| Entity Name: | INTEGRATIVE ACUPUNCTURE WELLNESS CENTER AND SPA LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 20 Sep 2011 (13 years ago) |
| Last Event: | REINSTATEMENT |
| Event Date Filed: | 12 Oct 2015 (9 years ago) |
| Document Number: | L11000107636 |
| FEI/EIN Number | 45-3339470 |
| Address: | 100 SOUTH EDISON AVE, B, TAMPA, FL 33606 |
| Mail Address: | 3504 GRAYCLIFF LANE, BRANDON, FL 33511 |
| ZIP code: | 33606 |
| County: | Hillsborough |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1326321134 | 2011-09-28 | 2011-09-28 | 3504 GRAYCLIFF LN, BRANDON, FL, 335117856, US | 3504 GRAYCLIFF LN, BRANDON, FL, 335117856, US | |||||||||||||||||
|
|||||||||||||||||||||
| Phone | +1 813-528-0870 |
Authorized person
| Name | DR. SU HO |
| Role | OWNER |
| Phone | 8135280870 |
Taxonomy
| Taxonomy Code | 171100000X - Acupuncturist |
| License Number | AP2153 |
| State | FL |
| Is Primary | Yes |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| INTEGRATIVE ACUPUNTURE WELLNESS CENTER AND SPA LLC 401K PROFIT SHARING PLAN | 2022 | 453339470 | 2023-11-07 | INTEGRATIVE ACUPUNCTURE WELLNESS CENTER AND SPA LLC | 2 | |||||||||||||||||||||||||||||||||||||||
|
||||||||||||||||||||||||||||||||||||||||||||
| Administrator’s EIN | 453339470 |
| Plan administrator’s name | INTEGRATIVE ACUPUNCTURE WELLNESS CENTER AND SPA LLC 401K PSP |
| Plan administrator’s address | 3504 GRAYCLIFF LANE, BRANDON, FL, 33511 |
Signature of
| Role | Plan administrator |
| Date | 2023-11-07 |
| Name of individual signing | SU CAMPO |
| Valid signature | Filed with authorized/valid electronic signature |
| Role | Employer/plan sponsor |
| Date | 2023-11-07 |
| Name of individual signing | SU CAMPO |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2020-01-01 |
| Business code | 621399 |
| Sponsor’s telephone number | 8132175536 |
| Plan sponsor’s address | 3504 GRAYCLIFF LANE, BRANDON, FL, 33511 |
Plan administrator’s name and address
| Administrator’s EIN | 453339470 |
| Plan administrator’s name | INTEGRATIVE ACUPUNCTURE WELLNESS CENTER AND SPA LLC 401K PSP |
| Plan administrator’s address | 3504 GRAYCLIFF LANE, BRANDON, FL, 33511 |
Signature of
| Role | Plan administrator |
| Date | 2023-03-01 |
| Name of individual signing | SU CAMPO |
| Valid signature | Filed with authorized/valid electronic signature |
| Role | Employer/plan sponsor |
| Date | 2023-03-01 |
| Name of individual signing | SU CAMPO |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2020-01-01 |
| Business code | 621399 |
| Sponsor’s telephone number | 8132175536 |
| Plan sponsor’s address | 3504 GRAYCLIFF LANE, BRANDON, FL, 33511 |
Plan administrator’s name and address
| Administrator’s EIN | 453339470 |
| Plan administrator’s name | INTEGRATIVE ACUPUNCTURE WELLNESS CENTER AND SPA LLC 401K PSP |
| Plan administrator’s address | 3504 GRAYCLIFF LANE, BRANDON, FL, 33511 |
Signature of
| Role | Plan administrator |
| Date | 2021-10-11 |
| Name of individual signing | SU CAMPO |
| Valid signature | Filed with authorized/valid electronic signature |
| Role | Employer/plan sponsor |
| Date | 2021-10-11 |
| Name of individual signing | SU CAMPO |
| Valid signature | Filed with authorized/valid electronic signature |
| Name | Role | Address |
|---|---|---|
| CAMPO, SU THI HO | Agent | 100 SOUTH EDISON AVE, B, TAMPA, FL 33606 |
| Name | Role | Address |
|---|---|---|
| CAMPO, SU THI HO | Managing Member | 3504 GRAYCLIFF LANE, BRANDON, FL 33511 |
| Name | Role | Address |
|---|---|---|
| campo, john | manager | 3504 GRAYCLIFF LANE, BRANDON, FL 33511 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G11000116958 | ELEMENTS WELLNESS CENTER: ACUPUNCTURE CLINIC YOGA STUDIO AND WELLNESS SPA | ACTIVE | 2011-12-04 | 2026-12-31 | No data | 3504 GRAYCLIFF LANE, BRANDON, FL, 33511 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT ADDRESS CHANGED | 2022-01-27 | 100 SOUTH EDISON AVE, B, TAMPA, FL 33606 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2016-07-26 | 100 SOUTH EDISON AVE, B, TAMPA, FL 33606 | No data |
| REINSTATEMENT | 2015-10-12 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2015-10-12 | CAMPO, SU THI HO | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2015-09-25 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2025-02-04 |
| ANNUAL REPORT | 2024-01-31 |
| ANNUAL REPORT | 2023-01-18 |
| ANNUAL REPORT | 2022-01-27 |
| ANNUAL REPORT | 2021-01-13 |
| ANNUAL REPORT | 2020-03-18 |
| ANNUAL REPORT | 2019-04-04 |
| ANNUAL REPORT | 2018-03-08 |
| ANNUAL REPORT | 2017-01-09 |
| ANNUAL REPORT | 2016-07-26 |
| Loan Number | Loan Funded Date | SBA Origination Office Code | Loan Delivery Method | Borrower Street Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 2225817306 | 2020-04-29 | 0455 | PPP | 100 SOUTH EDISON AVE, TAMPA, FL, 33606 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
|
|||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Date of last update: 23 Feb 2025
Sources: Florida Department of State
