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  5. IDC OF VOLUSIA LLC

IDC OF VOLUSIA LLC

Company Details

Entity Name: IDC OF VOLUSIA LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Active
Date Filed: 26 Jan 2004 (21 years ago)
Document Number: L04000006638
FEI/EIN Number 200604761
Address: 410 Palmetto St, New Smyrna Beach, FL, 32168, US
Mail Address: P.O. Box 70, New Smyrna Beach, FL, 32170-0070, US
ZIP code: 32168
County: Volusia
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1154372241 2006-05-13 2017-08-29 PO BOX 70, NEW SMYRNA BEACH, FL, 321700070, US 410 PALMETTO ST, NEW SMYRNA BEACH, FL, 321687323, US

Contacts
Phone +1 386-410-4981
Fax 3864104982

Authorized person
Name DR. REBA ISAAC
Role MD
Phone 3864104981

Taxonomy
Taxonomy Code 207RI0200X - Infectious Disease Physician
License Number ME89116
State FL
Is Primary Yes

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
IDC OF VOLUSIA, LLC 401K PLAN 2023 200604761 2024-06-28 IDC OF VOLUSIA, LLC 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2014-01-01
Business code 621111
Sponsor’s telephone number 3864104981
Plan sponsor’s address 410 PALMETTO ST, NEW SMYRNA BEACH, FL, 32168

Signature of
Role Plan administrator
Date 2024-06-28
Name of individual signing REBA ISAAC
Valid signature Filed with authorized/valid electronic signature
IDC OF VOLUSIA, LLC 401K PLAN 2022 200604761 2023-07-10 IDC OF VOLUSIA, LLC 6
Three-digit plan number (PN) 001
Effective date of plan 2014-01-01
Business code 621111
Sponsor’s telephone number 3864104981
Plan sponsor’s address 410 PALMETTO ST, NEW SMYRNA BEACH, FL, 32168

Signature of
Role Plan administrator
Date 2023-07-10
Name of individual signing REBA ISAAC
Valid signature Filed with authorized/valid electronic signature
IDC OF VOLUSIA, LLC 401K PLAN 2022 200604761 2024-06-28 IDC OF VOLUSIA, LLC 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2014-01-01
Business code 621111
Sponsor’s telephone number 3864104981
Plan sponsor’s address 410 PALMETTO ST, NEW SMYRNA BEACH, FL, 32168

Signature of
Role Plan administrator
Date 2024-06-28
Name of individual signing REBA ISAAC
Valid signature Filed with authorized/valid electronic signature
IDC OF VOLUSIA, LLC 401K PLAN 2021 200604761 2023-07-10 IDC OF VOLUSIA, LLC 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2014-01-01
Business code 621111
Sponsor’s telephone number 3864104981
Plan sponsor’s address 410 PALMETTO ST, NEW SMYRNA BEACH, FL, 32168

Signature of
Role Plan administrator
Date 2023-07-10
Name of individual signing REBA ISAAC
Valid signature Filed with authorized/valid electronic signature
IDC OF VOLUSIA, LLC 401K PLAN 2021 200604761 2022-06-28 IDC OF VOLUSIA, LLC 7
Three-digit plan number (PN) 001
Effective date of plan 2014-01-01
Business code 621111
Sponsor’s telephone number 3864104981
Plan sponsor’s DBA name IDC OF VOLUSIA, LLC
Plan sponsor’s address 410 PALMETTO ST, NEW SMYRNA BEACH, FL, 321687323

Signature of
Role Plan administrator
Date 2022-06-28
Name of individual signing REBA ISAAC
Valid signature Filed with authorized/valid electronic signature
IDC OF VOLUSIA, LLC 401K PLAN 2020 200604761 2021-07-12 IDC OF VOLUSIA, LLC 7
Three-digit plan number (PN) 001
Effective date of plan 2014-01-01
Business code 621111
Sponsor’s telephone number 3864104981
Plan sponsor’s address 410 PALMETTO ST, NEW SMYRNA BEACH, FL, 32168

Signature of
Role Plan administrator
Date 2021-07-12
Name of individual signing REBA ISAAC
Valid signature Filed with incorrect/unrecognized electronic signature
Role Employer/plan sponsor
Date 2021-07-12
Name of individual signing REBA ISAAC
Valid signature Filed with authorized/valid electronic signature
IDC OF VOLUSIA, LLC 401K PLAN 2020 200604761 2021-07-16 IDC OF VOLUSIA, LLC 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2014-01-01
Business code 621111
Sponsor’s telephone number 3864104981
Plan sponsor’s address 410 PALMETTO ST, NEW SMYRNA BEACH, FL, 32168

Signature of
Role Plan administrator
Date 2021-07-16
Name of individual signing REBA ISAAC
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2021-07-16
Name of individual signing REBA ISAAC
Valid signature Filed with authorized/valid electronic signature
IDC OF VOLUSIA, LLC 401K PLAN 2019 200604761 2020-05-04 IDC OF VOLUSIA, LLC 7
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2014-01-01
Business code 621111
Sponsor’s telephone number 3864104981
Plan sponsor’s address 410 PALMETTO ST, NEW SMYRNA BEACH, FL, 32168

Signature of
Role Plan administrator
Date 2020-05-04
Name of individual signing REBA ISAAC
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2020-05-04
Name of individual signing REBA ISAAC
Valid signature Filed with authorized/valid electronic signature
IDC OF VOLUSIA, LLC 401K PLAN 2018 200604761 2019-05-06 IDC OF VOLUSIA, LLC 7
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2014-01-01
Business code 621111
Sponsor’s telephone number 3864104981
Plan sponsor’s address 410 PALMETTO ST, NEW SMYRNA BEACH, FL, 32168

Signature of
Role Plan administrator
Date 2019-05-06
Name of individual signing REBA ISAAC
Valid signature Filed with authorized/valid electronic signature
IDC OF VOLUSIA, LLC 401K PLAN 2017 200604761 2018-05-07 IDC OF VOLUSIA, LLC 8
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2014-01-01
Business code 621111
Sponsor’s telephone number 3864104981
Plan sponsor’s address 410 PALMETTO ST, NEW SMYRNA BEACH, FL, 32168

Signature of
Role Plan administrator
Date 2018-05-07
Name of individual signing REBA ISAAC
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2018-05-07
Name of individual signing REBA ISAAC
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
ISAAC REBA K Agent 6667 MERRYVALE LANE, PORT ORANGE, FL, 32128

Managing Member

Name Role Address
ISAAC REBA K Managing Member 6667 MERRYVALE LANE, PORT ORANGE, FL, 32128

Owner

Name Role Address
ISAAC REBA Owner P.O. Box 70, New Smyrna Beach, FL, 321700070

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2014-01-08 410 Palmetto St, New Smyrna Beach, FL 32168 No data
CHANGE OF MAILING ADDRESS 2014-01-08 410 Palmetto St, New Smyrna Beach, FL 32168 No data
REGISTERED AGENT NAME CHANGED 2011-06-14 ISAAC, REBA K No data
REGISTERED AGENT ADDRESS CHANGED 2005-01-21 6667 MERRYVALE LANE, PORT ORANGE, FL 32128 No data

Documents

Name Date
ANNUAL REPORT 2024-03-18
ANNUAL REPORT 2023-04-10
ANNUAL REPORT 2022-04-05
ANNUAL REPORT 2021-01-25
ANNUAL REPORT 2020-01-17
ANNUAL REPORT 2019-02-25
ANNUAL REPORT 2018-03-15
ANNUAL REPORT 2017-01-06
ANNUAL REPORT 2016-01-25
ANNUAL REPORT 2015-03-18

Related by officers

No related officers

Related by address

No related companies by address

Date of last update: 03 Feb 2025

Sources: Florida Department of State

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