| Entity Name: | WATERMARK MEDICAL, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Inactive |
| Date Filed: | 06 Mar 2008 (17 years ago) |
| Date of dissolution: | 03 May 2010 (15 years ago) |
| Last Event: | CONVERSION |
| Event Date Filed: | 03 May 2010 (15 years ago) |
| Document Number: | L08000024054 |
| FEI/EIN Number | 262114817 |
| Address: | 1750 CLINT MOORE RD, STE 101, BOCA RATON, FL, 33487, US |
| Mail Address: | 1750 CLINT MOORE RD, STE 101, BOCA RATON, FL, 33487, US |
| ZIP code: | 33487 |
| County: | Palm Beach |
| Place of Formation: | FLORIDA |
| Type | Company Name | Company Number | State |
|---|---|---|---|
| Headquarter of | WATERMARK MEDICAL, LLC, NEW YORK | 3820890 | NEW YORK |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| WATERMARK MEDICAL 401(K) PLAN | 2013 | 262114817 | 2014-10-06 | WATERMARK MEDICAL, LLC | 52 | |||||||||||||||||||||||||||||||||||||||||
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| WATERMARK MEDICAL 401(K) PLAN | 2013 | 262114817 | 2014-10-06 | WATERMARK MEDICAL, LLC | 46 | |||||||||||||||||||||||||||||||||||||||||
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| WATERMARK MEDICAL 401(K) PLAN | 2012 | 262114817 | 2014-06-19 | WATERMARK MEDICAL, LLC | 53 | |||||||||||||||||||||||||||||||||||||||||
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| Role | Plan administrator |
| Date | 2014-06-19 |
| Name of individual signing | JACK FIEDOR |
| Valid signature | Filed with authorized/valid electronic signature |
| Role | Employer/plan sponsor |
| Date | 2014-06-19 |
| Name of individual signing | JACK FIEDOR |
| Valid signature | Filed with authorized/valid electronic signature |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2011-01-01 |
| Business code | 621111 |
| Sponsor’s telephone number | 5619100208 |
| Plan sponsor’s address | 1750 CLINT MOORE ROAD, SUITE 101, BOCA RATON, FL, 33487 |
Signature of
| Role | Plan administrator |
| Date | 2013-05-22 |
| Name of individual signing | JACK FIEDOR |
| Valid signature | Filed with authorized/valid electronic signature |
| Role | Employer/plan sponsor |
| Date | 2013-05-22 |
| Name of individual signing | JACK FIEDOR |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2011-01-01 |
| Business code | 621111 |
| Sponsor’s telephone number | 5619100208 |
| Plan sponsor’s address | 1750 CLINT MOORE ROAD, SUITE 101, BOCA RATON, FL, 33487 |
Plan administrator’s name and address
| Administrator’s EIN | 262114817 |
| Plan administrator’s name | WATERMARK MEDICAL, LLC |
| Plan administrator’s address | 1750 CLINT MOORE ROAD, SUITE 101, BOCA RATON, FL, 33487 |
| Administrator’s telephone number | 5619100208 |
Signature of
| Role | Plan administrator |
| Date | 2012-06-29 |
| Name of individual signing | JACK FIEDOR |
| Valid signature | Filed with authorized/valid electronic signature |
| Role | Employer/plan sponsor |
| Date | 2012-06-29 |
| Name of individual signing | JACK FIEDOR |
| Valid signature | Filed with authorized/valid electronic signature |
| Name | Role | Address |
|---|---|---|
| ZISKA MAURA A | Agent | KOCHMAN & ZISKA PLC, WEST PALM BEACH, FL, 33401 |
| Name | Role | Address |
|---|---|---|
| HEYNIGER SEAN | Managing Member | 1750 CLINT MOORE ROAD STE 101, BOCA RATON, FL, 33487 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CONVERSION | 2010-05-03 | No data | CONVERSION MEMBER. NON-QUALIFIED CORPORATION WAS WATERMARK MEDICAL, INC. (A DELAWARE. CONVERSION NUMBER 700000104747 |
| CHANGE OF PRINCIPAL ADDRESS | 2009-10-19 | 1750 CLINT MOORE RD, STE 101, BOCA RATON, FL 33487 | No data |
| CHANGE OF MAILING ADDRESS | 2009-10-19 | 1750 CLINT MOORE RD, STE 101, BOCA RATON, FL 33487 | No data |
| Name | Date |
|---|---|
| Conversion | 2010-05-03 |
| ANNUAL REPORT | 2010-03-17 |
| ANNUAL REPORT | 2009-04-28 |
| Florida Limited Liability | 2008-03-06 |
Date of last update: 02 Jan 2025
Sources: Florida Department of State
