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INTERNAL MEDICINE & CLINICAL ANTI-AGING CENTER, LLC

INTERNAL MEDICINE & CLINICAL ANTI-AGING CENTER, LLC

Company Details

Entity Name:	INTERNAL MEDICINE & CLINICAL ANTI-AGING CENTER, LLC
Jurisdiction:	FLORIDA
Filing Type:	Florida Limited Liability Co.
Status:	Active
Date Filed:	09 Jul 2004 (21 years ago)
Last Event:	REINSTATEMENT
Event Date Filed:	04 Oct 2018 (6 years ago)
Document Number:	L04000051169
FEI/EIN Number	450539503
Address:	5535 GRAND BLVD, SUITE C, NEW PORT RICHEY, FL, 34652, US
Mail Address:	5535 GRAND BLVD, SUITE C, NEW PORT RICHEY, FL, 34652, US
ZIP code:	34652
County:	Pasco
Place of Formation:	FLORIDA

form 5500

Plan Name

Plan Year

EIN/PN

Received

Sponsor

Total number of participants

INTERNAL MEDICINE & ANTI-AGING CENTER, LLC 401(K) PLAN

2023

450539503

2024-03-18

INTERNAL MEDICINE & CLINICAL ANTI-AGING CENTER,

4

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2014-01-28
Business code	621112
Sponsor’s telephone number	7278410700
Plan sponsor’s address	5535 GRAND BLVD., SUITE C, NEW PORT RICHEY, FL, 34652

INTERNAL MEDICINE & ANTI-AGING CENTER, LLC 401(K) PLAN

2022

450539503

2024-02-12

INTERNAL MEDICINE & CLINICAL ANTI-AGING CENTER,

5

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2014-01-28
Business code	621112
Sponsor’s telephone number	7278410700
Plan sponsor’s address	5535 GRAND BLVD., SUITE C, NEW PORT RICHEY, FL, 34652

INTERNAL MEDICINE & ANTI-AGING CENTER, LLC 401(K) PLAN

2021

450539503

2022-10-06

INTERNAL MEDICINE & CLINICAL ANTI-AGING CENTER,

4

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2014-01-28
Business code	621112
Sponsor’s telephone number	7278410700
Plan sponsor’s address	5535 GRAND BLVD., SUITE C, NEW PORT RICHEY, FL, 34652

INTERNAL MEDICINE & ANTI-AGING CENTER, LLC 401(K) PLAN

2020

450539503

2021-10-14

INTERNAL MEDICINE & CLINICAL ANTI-AGING CENTER,

4

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2014-01-28
Business code	621112
Sponsor’s telephone number	7278410700
Plan sponsor’s address	5535 GRAND BLVD., SUITE C, NEW PORT RICHEY, FL, 34652

INTERNAL MEDICINE & ANTI-AGING CENTER, LLC 401(K) PLAN

2019

450539503

2020-10-15

INTERNAL MEDICINE & CLINICAL ANTI-AGING CENTER,

4

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2014-01-28
Business code	621112
Sponsor’s telephone number	7278410700
Plan sponsor’s address	5535 GRAND BLVD., SUITE C, NEW PORT RICHEY, FL, 34652

INTERNAL MEDICINE & ANTI-AGING CENTER, LLC 401(K) PLAN

2018

450539503

2019-10-15

INTERNAL MEDICINE & CLINICAL ANTI-AGING CENTER,

4

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2014-01-28
Business code	621112
Sponsor’s telephone number	7278410700
Plan sponsor’s address	5535 GRAND BLVD., SUITE C, NEW PORT RICHEY, FL, 34652

INTERNAL MEDICINE & ANTI-AGING CENTER, LLC 401(K) PLAN

2017

450539503

2018-10-09

INTERNAL MEDICINE & CLINICAL ANTI-AGING CENTER,

4

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2014-01-28
Business code	621112
Sponsor’s telephone number	7278410700
Plan sponsor’s address	5535 GRAND BLVD., SUITE C, NEW PORT RICHEY, FL, 34652

INTERNAL MEDICINE & ANTI-AGING CENTER, LLC 401(K) PLAN

2016

450539503

2018-01-31

INTERNAL MEDICINE & CLINICAL ANTI-AGING CENTER,

5

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2014-01-28
Business code	621112
Sponsor’s telephone number	7278410700
Plan sponsor’s address	5535 GRAND BLVD., SUITE C, NEW PORT RICHEY, FL, 34652

Agent

Name	Role	Address
Fortner Florenda LMD	Agent	5535 GRAND BLVD, NEW PORT RICHEY, FL, 34652

Managing Member

Name	Role	Address
FORTNER FLORENDA M	Managing Member	5535 GRAND BLVD, SUITE C, NEW PORT RICHEY, FL, 34652

Events

Event Type	Filed Date	Value	Description
REGISTERED AGENT NAME CHANGED	2018-10-04	Fortner, Florenda L, MD	No data
REINSTATEMENT	2018-10-04	No data	No data
ADMIN DISSOLUTION FOR ANNUAL REPORT	2018-09-28	No data	No data
CHANGE OF PRINCIPAL ADDRESS	2009-01-29	5535 GRAND BLVD, SUITE C, NEW PORT RICHEY, FL 34652	No data
CHANGE OF MAILING ADDRESS	2009-01-29	5535 GRAND BLVD, SUITE C, NEW PORT RICHEY, FL 34652	No data
REGISTERED AGENT ADDRESS CHANGED	2009-01-29	5535 GRAND BLVD, SUITE C, NEW PORT RICHEY, FL 34652	No data
AMENDMENT AND NAME CHANGE	2005-12-27	INTERNAL MEDICINE & CLINICAL ANTI-AGING CENTER, LLC	No data

Documents

Name	Date
ANNUAL REPORT	2024-02-06
ANNUAL REPORT	2023-02-08
ANNUAL REPORT	2022-03-28
ANNUAL REPORT	2021-02-03
ANNUAL REPORT	2020-05-05
ANNUAL REPORT	2019-04-02
REINSTATEMENT	2018-10-04
ANNUAL REPORT	2017-03-20
ANNUAL REPORT	2016-02-04
ANNUAL REPORT	2015-03-18
ANNUAL REPORT	2014-02-21
ANNUAL REPORT	2013-03-13
ANNUAL REPORT	2012-06-12
ANNUAL REPORT	2011-03-15
ANNUAL REPORT	2010-02-22
ANNUAL REPORT	2009-01-29
ANNUAL REPORT	2008-07-10
ANNUAL REPORT	2007-05-11
ANNUAL REPORT	2006-03-15
Amendment and Name Change	2005-12-27

Date of last update: 03 Feb 2025

Sources: Florida Department of State