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  5. SUNDARI PLASTICS, LLC

SUNDARI PLASTICS, LLC

Company Details

Entity Name: SUNDARI PLASTICS, LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Active
Date Filed: 07 Sep 2005 (19 years ago)
Last Event: CANCEL ADM DISS/REV
Event Date Filed: 09 Oct 2009 (15 years ago)
Document Number: L05000087823
FEI/EIN Number 203420452
Address: 17723 Hunting Bow Circle, Lutz, FL, 33558, US
Mail Address: 17723 Hunting Bow Circle, Lutz, FL, 33558, US
ZIP code: 33558
County: Hillsborough
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1154577021 2008-08-12 2011-04-19 PO BOX 5441, HUDSON, FL, 346745441, US 14100 FIVAY RD, SUITE 130, HUDSON, FL, 346677180, US

Contacts
Phone +1 727-378-5808
Fax 7273785810

Authorized person
Name DR. JOHN BARRY ROACH JR.
Role PRESIDENT
Phone 7273785808

Taxonomy
Taxonomy Code 208600000X - Surgery Physician
License Number OS9566
State FL
Is Primary Yes
Taxonomy Code 2086S0122X - Plastic and Reconstructive Surgery Physician
License Number OS9566
State FL
Is Primary No

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
SUNDARI PLASTICS, LLC 401(K) CROSS TESTED PROFIT SHARING PLAN 2023 203420452 2024-09-23 SUNDARI PLASTICS, LLC 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2011-07-15
Business code 621111
Sponsor’s telephone number 7273785808
Plan sponsor’s address 17723 HUNTING BOW CIRCLE, LUTZ, FL, 33558

Plan administrator’s name and address
Administrator’s EIN 203420452
Plan administrator’s name SUNDARI PLASTICS, LLC
Plan administrator’s address 17723 HUNTING BOW CIRCLE, LUTZ, FL, 33558
Administrator’s telephone number 7273785808

Signature of
Role Plan administrator
Date 2024-09-23
Name of individual signing DR JOHN B ROACH
Valid signature Filed with authorized/valid electronic signature
SUNDARI PLASTICS, LLC 401(K) CROSS TESTED PROFIT SHARING PLAN 2022 203420452 2023-09-20 SUNDARI PLASTICS, LLC 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2011-07-15
Business code 621111
Sponsor’s telephone number 7273785808
Plan sponsor’s address 17723 HUNTING BOW CIRCLE, LUTZ, FL, 33558

Plan administrator’s name and address
Administrator’s EIN 203420452
Plan administrator’s name SUNDARI PLASTICS, LLC
Plan administrator’s address 17723 HUNTING BOW CIRCLE, LUTZ, FL, 33558
Administrator’s telephone number 7273785808

Signature of
Role Plan administrator
Date 2023-09-20
Name of individual signing DR JOHN B ROACH
Valid signature Filed with authorized/valid electronic signature
SUNDARI PLASTICS, LLC 401(K) CROSS TESTED PROFIT SHARING PLAN 2021 203420452 2022-07-15 SUNDARI PLASTICS, LLC 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2011-07-15
Business code 621111
Sponsor’s telephone number 7273785808
Plan sponsor’s address 17723 HUNTING BOW CIRCLE, LUTZ, FL, 33558

Plan administrator’s name and address
Administrator’s EIN 203420452
Plan administrator’s name SUNDARI PLASTICS, LLC
Plan administrator’s address 17723 HUNTING BOW CIRCLE, LUTZ, FL, 33558
Administrator’s telephone number 7273785808

Signature of
Role Plan administrator
Date 2022-07-15
Name of individual signing DR JOHN B ROACH
Valid signature Filed with authorized/valid electronic signature
SUNDARI PLASTICS, LLC 401(K) CROSS TESTED PROFIT SHARING PLAN 2020 203420452 2021-05-28 SUNDARI PLASTICS, LLC 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2011-07-15
Business code 621111
Sponsor’s telephone number 7273785808
Plan sponsor’s address 17723 HUNTING BOW CIRCLE, LUTZ, FL, 33558

Plan administrator’s name and address
Administrator’s EIN 203420452
Plan administrator’s name SUNDARI PLASTICS, LLC
Plan administrator’s address 17723 HUNTING BOW CIRCLE, LUTZ, FL, 33558
Administrator’s telephone number 7273785808
SUNDARI PLASTICS, LLC 401(K) CROSS TESTED PROFIT SHARING PLAN 2019 203420452 2020-09-29 SUNDARI PLASTICS, LLC 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2011-07-15
Business code 621111
Sponsor’s telephone number 7273785808
Plan sponsor’s address 17723 HUNTING BOW CIRCLE, LUTZ, FL, 33558

Plan administrator’s name and address
Administrator’s EIN 203420452
Plan administrator’s name SUNDARI PLASTICS, LLC
Plan administrator’s address 17723 HUNTING BOW CIRCLE, LUTZ, FL, 33558
Administrator’s telephone number 7273785808
SUNDARI PLASTICS, LLC 401(K) CROSS TESTED PROFIT SHARING PLAN 2018 203420452 2019-07-10 SUNDARI PLASTICS, LLC 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2011-07-15
Business code 621111
Sponsor’s telephone number 7273785808
Plan sponsor’s address 17723 HUNTING BOW CIRCLE, LUTZ, FL, 33558

Plan administrator’s name and address
Administrator’s EIN 203420452
Plan administrator’s name SUNDARI PLASTICS, LLC
Plan administrator’s address 17723 HUNTING BOW CIRCLE, LUTZ, FL, 33558
Administrator’s telephone number 7273785808

Signature of
Role Plan administrator
Date 2019-07-10
Name of individual signing DR JOHN B ROACH
Valid signature Filed with authorized/valid electronic signature
SUNDARI PLASTICS, LLC 401(K) CROSS TESTED PROFIT SHARING PLAN 2017 203420452 2018-07-24 SUNDARI PLASTICS, LLC 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2011-07-15
Business code 621111
Sponsor’s telephone number 7273785808
Plan sponsor’s address 17723 HUNTING BOW CIRCLE, LUTZ, FL, 33558

Plan administrator’s name and address
Administrator’s EIN 203420452
Plan administrator’s name SUNDARI PLASTICS, LLC
Plan administrator’s address 17723 HUNTING BOW CIRCLE, LUTZ, FL, 33558
Administrator’s telephone number 7273785808
SUNDARI PLASTICS, LLC 401(K) CROSS TESTED PROFIT SHARING PLAN 2016 203420452 2018-01-15 SUNDARI PLASTICS, LLC 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2011-07-15
Business code 621111
Sponsor’s telephone number 7273785808
Plan sponsor’s address 17723 HUNTING BOW CIRCLE, LUTZ, FL, 33558

Plan administrator’s name and address
Administrator’s EIN 203420452
Plan administrator’s name SUNDARI PLASTICS, LLC
Plan administrator’s address 17723 HUNTING BOW CIRCLE, LUTZ, FL, 33558
Administrator’s telephone number 7273785808
SUNDARI PLASTICS, LLC 401(K) CROSS TESTED PROFIT SHARING PLAN 2015 203420452 2016-10-16 SUNDARI PLASTICS, LLC 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2011-07-15
Business code 621111
Sponsor’s telephone number 7273785808
Plan sponsor’s address 17723 HUNTING BOW CIRCLE, LUTZ, FL, 33558

Plan administrator’s name and address
Administrator’s EIN 203420452
Plan administrator’s name SUNDARI PLASTICS, LLC
Plan administrator’s address 17723 HUNTING BOW CIRCLE, LUTZ, FL, 33558
Administrator’s telephone number 7273785808
SUNDARI PLASTICS, LLC 401(K) CROSS TESTED PROFIT SHARING PLAN 2014 203420452 2015-10-09 SUNDARI PLASTICS, LLC 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2011-07-15
Business code 621111
Sponsor’s telephone number 7273785808
Plan sponsor’s address 3743 FLORAMAR TERRACE, NEW PORT RICHEY, FL, 34652

Plan administrator’s name and address
Administrator’s EIN 203420452
Plan administrator’s name SUNDARI PLASTICS, LLC
Plan administrator’s address 3743 FLORAMAR TERRACE, NEW PORT RICHEY, FL, 34652
Administrator’s telephone number 7273785808

Signature of
Role Plan administrator
Date 2015-10-09
Name of individual signing DR JOHN B ROACH
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
ROACH JOHN B Agent 17723 Hunting Bow Circle, Lutz, FL, 33558

Managing Member

Name Role Address
ROACH JOHN D Managing Member 17723 Hunting Bow Circle, Lutz, FL, 33558

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G10000053724 BAYSIDE CENTER FOR PLASTIC AND RECONSTRUCTIVE SURGERY EXPIRED 2010-06-14 2015-12-31 No data 3743 FLORAMAR TERRACE, NEW PORT RICHEY, FL, 34652

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2015-01-11 17723 Hunting Bow Circle, Suite 101, Lutz, FL 33558 No data
REGISTERED AGENT ADDRESS CHANGED 2015-01-11 17723 Hunting Bow Circle, Suite 101, Lutz, FL 33558 No data
CHANGE OF MAILING ADDRESS 2015-01-11 17723 Hunting Bow Circle, Suite 101, Lutz, FL 33558 No data
REGISTERED AGENT NAME CHANGED 2010-06-14 ROACH, JOHN B No data
CANCEL ADM DISS/REV 2009-10-09 No data No data
ADMIN DISSOLUTION FOR ANNUAL REPORT 2009-09-25 No data No data
CANCEL ADM DISS/REV 2008-10-23 No data No data
ADMIN DISSOLUTION FOR ANNUAL REPORT 2008-09-26 No data No data
CANCEL ADM DISS/REV 2007-03-31 No data No data
ADMIN DISSOLUTION FOR ANNUAL REPORT 2006-09-15 No data No data

Documents

Name Date
ANNUAL REPORT 2025-01-18
ANNUAL REPORT 2024-01-05
ANNUAL REPORT 2023-01-14
ANNUAL REPORT 2022-01-25
ANNUAL REPORT 2021-01-05
ANNUAL REPORT 2020-01-15
ANNUAL REPORT 2019-02-10
ANNUAL REPORT 2018-01-10
ANNUAL REPORT 2017-01-10
ANNUAL REPORT 2016-01-13

Related by officers

ROACH JOHN B

BAYSIDE CENTER FOR PLASTIC AND RECONSTRUCTIVE SURGERY PL BLUEFIN REALTY LLC BAYSIDE CENTER INVESTMENTS LLC

Related by address

17723 Hunting Bow Circle, Lutz, FL, 33558, US

BAYSIDE CENTER FOR PLASTIC AND RECONSTRUCTIVE SURGERY PL BAYSIDE CENTER INVESTMENTS LLC

17723 Hunting Bow Circle, Lutz, FL, 33558, US

BAYSIDE CENTER FOR PLASTIC AND RECONSTRUCTIVE SURGERY PL BAYSIDE CENTER INVESTMENTS LLC

Date of last update: 01 Feb 2025

Sources: Florida Department of State

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