| Entity Name: | KIMBERLY CARPENTER HERRING LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 10 Jun 2011 (14 years ago) |
| Last Event: | LC STMNT OF RA/RO CHG |
| Event Date Filed: | 15 Apr 2016 (9 years ago) |
| Document Number: | L11000067946 |
| FEI/EIN Number | 452503846 |
| Address: | 871 SW STATE ROAD 47, LAKE CITY, FL, 32025, US |
| Mail Address: | 871 SW STATE ROAD 47, LAKE CITY, FL, 32025, US |
| ZIP code: | 32025 |
| County: | Columbia |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1598154668 | 2015-01-13 | 2024-03-11 | 871 SW STATE ROAD 47, LAKE CITY, FL, 320250433, US | 871 SW STATE ROAD 47, LAKE CITY, FL, 320250433, US | |||||||||||||||||||||||
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| Phone | +1 386-961-9616 |
| Fax | 3867541325 |
Authorized person
| Name | KIM CARPENTER HERRING |
| Role | OWNER |
| Phone | 3863970696 |
Taxonomy
| Taxonomy Code | 1041C0700X - Clinical Social Worker |
| License Number | SW 5491 |
| State | FL |
| Is Primary | Yes |
| Taxonomy Code | 1041C0700X - Clinical Social Worker |
| Is Primary | No |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| KIMBERLY CARPENTER HERRING LLC 401(K) PLAN | 2023 | 452503846 | 2024-07-23 | KIMBERLY CARPENTER HERRING LLC | 7 | |||||||||||||||||||||||
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| Role | Plan administrator |
| Date | 2024-07-23 |
| Name of individual signing | CHRIS HORNE |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2022-01-01 |
| Business code | 541990 |
| Sponsor’s telephone number | 3869619616 |
| Plan sponsor’s address | 871 SW STATE RD. 47, LAKE CITY, FL, 32025 |
Signature of
| Role | Plan administrator |
| Date | 2023-07-18 |
| Name of individual signing | CHRIS HORNE |
| Valid signature | Filed with authorized/valid electronic signature |
| Name | Role | Address |
|---|---|---|
| HERRING KIMBERLY C | Agent | 871 SW STATE ROAD 47, LAKE CITY, FL, 32025 |
| Name | Role | Address |
|---|---|---|
| HERRING KIMBERLY | Managing Member | 871 SW STATE ROAD 47, LAKE CITY, FL, 32025 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G23000062466 | ACTIVE WELLNESS GROUP | ACTIVE | 2023-05-18 | 2028-12-31 | No data | 871 SW STATE ROAD 47, LAKE CITY, FL, 32025 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| LC STMNT OF RA/RO CHG | 2016-04-15 | No data | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2016-04-15 | 871 SW STATE ROAD 47, LAKE CITY, FL 32025 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2016-04-06 | 871 SW STATE ROAD 47, LAKE CITY, FL 32025 | No data |
| CHANGE OF MAILING ADDRESS | 2016-04-06 | 871 SW STATE ROAD 47, LAKE CITY, FL 32025 | No data |
| REINSTATEMENT | 2013-04-30 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2013-04-30 | HERRING, KIMBERLY C | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2012-09-28 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-05 |
| ANNUAL REPORT | 2023-01-18 |
| ANNUAL REPORT | 2022-03-02 |
| ANNUAL REPORT | 2021-03-22 |
| ANNUAL REPORT | 2020-02-12 |
| ANNUAL REPORT | 2019-02-22 |
| ANNUAL REPORT | 2018-03-07 |
| ANNUAL REPORT | 2017-08-19 |
| CORLCRACHG | 2016-04-15 |
| ANNUAL REPORT | 2016-03-02 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
