| Entity Name: | TAMPA BAY SURGERY CENTER, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Inactive |
| Date Filed: | 22 Jul 2011 (14 years ago) |
| Date of dissolution: | 22 Sep 2017 (7 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 22 Sep 2017 (7 years ago) |
| Document Number: | L11000084367 |
| FEI/EIN Number | NOT APPLICABLE |
| Address: | 11811 NORTH DALE MABRY, TAMPA, FL, 33618 |
| Mail Address: | 11811 NORTH DALE MABRY, TAMPA, FL, 33618 |
| ZIP code: | 33618 |
| County: | Hillsborough |
| Place of Formation: | FLORIDA |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| TAMPA BAY SURGERY CENTER 401 K PROFIT SHARING PLAN TRUST | 2010 | 593210851 | 2011-05-20 | TAMPA BAY SURGERY CENTER | 38 | |||||||||||||||||||||||||||||||
|
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| Administrator’s EIN | 593210851 |
| Plan administrator’s name | TAMPA BAY SURGERY CENTER |
| Plan administrator’s address | 11811 N. DALE MABRY, TAMPA, FL, 33618 |
| Administrator’s telephone number | 8139618500 |
Signature of
| Role | Plan administrator |
| Date | 2011-05-20 |
| Name of individual signing | TAMPA BAY SURGERY CENTER |
| Valid signature | Filed with authorized/valid electronic signature |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2002-01-01 |
| Business code | 621493 |
| Sponsor’s telephone number | 8139618500 |
| Plan sponsor’s address | 11811 N. DALE MABRY, TAMPA, FL, 33618 |
Plan administrator’s name and address
| Administrator’s EIN | 593210851 |
| Plan administrator’s name | TAMPA BAY SURGERY CENTER |
| Plan administrator’s address | 11811 N. DALE MABRY, TAMPA, FL, 33618 |
| Administrator’s telephone number | 8139618500 |
Signature of
| Role | Plan administrator |
| Date | 2010-07-13 |
| Name of individual signing | TAMPA BAY SURGERY CENTER |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2002-01-01 |
| Business code | 621493 |
| Sponsor’s telephone number | 8139618500 |
| Plan sponsor’s address | 11811 N. DALE MABRY, TAMPA, FL, 33618 |
Plan administrator’s name and address
| Administrator’s EIN | 593210851 |
| Plan administrator’s name | TAMPA BAY SURGERY CENTER |
| Plan administrator’s address | 11811 N. DALE MABRY, TAMPA, FL, 33618 |
| Administrator’s telephone number | 8139618500 |
Signature of
| Role | Plan administrator |
| Date | 2010-12-17 |
| Name of individual signing | TAMPA BAY SURGERY CENTER |
| Valid signature | Filed with authorized/valid electronic signature |
| Name | Role |
|---|---|
| NRAI SERVICES, INC. | Agent |
| Name | Role | Address |
|---|---|---|
| ROSEN JAY L | Chief Executive Officer | 11811 NORTH DALE MABRY HWY, TAMPA, FL, 33618 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2017-09-22 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2016-03-15 |
| ANNUAL REPORT | 2015-02-04 |
| ANNUAL REPORT | 2014-02-06 |
| ANNUAL REPORT | 2013-07-25 |
| ANNUAL REPORT | 2012-03-19 |
| Florida Limited Liability | 2011-07-22 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
