| Entity Name: | PALM BAY URGENT CARE, P.L. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Inactive |
| Date Filed: | 03 Jul 2007 (18 years ago) |
| Date of dissolution: | 20 Mar 2023 (2 years ago) |
| Last Event: | LC VOLUNTARY DISSOLUTION |
| Event Date Filed: | 20 Mar 2023 (2 years ago) |
| Document Number: | L07000070293 |
| FEI/EIN Number | 260481944 |
| Address: | 1155 MALABAR ROAD UNIT 10, PALM BAY, FL, 32907 |
| Mail Address: | 10019 Reisterstown Rd, 3rd floor, Owings Mills, MD, 21117, US |
| ZIP code: | 32907 |
| County: | Brevard |
| Place of Formation: | FLORIDA |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| PALM BAY URGENT CARE 401(K) PLAN | 2011 | 260481944 | 2012-10-12 | PALM BAY URGENT CARE, P.L. | 4 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| Administrator’s EIN | 260481944 |
| Plan administrator’s name | PALM BAY URGENT CARE, P.L. |
| Plan administrator’s address | 1155 MALABAR ROAD N.E., SUITE 10, PALM BAY, FL, 32907 |
| Administrator’s telephone number | 3217233627 |
Signature of
| Role | Plan administrator |
| Date | 2012-10-12 |
| Name of individual signing | BJORN DIMBERG |
| Valid signature | Filed with authorized/valid electronic signature |
| Role | Employer/plan sponsor |
| Date | 2012-10-12 |
| Name of individual signing | BJORN DIMBERG |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2009-01-01 |
| Business code | 621111 |
| Sponsor’s telephone number | 3217233627 |
| Plan sponsor’s address | 1155 MALABAR ROAD N.E., SUITE 10, PALM BAY, FL, 32907 |
Plan administrator’s name and address
| Administrator’s EIN | 260481944 |
| Plan administrator’s name | PALM BAY URGENT CARE, P.L. |
| Plan administrator’s address | 1155 MALABAR ROAD N.E., SUITE 10, PALM BAY, FL, 32907 |
| Administrator’s telephone number | 3217233627 |
Signature of
| Role | Plan administrator |
| Date | 2011-07-15 |
| Name of individual signing | BJORN DIMBERG |
| Valid signature | Filed with authorized/valid electronic signature |
| Role | Employer/plan sponsor |
| Date | 2011-07-15 |
| Name of individual signing | BJORN DIMBERG |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2009-01-01 |
| Business code | 621111 |
| Sponsor’s telephone number | 4075563474 |
| Plan sponsor’s mailing address | 7003 FIVE OAKS DRIVE, HARMONY, FL, 34773 |
| Plan sponsor’s address | 7003 FIVE OAKS DRIVE, HARMONY, FL, 34773 |
Plan administrator’s name and address
| Administrator’s EIN | 260481944 |
| Plan administrator’s name | PALM BAY URGENT CARE, P.L. |
| Plan administrator’s address | 7003 FIVE OAKS DRIVE, HARMONY, FL, 34773 |
| Administrator’s telephone number | 4075563474 |
Number of participants as of the end of the plan year
| Active participants | 3 |
| Retired or separated participants receiving benefits | 0 |
| Other retired or separated participants entitled to future benefits | 0 |
| Deceased participants whose beneficiaries are receiving or are entitled to receive benefits | 0 |
| Number of participants with account balances as of the end of the plan year | 3 |
| Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested | 0 |
Signature of
| Role | Plan administrator |
| Date | 2010-10-04 |
| Name of individual signing | LAWRENCE SMITH |
| Valid signature | Filed with authorized/valid electronic signature |
| Role | Employer/plan sponsor |
| Date | 2010-10-04 |
| Name of individual signing | LAWRENCE SMITH |
| Valid signature | Filed with authorized/valid electronic signature |
| Name | Role |
|---|---|
| SBM CARE, LLC | Agent |
| Name | Role | Address |
|---|---|---|
| Bargman Sarah | Cont | 10019 Reisterstown Rd, 3rd floor, Owings Mills, MD, 21117 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF MAILING ADDRESS | 2023-04-11 | 1155 MALABAR ROAD UNIT 10, PALM BAY, FL 32907 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2023-04-11 | 1155 MALABAR ROAD UNIT 10, PALM BAY, FL 32907 | No data |
| REGISTERED AGENT NAME CHANGED | 2023-04-11 | SBM Care LLC | No data |
| LC VOLUNTARY DISSOLUTION | 2023-03-20 | No data | No data |
| REINSTATEMENT | 2016-09-29 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2016-09-23 | No data | No data |
| CANCEL ADM DISS/REV | 2010-01-18 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2009-09-25 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2008-04-19 | 1155 MALABAR ROAD UNIT 10, PALM BAY, FL 32907 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2023-04-11 |
| LC Voluntary Dissolution | 2023-03-20 |
| ANNUAL REPORT | 2022-03-12 |
| ANNUAL REPORT | 2021-03-08 |
| ANNUAL REPORT | 2020-05-29 |
| ANNUAL REPORT | 2019-03-04 |
| ANNUAL REPORT | 2018-02-16 |
| ANNUAL REPORT | 2017-03-18 |
| REINSTATEMENT | 2016-09-29 |
| ANNUAL REPORT | 2015-01-07 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
