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  5. JENSEN BEACH ANIMAL HOSPITAL, LLC

JENSEN BEACH ANIMAL HOSPITAL, LLC

Company Details

Entity Name: JENSEN BEACH ANIMAL HOSPITAL, LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Inactive
Date Filed: 13 Sep 2001 (23 years ago)
Date of dissolution: 06 Apr 2022 (3 years ago)
Last Event: VOLUNTARY DISSOLUTION
Event Date Filed: 06 Apr 2022 (3 years ago)
Document Number: L01000015717
FEI/EIN Number 651139261
Address: 1553 NE ARCH AVENUE, JENSEN BEACH, FL, 34957, US
Mail Address: 1553 NE ARCH AVENUE, JENSEN BEACH, FL, 34957, US
ZIP code: 34957
County: Martin
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1164695888 2008-04-03 2008-04-03 1553 NE ARCH AVE, JENSEN BEACH, FL, 349575755, US 1553 NE ARCH AVE, JENSEN BEACH, FL, 349575755, US

Contacts
Phone +1 772-334-5010
Fax 7723347447

Authorized person
Name MR. BRIAN KREITZ
Role OWNER
Phone 7723345010

Taxonomy
Taxonomy Code 284300000X - Special Hospital
License Number VE3623
State FL
Is Primary Yes

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
JENSEN BEACH ANIMAL HOSPITAL, LLC 401(K) P/S PLAN 2020 651139261 2021-07-19 JENSEN BEACH ANIMAL HOSPITAL, LLC 15
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2010-01-01
Business code 621399
Sponsor’s telephone number 7723345010
Plan sponsor’s address 1553 NE ARCH AVE., JENSEN BEACH, FL, 34957

Signature of
Role Plan administrator
Date 2021-07-19
Name of individual signing AMY KREITZ
Valid signature Filed with authorized/valid electronic signature
JENSEN BEACH ANIMAL HOSPITAL, LLC 401(K) P/S PLAN 2020 651139261 2021-10-01 JENSEN BEACH ANIMAL HOSPITAL, LLC 15
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2010-01-01
Business code 621399
Sponsor’s telephone number 7723345010
Plan sponsor’s address 1553 NE ARCH AVE., JENSEN BEACH, FL, 34957

Signature of
Role Plan administrator
Date 2021-10-01
Name of individual signing AMY KREITZ
Valid signature Filed with authorized/valid electronic signature
JENSEN BEACH ANIMAL HOSPITAL, LLC 401(K) P/S PLAN 2019 651139261 2020-03-25 JENSEN BEACH ANIMAL HOSPITAL, LLC 13
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2010-01-01
Business code 621399
Sponsor’s telephone number 7723345010
Plan sponsor’s address 1553 NE ARCH AVE., JENSEN BEACH, FL, 34957

Plan administrator’s name and address
Administrator’s EIN 651139261
Plan administrator’s name JENSEN BEACH ANIMAL HOSPITAL, LLC
Plan administrator’s address 1553 NE ARCH AVE., JENSEN BEACH, FL, 34957
Administrator’s telephone number 7723345010

Signature of
Role Plan administrator
Date 2020-03-25
Name of individual signing AMY KREITZ
Valid signature Filed with authorized/valid electronic signature
JENSEN BEACH ANIMAL HOSPITAL, LLC 401(K) P/S PLAN 2018 651139261 2019-02-15 JENSEN BEACH ANIMAL HOSPITAL, LLC 13
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2010-01-01
Business code 621399
Sponsor’s telephone number 7723345010
Plan sponsor’s address 1553 NE ARCH AVE., JENSEN BEACH, FL, 34957

Plan administrator’s name and address
Administrator’s EIN 651139261
Plan administrator’s name JENSEN BEACH ANIMAL HOSPITAL, LLC
Plan administrator’s address 1553 NE ARCH AVE., JENSEN BEACH, FL, 34957
Administrator’s telephone number 7723345010

Signature of
Role Plan administrator
Date 2019-02-15
Name of individual signing AMY KREITZ
Valid signature Filed with authorized/valid electronic signature
JENSEN BEACH ANIMAL HOSPITAL, LLC 401(K) P/S PLAN 2017 651139261 2018-04-24 JENSEN BEACH ANIMAL HOSPITAL, LLC 12
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2010-01-01
Business code 621399
Sponsor’s telephone number 7723345010
Plan sponsor’s address 1553 NE ARCH AVE., JENSEN BEACH, FL, 34957

Plan administrator’s name and address
Administrator’s EIN 651139261
Plan administrator’s name JENSEN BEACH ANIMAL HOSPITAL, LLC
Plan administrator’s address 1553 NE ARCH AVE., JENSEN BEACH, FL, 34957
Administrator’s telephone number 7723345010

Signature of
Role Plan administrator
Date 2018-04-24
Name of individual signing AMY KREITZ
Valid signature Filed with authorized/valid electronic signature
JENSEN BEACH ANIMAL HOSPITAL, LLC 401(K) P/S PLAN 2016 651139261 2017-04-06 JENSEN BEACH ANIMAL HOSPITAL, LLC 12
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2010-01-01
Business code 621399
Sponsor’s telephone number 7723345010
Plan sponsor’s address 1553 NE ARCH AVE., JENSEN BEACH, FL, 34957

Plan administrator’s name and address
Administrator’s EIN 651139261
Plan administrator’s name JENSEN BEACH ANIMAL HOSPITAL, LLC
Plan administrator’s address 1553 NE ARCH AVE., JENSEN BEACH, FL, 34957
Administrator’s telephone number 7723345010

Signature of
Role Plan administrator
Date 2017-04-06
Name of individual signing AMY KREITZ
Valid signature Filed with authorized/valid electronic signature
JENSEN BEACH ANIMAL HOSPITAL, LLC 401(K) P/S PLAN 2015 651139261 2016-04-08 JENSEN BEACH ANIMAL HOSPITAL, LLC 12
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2010-01-01
Business code 621399
Sponsor’s telephone number 7723345010
Plan sponsor’s address 1553 NE ARCH AVE., JENSEN BEACH, FL, 34957

Plan administrator’s name and address
Administrator’s EIN 651139261
Plan administrator’s name JENSEN BEACH ANIMAL HOSPITAL, LLC
Plan administrator’s address 1553 NE ARCH AVE., JENSEN BEACH, FL, 34957
Administrator’s telephone number 7723345010

Signature of
Role Plan administrator
Date 2016-04-08
Name of individual signing AMY KREITZ
Valid signature Filed with authorized/valid electronic signature
JENSEN BEACH ANIMAL HOSPITAL, LLC 401(K) P/S PLAN 2014 651139261 2015-07-21 JENSEN BEACH ANIMAL HOSPITAL, LLC 12
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2010-01-01
Business code 621399
Sponsor’s telephone number 7723345010
Plan sponsor’s address 1553 NE ARCH AVE., JENSEN BEACH, FL, 34957

Plan administrator’s name and address
Administrator’s EIN 651139261
Plan administrator’s name JENSEN BEACH ANIMAL HOSPITAL, LLC
Plan administrator’s address 1553 NE ARCH AVE., JENSEN BEACH, FL, 34957
Administrator’s telephone number 7723345010

Signature of
Role Plan administrator
Date 2015-07-21
Name of individual signing AMY KREITZ
Valid signature Filed with authorized/valid electronic signature
JENSEN BEACH ANIMAL HOSPITAL, LLC 401(K) P/S PLAN 2013 651139261 2014-05-13 JENSEN BEACH ANIMAL HOSPITAL, LLC 11
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2010-01-01
Business code 621399
Sponsor’s telephone number 7723345010
Plan sponsor’s address 1553 NE ARCH AVE., JENSEN BEACH, FL, 34957

Plan administrator’s name and address
Administrator’s EIN 651139261
Plan administrator’s name JENSEN BEACH ANIMAL HOSPITAL, LLC
Plan administrator’s address 1553 NE ARCH AVE., JENSEN BEACH, FL, 34957
Administrator’s telephone number 7723345010

Signature of
Role Plan administrator
Date 2014-05-13
Name of individual signing AMY KREITZ
Valid signature Filed with authorized/valid electronic signature
JENSEN BEACH ANIMAL HOSPITAL, LLC 401(K) P/S PLAN 2012 651139261 2013-07-11 JENSEN BEACH ANIMAL HOSPITAL, LLC 11
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2010-01-01
Business code 621399
Sponsor’s telephone number 7723345010
Plan sponsor’s address 1553 NE ARCH AVE., JENSEN BEACH, FL, 34957

Plan administrator’s name and address
Administrator’s EIN 651139261
Plan administrator’s name JENSEN BEACH ANIMAL HOSPITAL, LLC
Plan administrator’s address 1553 NE ARCH AVE., JENSEN BEACH, FL, 34957
Administrator’s telephone number 7723345010

Signature of
Role Plan administrator
Date 2013-07-11
Name of individual signing AMY KREITZ
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
KREITZ BRIAN R Agent 2382 NE MARLBERRY LANE, JENSEN BEACH,, FL, 34957

Managing Member

Name Role Address
KREITZ BRIAN R Managing Member 2382 NE MARLBERRY LANE, JENSEN BEACH, FL, 34957
KREITZ AMY Managing Member 2382 NE MARLBERRY LANE, JENSEN BEACH, FL, 34957

Events

Event Type Filed Date Value Description
VOLUNTARY DISSOLUTION 2022-04-06 No data No data
CHANGE OF PRINCIPAL ADDRESS 2008-03-20 1553 NE ARCH AVENUE, JENSEN BEACH, FL 34957 No data
CHANGE OF MAILING ADDRESS 2008-03-20 1553 NE ARCH AVENUE, JENSEN BEACH, FL 34957 No data
REGISTERED AGENT ADDRESS CHANGED 2006-03-21 2382 NE MARLBERRY LANE, JENSEN BEACH,, FL 34957 No data

Documents

Name Date
VOLUNTARY DISSOLUTION 2022-04-06
ANNUAL REPORT 2021-03-15
ANNUAL REPORT 2020-03-09
ANNUAL REPORT 2019-02-05
ANNUAL REPORT 2018-02-12
ANNUAL REPORT 2017-01-19
ANNUAL REPORT 2016-04-07
ANNUAL REPORT 2015-02-19
ANNUAL REPORT 2014-03-11
ANNUAL REPORT 2013-04-16

Related by officers

KREITZ BRIAN R

KREITZ LAND COMPANY, LLC

Related by address

1553 NE ARCH AVENUE, JENSEN BEACH, FL, 34957, US

KREITZ LAND COMPANY, LLC

1553 NE ARCH AVENUE, JENSEN BEACH, FL, 34957, US

KREITZ LAND COMPANY, LLC

Date of last update: 02 Feb 2025

Sources: Florida Department of State

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