, INC.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Inactive
Date Filed: 02 Nov 1998 (27 years ago)
Date of dissolution: 23 Sep 2022 (3 years ago)
Last Event: ADMIN DISSOLUTION FOR ANNUAL REPORT
Event Date Filed: 23 Sep 2022 (3 years ago)
Document Number: P98000093195
FEI/EIN Number 650885369
Address: 3381 Us Highway 17 92 West, Haines City, FL, 33844, US
Mail Address: 3363 Us Highway 17 92 West, Haines City, FL, 33844, US
ZIP code: 33844
City: Haines City
County: Polk
Place of Formation: FLORIDA

Key Officers & Management

Name Role Address
Arciero Angel Director 3363 US Highway 17 92 W, Haines City, FL, 33844
GOSS PHILIP E Agent 1172 S DIXIE HWY., CORAL GABLES, FL, 33146

National Provider Identifier

NPI Number:
1720073679
Link:
View on NPI website

Authorized Person:

Name:
MR. ANGEL ARCIENO
Role:
PRESIDENT
Phone:
3056325834

Taxonomy:

Selected Taxonomy:
333600000X - Pharmacy
Is Primary:
No
Selected Taxonomy:
332B00000X - Durable Medical Equipment & Medical Supplies
Is Primary:
Yes

Contacts:

Phone:
+1 863-293-6533
Fax:
8632934722

Events

Event Type Filed Date Value Description
ADMIN DISSOLUTION FOR ANNUAL REPORT 2022-09-23 - -
CHANGE OF MAILING ADDRESS 2021-04-13 3381 Us Highway 17 92 West, Haines City, FL 33844 -
REINSTATEMENT 2020-02-21 - -
CHANGE OF PRINCIPAL ADDRESS 2020-02-21 3381 Us Highway 17 92 West, Haines City, FL 33844 -
REGISTERED AGENT NAME CHANGED 2020-02-21 GOSS, PHILIP EJR -
ADMIN DISSOLUTION FOR ANNUAL REPORT 2019-09-27 - -

Documents

Name Date
ANNUAL REPORT 2021-04-13
REINSTATEMENT 2020-02-21
ANNUAL REPORT 2018-04-24
ANNUAL REPORT 2017-04-26
ANNUAL REPORT 2016-04-27
ANNUAL REPORT 2015-02-24
ANNUAL REPORT 2014-04-22
ANNUAL REPORT 2013-04-23
ANNUAL REPORT 2012-04-24
ANNUAL REPORT 2011-04-26

USAspending Awards / Financial Assistance

Date:
2021-03-24
Link:
View on USAspending
Awarding Agency Name:
Small Business Administration
Transaction Description:
TO AID SMALL BUSINESSES IN MAINTAINING WORK FORCE DURING COVID-19 PANDEMIC.
Obligated Amount:
0.00
Face Value Of Loan:
19637.00
Total Face Value Of Loan:
19637.00
Date:
2020-06-19
Link:
View on USAspending
Awarding Agency Name:
Small Business Administration
Transaction Description:
TO PROVIDE LOANS TO RESTORE AS NEARLY AS POSSIBLE THE VICTIMS OF ECONOMIC INJURY TYPE DISASTERS TO PRE-DISASTER CONDITIONS
Obligated Amount:
0.00
Face Value Of Loan:
115100.00
Total Face Value Of Loan:
115100.00
Date:
2020-06-19
Link:
View on USAspending
Awarding Agency Name:
Small Business Administration
Transaction Description:
TO PROVIDE LOANS TO RESTORE AS NEARLY AS POSSIBLE THE VICTIMS OF ECONOMIC INJURY TYPE DISASTERS TO PRE-DISASTER CONDITIONS
Obligated Amount:
0.00
Face Value Of Loan:
115100.00
Total Face Value Of Loan:
115100.00
Date:
2020-04-16
Link:
View on USAspending
Awarding Agency Name:
Small Business Administration
Transaction Description:
TO AID SMALL BUSINESSES IN MAINTAINING WORK FORCE DURING COVID-19 PANDEMIC.
Obligated Amount:
0.00
Face Value Of Loan:
23413.54
Total Face Value Of Loan:
23413.54
Date:
2020-04-16
Link:
View on USAspending
Awarding Agency Name:
Small Business Administration
Transaction Description:
TO AID SMALL BUSINESSES IN MAINTAINING WORK FORCE DURING COVID-19 PANDEMIC.
Obligated Amount:
0.00
Face Value Of Loan:
23413.54
Total Face Value Of Loan:
23413.54

Paycheck Protection Program

Jobs Reported:
3
Initial Approval Amount:
$19,637
Date Approved:
2021-03-24
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$19,637
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Male Owned
Veteran:
Unanswered
Forgiveness Amount:
$19,761.91
Servicing Lender:
First Horizon Bank
Use of Proceeds:
Payroll: $19,634
Utilities: $1
Jobs Reported:
4
Initial Approval Amount:
$23,413.54
Date Approved:
2020-04-15
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$23,413.54
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Male Owned
Veteran:
Unanswered
Forgiveness Amount:
$23,655.48
Servicing Lender:
First Horizon Bank
Use of Proceeds:
Payroll: $23,413.54

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Date of last update: 02 Aug 2025

Sources: Florida Department of State

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