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

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
County: Polk
Place of Formation: FLORIDA

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
HAINES CITY INTERNAL MEDICINE, P.A. 401K PLAN 2009 650951037 2010-08-16 HAINES CITY INTERNAL MEDICINE, P.A. 14
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2001-01-01
Business code 621111
Sponsor’s telephone number 8634229562
Plan sponsor’s address 608 INGRAHAM AVE., HAINES CITY, FL, 33844

Plan administrator’s name and address

Administrator’s EIN 650951037
Plan administrator’s name HAINES CITY INTERNAL MEDICINE, P.A.
Plan administrator’s address 608 INGRAHAM AVE., HAINES CITY, FL, 33844
Administrator’s telephone number 8634229562

Signature of

Role Plan administrator
Date 2010-08-16
Name of individual signing KAYE STINE
Valid signature Filed with authorized/valid electronic signature

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

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

Paycheck Protection Program

Loan Number Loan Funded Date SBA Origination Office Code Loan Delivery Method Borrower Street Address
7357347105 2020-04-14 0455 PPP 608 Ingraham Avenue N/A, HAINES CITY, FL, 33844
Loan Status Date 2020-12-18
Loan Status Paid in Full
Loan Maturity in Months 24
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 111000
Loan Approval Amount (current) 111000
Undisbursed Amount 0
Franchise Name -
Lender Location ID 117723
Servicing Lender Name SouthState Bank, National Association
Servicing Lender Address 1101 First St South, WINTER HAVEN, FL, 33880-3908
Rural or Urban Indicator U
Hubzone Y
LMI Y
Business Age Description Existing or more than 2 years old
Project Address HAINES CITY, POLK, FL, 33844-0001
Project Congressional District FL-18
Number of Employees 12
NAICS code 621111
Borrower Race Unanswered
Borrower Ethnicity Unknown/NotStated
Business Type Subchapter S Corporation
Originating Lender ID 117723
Originating Lender Name SouthState Bank, National Association
Originating Lender Address WINTER HAVEN, FL
Gender Unanswered
Veteran Unanswered
Forgiveness Amount 111635.17
Forgiveness Paid Date 2020-11-24

Date of last update: 02 Apr 2025

Sources: Florida Department of State