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  5. HEALIOS NA, INC.

HEALIOS NA, INC.

Company Details

Entity Name: HEALIOS NA, INC.
Jurisdiction: FLORIDA
Filing Type: Foreign Profit
Status: Inactive
Date Filed: 24 Apr 2020 (5 years ago)
Date of dissolution: 24 Sep 2021 (3 years ago)
Last Event: REVOKED FOR ANNUAL REPORT
Event Date Filed: 24 Sep 2021 (3 years ago)
Document Number: F20000001944
Address: 3109 W HAWTHORNE RD, TAMPA, FL, 33611, US
Mail Address: 3109 W HAWTHORNE RD, TAMPA, FL, 33611, US
ZIP code: 33611
County: Hillsborough
Place of Formation: DELAWARE

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
HEALIOS NA, INC. 401(K) PLAN 2023 824516409 2024-06-26 HEALIOS NA, INC. 1
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2019-07-01
Business code 621399
Sponsor’s telephone number 3017853062
Plan sponsor’s address 382 NE 191ST STREET PMB 86013, MIAMI, FL, 33179
HEALIOS NA, INC. 401(K) PLAN 2023 824516409 2024-07-31 HEALIOS NA, INC. 1
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2019-07-01
Business code 621399
Sponsor’s telephone number 3017853062
Plan sponsor’s address 382 NE 191ST STREET PMB 86013, MIAMI, FL, 33179
HEALIOS NA, INC. 401(K) PLAN 2022 824516409 2023-10-05 HEALIOS NA, INC. 1
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2019-07-01
Business code 621399
Sponsor’s telephone number 3017853062
Plan sponsor’s address 382 NE 191ST STREET PMB 86013, MIAMI, FL, 33179

Signature of
Role Plan administrator
Date 2023-10-05
Name of individual signing RICHARD KINCAID
Valid signature Filed with authorized/valid electronic signature
HEALIOS NA, INC. 401(K) PLAN 2021 824516409 2022-09-12 HEALIOS NA, INC. 1
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2019-07-01
Business code 621399
Sponsor’s telephone number 3017853062
Plan sponsor’s address 382 NE 191ST STREET PMB 86013, MIAMI, FL, 33179

Signature of
Role Plan administrator
Date 2022-09-12
Name of individual signing RICHARD KINCAID
Valid signature Filed with authorized/valid electronic signature
HEALIOS NA, INC. 401(K) PLAN 2020 824516409 2021-07-15 HEALIOS NA, INC. 1
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2019-07-01
Business code 621399
Sponsor’s telephone number 3017853062
Plan sponsor’s address 3109 W. HAWTHORNE RD, TAMPA, FL, 33611

Signature of
Role Plan administrator
Date 2021-07-15
Name of individual signing RICHARD KINCAID
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role
C T CORPORATION SYSTEM Agent

Chairman

Name Role Address
KAGIMOTO TADAHISA Chairman 3109 W HAWTHORNE RD, TAMPA, FL, 33611

President

Name Role Address
SMITH DAVID W President 3109 W HAWTHORNE RD, TAMPA, FL, 33611

Director

Name Role Address
KINCAID RICHARD Director 3109 W HAWTHORNE RD, TAMPA, FL, 33611
KASHII SEIGO Director 3109 W HAWTHORNE RD, TAMPA, FL, 33611

Events

Event Type Filed Date Value Description
REVOKED FOR ANNUAL REPORT 2021-09-24 No data No data

Documents

Name Date
Foreign Profit 2020-04-24

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SMITH DAVID W

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KINCAID RICHARD

RIVERVIEW PLACE LLC

Related by address

No related companies by address

Date of last update: 01 Feb 2025

Sources: Florida Department of State

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