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  5. HIGHLANDS BREAST AND IMAGING CENTER, LLC

HIGHLANDS BREAST AND IMAGING CENTER, LLC

Company Details

Entity Name: HIGHLANDS BREAST AND IMAGING CENTER, LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Company
Status: Inactive
Date Filed: 26 Jul 2000 (25 years ago)
Date of dissolution: 22 Sep 2023 (a year ago)
Last Event: ADMIN DISSOLUTION FOR ANNUAL REPORT
Event Date Filed: 22 Sep 2023 (a year ago)
Document Number: L00000008883
FEI/EIN Number 65-1027840
Address: 114 Medical Center Ave, SEBRING, FL 33870
Mail Address: 114 Medical Center Ave, SEBRING, FL 33870
ZIP code: 33870
County: Highlands
Place of Formation: FLORIDA

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
HIGHLANDS BREAST AND IMAGING CENTER, LLC 401(K) PLAN AND TRUST 2015 651027840 2016-10-12 HIGHLANDS BREAST AND IMAGING CENTER, LLC 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-05-01
Business code 621111
Sponsor’s telephone number 8633856655
Plan sponsor’s address 114 MEDICAL CENTER, SEBRING, FL, 338705422
HIGHLANDS BREAST AND IMAGING CENTER, LLC 401(K) PLAN AND TRUST 2014 651027840 2015-07-27 HIGHLANDS BREAST AND IMAGING CENTER, LLC 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-05-01
Business code 621111
Sponsor’s telephone number 8633856655
Plan sponsor’s address 114 MEDICAL CENTER, SEBRING, FL, 338705422

Signature of
Role Plan administrator
Date 2015-07-26
Name of individual signing MERCEDES CARRUTHERS
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2015-07-26
Name of individual signing MERCEDES CARRUTHERS
Valid signature Filed with authorized/valid electronic signature
HIGHLANDS BREAST AND IMAGING CENTER, LLC 401(K) PLAN AND TRUST 2013 651027840 2014-09-25 HIGHLANDS BREAST AND IMAGING CENTER, LLC 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-05-01
Business code 621111
Sponsor’s telephone number 8633856655
Plan sponsor’s address 114 MEDICAL CENTER, SEBRING, FL, 338705422

Signature of
Role Plan administrator
Date 2014-09-25
Name of individual signing MERCEDES CARRUTHERS
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2014-09-25
Name of individual signing MERCEDES CARRUTHERS
Valid signature Filed with authorized/valid electronic signature
HIGHLANDS BREAST AND IMAGING CENTER, LLC 401(K) PLAN AND TRUST 2012 651027840 2013-10-14 HIGHLANDS BREAST AND IMAGING CENTER, LLC 12
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-05-01
Business code 621111
Sponsor’s telephone number 8633856655
Plan sponsor’s address 114 MEDICAL CENTER, SEBRING, FL, 338705422

Signature of
Role Plan administrator
Date 2013-10-14
Name of individual signing MERCEDES CARRUTHERS
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2013-10-14
Name of individual signing MERCEDES CARRUTHERS
Valid signature Filed with authorized/valid electronic signature
HIGHLANDS BREAST AND IMAGING CENTER, LLC 401(K) PLAN AND TRUST 2011 651027840 2012-10-15 HIGHLANDS BREAST AND IMAGING CENTER, LLC 13
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-05-01
Business code 621111
Sponsor’s telephone number 8633856655
Plan sponsor’s address 114 MEDICAL CENTER, SEBRING, FL, 338705422

Plan administrator’s name and address
Administrator’s EIN 651027840
Plan administrator’s name HIGHLANDS BREAST AND IMAGING CENTER, LLC
Plan administrator’s address 114 MEDICAL CENTER, SEBRING, FL, 338705422
Administrator’s telephone number 8633856655

Signature of
Role Plan administrator
Date 2012-10-15
Name of individual signing MERCEDES CARRUTHERS
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2012-10-15
Name of individual signing MERCEDES CARRUTHERS
Valid signature Filed with authorized/valid electronic signature
HIGHLANDS BREAST AND IMAGING CENTER, LLC 401(K) PLAN AND TRUST 2010 651027840 2011-10-13 HIGHLANDS BREAST AND IMAGING CENTER, LLC 11
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-05-01
Business code 621111
Sponsor’s telephone number 8633856655
Plan sponsor’s address 114 MEDICAL CENTER, SEBRING, FL, 338705422

Plan administrator’s name and address
Administrator’s EIN 651027840
Plan administrator’s name HIGHLANDS BREAST AND IMAGING CENTER, LLC
Plan administrator’s address 114 MEDICAL CENTER, SEBRING, FL, 338705422
Administrator’s telephone number 8633856655

Signature of
Role Plan administrator
Date 2011-10-13
Name of individual signing MRECEDES CARRUTHERS
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2011-10-13
Name of individual signing MRECEDES CARRUTHERS
Valid signature Filed with authorized/valid electronic signature
HIGHLANDS BREAST AND IMAGING CENTER, LLC 401(K) PLAN AND TRUST 2010 651027840 2011-10-12 HIGHLANDS BREAST AND IMAGING CENTER, LLC 11
Three-digit plan number (PN) 001
Effective date of plan 2002-05-01
Business code 621111
Sponsor’s telephone number 8633856655
Plan sponsor’s address 114 MEDICAL CENTER, SEBRING, FL, 338705422

Plan administrator’s name and address
Administrator’s EIN 651027840
Plan administrator’s name HIGHLANDS BREAST AND IMAGING CENTER, LLC
Plan administrator’s address 114 MEDICAL CENTER, SEBRING, FL, 338705422
Administrator’s telephone number 8633856655

Signature of
Role Plan administrator
Date 2011-10-12
Name of individual signing MERCEDES CARRUTHERS
Valid signature Filed with incorrect/unrecognized electronic signature
Role Employer/plan sponsor
Date 2011-10-12
Name of individual signing MERCEDES CARRUTHERS
Valid signature Filed with incorrect/unrecognized electronic signature
HIGHLANDS BREAST AND IMAGING CENTER, LLC 401(K) PLAN AND TRUST 2009 651027840 2010-07-30 HIGHLANDS BREAST AND IMAGING CENTER, LLC 14
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-05-01
Business code 621111
Sponsor’s telephone number 8633856655
Plan sponsor’s address 114 MEDICAL CENTER, SEBRING, FL, 338705422

Plan administrator’s name and address
Administrator’s EIN 651027840
Plan administrator’s name HIGHLANDS BREAST AND IMAGING CENTER, LLC
Plan administrator’s address 114 MEDICAL CENTER, SEBRING, FL, 338705422
Administrator’s telephone number 8633856655

Signature of
Role Plan administrator
Date 2010-07-30
Name of individual signing MERCEDES CARRUTHERS
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2010-07-30
Name of individual signing MERCEDES CARRUTHERS
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
Masody, Matt Agent 114 Medical Center Ave, Sebring, FL 32870

Manager

Name Role Address
Masody, Matt Manager 114 Medical Center Avenue, Sebring, FL 33870

Other

Name Role Address
CARRUTHERS, PATRICK AM.D. Other 114 Medical Center Ave, SEBRING, FL 33870

Events

Event Type Filed Date Value Description
ADMIN DISSOLUTION FOR ANNUAL REPORT 2023-09-22 No data No data
REINSTATEMENT 2022-10-03 No data No data
ADMIN DISSOLUTION FOR ANNUAL REPORT 2022-09-23 No data No data
CHANGE OF MAILING ADDRESS 2020-08-21 114 Medical Center Ave, SEBRING, FL 33870 No data
REGISTERED AGENT NAME CHANGED 2020-08-21 Masody, Matt No data
REGISTERED AGENT ADDRESS CHANGED 2020-08-21 114 Medical Center Ave, Sebring, FL 32870 No data
REINSTATEMENT 2020-08-21 No data No data
CHANGE OF PRINCIPAL ADDRESS 2020-08-21 114 Medical Center Ave, SEBRING, FL 33870 No data
ADMIN DISSOLUTION FOR ANNUAL REPORT 2018-09-28 No data No data

Documents

Name Date
REINSTATEMENT 2022-10-03
ANNUAL REPORT 2021-07-29
REINSTATEMENT 2020-08-21
ANNUAL REPORT 2017-04-27
ANNUAL REPORT 2016-04-25
ANNUAL REPORT 2015-04-02
ANNUAL REPORT 2014-04-23
ANNUAL REPORT 2013-04-20
ANNUAL REPORT 2012-04-17
ANNUAL REPORT 2011-04-28

Related by officers

No related officers

Related by address

No related companies by address

Date of last update: 31 Jan 2025

Sources: Florida Department of State

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