| Entity Name: | CASTLETON FAMILY PRACTICE LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Inactive |
| Date Filed: | 03 Apr 2006 (19 years ago) |
| Date of dissolution: | 27 Sep 2024 (5 months ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 27 Sep 2024 (5 months ago) |
| Document Number: | L06000039570 |
| FEI/EIN Number | 510581299 |
| Address: | 210 JUPITER LAKES BOULEVARD, #3-201, JUPITER, FL, 33458, US |
| Mail Address: | 420 S STATE ROAD 7 #112, ROYAL PALM BEACH, FL, 33414, US |
| ZIP code: | 33458 |
| County: | Palm Beach |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1952419608 | 2006-08-25 | 2012-08-28 | 210 JUPITER LAKES BOULEVARD, BUILDING 3000, SUITE 102, JUPITER, FL, 334587831, US | 210 JUPITER LAKES BOULEVARD, BUILDING 3000, SUITE 102, JUPITER, FL, 334587831, US | |||||||||||||||
|
|||||||||||||||||||
| Phone | +1 561-748-5456 |
| Fax | 5617485460 |
Authorized person
| Name | MS. EMMIEL M MAY-ANDRIS |
| Role | SOLE MEMBER |
| Phone | 6517485456 |
Taxonomy
| Taxonomy Code | 261QP2300X - Primary Care Clinic/Center |
| Is Primary | Yes |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| CASTLETON FAMILY PRACTICE LLC - 401(K) | 2022 | 510581299 | 2023-07-23 | CASTLETON FAMILY PRACTICE LLC | 3 | |||||||||||||||||||||||
|
||||||||||||||||||||||||||||
| Role | Plan administrator |
| Date | 2023-07-23 |
| Name of individual signing | EMMIEL ANDRIS |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2020-01-01 |
| Business code | 621111 |
| Sponsor’s telephone number | 5615960169 |
| Plan sponsor’s address | 420 S STATE ROAD 7 STE 112, WEST PALM BEACH, FL, 33414 |
Signature of
| Role | Plan administrator |
| Date | 2022-06-11 |
| Name of individual signing | EMMIEL ANDRIS |
| Valid signature | Filed with authorized/valid electronic signature |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2020-01-01 |
| Business code | 621111 |
| Sponsor’s telephone number | 5615960169 |
| Plan sponsor’s address | 420 S STATE ROAD 7 STE 112, WEST PALM BEACH, FL, 33414 |
Signature of
| Role | Plan administrator |
| Date | 2022-05-26 |
| Name of individual signing | EMMIEL ANDRIS |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2020-01-01 |
| Business code | 621111 |
| Sponsor’s telephone number | 5615960169 |
| Plan sponsor’s address | 420 S STATE ROAD 7 STE 112, WEST PALM BEACH, FL, 33414 |
Signature of
| Role | Plan administrator |
| Date | 2022-06-27 |
| Name of individual signing | EMMIEL ANDRIS |
| Valid signature | Filed with authorized/valid electronic signature |
| Name | Role | Address |
|---|---|---|
| Emmiel May M | Agent | 420 S. STATE ROAD 7, ROYAL PALM BEACH, FL, 33414 |
| Name | Role | Address |
|---|---|---|
| MAY-ANDRIS EMMIEL M | Managing Member | 10542 VERSAILLES BOULEVARD, WELLINGTON, FL, 33449 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2024-09-27 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2023-02-08 | Emmiel, May M | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2015-01-22 | 420 S. STATE ROAD 7, SUITE 112, ROYAL PALM BEACH, FL 33414 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2014-10-21 | 210 JUPITER LAKES BOULEVARD, #3-201, JUPITER, FL 33458 | No data |
| CHANGE OF MAILING ADDRESS | 2014-10-21 | 210 JUPITER LAKES BOULEVARD, #3-201, JUPITER, FL 33458 | No data |
| CANCEL ADM DISS/REV | 2007-11-16 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2007-09-14 | No data | No data |
| Document Number | Status | Case Number | Name of Court | Date of Entry | Expiration Date | Amount Due | Plaintiff |
|---|---|---|---|---|---|---|---|
| J12000510688 | LAPSED | 502012CA003025XXXXMB | 15TH JUDICIAL, PALM BEACH CO. | 2012-06-25 | 2017-07-09 | $117,147.59 | JMC PARTNERS, LTD., 900 BROKEN SOUND PARKWAY, NW, SUITE 125, BOCA RATON, FL 333487 |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2023-02-08 |
| ANNUAL REPORT | 2022-01-03 |
| ANNUAL REPORT | 2021-01-09 |
| ANNUAL REPORT | 2020-01-28 |
| ANNUAL REPORT | 2019-01-15 |
| ANNUAL REPORT | 2018-01-02 |
| ANNUAL REPORT | 2017-01-03 |
| ANNUAL REPORT | 2016-02-25 |
| ANNUAL REPORT | 2015-01-22 |
| ANNUAL REPORT | 2014-01-22 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
