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ASG DOCTORS, INC.

Company Details

Entity Name: ASG DOCTORS, INC.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Active
Date Filed: 25 Jun 1999 (26 years ago)
Document Number: P99000058357
FEI/EIN Number 593585047
Address: 5225 ENCLAVE DRIVE, OLDSMAR, FL, 34677
Mail Address: 5225 ENCLAVE DRIVE, OLDSMAR, FL, 34677
ZIP code: 34677
County: Pinellas
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1255527347 2007-09-21 2007-10-01 5225 ENCLAVE DR, OLDSMAR, FL, 346771962, US 10806 US HIGHWAY 19, SUITE 102A, PORT RICHEY, FL, 346682563, US

Contacts

Phone +1 727-861-7043
Fax 7278617382

Authorized person

Name DR. ADAM S GREENFIELD
Role OWNER
Phone 7278617043

Taxonomy

Taxonomy Code 207Q00000X - Family Medicine Physician
License Number OS0007496
State FL
Is Primary Yes

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
ASG DOCTORS, INC. RETIREMENT PLAN 2023 593585047 2024-09-25 ASG DOCTORS, INC. 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-01-01
Business code 621111
Sponsor’s telephone number 7278617043
Plan sponsor’s address 10806 US HIGHWAY 19, SUITE 102A, PORT RICHEY, FL, 34668

Signature of

Role Plan administrator
Date 2024-09-25
Name of individual signing ADAM GREENFIELD
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2024-09-25
Name of individual signing ADAM GREENFIELD
Valid signature Filed with authorized/valid electronic signature
ASG DOCTORS, INC. RETIREMENT PLAN 2022 593585047 2023-04-19 ASG DOCTORS, INC. 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-01-01
Business code 621111
Sponsor’s telephone number 7278617043
Plan sponsor’s address 10806 US HIGHWAY 19, SUITE 102A, PORT RICHEY, FL, 34668

Signature of

Role Plan administrator
Date 2023-04-19
Name of individual signing ADAM GREENFIELD
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2023-04-19
Name of individual signing ADAM GREENFIELD
Valid signature Filed with authorized/valid electronic signature
ASG DOCTORS, INC. RETIREMENT PLAN 2021 593585047 2022-08-12 ASG DOCTORS, INC. 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-01-01
Business code 621111
Sponsor’s telephone number 7278617043
Plan sponsor’s address 10806 US HIGHWAY 19, SUITE 102A, PORT RICHEY, FL, 34668

Signature of

Role Plan administrator
Date 2022-08-12
Name of individual signing ADAM GREENFIELD
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2022-08-12
Name of individual signing ADAM GREENFIELD
Valid signature Filed with authorized/valid electronic signature
ASG DOCTORS, INC. RETIREMENT PLAN 2020 593585047 2021-08-20 ASG DOCTORS, INC. 15
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-01-01
Business code 621111
Sponsor’s telephone number 7278617043
Plan sponsor’s address 10806 US HIGHWAY 19, SUITE 102A, PORT RICHEY, FL, 34668

Signature of

Role Plan administrator
Date 2021-08-20
Name of individual signing ADAM GREENFIELD
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2021-08-20
Name of individual signing ADAM GREENFIELD
Valid signature Filed with authorized/valid electronic signature
ASG DOCTORS, INC. RETIREMENT PLAN 2019 593585047 2020-10-06 ASG DOCTORS, INC. 15
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-01-01
Business code 621111
Sponsor’s telephone number 7278617043
Plan sponsor’s address 10806 US HIGHWAY 19, SUITE 102A, PORT RICHEY, FL, 34668

Signature of

Role Plan administrator
Date 2020-10-05
Name of individual signing ADAM GREENFIELD
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2020-10-05
Name of individual signing ADAM GREENFIELD
Valid signature Filed with authorized/valid electronic signature
ASG DOCTORS, INC. RETIREMENT PLAN 2018 593585047 2019-05-31 ASG DOCTORS, INC. 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-01-01
Business code 621111
Sponsor’s telephone number 7278617043
Plan sponsor’s address 10806 US HIGHWAY 19, SUITE 102A, PORT RICHEY, FL, 34668

Signature of

Role Plan administrator
Date 2019-05-31
Name of individual signing ADAM GREENFIELD
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2019-05-31
Name of individual signing ADAM GREENFIELD
Valid signature Filed with authorized/valid electronic signature
ASG DOCTORS, INC. RETIREMENT PLAN 2017 593585047 2018-06-28 ASG DOCTORS, INC. 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-01-01
Business code 621111
Sponsor’s telephone number 7278617043
Plan sponsor’s address 10806 US HIGHWAY 19, SUITE 102A, PORT RICHEY, FL, 34668

Signature of

Role Plan administrator
Date 2018-06-28
Name of individual signing ADAM GREENFIELD
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2018-06-28
Name of individual signing ADAM GREENFIELD
Valid signature Filed with authorized/valid electronic signature
ASG DOCTORS, INC. RETIREMENT PLAN 2016 593585047 2017-07-12 ASG DOCTORS, INC. 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-01-01
Business code 621111
Sponsor’s telephone number 7278617043
Plan sponsor’s address 10806 US HIGHWAY 19, SUITE 102A, PORT RICHEY, FL, 34668

Signature of

Role Plan administrator
Date 2017-07-12
Name of individual signing ADAM GREENFIELD
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2017-07-12
Name of individual signing ADAM GREENFIELD
Valid signature Filed with authorized/valid electronic signature
ASG DOCTORS, INC. RETIREMENT PLAN 2015 593585047 2016-09-07 ASG DOCTORS, INC. 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-01-01
Business code 621111
Sponsor’s telephone number 7278617043
Plan sponsor’s address 10806 US HIGHWAY 19, SUITE 102A, PORT RICHEY, FL, 34668

Signature of

Role Plan administrator
Date 2016-09-07
Name of individual signing ADAM GREENFIELD
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2016-09-07
Name of individual signing ADAM GREENFIELD
Valid signature Filed with authorized/valid electronic signature
ASG DOCTORS, INC. RETIREMENT PLAN 2014 593585047 2015-04-27 ASG DOCTORS, INC. 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-01-01
Business code 621111
Sponsor’s telephone number 7278617043
Plan sponsor’s address 10806 US HIGHWAY 19, SUITE 102A, PORT RICHEY, FL, 34668

Signature of

Role Plan administrator
Date 2015-04-27
Name of individual signing ADAM GREENFIELD
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2015-04-27
Name of individual signing ADAM GREENFIELD
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
GREENFIELD ADAM S Agent 5225 ENCLAVE DRIVE, OLDSMAR, FL, 34677

Director

Name Role Address
GREENFIELD ADAM S Director 5225 ENCLAVE DRIVE, OLDSMAR, FL, 34677

President

Name Role Address
GREENFIELD ADAM S President 5225 ENCLAVE DRIVE, OLDSMAR, FL, 34677

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2004-06-03 5225 ENCLAVE DRIVE, OLDSMAR, FL 34677 No data
CHANGE OF MAILING ADDRESS 2004-06-03 5225 ENCLAVE DRIVE, OLDSMAR, FL 34677 No data
REGISTERED AGENT ADDRESS CHANGED 2004-06-03 5225 ENCLAVE DRIVE, OLDSMAR, FL 34677 No data

Documents

Name Date
ANNUAL REPORT 2024-04-08
ANNUAL REPORT 2023-03-02
ANNUAL REPORT 2022-04-05
ANNUAL REPORT 2021-03-15
ANNUAL REPORT 2020-03-19
ANNUAL REPORT 2019-02-28
ANNUAL REPORT 2018-03-09
ANNUAL REPORT 2017-04-05
ANNUAL REPORT 2016-04-28
ANNUAL REPORT 2015-03-20

Paycheck Protection Program

Loan Number Loan Funded Date SBA Origination Office Code Loan Delivery Method Borrower Street Address
9249308603 2021-03-25 0455 PPS 10806 U.S. 19 102a, Port Richey, FL, 34668
Loan Status Date 2021-11-23
Loan Status Paid in Full
Loan Maturity in Months 60
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 116557
Loan Approval Amount (current) 116557
Undisbursed Amount 0
Franchise Name -
Lender Location ID 121536
Servicing Lender Name Customers Bank
Servicing Lender Address 40 General Warren Blvd, Malvern, PA, 19355
Rural or Urban Indicator U
Hubzone Y
LMI Y
Business Age Description Existing or more than 2 years old
Project Address Port Richey, PASCO, FL, 34668
Project Congressional District FL-12
Number of Employees 10
NAICS code 621111
Borrower Race White
Borrower Ethnicity Not Hispanic or Latino
Business Type Limited Liability Company(LLC)
Originating Lender ID 121536
Originating Lender Name Customers Bank
Originating Lender Address Malvern, PA
Gender Male Owned
Veteran Non-Veteran
Forgiveness Amount 117090.29
Forgiveness Paid Date 2021-09-15

Date of last update: 02 Feb 2025

Sources: Florida Department of State