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  5. BRANFORD FAMILY MEDICAL CENTER, INC.

BRANFORD FAMILY MEDICAL CENTER, INC. - Florida Company Profile

Company Details

Entity Name: BRANFORD FAMILY MEDICAL CENTER, INC.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit

BRANFORD FAMILY MEDICAL CENTER, INC. 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: Active

The business entity is active. This status indicates that the business is currently operating and compliant with state regulations, suggesting a lower risk profile for lenders and potentially better creditworthiness.

Date Filed: 09 Apr 1992 (33 years ago)
Last Event: NAME CHANGE AMENDMENT
Event Date Filed: 10 Oct 1995 (30 years ago)
Document Number: V27555
FEI/EIN Number 593186467

Federal Employer Identification (FEI) Number assigned by the IRS.
Address: 303 SUWANNEE AVE NW, BRANFORD, FL, 32008, US
Mail Address: P.O. BOX 846, 303 SUWANNEE AVENUE, BRANFORD, FL, 32008, US
ZIP code: 32008
County: Suwannee
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1730377045 2007-10-11 2010-06-29 303 SUWANNEE AVE NW, BRANFORD, FL, 320083275, US 303 SUWANNEE AVE NW, BRANFORD, FL, 320083275, US

Contacts
Phone +1 386-935-1093
Fax 3869353113

Authorized person
Name MRS. VIRGINIA V SAMERA
Role PRESIDENT
Phone 3869351093

Taxonomy
Taxonomy Code 207Q00000X - Family Medicine Physician
License Number ME0028682
State FL
Is Primary Yes

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
BRANFORD FAMILY MEDICAL CENTER SAFE HARBOR NEW COMPARABILITY PLAN 2022 591933132 2024-03-13 BRANFORD FAMILY MEDICAL CENTER 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-06-01
Business code 621111
Sponsor’s telephone number 3869353179
Plan sponsor’s address 303 SUWANNEE AVE, POST OFFICE BOX 846, BRANFORD, FL, 32008

Signature of
Role Plan administrator
Date 2024-03-13
Name of individual signing BIENVENIDO SAMERA
Valid signature Filed with authorized/valid electronic signature
BRANFORD FAMILY MEDICAL CENTER SAFE HARBOR NEW COMPARABILITY PLAN 2021 591933132 2023-04-11 BRANFORD FAMILY MEDICAL CENTER 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-06-01
Business code 621111
Sponsor’s telephone number 3869353179
Plan sponsor’s address 303 SUWANNEE AVE, POST OFFICE BOX 846, BRANFORD, FL, 32008

Signature of
Role Plan administrator
Date 2023-04-11
Name of individual signing BIENVENIDO SAMERA
Valid signature Filed with authorized/valid electronic signature
BRANFORD FAMILY MEDICAL CENTER SAFE HARBOR NEW COMPARABILITY PLAN 2020 591933132 2022-02-18 BRANFORD FAMILY MEDICAL CENTER 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-06-01
Business code 621111
Sponsor’s telephone number 3869353179
Plan sponsor’s address 303 SUWANNEE AVE, POST OFFICE BOX 846, BRANFORD, FL, 32008

Signature of
Role Plan administrator
Date 2022-02-18
Name of individual signing BIENVENIDO SAMERA
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2022-02-18
Name of individual signing BIENVENIDO SAMERA
Valid signature Filed with authorized/valid electronic signature
BRANFORD FAMILY MEDICAL CENTER SAFE HARBOR NEW COMPARABILITY PLAN 2019 591933132 2020-09-24 BRANFORD FAMILY MEDICAL CENTER 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-06-01
Business code 621111
Sponsor’s telephone number 3869353179
Plan sponsor’s address 303 SUWANNEE AVE, POST OFFICE BOX 846, BRANFORD, FL, 32008

Signature of
Role Plan administrator
Date 2020-09-24
Name of individual signing BIENVENIDO SAMERA
Valid signature Filed with authorized/valid electronic signature
BRANFORD FAMILY MEDICAL CENTER SAFE HARBOR NEW COMPARABILITY PLAN 2018 591933132 2020-03-16 BRANFORD FAMILY MEDICAL CENTER 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-06-01
Business code 621410
Sponsor’s telephone number 3869353179
Plan sponsor’s address 303 SUWANNEE AVE, POST OFFICE BOX 846, BRANFORD, FL, 32008

Signature of
Role Plan administrator
Date 2020-03-16
Name of individual signing BIENVENIDO SAMERA
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2020-03-16
Name of individual signing BIENVENIDO SAMERA
Valid signature Filed with authorized/valid electronic signature
BRANFORD FAMILY MEDICAL CENTER SAFE HARBOR NEW COMPARABILITY PLAN 2017 591933132 2018-10-04 BRANFORD FAMILY MEDICAL CENTER 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-06-01
Business code 621410
Sponsor’s telephone number 3869353179
Plan sponsor’s address 303 SUWANNEE AVE, POST OFFICE BOX 846, BRANFORD, FL, 32008

Signature of
Role Plan administrator
Date 2018-10-04
Name of individual signing BIENVENIDO M. SAMERA
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2018-10-04
Name of individual signing BIENVENIDO M. SAMERA
Valid signature Filed with authorized/valid electronic signature
BRANFORD FAMILY MEDICAL CENTER SAFE HARBOR NEW COMPARABILITY PLAN 2016 591933132 2018-02-22 BRANFORD FAMILY MEDICAL CENTER 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-06-01
Business code 621410
Sponsor’s telephone number 3869353179
Plan sponsor’s address 303 SUWANNEE AVE, POST OFFICE BOX 846, BRANFORD, FL, 32008

Signature of
Role Plan administrator
Date 2018-02-22
Name of individual signing VIRGINIA SAMERA
Valid signature Filed with authorized/valid electronic signature
BRANFORD FAMILY MEDICAL CENTER SAFE HARBOR NEW COMPARABILITY PLAN 2015 591933132 2017-03-08 BRANFORD FAMILY MEDICAL CENTER 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-06-01
Business code 621410
Sponsor’s telephone number 3869353179
Plan sponsor’s address 303 SUWANNEE AVE, POST OFFICE BOX 846, BRANFORD, FL, 32008

Signature of
Role Plan administrator
Date 2017-03-08
Name of individual signing BIENVENIDO SAMERA
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2017-03-08
Name of individual signing BIENVENIDO SAMERA
Valid signature Filed with authorized/valid electronic signature
BIENVENIDO SAMERA, M. D. , P. A. NEW COMPARABILIT 401(K) PROFIT SHARING PLAN 2014 591933132 2015-12-10 BRANFORD FAMILY MEDICAL CENTER 7
File View Page
Three-digit plan number (PN) 003
Effective date of plan 2003-06-01
Business code 621410
Sponsor’s telephone number 3869353179
Plan sponsor’s address 303 SUWANEE AVENUE, P.O. BOX 846, BRANFORD, FL, 320080846

Signature of
Role Plan administrator
Date 2015-12-10
Name of individual signing BIENVENIDO SAMERA
Valid signature Filed with authorized/valid electronic signature
BIENVENIDO SAMERA, M.D., P.A., NEW COMPARABILITY 401(K) PROFIT SHARING PLAN 2013 591933132 2014-12-10 BRANFORD FAMILY MEDICAL CENTER 8
File View Page
Three-digit plan number (PN) 003
Effective date of plan 2003-06-01
Business code 621410
Sponsor’s telephone number 3869353179
Plan sponsor’s address 303 SUWANNEE AVENUE, P.O. BOX 846, BRANFORD, FL, 320080846

Plan administrator’s name and address
Administrator’s EIN 591933132
Plan administrator’s name BRANFORD FAMILY MEDICAL CENTER
Plan administrator’s address 303 SUWANEE AVE., P.O. BOX 846, BRANFORD, FL, 320080846
Administrator’s telephone number 3869353179

Signature of
Role Plan administrator
Date 2014-12-10
Name of individual signing BIENVENIDO SAMERA
Valid signature Filed with authorized/valid electronic signature

Key Officers & Management

Name Role Address
SAMERA VIRGINIA Director 303 SUWANNEE AVE, BRANFORD, FL, 32008
SAMERA, VIRGINIA Agent 303 SUWANNEE AVE NW, BRANFORD, FL, 32008

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2018-01-15 303 SUWANNEE AVE NW, BRANFORD, FL 32008 -
REGISTERED AGENT ADDRESS CHANGED 2018-01-15 303 SUWANNEE AVE NW, BRANFORD, FL 32008 -
CHANGE OF MAILING ADDRESS 2006-01-11 303 SUWANNEE AVE NW, BRANFORD, FL 32008 -
NAME CHANGE AMENDMENT 1995-10-10 BRANFORD FAMILY MEDICAL CENTER, INC. -

Documents

Name Date
ANNUAL REPORT 2024-04-10
ANNUAL REPORT 2023-01-20
ANNUAL REPORT 2022-01-27
ANNUAL REPORT 2021-01-13
ANNUAL REPORT 2020-01-16
ANNUAL REPORT 2019-02-20
ANNUAL REPORT 2018-01-15
ANNUAL REPORT 2017-01-27
ANNUAL REPORT 2016-01-28
ANNUAL REPORT 2015-01-12

Paycheck Protection Program

Loan Number Loan Funded Date SBA Origination Office Code Loan Delivery Method Borrower Street Address
8416808604 2021-03-24 0491 PPP 303 Suwannee Ave NW, Branford, FL, 32008-3275
Loan Status Date 2022-04-08
Loan Status Paid in Full
Loan Maturity in Months 60
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 19625
Loan Approval Amount (current) 19625
Undisbursed Amount 0
Franchise Name -
Lender Location ID 19595
Servicing Lender Name Ameris Bank
Servicing Lender Address 3490 Piedmont Rd NE, Ste 124, ATLANTA, GA, 30305
Rural or Urban Indicator R
Hubzone N
LMI N
Business Age Description Existing or more than 2 years old
Project Address Branford, SUWANNEE, FL, 32008-3275
Project Congressional District FL-03
Number of Employees 2
NAICS code 621111
Borrower Race Unanswered
Borrower Ethnicity Unknown/NotStated
Business Type Corporation
Originating Lender ID 19595
Originating Lender Name Ameris Bank
Originating Lender Address ATLANTA, GA
Gender Unanswered
Veteran Unanswered
Forgiveness Amount 19819.1
Forgiveness Paid Date 2022-03-23

Companies related by officers

No other companies in our directory share the same officers as BRANFORD FAMILY MEDICAL CENTER, INC.

Companies related by address

303 SUWANNEE AVE NW, BRANFORD, FL, 32008, US

BIENVENIDO SAMERA, M.D., P.A.

Date of last update: 02 Apr 2025

Sources: Florida Department of State

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