| Entity Name: | DIETITIANS OF PALM VALLEY, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Inactive |
| 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 | 20-8058974 |
| Address: | 230 Canal Blvd., suite 2, PONTE VEDRA BEACH, FL 32082 |
| Mail Address: | 230 Canal Blvd., suite 2, PONTE VEDRA BEACH, FL 32082 |
| 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 C | Agent | 601 MAGNOLIA STREET, NEPTUNE BEACH, FL 32266 |
| Name | Role | Address |
|---|---|---|
| BLACK, MINDY | Manager | 230 CANAL BLVD., SUITE 2, PONTE VEDRA BEACH, FL 32082 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| VOLUNTARY DISSOLUTION | 2020-12-26 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2020-01-21 | 230 Canal Blvd., suite 2, PONTE VEDRA BEACH, FL 32082 | No data |
| CHANGE OF MAILING ADDRESS | 2020-01-21 | 230 Canal Blvd., suite 2, PONTE VEDRA BEACH, FL 32082 | No data |
| LC NAME CHANGE | 2016-12-23 | DIETITIANS OF PALM VALLEY, LLC | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2010-01-11 | 601 MAGNOLIA STREET, NEPTUNE BEACH, FL 32266 | No data |
| 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 |
Date of last update: 27 Jan 2025
Sources: Florida Department of State
