| Entity Name: | LAKE WOMEN FOR WOMEN OB/GYN, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: |
Florida Limited Liability Co.
LAKE WOMEN FOR WOMEN OB/GYN, LLC is structured as a Limited Liability Company (LLC), a common business structure that offers its members limited liability protection, separating their personal assets from the company's debts and obligations. |
| Status: |
Inactive
The business entity is inactive. This status may signal operational issues or voluntary closure, raising concerns about the business's ability to repay loans and requiring careful risk assessment by lenders. |
| Date Filed: | 05 Mar 2012 (13 years ago) |
| Date of dissolution: | 23 Sep 2016 (9 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 23 Sep 2016 (9 years ago) |
| Document Number: | L12000031486 |
| FEI/EIN Number |
800791827
Federal Employer Identification (FEI) Number assigned by the IRS. |
| Address: | 2 NORTH EUSTIS STREET, EUSTIS, FL, 32726 |
| Mail Address: | 2 NORTH EUSTIS STREET, EUSTIS, FL, 32726 |
| ZIP code: | 32726 |
| County: | Lake |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1043585169 | 2012-03-22 | 2012-03-22 | PO BOX 780, TAVARES, FL, 327780780, US | 2 N EUSTIS ST, EUSTIS, FL, 327263408, US | |||||||||||||||
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| Phone | +1 352-589-6005 |
| Fax | 3524840189 |
Authorized person
| Name | DR. MAMIE ROGERS |
| Role | OWNER |
| Phone | 3525896005 |
Taxonomy
| Taxonomy Code | 207V00000X - Obstetrics & Gynecology Physician |
| Is Primary | Yes |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| LAKE WOMEN FOR WOMEN OB-GYN LLC 401(K) PROFIT SHARING PLAN AND TRUST | 2015 | 800791827 | 2018-01-16 | LAKE WOMEN FOR WOMEN OB/GYN LLC | 6 | |||||||||||||||||||||||||||||||||
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| Role | Plan administrator |
| Date | 2018-01-16 |
| Name of individual signing | MARILYN MAYNE |
| Valid signature | Filed with authorized/valid electronic signature |
| Role | Employer/plan sponsor |
| Date | 2018-01-16 |
| Name of individual signing | MARILYN MAYNE |
| Valid signature | Filed with authorized/valid electronic signature |
| Name | Role | Address |
|---|---|---|
| ROGERS MAMIE M | Managing Member | 2 NORTH EUSTIS STREET, EUSTIS, FL, 32726 |
| MAYNE MARILYN D | Managing Member | 2 NORTH EUSTIS STREET, EUSTIS, FL, 32726 |
| ROGERS MAMIE M | Agent | 2 NORTH EUSTIS STREET, EUSTIS, FL, 32726 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2016-09-23 | - | - |
| LC AMENDMENT | 2012-05-23 | - | - |
| CHANGE OF PRINCIPAL ADDRESS | 2012-05-23 | 2 NORTH EUSTIS STREET, EUSTIS, FL 32726 | - |
| CHANGE OF MAILING ADDRESS | 2012-05-23 | 2 NORTH EUSTIS STREET, EUSTIS, FL 32726 | - |
| REGISTERED AGENT NAME CHANGED | 2012-05-23 | ROGERS, MAMIE M.D. | - |
| REGISTERED AGENT ADDRESS CHANGED | 2012-05-23 | 2 NORTH EUSTIS STREET, EUSTIS, FL 32726 | - |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2015-02-12 |
| ANNUAL REPORT | 2014-02-18 |
| ANNUAL REPORT | 2013-03-13 |
| LC Amendment | 2012-05-23 |
| Florida Limited Liability | 2012-03-05 |
Date of last update: 02 May 2025
Sources: Florida Department of State
