| Entity Name: | DIETITIANS OF PALM VALLEY, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: |
Florida Limited Liability Co.
DIETITIANS OF PALM VALLEY, LLC is structured as a Limited Liability Company (LLC), a common business structure that offers its members limited liability protection, separating their personal assets from the company's debts and obligations. |
| Status: |
Inactive
The business entity is inactive. This status may signal operational issues or voluntary closure, raising concerns about the business's ability to repay loans and requiring careful risk assessment by lenders. |
| Date Filed: | 18 Dec 2006 (18 years ago) |
| Date of dissolution: | 26 Dec 2020 (4 years ago) |
| Last Event: | VOLUNTARY DISSOLUTION |
| Event Date Filed: | 26 Dec 2020 (4 years ago) |
| Document Number: | L06000120396 |
| FEI/EIN Number |
208058974
Federal Employer Identification (FEI) Number assigned by the IRS. |
| Address: | 230 Canal Blvd., suite 2, PONTE VEDRA BEACH, FL, 32082, US |
| Mail Address: | 230 Canal Blvd., suite 2, PONTE VEDRA BEACH, FL, 32082, US |
| ZIP code: | 32082 |
| County: | St. Johns |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1215572854 | 2019-11-07 | 2019-11-07 | 230 CANAL BLVD STE 2, PONTE VEDRA, FL, 320823745, US | 230 CANAL BLVD STE 2, PONTE VEDRA, FL, 320823745, US | |||||||||||||
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| Phone | +1 904-250-0075 |
Authorized person
| Name | SAMANTHA ELISE PREVITE |
| Role | CO-OWNER |
| Phone | 7248165561 |
Taxonomy
| Taxonomy Code | 261QH0100X - Health Service Clinic/Center |
| Is Primary | Yes |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| DIETITIANS OF PALM VALLEY LLC 401(K) PROFIT SHARING PLAN & TRUST | 2020 | 208058974 | 2021-04-19 | DIETITIANS OF PALM VALLEY LLC | 2 | |||||||||||||||||||||||
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| Role | Plan administrator |
| Date | 2021-04-19 |
| Name of individual signing | SAMANTHA PREVITE |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2019-01-01 |
| Business code | 541990 |
| Sponsor’s telephone number | 9046738329 |
| Plan sponsor’s address | 230 CANAL BLVD STE 2, PONTE VEDRA BEACH, FL, 320823745 |
Signature of
| Role | Plan administrator |
| Date | 2020-07-07 |
| Name of individual signing | MINDY BLACK |
| Valid signature | Filed with authorized/valid electronic signature |
| Name | Role | Address |
|---|---|---|
| BLACK MINDY | Manager | 230 CANAL BLVD., SUITE 2, PONTE VEDRA BEACH, FL, 32082 |
| BLACK MINDY C | Agent | 601 MAGNOLIA STREET, NEPTUNE BEACH, FL, 32266 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| VOLUNTARY DISSOLUTION | 2020-12-26 | - | - |
| CHANGE OF PRINCIPAL ADDRESS | 2020-01-21 | 230 Canal Blvd., suite 2, PONTE VEDRA BEACH, FL 32082 | - |
| CHANGE OF MAILING ADDRESS | 2020-01-21 | 230 Canal Blvd., suite 2, PONTE VEDRA BEACH, FL 32082 | - |
| LC NAME CHANGE | 2016-12-23 | DIETITIANS OF PALM VALLEY, LLC | - |
| REGISTERED AGENT ADDRESS CHANGED | 2010-01-11 | 601 MAGNOLIA STREET, NEPTUNE BEACH, FL 32266 | - |
| Name | Date |
|---|---|
| VOLUNTARY DISSOLUTION | 2020-12-26 |
| ANNUAL REPORT | 2020-01-21 |
| ANNUAL REPORT | 2019-02-18 |
| ANNUAL REPORT | 2018-07-02 |
| ANNUAL REPORT | 2017-01-13 |
| LC Name Change | 2016-12-23 |
| ANNUAL REPORT | 2016-03-02 |
| ANNUAL REPORT | 2015-03-25 |
| ANNUAL REPORT | 2014-03-07 |
| ANNUAL REPORT | 2013-05-03 |
| Loan Number | Loan Funded Date | SBA Origination Office Code | Loan Delivery Method | Borrower Street Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| 4839577310 | 2020-04-30 | 0491 | PPP | 230 CANAL BLVD suite 2, PONTE VEDRA BEACH, FL, 32082-3745 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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Date of last update: 02 Apr 2025
Sources: Florida Department of State
