| Entity Name: | KEYSTONE BEHAVIORAL PEDIATRICS, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Inactive |
| Date Filed: | 05 Nov 2007 (17 years ago) |
| Date of dissolution: | 27 Sep 2024 (4 months ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 27 Sep 2024 (4 months ago) |
| Document Number: | L07000111663 |
| FEI/EIN Number | 261430763 |
| Address: | 172 Canal Blvd, Ponte Vedra Beach, FL, 32082, US |
| Mail Address: | 172 Canal Blvd, 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 | |||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1962158386 | 2022-02-24 | 2022-02-24 | 172 CANAL BLVD, PONTE VEDRA BEACH, FL, 320823606, US | 171 CANAL BLVD STE 2, PONTE VEDRA BEACH, FL, 320823607, US | |||||||||||||||||||||||||||
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| Phone | +1 904-373-0082 |
| Fax | 9046717377 |
Authorized person
| Name | MATTHEW DELANEY |
| Role | CHIEF CLINICAL OFFICER |
| Phone | 9043730082 |
Taxonomy
| Taxonomy Code | 103K00000X - Behavior Analyst |
| Is Primary | No |
| Taxonomy Code | 103T00000X - Psychologist |
| Is Primary | Yes |
| Taxonomy Code | 225X00000X - Occupational Therapist |
| Is Primary | No |
| Taxonomy Code | 235Z00000X - Speech-Language Pathologist |
| Is Primary | No |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| KEYSTONE BEHAVIORAL PEDIATRICS, LLC 401(K) PLAN | 2022 | 261430763 | 2023-10-16 | KEYSTONE BEHAVIORAL PEDIATRICS | 111 | |||||||||||||||||||||||||||||||||||||||||||||||
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| KEYSTONE BEHAVIORAL PEDIATRICS 401K PROFIT SHARING PLAN & TRUST | 2018 | 261430763 | 2019-05-15 | KEYSTONE BEHAVIORAL PEDIATRICS | 119 | |||||||||||||||||||||||||||||||||||||||||||||||
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| KEYSTONE BEHAVIORAL PEDIATRICS 401K PROFIT SHARING PLAN & TRUST | 2017 | 261430763 | 2018-07-25 | KEYSTONE BEHAVIORAL PEDIATRICS | 119 | |||||||||||||||||||||||||||||||||||||||||||||||
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| KEYSTONE BEHAVIORAL PEDIATRICS 401K PROFIT SHARING PLAN & TRUST | 2014 | 261430763 | 2015-10-08 | KEYSTONE BEHAVIORAL PEDIATRICS | 102 | |||||||||||||||||||||||||||||||||||||||||||||||
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| Role | Plan administrator |
| Date | 2015-10-08 |
| Name of individual signing | LAUREN MAYNARD |
| 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 | 621330 |
| Sponsor’s telephone number | 9046196071 |
| Plan sponsor’s address | 6867 SOUTHSIDE DRIVE NORTH, SUITE 101, JACKSONVILLE, FL, 32216 |
Signature of
| Role | Plan administrator |
| Date | 2014-06-02 |
| Name of individual signing | ERIC MILLER |
| 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 | 9046196071 |
| Plan sponsor’s address | 6867 SOUTHSIDE DRIVE NORTH, SUITE 106, JACKSONVILLE, FL, 32216 |
Signature of
| Role | Plan administrator |
| Date | 2013-10-24 |
| Name of individual signing | ERIC MILLER |
| 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 |
| Plan sponsor’s mailing address | 6867 SOUTHPOINT DRIVE NORTH, SUITE 101, JACKSONVILLE, FL, 32216 |
| Plan sponsor’s address | 6867 SOUTHPOINT DRIVE NORTH, SUITE 101, JACKSONVILLE, FL, 32216 |
Plan administrator’s name and address
| Administrator’s EIN | 261430763 |
| Plan administrator’s name | KEYSTONE BEHAVIORAL PEDIATRICS |
| Plan administrator’s address | 6867 SOUTHPOINT DRIVE NORTH, SUITE 101, JACKSONVILLE, FL, 32216 |
Number of participants as of the end of the plan year
| Active participants | 1 |
Signature of
| Role | Plan administrator |
| Date | 2013-10-16 |
| Name of individual signing | ERIC MILLER |
| Valid signature | Filed with authorized/valid electronic signature |
| Role | Employer/plan sponsor |
| Date | 2013-10-16 |
| Name of individual signing | ERIC MILLER |
| 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 | 9046196071 |
| Plan sponsor’s mailing address | 6867 SOUTHPOINT DRIVE NORTH, SUITE 101, JACKSONVILLE, FL, 32219 |
| Plan sponsor’s address | 6867 SOUTHPOINT DRIVE NORTH, SUITE 101, JACKSONVILLE, FL, 32219 |
Plan administrator’s name and address
| Administrator’s EIN | 261430763 |
| Plan administrator’s name | KEYSTONE BEHAVIORAL PEDIATRICS |
| Plan administrator’s address | 6867 SOUTHPOINT DRIVE NORTH, SUITE 101, JACKSONVILLE, FL, 32219 |
| Administrator’s telephone number | 9046196071 |
Number of participants as of the end of the plan year
| Active participants | 35 |
| Number of participants with account balances as of the end of the plan year | 1 |
Signature of
| Role | Plan administrator |
| Date | 2013-10-16 |
| Name of individual signing | ERIC MILLER |
| Valid signature | Filed with authorized/valid electronic signature |
| Role | Employer/plan sponsor |
| Date | 2013-10-16 |
| Name of individual signing | ERIC MILLER |
| 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 | 9046196071 |
| Plan sponsor’s address | 6867 SOUTHPOINT DRIVE N, JACKSONVILLE, FL, 322160000 |
Plan administrator’s name and address
| Administrator’s EIN | 261430763 |
| Plan administrator’s name | KEYSTONE BEHAVIORAL PEDIATRICS |
| Plan administrator’s address | 6867 SOUTHPOINT DRIVE N, JACKSONVILLE, FL, 322160000 |
| Administrator’s telephone number | 9046196071 |
Signature of
| Role | Plan administrator |
| Date | 2010-07-30 |
| Name of individual signing | KEYSTONE BEHAVIORAL PEDIATRICS |
| Valid signature | Filed with authorized/valid electronic signature |
| Name | Role | Address |
|---|---|---|
| FALWELL KATHERINE | Agent | 172 Canal Blvd, Ponte Vedra Beach, FL, 32082 |
| Name | Role | Address |
|---|---|---|
| FALWELL KATHERINE D | Manager | 172 Canal Blvd, Ponte Vedra Beach, FL, 32082 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G17000017814 | MOSAIC DAY SCHOOL | EXPIRED | 2017-02-17 | 2022-12-31 | No data | 6867 SOUTHPOINT DRIVE NORTH, SUITE 108, JACKSONVILLE, FL, 32216 |
| G16000035681 | KEYSTONE BY THE SEA | EXPIRED | 2016-04-07 | 2021-12-31 | No data | 6867 SOUTHPOINT DR NORTH, JACKSONVILLE, FL, 32216 |
| G13000056970 | KEYSTONE CHILD DEVELOPMENT CENTER | EXPIRED | 2013-06-10 | 2018-12-31 | No data | 6867 SOUTHPOINT DR. N, SUITE 101, JACKSONVILLE, FL, 32216 |
| G13000010019 | KEYSTONE REHABILITATIVE MEDICINE | EXPIRED | 2013-01-29 | 2018-12-31 | No data | 6867 SOUTHPOINT DR. N., SUITE 103, JACKSONVILLE, FL, 32216 |
| G10000022992 | THE KEYSTONE ACADEMY | EXPIRED | 2010-03-11 | 2015-12-31 | No data | 6867 SOUTHPOINT DR. NORTH, SUITE 106, JACKSONVILLE, FL, 32216 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2024-09-27 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2020-01-20 | 172 Canal Blvd, Ponte Vedra Beach, FL 32082 | No data |
| CHANGE OF MAILING ADDRESS | 2020-01-20 | 172 Canal Blvd, Ponte Vedra Beach, FL 32082 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2020-01-20 | 172 Canal Blvd, Ponte Vedra Beach, FL 32082 | No data |
| REINSTATEMENT | 2012-10-01 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2012-09-28 | No data | No data |
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| Ashley Lemay-Kwaiser, an Individual and Mother of J.L., C.L., and M.L., Minor Children, Appellant(s), v. Markel Insurance Company, Philadelphia Indemnity Insurance Company, Keystone Behavioral Pediatrics, Katherine Falwell, Melissa Lemay, and James Lemay, Appellee(s). | 5D2024-3498 | 2024-12-20 | Open | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| Name | Ashley Lemay-Kwaiser |
| Role | Appellant |
| Status | Active |
| Representations | Thomas Evan Shepard |
| Name | J.L. A Minor Child |
| Role | Appellant |
| Status | Active |
| Name | C.L., A Minor Child |
| Role | Appellant |
| Status | Active |
| Name | M.L., A Minor Child |
| Role | Appellant |
| Status | Active |
| Name | MARKEL INSURANCE COMPANY |
| Role | Appellee |
| Status | Active |
| Representations | Matthew John Lavisky, Joseph Hagedorn Lang, Jr. |
| Name | PHILADELPHIA INDEMNITY INSURANCE COMPANY |
| Role | Appellee |
| Status | Active |
| Representations | Lauren S Curtis |
| Name | KEYSTONE BEHAVIORAL PEDIATRICS, LLC |
| Role | Appellee |
| Status | Active |
| Representations | Robindra Nath Khanal |
| Name | Katherine Falwell |
| Role | Appellee |
| Status | Active |
| Name | Melissa Lemay |
| Role | Appellee |
| Status | Active |
| Name | James Lemay |
| Role | Appellee |
| Status | Active |
| Name | Hon. Michael Scott Orfinger |
| Role | Judge/Judicial Officer |
| Status | Active |
| Name | St. Johns Clerk |
| Role | Lower Tribunal Clerk |
| Status | Active |
Docket Entries
| Docket Date | 2025-01-03 |
| Type | Event |
| Subtype | Cross Notice Fee Paid |
| Description | Cross Notice Fee Paid |
| On Behalf Of | Markel Insurance Company |
| View | View File |
| Docket Date | 2025-01-03 |
| Type | Notice |
| Subtype | Notice of Cross Appeal |
| Description | Notice of Cross Appeal |
| On Behalf Of | Markel Insurance Company |
| Docket Date | 2025-01-03 |
| Type | Order |
| Subtype | Order on Filing Fee |
| Description | Order to pay Filing Fee - CROSS APPEAL - Fee Paid |
| View | View File |
| Docket Date | 2024-12-30 |
| Type | Notice |
| Subtype | Amended Notice of Appeal |
| Description | Amended Notice of Appeal per 12/26/2024 Order - Filed Below 12/30/2024 |
| On Behalf Of | Ashley Lemay-Kwaiser |
| Docket Date | 2024-12-26 |
| Type | Order |
| Subtype | Amended/Additional Filing(s) Needed |
| Description | Amended/Additional Filing(s) Needed; AA W/IN 10 DYS FILE AMENDED NOA |
| View | View File |
| Docket Date | 2024-12-20 |
| Type | Event |
| Subtype | Fee Paid Through Portal |
| Description | Fee Paid Through Portal |
| View | View File |
| Docket Date | 2024-12-20 |
| Type | Order |
| Subtype | Order on Filing Fee |
| Description | Order to pay Filing Fee |
| View | View File |
| Docket Date | 2024-12-20 |
| Type | Letter |
| Subtype | Acknowledgment Letter |
| Description | Acknowledgment Letter |
| View | View File |
| Docket Date | 2024-12-20 |
| Type | Notice |
| Subtype | Notice of Appeal |
| Description | FILED BELOW: 12/19/2024 |
| Classification | Original Proceedings - Circuit Civil - Certiorari |
| Court | 5th District Court of Appeal |
| Originating Court |
Circuit Court for the Seventh Judicial Circuit, St. Johns County 2020-CA-000357 |
Parties
| Name | MARKEL INSURANCE COMPANY |
| Role | Petitioner |
| Status | Active |
| Representations | Joseph Hagedorn Lang, Jr. |
| Name | Ashley Lemay-Kwaiser |
| Role | Respondent |
| Status | Active |
| Representations | Thomas Evan Shepard, Mark Boyle, Alexander Brockmeyer |
| Name | J.L., a Child |
| Role | Respondent |
| Status | Active |
| Name | C.L., a Child |
| Role | Respondent |
| Status | Active |
| Name | M.L., a Child |
| Role | Respondent |
| Status | Active |
| Name | KEYSTONE BEHAVIORAL PEDIATRICS, LLC |
| Role | Respondent |
| Status | Active |
| Representations | Michael Jefferey Rigelsky |
| Name | Katherine Falwell |
| Role | Respondent |
| Status | Active |
| Name | Melissa Lemay |
| Role | Respondent |
| Status | Active |
| Name | James Lemay |
| Role | Respondent |
| Status | Active |
| Name | PHILADELPHIA INDEMNITY INSURANCE COMPANY |
| Role | Respondent |
| Status | Active |
| Representations | Lauren S Curtis, Sarah Ashley Wilkins |
| Name | Hon. Michael Scott Orfinger |
| Role | Judge/Judicial Officer |
| Status | Active |
Docket Entries
| Docket Date | 2024-10-29 |
| Type | Order |
| Subtype | Order on Motion/Request for Oral Argument |
| Description | Order on Motion/Request for Oral Argument; REQ OA DENIED |
| View | View File |
| Docket Date | 2024-10-28 |
| Type | Misc. Events |
| Subtype | Miscellaneous Docket Entry |
| Description | Miscellaneous Docket Entry - REQUEST FOR ORAL ARGUMENT |
| On Behalf Of | Markel Insurance Company |
| Docket Date | 2024-10-17 |
| Type | Response |
| Subtype | Reply |
| Description | Reply to Response to Petition |
| On Behalf Of | Markel Insurance Company |
| Docket Date | 2024-10-14 |
| Type | Response |
| Subtype | Response |
| Description | Response to Motion for Attorney's Fees |
| On Behalf Of | Markel Insurance Company |
| Docket Date | 2024-10-04 |
| Type | Order |
| Subtype | Order on Motion for Extension of Time to Reply to Response |
| Description | Order on Motion for Extension of Time to Reply to Response TO 10/17 |
| View | View File |
| Docket Date | 2024-10-02 |
| Type | Motions Extensions |
| Subtype | Motion Extension of Time To Reply To Response |
| Description | Motion Extension of Time To Reply To Response |
| On Behalf Of | Markel Insurance Company |
| Docket Date | 2024-09-25 |
| Type | Record |
| Subtype | Appendix to Response |
| Description | Appendix to Response |
| On Behalf Of | Ashley Lemay-Kwaiser |
| Docket Date | 2024-09-25 |
| Type | Response |
| Subtype | Response |
| Description | Response to PETITION PER 8/5 ORDER |
| On Behalf Of | Ashley Lemay-Kwaiser |
| Docket Date | 2024-09-25 |
| Type | Motions Relating to Attorney Fees/Costs |
| Subtype | Motion For Attorney's Fees |
| Description | Motion For Attorney's Fees |
| On Behalf Of | Ashley Lemay-Kwaiser |
| Docket Date | 2024-08-23 |
| Type | Order |
| Subtype | Order on Motion for Extension of Time to File Response |
| Description | Order on Motion for Extension of Time to File Response; ASHLEY LEMAY-KWAIER RESPONSE BY 9/25 |
| View | View File |
| Docket Date | 2024-08-21 |
| Type | Motions Extensions |
| Subtype | Motion for Extension of Time to File Response |
| Description | Motion for Extension of Time to File Response |
| On Behalf Of | Ashley Lemay-Kwaiser |
| Docket Date | 2024-08-06 |
| Type | Notice |
| Subtype | Notice of Appearance |
| Description | Notice of Appearance |
| On Behalf Of | Ashley Lemay-Kwaiser |
| Docket Date | 2024-08-05 |
| Type | Order |
| Subtype | Order to File Response |
| Description | Order to File Response; RESPONSE W/IN 20 DYS; REPLY W/IN 10 DYS |
| View | View File |
| Docket Date | 2024-08-01 |
| Type | Event |
| Subtype | Fee Paid Through Portal |
| Description | Fee Paid Through Portal |
| View | View File |
| Docket Date | 2024-07-31 |
| Type | Order |
| Subtype | Order on Filing Fee |
| Description | Order on Filing Fee |
| View | View File |
| Docket Date | 2024-07-31 |
| Type | Letter |
| Subtype | Acknowledgment Letter |
| Description | Acknowledgment Letter |
| View | View File |
| Docket Date | 2024-07-31 |
| Type | Record |
| Subtype | Appendix to Petition |
| Description | Appendix to Petition |
| Docket Date | 2024-07-31 |
| Type | Petition |
| Subtype | Petition Certiorari |
| Description | Petition Certiorari - Filed Here 7/31/2024 |
| Docket Date | 2024-12-20 |
| Type | Motions Other |
| Subtype | Miscellaneous Motion |
| Description | Miscellaneous Motion to Determine Jurisdiction... |
| On Behalf Of | Markel Insurance Company |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2023-04-28 |
| ANNUAL REPORT | 2022-02-01 |
| ANNUAL REPORT | 2021-01-10 |
| ANNUAL REPORT | 2020-01-20 |
| ANNUAL REPORT | 2019-03-13 |
| ANNUAL REPORT | 2018-04-04 |
| ANNUAL REPORT | 2017-02-17 |
| AMENDED ANNUAL REPORT | 2016-12-01 |
| ANNUAL REPORT | 2016-01-22 |
| ANNUAL REPORT | 2015-01-13 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
