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  5. SUNRISE PEDIATRICS, LLC

SUNRISE PEDIATRICS, LLC

Company Details

Entity Name: SUNRISE PEDIATRICS, LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Active
Date Filed: 13 Apr 2009 (16 years ago)
Last Event: REINSTATEMENT
Event Date Filed: 27 Apr 2011 (14 years ago)
Document Number: L09000035576
FEI/EIN Number 264657960
Address: 25103 HWY 27, Lake Wales, FL, 33859, US
Mail Address: 25103 HWY 27, Lake Wales, FL, 33859, US
ZIP code: 33859
County: Polk
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1891939989 2009-04-21 2019-04-25 25103 HWY 27, LAKE WALES, FL, 338596843, US 25103 HWY 27, LAKE WALES, FL, 338596843, US

Contacts
Phone +1 863-734-0344
Fax 8634391540

Authorized person
Name JAGDEEP PRUTHI
Role OWNER
Phone 8637340344

Taxonomy
Taxonomy Code 208000000X - Pediatrics Physician
Is Primary Yes

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
SUNRISE PEDIATRICS, LLC DEFINED BENEFIT PENSION PLAN 2023 264657960 2024-09-18 SUNRISE PEDIATRICS, LLC 7
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2013-01-01
Business code 621111
Sponsor’s telephone number 8637340344
Plan sponsor’s address 25103 HWY 27, LAKE WALES, FL, 33859
SUNRISE PEDIATRICS, LLC DEFINED BENEFIT PENSION PLAN 2022 264657960 2023-10-06 SUNRISE PEDIATRICS, LLC 6
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2013-01-01
Business code 621111
Sponsor’s telephone number 8637340344
Plan sponsor’s address 25103 HWY 27, LAKE WALES, FL, 33859
SUNRISE PEDIATRICS, LLC DEFINED BENEFIT PENSION PLAN 2021 264657960 2022-10-03 SUNRISE PEDIATRICS, LLC 4
Three-digit plan number (PN) 002
Effective date of plan 2013-01-01
Business code 621111
Sponsor’s telephone number 8637340344
Plan sponsor’s address 25103 HWY 27, LAKE WALES, FL, 33859
SUNRISE PEDIATRICS, LLC DEFINED BENEFIT PENSION PLAN 2021 264657960 2023-10-06 SUNRISE PEDIATRICS, LLC 4
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2013-01-01
Business code 621111
Sponsor’s telephone number 8637340344
Plan sponsor’s address 25103 HWY 27, LAKE WALES, FL, 33859
SUNRISE PEDIATRICS RETIREMENT PLAN 2021 311068213 2022-10-17 SUNRISE PEDIATRICS 13
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1995-08-01
Business code 621111
Sponsor’s telephone number 3055842900
Plan sponsor’s address 6766 W SUNRISE BLVD STE 101, PLANTATION, FL, 333136072

Signature of
Role Plan administrator
Date 2022-10-17
Name of individual signing LYNDA BARRIE
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2022-10-17
Name of individual signing LYNDA BARRIE
Valid signature Filed with authorized/valid electronic signature
SUNRISE PEDIATRICS RETIREMENT PLAN 2020 311068213 2021-10-14 SUNRISE PEDIATRICS 11
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1995-08-01
Business code 621111
Sponsor’s telephone number 3055842900
Plan sponsor’s address 6766 W SUNRISE BLVD STE 101, PLANTATION, FL, 333136072

Signature of
Role Plan administrator
Date 2021-10-14
Name of individual signing LYNDA BARRIE
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2021-10-14
Name of individual signing LYNDA BARRIE
Valid signature Filed with authorized/valid electronic signature
SUNRISE PEDIATRICS, LLC DEFINED BENEFIT PENSION PLAN 2020 264657960 2021-10-03 SUNRISE PEDIATRICS, LLC 6
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2013-01-01
Business code 621111
Sponsor’s telephone number 8637340344
Plan sponsor’s address 25103 HWY 27, LAKE WALES, FL, 33859
SUNRISE PEDIATRICS RETIREMENT PLAN 2020 311068213 2022-01-12 SUNRISE PEDIATRICS 20
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1995-08-01
Business code 621111
Sponsor’s telephone number 3055842900
Plan sponsor’s address 6766 W SUNRISE BLVD STE 101, PLANTATION, FL, 333136072

Signature of
Role Plan administrator
Date 2022-01-11
Name of individual signing LYNDA BARRIE
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2022-01-11
Name of individual signing LYNDA BARRIE
Valid signature Filed with authorized/valid electronic signature
SUNRISE PEDIATRICS, LLC DEFINED BENEFIT PENSION PLAN 2019 264657960 2020-10-05 SUNRISE PEDIATRICS, LLC 5
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2013-01-01
Business code 621111
Sponsor’s telephone number 8637340344
Plan sponsor’s address 25103 HWY 27, LAKE WALES, FL, 33859
SUNRISE PEDIATRICS RETIREMENT PLAN 2019 311068213 2020-09-30 SUNRISE PEDIATRICS 12
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1995-08-01
Business code 621111
Sponsor’s telephone number 3055842900
Plan sponsor’s address 6766 W SUNRISE BLVD STE 101, PLANTATION, FL, 333136072

Signature of
Role Plan administrator
Date 2020-09-30
Name of individual signing LYNDA BARRIE
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2020-09-30
Name of individual signing LYNDA BARRIE
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
PRUTHI JAGDEEP Agent 2653 WYNDSOR OAKS WAY, WINTER HAVEN, FL, 33884

Managing Member

Name Role Address
PRUTHI JAGDEEP S Managing Member 25103 HWY 27, Lake Wales, FL, 33859

Events

Event Type Filed Date Value Description
REGISTERED AGENT ADDRESS CHANGED 2022-01-31 2653 WYNDSOR OAKS WAY, WINTER HAVEN, FL 33884 No data
CHANGE OF MAILING ADDRESS 2019-02-07 25103 HWY 27, Lake Wales, FL 33859 No data
CHANGE OF PRINCIPAL ADDRESS 2015-02-11 25103 HWY 27, Lake Wales, FL 33859 No data
REINSTATEMENT 2011-04-27 No data No data
REGISTERED AGENT NAME CHANGED 2011-04-27 PRUTHI, JAGDEEP No data
ADMIN DISSOLUTION FOR ANNUAL REPORT 2010-09-24 No data No data

Documents

Name Date
ANNUAL REPORT 2025-01-13
ANNUAL REPORT 2024-02-05
ANNUAL REPORT 2023-02-07
ANNUAL REPORT 2022-01-31
ANNUAL REPORT 2021-02-01
ANNUAL REPORT 2020-02-04
ANNUAL REPORT 2019-02-07
ANNUAL REPORT 2018-02-05
ANNUAL REPORT 2017-01-09
ANNUAL REPORT 2016-01-24

Related by officers

PRUTHI JAGDEEP

PRUTHI INVESTMENTS LLC

Related by address

25103 HWY 27, Lake Wales, FL, 33859, US

PRUTHI INVESTMENTS LLC

25103 HWY 27, Lake Wales, FL, 33859, US

PRUTHI INVESTMENTS LLC

Date of last update: 02 Feb 2025

Sources: Florida Department of State

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