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  5. STILL WATERS MEDICAL SPA LLC

STILL WATERS MEDICAL SPA LLC

Company Details

Entity Name: STILL WATERS MEDICAL SPA LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Active
Date Filed: 15 Nov 2004 (20 years ago)
Document Number: L04000082699
FEI/EIN Number 432066159
Address: #20 N TARRAGONA ST., PENSACOLA, FL, 32502, US
Mail Address: #20 N TARRAGONA ST., PENSACOLA, FL, 32502, US
ZIP code: 32502
County: Escambia
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1841470895 2007-11-07 2007-11-07 20 N TARRAGONA ST, PENSACOLA, FL, 325026063, US 20 N TARRAGONA ST, PENSACOLA, FL, 325026063, US

Contacts
Phone +1 850-432-6772

Authorized person
Name JEFF AANESTAD
Role OWNER
Phone 8504326772

Taxonomy
Taxonomy Code 174400000X - Specialist
License Number MM-17509
State FL
Is Primary Yes

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
STILL WATERS DAY & MEDICAL SPA 401(K) 2022 432066159 2023-07-11 STILL WATERS MEDICAL SPA LLC 48
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2017-01-01
Business code 812190
Sponsor’s telephone number 8507125661
Plan sponsor’s address 20 N. TARRAGONA ST., PENSACOLA, FL, 32502

Signature of
Role Plan administrator
Date 2023-07-11
Name of individual signing JEFFERSON AANESTAD
Valid signature Filed with authorized/valid electronic signature
STILL WATERS DAY & MEDICAL SPA 401(K) 2021 432066159 2022-05-04 STILL WATERS MEDICAL SPA LLC 48
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2017-01-01
Business code 812190
Sponsor’s telephone number 8507125661
Plan sponsor’s address 20 N. TARRAGONA ST., PENSACOLA, FL, 32502

Signature of
Role Plan administrator
Date 2022-05-04
Name of individual signing JEFFERSON R AANESTAD
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2022-05-04
Name of individual signing JEFFERSON R AANESTAD
Valid signature Filed with authorized/valid electronic signature
STILL WATERS DAY & MEDICAL SPA 401(K) 2020 432066159 2021-06-23 STILL WATERS MEDICAL SPA LLC 43
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2017-01-01
Business code 812190
Sponsor’s telephone number 8507125661
Plan sponsor’s address 20 N. TARRAGONA ST., PENSACOLA, FL, 32502

Signature of
Role Plan administrator
Date 2021-06-23
Name of individual signing JEFFERSON AANESTAD
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2021-06-23
Name of individual signing JEFFERSON AANESTAD
Valid signature Filed with authorized/valid electronic signature
STILL WATERS DAY & MEDICAL SPA 401(K) 2019 432066159 2020-05-06 STILL WATERS MEDICAL SPA LLC 38
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2017-01-01
Business code 812190
Sponsor’s telephone number 8507125661
Plan sponsor’s address 20 N. TARRAGONA ST., PENSACOLA, FL, 32502

Signature of
Role Plan administrator
Date 2020-05-06
Name of individual signing JEFFERSON R AANESTAD
Valid signature Filed with authorized/valid electronic signature
STILL WATERS DAY & MEDICAL SPA 401(K) 2018 432066159 2019-06-07 STILL WATERS MEDICAL SPA LLC 27
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2017-01-01
Business code 812190
Sponsor’s telephone number 8507125661
Plan sponsor’s address 20 N. TARRAGONA ST., PENSACOLA, FL, 32502

Signature of
Role Plan administrator
Date 2019-06-07
Name of individual signing JEFF AANESTAD CO SWMEDSPA
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2019-06-07
Name of individual signing JEFF AANESTAD CO SWMEDSPA
Valid signature Filed with authorized/valid electronic signature
STILL WATERS DAY & MEDICAL SPA 401(K) 2017 432066159 2018-05-14 STILL WATERS MEDICAL SPA LLC 25
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2017-01-01
Business code 812190
Sponsor’s telephone number 8507125661
Plan sponsor’s address 20 N. TARRAGONA ST., PENSACOLA, FL, 32502

Signature of
Role Plan administrator
Date 2018-05-14
Name of individual signing JEFFERSON AANESTAD
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
AANESTAD MARY A Agent #20 N. TARRAGONA ST, PENSACOLA, FL, 32502

Manager

Name Role Address
AANESTAD MARY A Manager #20 N TARRAGONA ST., PENSACOLA, FL, 32502

Managing Member

Name Role Address
AANESTAD JEFF R Managing Member # 20 N TARRAGONA ST., PENSACOLA, FL, 32502

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2021-01-27 #20 N TARRAGONA ST., PENSACOLA, FL 32502 No data
CHANGE OF MAILING ADDRESS 2021-01-27 #20 N TARRAGONA ST., PENSACOLA, FL 32502 No data
REGISTERED AGENT ADDRESS CHANGED 2017-01-09 #20 N. TARRAGONA ST, PENSACOLA, FL 32502 No data

Documents

Name Date
ANNUAL REPORT 2024-01-05
ANNUAL REPORT 2023-01-21
ANNUAL REPORT 2022-01-24
ANNUAL REPORT 2021-01-27
ANNUAL REPORT 2020-01-15
ANNUAL REPORT 2019-01-28
ANNUAL REPORT 2018-01-16
ANNUAL REPORT 2017-01-09
ANNUAL REPORT 2016-01-25
ANNUAL REPORT 2015-01-07

Related by officers

AANESTAD MARY A

AANESTAD PROPERTIES LLC.

Related by address

No related companies by address

Date of last update: 03 Feb 2025

Sources: Florida Department of State

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