| Entity Name: | ULTIMA MED SPA, P.A. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 30 Sep 1999 (25 years ago) |
| Last Event: | AMENDMENT |
| Event Date Filed: | 23 Aug 2006 (19 years ago) |
| Document Number: | P99000087552 |
| FEI/EIN Number | 650952004 |
| Address: | 14975 S. DIXIE HIGHWAY, MIAMI, FL, 33176 |
| Mail Address: | P. O. BOX 560909, MIAMI, FL, 33256 |
| ZIP code: | 33176 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| ULTIMA MED SPA PROFIT SHARING PLAN | 2010 | 650952004 | 2011-03-11 | ULTIMA MED SPA, P.A. | 3 | |||||||||||||||||||||||||||||||
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| Administrator’s EIN | 650952004 |
| Plan administrator’s name | ULTIMA MED SPA, P.A. |
| Plan administrator’s address | PO BOX 560909, MIAMI, FL, 332560909 |
| Administrator’s telephone number | 3052784555 |
Signature of
| Role | Plan administrator |
| Date | 2011-03-11 |
| Name of individual signing | JACQUELINE WILLIAMS |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2005-01-01 |
| Business code | 621111 |
| Sponsor’s telephone number | 3052784555 |
| Plan sponsor’s address | PO BOX 560909, MIAMI, FL, 332567929 |
Plan administrator’s name and address
| Administrator’s EIN | 650952004 |
| Plan administrator’s name | ULTIMA MED SPA, P.A. |
| Plan administrator’s address | PO BOX 560909, MIAMI, FL, 332567929 |
| Administrator’s telephone number | 3052784555 |
Signature of
| Role | Plan administrator |
| Date | 2010-08-25 |
| Name of individual signing | EDWARD A. MENA |
| Valid signature | Filed with authorized/valid electronic signature |
| Name | Role | Address |
|---|---|---|
| MENA ROSA M | Agent | 14975 S. DIXIE HIGHWAY, MIAMI, FL, 33176 |
| Name | Role | Address |
|---|---|---|
| MENA ROSA M | Director | P. O. BOX 560909, MIAMI, FL, 33256 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2011-01-07 | 14975 S. DIXIE HIGHWAY, MIAMI, FL 33176 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2011-01-07 | 14975 S. DIXIE HIGHWAY, MIAMI, FL 33176 | No data |
| CHANGE OF MAILING ADDRESS | 2010-02-18 | 14975 S. DIXIE HIGHWAY, MIAMI, FL 33176 | No data |
| AMENDMENT | 2006-08-23 | No data | No data |
| AMENDMENT AND NAME CHANGE | 2006-07-10 | ULTIMA MED SPA, P.A. | No data |
| AMENDMENT | 2003-05-05 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2025-01-07 |
| ANNUAL REPORT | 2024-01-07 |
| ANNUAL REPORT | 2023-01-04 |
| ANNUAL REPORT | 2022-01-03 |
| ANNUAL REPORT | 2021-01-05 |
| ANNUAL REPORT | 2020-01-06 |
| ANNUAL REPORT | 2019-01-06 |
| ANNUAL REPORT | 2018-01-09 |
| ANNUAL REPORT | 2017-01-08 |
| ANNUAL REPORT | 2016-01-24 |
| Loan Number | Loan Funded Date | SBA Origination Office Code | Loan Delivery Method | Borrower Street Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| 9886947309 | 2020-05-03 | 0455 | PPP | 14975 S DIXIE HWY, MIAMI, FL, 33176-7929 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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Date of last update: 01 Feb 2025
Sources: Florida Department of State
