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  5. TBIM HOSPITALISTS, LLC

TBIM HOSPITALISTS, LLC

Company Details

Entity Name: TBIM HOSPITALISTS, LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Active
Date Filed: 17 Aug 2005 (19 years ago)
Last Event: REINSTATEMENT
Event Date Filed: 07 Oct 2019 (5 years ago)
Document Number: L05000081134
FEI/EIN Number 203317794
Address: 4102 N MACDILL AVE, SUITE 27, TAMPA, FL, 33614, US
Mail Address: 4102 N Macdill Ave, SUITE 27, Tamp, FL, 33607, US
ZIP code: 33614
County: Hillsborough
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1023129087 2006-08-31 2011-07-04 PO BOX 271489, TAMPA, FL, 336881489, US 4600 N HABANA AVE, SUITE 27, TAMPA, FL, 336147166, US

Contacts
Phone +1 813-890-8004
Fax 8138908114
Phone +1 813-681-0340
Fax 8139612565

Authorized person
Name DR. RAFAEL S RODRIGUEZ
Role OWNER
Phone 8136810340

Taxonomy
Taxonomy Code 207R00000X - Internal Medicine Physician
Is Primary Yes

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
TBIM HOSPITALISTS LLC 401(K) PROFIT SHARING PLAN AND TRUST 2023 203317794 2024-09-18 TBIM HOSPITALISTS LLC 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-01-01
Business code 621111
Sponsor’s telephone number 8137842146
Plan sponsor’s address 4102 N. MACDILL AVE., TAMPA, FL, 33607
TBIM HOSPITALISTS LLC 401(K) PROFIT SHARING PLAN AND TRUST 2022 203317794 2024-02-08 TBIM HOSPITALISTS LLC 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-01-01
Business code 621111
Sponsor’s telephone number 8138764900
Plan sponsor’s address 4102 N. MACDILL AVE., TAMPA, FL, 33607
TBIM HOSPITALISTS LLC 401(K) PROFIT SHARING PLAN AND TRUST 2021 203317794 2022-07-31 TBIM HOSPITALISTS LLC 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-01-01
Business code 621111
Sponsor’s telephone number 8138764900
Plan sponsor’s address 4102 N. MACDILL AVE., TAMPA, FL, 33607
TBIM HOSPITALISTS LLC 401(K) PROFIT SHARING PLAN AND TRUST 2020 203317794 2021-09-30 TBIM HOSPITALISTS LLC 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-01-01
Business code 621111
Sponsor’s telephone number 8138764900
Plan sponsor’s address 4102 N. MACDILL AVE., TAMPA, FL, 33607
TBIM HOSPITALISTS LLC 401(K) PROFIT SHARING PLAN AND TRUST 2019 203317794 2020-10-12 TBIM HOSPITALISTS LLC 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-01-01
Business code 621111
Sponsor’s telephone number 8138764900
Plan sponsor’s address 4102 N. MACDILL AVE., TAMPA, FL, 33607

Signature of
Role Plan administrator
Date 2020-10-12
Name of individual signing LYNN HENGOED
Valid signature Filed with authorized/valid electronic signature
TBIM HOSPITALISTS LLC 401(K) PROFIT SHARING PLAN AND TRUST 2018 203317794 2019-10-06 TBIM HOSPITALISTS LLC 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-01-01
Business code 621111
Sponsor’s telephone number 8138764900
Plan sponsor’s address 4600 NORTH HABANA AVENUE, SUITE 27, TAMPA, FL, 33614
TBIM HOSPITALISTS LLC 401(K) PROFIT SHARING PLAN AND TRUST 2017 203317794 2018-09-28 TBIM HOSPITALISTS LLC 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-01-01
Business code 621111
Sponsor’s telephone number 8138764900
Plan sponsor’s address 4600 NORTH HABANA AVENUE, SUITE 27, TAMPA, FL, 33614
TBIM HOSPITALISTS LLC 401(K) PROFIT SHARING PLAN AND TRUST 2016 203317794 2017-07-13 TBIM HOSPITALISTS LLC 11
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-01-01
Business code 621111
Sponsor’s telephone number 8138764900
Plan sponsor’s address 4600 NORTH HABANA AVENUE, SUITE 27, TAMPA, FL, 33614

Signature of
Role Plan administrator
Date 2017-07-13
Name of individual signing REBA CARDILLO
Valid signature Filed with authorized/valid electronic signature
TBIM HOSPITALISTS LLC 401(K) PROFIT SHARING PLAN AND TRUST 2015 203317794 2016-09-23 TBIM HOSPITALISTS LLC 11
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-01-01
Business code 621111
Sponsor’s telephone number 8138764900
Plan sponsor’s address 4600 NORTH HABANA AVENUE, SUITE 27, TAMPA, FL, 33614

Signature of
Role Plan administrator
Date 2016-09-23
Name of individual signing LYNN HENGOED
Valid signature Filed with authorized/valid electronic signature
TBIM HOSPITALISTS LLC 401(K) PROFIT SHARING PLAN 2015 203317794 2016-09-23 TBIM HOSPITALISTS LLC 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-01-01
Business code 621111
Sponsor’s telephone number 8138764900
Plan sponsor’s address 4600 NORTH HABANA AVENUE, SUITE 27, TAMPA, FL, 33614

Signature of
Role Plan administrator
Date 2016-09-23
Name of individual signing LYNN HENGOED
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
RODRIGUEZ RAFAEL S Agent 4102 N MacDill Ave, TAMPA, FL, 33607

Director

Name Role Address
RODRIGUEZ RAFAEL S Director 4102 N Macdill Ave, Tampa, FL, 33607

Events

Event Type Filed Date Value Description
REGISTERED AGENT ADDRESS CHANGED 2020-04-28 4102 N MacDill Ave, TAMPA, FL 33607 No data
CHANGE OF PRINCIPAL ADDRESS 2019-10-07 4102 N MACDILL AVE, SUITE 27, TAMPA, FL 33614 No data
REINSTATEMENT 2019-10-07 No data No data
CHANGE OF MAILING ADDRESS 2019-10-07 4102 N MACDILL AVE, SUITE 27, TAMPA, FL 33614 No data
REGISTERED AGENT NAME CHANGED 2019-10-07 RODRIGUEZ, RAFAEL S No data
ADMIN DISSOLUTION FOR ANNUAL REPORT 2019-09-27 No data No data
REINSTATEMENT 2011-11-23 No data No data
ADMIN DISSOLUTION FOR ANNUAL REPORT 2011-09-23 No data No data

Documents

Name Date
ANNUAL REPORT 2024-02-20
ANNUAL REPORT 2023-04-28
ANNUAL REPORT 2022-03-07
ANNUAL REPORT 2021-06-16
ANNUAL REPORT 2020-04-28
REINSTATEMENT 2019-10-07
ANNUAL REPORT 2018-03-01
ANNUAL REPORT 2017-03-20
ANNUAL REPORT 2016-01-26
ANNUAL REPORT 2015-01-09

Related by officers

RODRIGUEZ RAFAEL S

MIAMI AUTO REPARACION, INC GENESIS PHYSICIANS GROUP, LLC CYCAD CONSTRUCTION INC 4VIRTUE, LLC TAMPA BAY INPATIENT MEDICINE, P.A. R & Y RODRIGUEZ, INC.

Related by address

No related companies by address

Date of last update: 01 Feb 2025

Sources: Florida Department of State

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