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HAINES CITY INTERNAL MEDICINE, P.A. - Florida Company Profile

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Company Details

Entity Name: HAINES CITY INTERNAL MEDICINE, P.A.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit

HAINES CITY INTERNAL MEDICINE, P.A. 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: Inactive

The business entity is inactive. This status may signal operational issues or voluntary closure, raising concerns about the business's ability to repay loans and requiring careful risk assessment by lenders.

Date Filed: 13 Sep 1999 (26 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: P99000082075
FEI/EIN Number 650951037

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

Address: 608 INGRAHAM AVENUE, HAINES CITY, FL, 33844
Mail Address: 608 INGRAHAM AVENUE, HAINES CITY, FL, 33844
ZIP code: 33844
City: Haines City
County: Polk
Place of Formation: FLORIDA

Key Officers & Management

Name Role Address
ALLENDE GUILLERMO President 608 INGRAHAM AVENUE, HAINES CITY, FL, 33844
ALLENDE GUILLERMO Director 608 INGRAHAM AVENUE, HAINES CITY, FL, 33844
STINE JAY C Vice President 608 INGRAHAM AVENUE, HAINES CITY, FL, 33844
STINE JAY C Secretary 608 INGRAHAM AVENUE, HAINES CITY, FL, 33844
STINE JAY C Treasurer 608 INGRAHAM AVENUE, HAINES CITY, FL, 33844
STINE JAY C Director 608 INGRAHAM AVENUE, HAINES CITY, FL, 33844
ALLENDE GUILLERMO Agent 608 INGRAHAM AVENUE, HAINES CITY, FL, 33844

National Provider Identifier

NPI Number:
1386799542
Certification Date:
2020-04-24

Authorized Person:

Name:
DR. JAY C STINE JR.
Role:
PART OWNER
Phone:

Taxonomy:

Selected Taxonomy:
207R00000X - Internal Medicine Physician
Is Primary:
Yes

Contacts:

Fax:
8634213246

Form 5500 Series

Employer Identification Number (EIN):
650951037
Plan Year:
2009
Number Of Participants:
14
Sponsors Telephone Number:

Events

Event Type Filed Date Value Description
ADMIN DISSOLUTION FOR ANNUAL REPORT 2022-09-23 - -
CHANGE OF PRINCIPAL ADDRESS 2008-02-01 608 INGRAHAM AVENUE, HAINES CITY, FL 33844 -
CHANGE OF MAILING ADDRESS 2008-02-01 608 INGRAHAM AVENUE, HAINES CITY, FL 33844 -
REGISTERED AGENT ADDRESS CHANGED 2008-02-01 608 INGRAHAM AVENUE, HAINES CITY, FL 33844 -

Documents

Name Date
ANNUAL REPORT 2021-02-01
ANNUAL REPORT 2020-03-20
ANNUAL REPORT 2019-02-15
ANNUAL REPORT 2018-01-15
ANNUAL REPORT 2017-01-09
ANNUAL REPORT 2016-01-25
ANNUAL REPORT 2015-01-13
ANNUAL REPORT 2014-01-13
ANNUAL REPORT 2013-01-28
ANNUAL REPORT 2012-03-22

USAspending Awards / Financial Assistance

Date:
2020-04-14
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:
111000.00
Total Face Value Of Loan:
111000.00

Paycheck Protection Program

Jobs Reported:
12
Initial Approval Amount:
$111,000
Date Approved:
2020-04-14
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$111,000
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Unanswered
Veteran:
Unanswered
Forgiveness Amount:
$111,635.17
Servicing Lender:
SouthState Bank, National Association
Use of Proceeds:
Payroll: $111,000

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Date of last update: 02 Jul 2025

Sources: Florida Department of State