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  5. CLEARWATER SURGICAL ASSOCIATES, PLLC

CLEARWATER SURGICAL ASSOCIATES, PLLC - Florida Company Profile

Company Details

Entity Name: CLEARWATER SURGICAL ASSOCIATES, PLLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.

CLEARWATER SURGICAL ASSOCIATES, PLLC 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.
In Florida, LLCs are governed by Title XXXVI, Chapter 605, Florida Revised Limited Liability Company Act
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: 09 Mar 2009 (16 years ago)
Date of dissolution: 06 Aug 2024 (7 months ago)
Last Event: VOLUNTARY DISSOLUTION
Event Date Filed: 06 Aug 2024 (7 months ago)
Document Number: L09000022714
FEI/EIN Number 264416321

Federal Employer Identification (FEI) Number assigned by the IRS.
Address: 1106 DRUID ROAD SOUTH, SUITE 301, CLEARWATER, FL, 33756
Mail Address: 1106 DRUID ROAD SOUTH, SUITE 301, CLEARWATER, FL, 33756
ZIP code: 33756
County: Pinellas
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1811222847 2009-10-08 2009-10-08 1106 DRUID ROAD SOUTH, SUITE 301, CLEARWATER, FL, 33756, US 8839 BRYAN DAIRY ROAD, SUITE 310, LARGO, FL, 33777, US

Contacts
Phone +1 727-446-5681
Fax 7274425505

Authorized person
Name DR. KURT V. ERICKSON
Role MANAGING PARTNER
Phone 7274465681

Taxonomy
Taxonomy Code 208600000X - Surgery Physician
Is Primary Yes

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
CSA 401(K) PROFIT SHARING PLAN 2023 264416321 2024-03-28 CLEARWATER SURGICAL ASSOCIATES PLLC 14
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-01-01
Business code 621111
Sponsor’s telephone number 7274465681
Plan sponsor’s address 1106 DRUID ROAD SOUTH, SUITE 301, CLEARWATER, FL, 33756
CSA 401(K) PROFIT SHARING PLAN 2022 264416321 2023-07-27 CLEARWATER SURGICAL ASSOCIATES PLLC 15
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-01-01
Business code 621111
Sponsor’s telephone number 7274465681
Plan sponsor’s address 1106 DRUID ROAD SOUTH, SUITE 301, CLEARWATER, FL, 33756
CSA 401(K) PROFIT SHARING PLAN 2021 264416321 2022-10-04 CLEARWATER SURGICAL ASSOCIATES PLLC 16
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-01-01
Business code 621111
Sponsor’s telephone number 7274465681
Plan sponsor’s address 1106 DRUID ROAD SOUTH, SUITE 301, CLEARWATER, FL, 33756

Signature of
Role Plan administrator
Date 2022-10-04
Name of individual signing KURT ERICKSON
Valid signature Filed with authorized/valid electronic signature
CSA 401(K) PROFIT SHARING PLAN 2020 264416321 2021-05-11 CLEARWATER SURGICAL ASSOCIATES PLLC 17
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-01-01
Business code 621111
Sponsor’s telephone number 7274465681
Plan sponsor’s address 1106 DRUID ROAD SOUTH, SUITE 301, CLEARWATER, FL, 33756
CSA 401(K) PROFIT SHARING PLAN 2019 264416321 2020-10-15 CLEARWATER SURGICAL ASSOCIATES PLLC 17
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-01-01
Business code 621111
Sponsor’s telephone number 7274465681
Plan sponsor’s address 1106 DRUID ROAD SOUTH, SUITE 301, CLEARWATER, FL, 33756
CSA 401(K) PROFIT SHARING PLAN 2018 264416321 2019-09-26 CLEARWATER SURGICAL ASSOCIATES PLLC 16
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-01-01
Business code 621111
Sponsor’s telephone number 7274465681
Plan sponsor’s address 1106 DRUID ROAD SOUTH, SUITE 301, CLEARWATER, FL, 33756
CSA 401(K) PROFIT SHARING PLAN 2017 264416321 2018-06-21 CLEARWATER SURGICAL ASSOCIATES PLLC 16
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-01-01
Business code 621111
Sponsor’s telephone number 7274465681
Plan sponsor’s address 1106 DRUID ROAD SOUTH, SUITE 301, CLEARWATER, FL, 33756
CSA 401(K) PROFIT SHARING PLAN 2016 264416321 2018-01-30 CLEARWATER SURGICAL ASSOCIATES, PLLC 20
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-01-01
Business code 621111
Sponsor’s telephone number 7274465681
Plan sponsor’s address 1106 DRUID ROAD SOUTH, SUITE 301, CLEARWATER, FL, 33756
CSA 401(K) PROFIT SHARING PLAN 2015 264416321 2016-07-27 CLEARWATER SURGICAL ASSOCIATES PLLC 21
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-01-01
Business code 621111
Sponsor’s telephone number 7274465681
Plan sponsor’s address 1106 DRUID ROAD SOUTH, SUITE 301, CLEARWATER, FL, 33756

Signature of
Role Plan administrator
Date 2016-07-27
Name of individual signing KURT ERICKSON MD
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2016-07-27
Name of individual signing KURT ERICKSON MD
Valid signature Filed with authorized/valid electronic signature
CSA 401(K) PROFIT SHARING PLAN 2014 264416321 2015-10-01 CLEARWATER SURGICAL ASSOCIATES PLLC 20
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-01-01
Business code 621111
Sponsor’s telephone number 7274465681
Plan sponsor’s address 1106 DRUID ROAD SOUTH, SUITE 301, CLEARWATER, FL, 33756

Signature of
Role Plan administrator
Date 2015-10-01
Name of individual signing KURT ERICKSON
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2015-10-01
Name of individual signing KURT ERICKSON
Valid signature Filed with authorized/valid electronic signature

Key Officers & Management

Name Role Address
ERICKSON KURT V Managing Member 1106 DRUID ROAD SOUTH, SUITE 301, CLEARWATER, FL, 33756
TIRONE THOMAS A Treasurer 1106 DRUID ROAD SOUTH SUITE 301, CLEARWATER, FL, 33756
RODRIGUEZ RICHARD D Vice President 1106 DRUID ROAD SOUTH, SUITE 301, CLEARWATER, FL, 33756
STEWART VALERIE Chief Financial Officer 1106 DRUID ROAD SOUTH SUITE 301, CLEARWATER, FL, 33756
ERICKSON KURT V Agent 1106 DRUID ROAD SOUTH, CLEARWATER, FL, 33756

Events

Event Type Filed Date Value Description
VOLUNTARY DISSOLUTION 2024-08-06 - -
CHANGE OF MAILING ADDRESS 2010-03-25 1106 DRUID ROAD SOUTH, SUITE 301, CLEARWATER, FL 33756 -
REGISTERED AGENT NAME CHANGED 2010-03-25 ERICKSON, KURT VMD -
REGISTERED AGENT ADDRESS CHANGED 2010-03-25 1106 DRUID ROAD SOUTH, SUITE 301, CLEARWATER, FL 33756 -

Documents

Name Date
VOLUNTARY DISSOLUTION 2024-08-06
ANNUAL REPORT 2023-02-15
ANNUAL REPORT 2022-03-07
ANNUAL REPORT 2021-03-30
ANNUAL REPORT 2020-05-21
ANNUAL REPORT 2019-03-25
ANNUAL REPORT 2018-01-16
ANNUAL REPORT 2017-04-06
ANNUAL REPORT 2016-03-30
ANNUAL REPORT 2015-01-13

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Companies related by address

1106 DRUID ROAD SOUTH, SUITE 301, CLEARWATER, FL, 33756

DRUID ASSOCIATES, LLC SIERRA PROPERTY HOLDINGS, LLC

1106 DRUID ROAD SOUTH, SUITE 301, CLEARWATER, FL, 33756

DRUID ASSOCIATES, LLC SIERRA PROPERTY HOLDINGS, LLC

Date of last update: 02 Mar 2025

Sources: Florida Department of State

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