Menu
Search icon
  1. Home Page
    2. ›
  2. Counties
    3. ›
  3. Pinellas
    4. ›
  4. 34698
    5. ›
  5. ORTHOSPORTS, LLC

ORTHOSPORTS, LLC

Company Details

Entity Name: ORTHOSPORTS, LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Inactive
Date Filed: 22 Dec 2005 (19 years ago)
Date of dissolution: 26 Dec 2018 (6 years ago)
Last Event: VOLUNTARY DISSOLUTION
Event Date Filed: 26 Dec 2018 (6 years ago)
Document Number: L05000121832
FEI/EIN Number 203991316
Address: 1022 MAIN STREET, DUNEDIN, FL, 34698, US
Mail Address: 131 STUART ROAD, FAIRFIELD, VA, 24435, US
ZIP code: 34698
County: Pinellas
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1598989402 2007-04-12 2008-11-12 3251 MCMULLEN BOOTH RD, SUITE 201, CLEARWATER, FL, 337612022, US 3251 MCMULLEN BOOTH RD, SUITE 201, CLEARWATER, FL, 337612022, US

Contacts
Phone +1 727-725-6231
Fax 7277914563

Authorized person
Name BRIAN C OLIVER
Role MEMBER MANAGER
Phone 7277256231

Taxonomy
Taxonomy Code 332B00000X - Durable Medical Equipment & Medical Supplies
License Number ME57739
State FL
Is Primary Yes

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
ORTHOSPORTS LLC 401(K) PLAN 2018 203991316 2019-10-07 ORTHOSPORTS LLC 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-01-01
Business code 621399
Sponsor’s telephone number 7277256231
Plan sponsor’s address 3251 N. MCMULLEN BOOTH ROAD, SUITE 201, CLEARWATER, FL, 33761

Plan administrator’s name and address
Administrator’s EIN 203991316
Plan administrator’s name ORTHOSPORTS LLC
Plan administrator’s address 3251 N. MCMULLEN BOOTH ROAD, SUITE 201, CLEARWATER, FL, 33761
Administrator’s telephone number 7277256231

Signature of
Role Plan administrator
Date 2019-10-07
Name of individual signing WILLIAM OLIVER
Valid signature Filed with authorized/valid electronic signature
ORTHOSPORTS, LLC DEFINED BENEFIT PENSION PLAN 2018 203991316 2019-10-07 ORTHOSPORTS, LLC 19
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2009-01-01
Business code 621399
Sponsor’s telephone number 7277256231
Plan sponsor’s address 3251 N. MCMULLEN BOOTH RD, SUITE 201, CLEARWATER, FL, 33761

Plan administrator’s name and address
Administrator’s EIN 203991316
Plan administrator’s name ORTHOSPORTS, LLC
Plan administrator’s address 3251 N. MCMULLEN BOOTH RD, SUITE 201, CLEARWATER, FL, 33761
Administrator’s telephone number 7277256231

Signature of
Role Plan administrator
Date 2019-10-07
Name of individual signing WILLIAM OLIVER
Valid signature Filed with authorized/valid electronic signature
ORTHOSPORTS, LLC DEFINED BENEFIT PENSION PLAN 2017 203991316 2018-10-15 ORTHOSPORTS, LLC 19
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2009-01-01
Business code 621399
Sponsor’s telephone number 7277256231
Plan sponsor’s address 3251 N. MCMULLEN BOOTH RD, SUITE 201, CLEARWATER, FL, 33761

Plan administrator’s name and address
Administrator’s EIN 203991316
Plan administrator’s name ORTHOSPORTS, LLC
Plan administrator’s address 3251 N. MCMULLEN BOOTH RD, SUITE 201, CLEARWATER, FL, 33761
Administrator’s telephone number 7277256231

Signature of
Role Plan administrator
Date 2018-10-15
Name of individual signing WILLIAM OLIVER
Valid signature Filed with authorized/valid electronic signature
ORTHOSPORTS LLC 401(K) PLAN 2017 203991316 2018-10-16 ORTHOSPORTS LLC 21
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-01-01
Business code 621399
Sponsor’s telephone number 7277256231
Plan sponsor’s address 3251 N. MCMULLEN BOOTH ROAD, SUITE 201, CLEARWATER, FL, 33761

Plan administrator’s name and address
Administrator’s EIN 203991316
Plan administrator’s name ORTHOSPORTS LLC
Plan administrator’s address 3251 N. MCMULLEN BOOTH ROAD, SUITE 201, CLEARWATER, FL, 33761
Administrator’s telephone number 7277256231

Signature of
Role Plan administrator
Date 2018-10-16
Name of individual signing WILLIAM OLIVER
Valid signature Filed with authorized/valid electronic signature
ORTHOSPORTS LLC 401(K) PLAN 2016 203991316 2017-08-04 ORTHOSPORTS LLC 19
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-01-01
Business code 621399
Sponsor’s telephone number 7277256231
Plan sponsor’s address 3251 N. MCMULLEN BOOTH ROAD, SUITE 201, CLEARWATER, FL, 33761

Plan administrator’s name and address
Administrator’s EIN 203991316
Plan administrator’s name ORTHOSPORTS LLC
Plan administrator’s address 3251 N. MCMULLEN BOOTH ROAD, SUITE 201, CLEARWATER, FL, 33761
Administrator’s telephone number 7277256231

Signature of
Role Plan administrator
Date 2017-08-04
Name of individual signing WILLIAM OLIVER
Valid signature Filed with authorized/valid electronic signature
ORTHOSPORTS, LLC DEFINED BENEFIT PENSION PLAN 2016 203991316 2017-08-04 ORTHOSPORTS, LLC 18
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2009-01-01
Business code 621399
Sponsor’s telephone number 7277256231
Plan sponsor’s address 3251 N. MCMULLEN BOOTH RD, SUITE 201, CLEARWATER, FL, 33761

Plan administrator’s name and address
Administrator’s EIN 203991316
Plan administrator’s name ORTHOSPORTS, LLC
Plan administrator’s address 3251 N. MCMULLEN BOOTH RD, SUITE 201, CLEARWATER, FL, 33761
Administrator’s telephone number 7277256231

Signature of
Role Plan administrator
Date 2017-08-04
Name of individual signing WILLIAM OLIVER
Valid signature Filed with authorized/valid electronic signature
ORTHOSPORTS LLC 401(K) PLAN 2015 203991316 2016-10-17 ORTHOSPORTS LLC 17
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-01-01
Business code 621399
Sponsor’s telephone number 7277256231
Plan sponsor’s address 3251 N. MCMULLEN BOOTH ROAD, SUITE 201, CLEARWATER, FL, 33761

Plan administrator’s name and address
Administrator’s EIN 203991316
Plan administrator’s name ORTHOSPORTS LLC
Plan administrator’s address 3251 N. MCMULLEN BOOTH ROAD, SUITE 201, CLEARWATER, FL, 33761
Administrator’s telephone number 7277256231

Signature of
Role Plan administrator
Date 2016-10-17
Name of individual signing BRIAN C. OLIVER
Valid signature Filed with authorized/valid electronic signature
ORTHOSPORTS, LLC DEFINED BENEFIT PENSION PLAN 2015 203991316 2016-10-17 ORTHOSPORTS, LLC 15
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2009-01-01
Business code 621399
Sponsor’s telephone number 7277256231
Plan sponsor’s address 3251 N. MCMULLEN BOOTH RD, SUITE 201, CLEARWATER, FL, 33761

Plan administrator’s name and address
Administrator’s EIN 203991316
Plan administrator’s name ORTHOSPORTS, LLC
Plan administrator’s address 3251 N. MCMULLEN BOOTH RD, SUITE 201, CLEARWATER, FL, 33761
Administrator’s telephone number 7277256231

Signature of
Role Plan administrator
Date 2016-10-17
Name of individual signing BRIAN C. OLIVER
Valid signature Filed with authorized/valid electronic signature
ORTHOSPORTS LLC 401(K) PLAN 2014 203991316 2015-10-28 ORTHOSPORTS LLC 19
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-01-01
Business code 621399
Sponsor’s telephone number 7277256231
Plan sponsor’s address 3251 N. MCMULLEN BOOTH ROAD, SUITE 201, CLEARWATER, FL, 33761

Plan administrator’s name and address
Administrator’s EIN 203991316
Plan administrator’s name ORTHOSPORTS LLC
Plan administrator’s address 3251 N. MCMULLEN BOOTH ROAD, SUITE 201, CLEARWATER, FL, 33761
Administrator’s telephone number 7277256231

Signature of
Role Plan administrator
Date 2015-10-28
Name of individual signing BRIAN C. OLIVER
Valid signature Filed with authorized/valid electronic signature
ORTHOSPORTS, LLC DEFINED BENEFIT PENSION PLAN 2014 203991316 2015-10-28 ORTHOSPORTS, LLC 14
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2009-01-01
Business code 621399
Sponsor’s telephone number 7277256231
Plan sponsor’s address 3251 N. MCMULLEN BOOTH RD, SUITE 201, CLEARWATER, FL, 33761

Plan administrator’s name and address
Administrator’s EIN 203991316
Plan administrator’s name ORTHOSPORTS, LLC
Plan administrator’s address 3251 N. MCMULLEN BOOTH RD, SUITE 201, CLEARWATER, FL, 33761
Administrator’s telephone number 7277256231

Signature of
Role Plan administrator
Date 2015-10-28
Name of individual signing BRIAN C. OLIVER
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
BATES LONDON LESQ Agent 1022 MAIN STREET, DUNEDIN, FL, 34698

Manager

Name Role Address
OLIVER WILLIAM R Manager 131 STUART ROAD, FAIRFIELD, VA, 24435

Events

Event Type Filed Date Value Description
VOLUNTARY DISSOLUTION 2018-12-26 No data No data
CHANGE OF PRINCIPAL ADDRESS 2018-02-02 1022 MAIN STREET, UNIT K, DUNEDIN, FL 34698 No data
CHANGE OF MAILING ADDRESS 2018-02-02 1022 MAIN STREET, UNIT K, DUNEDIN, FL 34698 No data
REGISTERED AGENT ADDRESS CHANGED 2018-02-02 1022 MAIN STREET, UNIT K, DUNEDIN, FL 34698 No data
REGISTERED AGENT NAME CHANGED 2017-01-19 BATES, LONDON L, ESQ No data
REINSTATEMENT 2011-04-18 No data No data
ADMIN DISSOLUTION FOR ANNUAL REPORT 2009-09-25 No data No data

Documents

Name Date
VOLUNTARY DISSOLUTION 2018-12-26
ANNUAL REPORT 2018-02-02
ANNUAL REPORT 2017-01-19
ANNUAL REPORT 2016-01-27
ANNUAL REPORT 2015-01-14
ANNUAL REPORT 2014-03-24
ANNUAL REPORT 2013-01-15
ANNUAL REPORT 2012-01-12
Reinstatement 2011-04-18
ANNUAL REPORT 2008-08-12

Related by officers

OLIVER WILLIAM R

ORTHOSURG LLC BALD EAGLE SCAFFOLD PRODUCTS, INC.

BATES LONDON LESQ

ORTHOSURG LLC SUCCORE INC.

Related by address

1022 MAIN STREET, DUNEDIN, FL, 34698, US

ORTHOSURG LLC 2CND STREET HOLDINGS OF SAFETY HARBOR, LLC HERITAGE OAKS CONDOMINIUM ASSOCIATION, INC.

131 STUART ROAD, FAIRFIELD, VA, 24435, US

ORTHOSURG LLC

Date of last update: 01 Feb 2025

Sources: Florida Department of State

Privacy policy Policy
About us About us
Contacts Contact us

© 2025 flprofile.com, Part of Big Data Integrated