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  5. SUNRISE URGENT CARE ASSOCIATES, LLC

SUNRISE URGENT CARE ASSOCIATES, LLC

Company Details

Entity Name: SUNRISE URGENT CARE ASSOCIATES, LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Active
Date Filed: 05 Mar 2010 (15 years ago)
Last Event: CONVERSION
Event Date Filed: 05 Mar 2010 (15 years ago)
Document Number: L10000024956
FEI/EIN Number 200102876
Address: 13162 US highway 301 south, Tampa, FL, 33578, US
Mail Address: 13162 US highway 301 south, Tampa, FL, 33578, US
ZIP code: 33578
County: Hillsborough
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1750433678 2007-01-18 2023-03-29 13162 US HIGHWAY 301 S, RIVERVIEW, FL, 335787410, US 13162 US HIGHWAY 301 S, RIVERVIEW, FL, 335787410, US

Contacts
Phone +1 813-677-8788
Fax 1367788068
Fax 8136778806

Authorized person
Name DR. LUIS A AGUILA
Role CEO
Phone 8136778788

Taxonomy
Taxonomy Code 207P00000X - Emergency Medicine Physician
Is Primary Yes

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
SUNRISE URGENT CARE ASSOCIATES LLC 401K PLAN 2017 200102876 2018-05-04 SUNRISE URGENT CARE ASSOCIATES LLC 36
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-02-01
Business code 621111
Sponsor’s telephone number 8136439393
Plan sponsor’s address 3444 LITHIA LINECREST ROAD, LITHIA, FL, 33596

Signature of
Role Plan administrator
Date 2018-05-04
Name of individual signing HOUSAM MOURSI
Valid signature Filed with authorized/valid electronic signature
SUNRISE URGENT CARE ASSOCIATES LLC 401K PLAN 2016 200102876 2017-05-02 SUNRISE URGENT CARE ASSOCIATES LLC 33
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-02-01
Business code 621111
Sponsor’s telephone number 8136439393
Plan sponsor’s address 3444 LITHIA LINECREST ROAD, LITHIA, FL, 33596

Signature of
Role Plan administrator
Date 2017-05-02
Name of individual signing HOUSAM MOURSI
Valid signature Filed with authorized/valid electronic signature
SUNRISE URGENT CARE ASSOCIATES LLC 401K PLAN 2015 200102876 2016-05-11 SUNRISE URGENT CARE ASSOCIATES LLC 32
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-02-01
Business code 621111
Sponsor’s telephone number 8136439393
Plan sponsor’s address 3444 LITHIA LINECREST ROAD, LITHIA, FL, 33596

Signature of
Role Plan administrator
Date 2016-05-11
Name of individual signing HOUSAM MOURSI
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2016-05-11
Name of individual signing HOUSAM MOURSI
Valid signature Filed with authorized/valid electronic signature
SUNRISE URGENT CARE ASSOCIATES LLC 401K PLAN 2014 200102876 2015-10-10 SUNRISE URGENT CARE ASSOCIATES LLC 33
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-02-01
Business code 621111
Sponsor’s telephone number 8136439393
Plan sponsor’s address 3444 LITHIA LINECREST ROAD, LITHIA, FL, 33596

Signature of
Role Plan administrator
Date 2015-10-10
Name of individual signing HOUSAM MOURSI
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2015-10-10
Name of individual signing HOUSAM MOURSI
Valid signature Filed with authorized/valid electronic signature
SUNRISE URGENT CARE ASSOCIATES LLC 401K PLAN 2014 200102876 2015-04-21 SUNRISE URGENT CARE ASSOCIATES LLC 33
Three-digit plan number (PN) 001
Effective date of plan 2006-02-01
Business code 621111
Sponsor’s telephone number 8136439393
Plan sponsor’s address 3444 LITHIA LINECREST ROAD, LITHIA, FL, 33596

Signature of
Role Plan administrator
Date 2015-04-21
Name of individual signing HOUSAM MOURSI
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2015-04-21
Name of individual signing HOUSAM MOURSI
Valid signature Filed with authorized/valid electronic signature
SUNRISE URGENT CARE ASSOCIATES LLC 401K PLAN 2013 200102876 2014-04-28 SUNRISE URGENT CARE ASSOCIATES LLC 25
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-02-01
Business code 621111
Sponsor’s telephone number 8136439393
Plan sponsor’s address 3444 LITHIA LINECREST ROAD, LITHIA, FL, 33596

Signature of
Role Plan administrator
Date 2014-04-28
Name of individual signing HOUSAM MOURSI
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2014-04-28
Name of individual signing HOUSAM MOURSI
Valid signature Filed with authorized/valid electronic signature
SUNRISE URGENT CARE ASSOCIATES LLC 401K PLAN 2012 200102876 2013-07-20 SUNRISE URGENT CARE ASSOCIATES LLC 0
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-02-01
Business code 621111
Sponsor’s telephone number 8136439393
Plan sponsor’s address 3444 LITHIA LINECREST ROAD, LITHIA, FL, 33596

Signature of
Role Plan administrator
Date 2013-07-20
Name of individual signing HOUSAM MOURSI
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2013-07-20
Name of individual signing HOUSAM MOURSI
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
AGUILA LUIS A Agent 13162 US highway 301 south, Tampa, FL, 33578

Manager

Name Role Address
AGUILA LUIS A Manager 13162 US highway 301 south, Tampa, FL, 33578

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G14000020932 LATE HOURS URGENT CARE CENTER EXPIRED 2014-02-27 2019-12-31 No data 3444 LITHIA PINECREST RD, VALRICO, FL, 33596

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2023-01-28 13162 US highway 301 south, Tampa, FL 33578 No data
CHANGE OF MAILING ADDRESS 2023-01-28 13162 US highway 301 south, Tampa, FL 33578 No data
REGISTERED AGENT ADDRESS CHANGED 2023-01-28 13162 US highway 301 south, Tampa, FL 33578 No data
CONVERSION 2010-03-05 No data GEN-COR CONVERSION RESULT. THE CONVERTING ENTITY WAS GP0300001364 ORIGINALLY FILED ON 07/17/2003. CONVERSION NUMBER 500000103345

Debts

Document Number Status Case Number Name of Court Date of Entry Expiration Date Amount Due Plaintiff
J24000095032 ACTIVE 23-CC-103288 HILLSBOROUGH COUNTY COURT 2023-12-18 2029-02-16 $17,495.90 RAPID TS, LLC, 6810 E. CHELSEA ST., TAMPA, FL 33610
J23000314393 ACTIVE 22-CA-010544 HILLSBOROUGH COUNTY CIRCUIT CT 2023-06-06 2028-07-10 $216,963.00 KRG LITHIA, LLC, 30 SOUTH MERIDIAN STREET, SUITE 1100, INDIANAPOLIS, IN 46204

Documents

Name Date
ANNUAL REPORT 2024-04-03
ANNUAL REPORT 2023-01-28
ANNUAL REPORT 2022-04-13
ANNUAL REPORT 2021-01-31
ANNUAL REPORT 2020-03-04
ANNUAL REPORT 2019-02-20
ANNUAL REPORT 2018-02-28
ANNUAL REPORT 2017-01-24
ANNUAL REPORT 2016-01-23
ANNUAL REPORT 2015-03-18

Related by officers

AGUILA LUIS A

SUNCOAST EMERGENCY PHYSICIANS, PA.

Related by address

No related companies by address

Date of last update: 02 Feb 2025

Sources: Florida Department of State

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