| Entity Name: | SANCTUARY MEDICAL AESTHETIC CENTER LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Inactive |
| Date Filed: | 15 Nov 2005 (19 years ago) |
| Date of dissolution: | 23 Sep 2016 (8 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 23 Sep 2016 (8 years ago) |
| Document Number: | L05000112167 |
| FEI/EIN Number | 80-0138746 |
| Address: | 4800 N. FEDERAL HIGHWAY, SUITE C100, BOCA RATON, FL 33431 |
| Mail Address: | 4800 N. FEDERAL HIGHWAY, SUITE C100, BOCA RATON, FL 33431 |
| ZIP code: | 33431 |
| County: | Palm Beach |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1801028618 | 2009-08-12 | 2014-04-14 | 4800 N FEDERAL HWY, SUITE C100, BOCA RATON, FL, 334315188, US | 4800 N FEDERAL HWY, SUITE C100, BOCA RATON, FL, 334315188, US | |||||||||||||||||||
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| Phone | +1 561-886-0970 |
| Fax | 5618860981 |
Authorized person
| Name | CINDYANN SENKIER |
| Role | OFFICE MANAGER |
| Phone | 5618860970 |
Taxonomy
| Taxonomy Code | 174400000X - Specialist |
| License Number | ME64073 |
| State | FL |
| Is Primary | Yes |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| SANCTUARY MEDICAL AESTHETIC 401K PROFIT SHARING PLAN & TRUST | 2016 | 800138746 | 2017-01-04 | SANCTUARY MEDICAL AESTHETIC CENTER LLC | 0 | |||||||||||||||||||||||||||||||||
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| Administrator’s EIN | 800138746 |
| Plan administrator’s name | SANCTUARY MEDICAL AESTHETIC CENTER LLC |
| Plan administrator’s address | 4800 N FEDERAL HWY, C101, BOCA RATON, FL, 33431 |
| Administrator’s telephone number | 5613679101 |
Signature of
| Role | Plan administrator |
| Date | 2017-01-04 |
| Name of individual signing | MITCHELL TAYLOR |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2009-01-01 |
| Business code | 621111 |
| Plan sponsor’s DBA name | SMAC |
| Plan sponsor’s address | 4800 N FEDERAL HWY C100, BOCA RATON, FL, 33431 |
Signature of
| Role | Plan administrator |
| Date | 2016-12-12 |
| Name of individual signing | MITCHELL TAYLOR |
| Valid signature | Filed with authorized/valid electronic signature |
| Role | Employer/plan sponsor |
| Date | 2016-12-12 |
| Name of individual signing | MITCHELL TAYLOR |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2009-01-01 |
| Business code | 621111 |
| Sponsor’s telephone number | 5613679101 |
| Plan sponsor’s address | 4800 N FEDERAL HWY, C101, BOCA RATON, FL, 33431 |
Plan administrator’s name and address
| Administrator’s EIN | 800138746 |
| Plan administrator’s name | SANCTUARY MEDICAL AESTHETIC CENTER LLC |
| Plan administrator’s address | 4800 N FEDERAL HWY, C101, BOCA RATON, FL, 33431 |
| Administrator’s telephone number | 5613679101 |
Signature of
| Role | Plan administrator |
| Date | 2012-12-10 |
| Name of individual signing | MITCHELL TAYLOR |
| Valid signature | Filed with authorized/valid electronic signature |
| Name | Role | Address |
|---|---|---|
| NANNA, TUOYO | Agent | 4800 N FEDERAL HWY, SUITE C101, BOCA RATON, FL 33431 |
| Name | Role | Address |
|---|---|---|
| POZNER, JASON NMD | Managing Member | 4800 N FEDERAL HWY C-101, BOCA RATON, FL 33431 |
| GOLDBERG, DAVID MD | Managing Member | 4800 N FEDERAL HWY C-101, BOCA RATON, FL 33431 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G11000087994 | SANCTUARY MEDICAL CENTER | EXPIRED | 2011-09-06 | 2016-12-31 | No data | 4800 N. FEDERAL HWY, SUITE C100, BOCA RATON, FL, 33431 |
| G09084900242 | SMAC | EXPIRED | 2009-03-25 | 2014-12-31 | No data | 4800 N. FEDERAL HWY, SUITE C100, BOCA RATON, FL, 33431 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2016-09-23 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2015-04-21 | NANNA, TUOYO | No data |
| CHANGE OF MAILING ADDRESS | 2011-04-20 | 4800 N. FEDERAL HIGHWAY, SUITE C100, BOCA RATON, FL 33431 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2009-04-22 | 4800 N. FEDERAL HIGHWAY, SUITE C100, BOCA RATON, FL 33431 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2008-04-30 | 4800 N FEDERAL HWY, SUITE C101, BOCA RATON, FL 33431 | No data |
| LC NAME CHANGE | 2007-10-02 | SANCTUARY MEDICAL AESTHETIC CENTER LLC | No data |
| LC NAME CHANGE | 2007-03-14 | AURA MD LLC | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2015-04-21 |
| ANNUAL REPORT | 2014-04-30 |
| ANNUAL REPORT | 2013-04-18 |
| ANNUAL REPORT | 2012-04-30 |
| ANNUAL REPORT | 2011-04-20 |
| ANNUAL REPORT | 2010-04-21 |
| ANNUAL REPORT | 2009-04-22 |
| ANNUAL REPORT | 2008-04-30 |
| LC Name Change | 2007-10-02 |
| ANNUAL REPORT | 2007-03-14 |
Date of last update: 03 Jan 2025
Sources: Florida Department of State
