| Entity Name: | LIGHTSOURCE IMAGING SOLUTIONS, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Inactive |
| Date Filed: | 23 Feb 2010 (15 years ago) |
| Date of dissolution: | 08 Jan 2015 (10 years ago) |
| Last Event: | VOLUNTARY DISSOLUTION |
| Event Date Filed: | 08 Jan 2015 (10 years ago) |
| Document Number: | L10000020360 |
| FEI/EIN Number | 271982295 |
| Address: | 210 OLD DIXIE HWY, VERO BEACH, FL, 32962 |
| Mail Address: | 210 OLD DIXIE HWY, VERO BEACH, FL, 32962 |
| ZIP code: | 32962 |
| County: | Indian River |
| Place of Formation: | FLORIDA |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| LIGHTSOURCE UMAGING SOLUTIONS 401(K) PROFIT SHARING PLAN & TRUST | 2013 | 271982295 | 2014-06-17 | LIGHTSOURCE IMAGING SOLUTIONS | 22 | |||||||||||||||||||||||||||||||
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| Role | Plan administrator |
| Date | 2014-06-17 |
| Name of individual signing | GEORGE POTOCHNEY |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2010-01-01 |
| Business code | 423400 |
| Sponsor’s telephone number | 7725625046 |
| Plan sponsor’s address | 210 OLD DIXIE HWY, VERO BEACH, FL, 329622929 |
Signature of
| Role | Plan administrator |
| Date | 2013-07-23 |
| Name of individual signing | LIGHTSOURCE IMAGING SOLUTIONS, |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2010-01-01 |
| Business code | 423400 |
| Sponsor’s telephone number | 7725625046 |
| Plan sponsor’s address | 210 OLD DIXIE HWY, VERO BEACH, FL, 329622929 |
Plan administrator’s name and address
| Administrator’s EIN | 271982295 |
| Plan administrator’s name | LIGHTSOURCE IMAGING SOLUTIONS, |
| Plan administrator’s address | 210 OLD DIXIE HWY, VERO BEACH, FL, 329622929 |
| Administrator’s telephone number | 7725625046 |
Signature of
| Role | Plan administrator |
| Date | 2012-07-18 |
| Name of individual signing | LIGHTSOURCE IMAGING SOLUTIONS, |
| Valid signature | Filed with authorized/valid electronic signature |
| Name | Role | Address |
|---|---|---|
| OWENS V. JEAN E | Agent | C/O OWENS LAW GROUP, P.A., RUSKIN, FL, 335736724 |
| Name | Role | Address |
|---|---|---|
| POTOCHNEY GEORGE J | Manager | 210 Old Dixie Highway, VERO BEACH, FL, 32962 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G10000060704 | LIGHT SOURCE BUSINESS SYSTEMS | EXPIRED | 2010-07-01 | 2015-12-31 | No data | 210 OLD DIXIE HWY, VERO BEACH, FL, 32962 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| VOLUNTARY DISSOLUTION | 2015-01-08 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2011-01-10 | 210 OLD DIXIE HWY, VERO BEACH, FL 32962 | No data |
| CHANGE OF MAILING ADDRESS | 2011-01-10 | 210 OLD DIXIE HWY, VERO BEACH, FL 32962 | No data |
| Name | Date |
|---|---|
| VOLUNTARY DISSOLUTION | 2015-01-08 |
| ANNUAL REPORT | 2014-02-06 |
| ANNUAL REPORT | 2013-02-25 |
| ANNUAL REPORT | 2012-01-04 |
| ANNUAL REPORT | 2011-01-10 |
| FEI | 2010-11-23 |
| Florida Limited Liability | 2010-02-23 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
