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  5. SARASOTA PAIN MEDICINE, PLLC

SARASOTA PAIN MEDICINE, PLLC

Company Details

Entity Name: SARASOTA PAIN MEDICINE, PLLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Inactive
Date Filed: 24 Apr 2006 (19 years ago)
Date of dissolution: 17 Aug 2020 (4 years ago)
Last Event: VOLUNTARY DISSOLUTION
Event Date Filed: 17 Aug 2020 (4 years ago)
Document Number: L06000042160
FEI/EIN Number 204690921
Address: 6756 Ashley Ct, SARASOTA, FL, 34241, US
Mail Address: 6756 Ashley Ct, SARASOTA, FL, 34241, US
ZIP code: 34241
County: Sarasota
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1366496747 2006-05-20 2013-07-10 5880 RAND BLVD STE 215, SARASOTA, FL, 34238, US 5880 RAND BLVD STE 215, SARASOTA, FL, 34238, US

Contacts
Phone +1 941-917-6610
Fax 9419176218

Authorized person
Name DONALD LOUIS ERB
Role MEDICAL DIRECTOR
Phone 9419176610

Taxonomy
Taxonomy Code 207LP2900X - Pain Medicine (Anesthesiology) Physician
License Number OS 7114
State FL
Is Primary Yes

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
SARASOTA PAIN MEDICINE 401(K) PLAN 2014 204690921 2015-09-29 SARASOTA PAIN MEDICINE, PLLC 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 621111
Sponsor’s telephone number 9419174500
Plan sponsor’s address 6756 ASHLEY COURT, SARASOTA, FL, 342419695

Signature of
Role Plan administrator
Date 2015-09-29
Name of individual signing LESLIE ERB
Valid signature Filed with authorized/valid electronic signature
SARASOTA PAIN MEDICINE, PLLC 2014 204690921 2015-09-29 SARASOTA PAIN MEDICINE, PLLC 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 621111
Sponsor’s telephone number 9419174500
Plan sponsor’s address 5880 RAND BLVD, STE 206, SARASOTA, FL, 34238

Signature of
Role Plan administrator
Date 2015-09-29
Name of individual signing LESLIE ERB
Valid signature Filed with authorized/valid electronic signature
SARASOTA PAIN MEDICINE 401(K) PLAN 2013 204690921 2014-08-29 SARASOTA PAIN MEDICINE, PLLC 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 621111
Sponsor’s telephone number 9419174500
Plan sponsor’s address 6756 ASHLEY COURT, SARASOTA, FL, 342419695

Signature of
Role Plan administrator
Date 2014-08-29
Name of individual signing LESLIE ERB
Valid signature Filed with authorized/valid electronic signature
SARASOTA PAIN MEDICINE 401(K) PLAN 2012 204690921 2013-06-20 SARASOTA PAIN MEDICINE, PLLC 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 621111
Sponsor’s telephone number 9419174500
Plan sponsor’s address 5880 RAND BLVD, STE 206, SARASOTA, FL, 34238

Signature of
Role Plan administrator
Date 2013-06-20
Name of individual signing LESLIE ERB
Valid signature Filed with authorized/valid electronic signature
SARASOTA PAIN MEDICINE 401(K) PLAN 2011 204690921 2012-08-27 SARASOTA PAIN MEDICINE, PLLC 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 621111
Sponsor’s telephone number 9419174500
Plan sponsor’s address 5880 RAND BLVD, STE 206, SARASOTA, FL, 34238

Plan administrator’s name and address
Administrator’s EIN 204690921
Plan administrator’s name SARASOTA PAIN MEDICINE, PLLC
Plan administrator’s address 5880 RAND BLVD, STE 206, SARASOTA, FL, 34238
Administrator’s telephone number 9419174500

Signature of
Role Plan administrator
Date 2012-08-27
Name of individual signing LESLIE ERB
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2012-08-27
Name of individual signing LESLIE ERB
Valid signature Filed with authorized/valid electronic signature
SARASOTA PAIN MEDICINE 401(K) PLAN 2010 204690921 2011-09-27 SARASOTA PAIN MEDICINE, PLLC 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 621111
Sponsor’s telephone number 9419174500
Plan sponsor’s address 5880 RAND BLVD, STE 206, SARASOTA, FL, 34238

Plan administrator’s name and address
Administrator’s EIN 204690921
Plan administrator’s name SARASOTA PAIN MEDICINE, PLLC
Plan administrator’s address 5880 RAND BLVD, STE 206, SARASOTA, FL, 34238
Administrator’s telephone number 9419174500

Signature of
Role Plan administrator
Date 2011-09-27
Name of individual signing LESLIE ERB
Valid signature Filed with authorized/valid electronic signature
SARASOTA PAIN MEDICINE 401(K) PLAN 2009 204690921 2010-09-09 SARASOTA PAIN MEDICINE, PLLC 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 621111
Sponsor’s telephone number 9419174500
Plan sponsor’s address 5880 RAND BLVD, STE 206, SARASOTA, FL, 34238

Plan administrator’s name and address
Administrator’s EIN 204690921
Plan administrator’s name SARASOTA PAIN MEDICINE, PLLC
Plan administrator’s address 5880 RAND BLVD, STE 206, SARASOTA, FL, 34238
Administrator’s telephone number 9419174500

Signature of
Role Plan administrator
Date 2010-09-09
Name of individual signing LESLIE ERB
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
ERB DONALD L Agent 6756 Ashley Ct, SARASOTA, FL, 34241

Managing Member

Name Role Address
ERB DONALD L Managing Member 6756 Ashley Ct, SARASOTA, FL, 34241

Events

Event Type Filed Date Value Description
VOLUNTARY DISSOLUTION 2020-08-17 No data No data
CHANGE OF PRINCIPAL ADDRESS 2014-04-30 6756 Ashley Ct, SARASOTA, FL 34241 No data
CHANGE OF MAILING ADDRESS 2014-04-30 6756 Ashley Ct, SARASOTA, FL 34241 No data
REGISTERED AGENT ADDRESS CHANGED 2014-04-30 6756 Ashley Ct, SARASOTA, FL 34241 No data

Documents

Name Date
VOLUNTARY DISSOLUTION 2020-08-17
ANNUAL REPORT 2019-04-18
ANNUAL REPORT 2018-04-19
ANNUAL REPORT 2017-04-06
ANNUAL REPORT 2016-04-29
ANNUAL REPORT 2015-04-25
ANNUAL REPORT 2014-04-30
ANNUAL REPORT 2013-04-11
ANNUAL REPORT 2012-03-31
ANNUAL REPORT 2011-04-04

Related by officers

ERB DONALD L

DONALD LOUIS ERB D.O., PA LOULOU PROPERTIES, LLC MANATEE RIVER RANCH, LLC

Related by address

6756 Ashley Ct, SARASOTA, FL, 34241, US

MANATEE RIVER RANCH, LLC

6756 Ashley Ct, SARASOTA, FL, 34241, US

MANATEE RIVER RANCH, LLC

Date of last update: 01 Feb 2025

Sources: Florida Department of State

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