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  5. SOBER LIVING OUTPATIENT LLC

SOBER LIVING OUTPATIENT LLC

Company Details

Entity Name: SOBER LIVING OUTPATIENT LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Company
Status: Inactive
Date Filed: 16 Mar 2012 (13 years ago)
Date of dissolution: 01 May 2018 (7 years ago)
Last Event: VOLUNTARY DISSOLUTION
Event Date Filed: 01 May 2018 (7 years ago)
Document Number: L12000037677
FEI/EIN Number 45-4817398
Mail Address: 112 SE 10th Street, Delray Beach, FL 33483
Address: 112 SE 10th Street, DELRAY BEACH, FL 33483
ZIP code: 33483
County: Palm Beach
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1154686731 2012-07-10 2014-07-15 416 S. E. 5TH STREET, DELRAY BEACH, FL, 334834442, US 416 S. E. 5TH STREET, DELRAY BEACH, FL, 334834442, US

Contacts
Phone +1 877-659-4555

Authorized person
Name DAVID KOLKER
Role THERAPIST/OWNER
Phone 8776594555

Taxonomy
Taxonomy Code 251S00000X - Community/Behavioral Health Agency
State FL
Is Primary Yes

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
SOBER LIVING OUTPATIENT, LLC 401(K) PLAN 2016 454817398 2017-07-20 SOBER LIVING OUTPATIENT, LLC 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-01-01
Business code 621420
Sponsor’s telephone number 5612729404
Plan sponsor’s address 112 SE 10TH STREET, DELRAY BEACH, FL, 334833426
SOBER LIVING OUTPATIENT, LLC CASH BALANCE PLAN 2016 454817398 2017-07-14 SOBER LIVING OUTPATIENT, LLC 4
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2013-01-01
Business code 621420
Sponsor’s telephone number 5612729404
Plan sponsor’s address 830 SE 5TH AVENUE, DELRAY BEACH, FL, 33483
SOBER LIVING OUTPATIENT, LLC CASH BALANCE PLAN 2015 454817398 2016-09-10 SOBER LIVING OUTPATIENT, LLC 6
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2013-01-01
Business code 621420
Sponsor’s telephone number 5612729404
Plan sponsor’s address 830 S.E. 5TH AVENUE, DELRAY BEACH, FL, 33483

Signature of
Role Plan administrator
Date 2016-09-10
Name of individual signing GEORGE JAHN
Valid signature Filed with authorized/valid electronic signature
SOBER LIVING OUTPATIENT, LLC 401(K) PLAN 2015 454817398 2016-09-06 SOBER LIVING OUTPATIENT, LLC 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-01-01
Business code 621420
Sponsor’s telephone number 5612729404
Plan sponsor’s address 830 SE 5TH AVENUE, DELRAY BEACH, FL, 33483

Signature of
Role Plan administrator
Date 2016-09-06
Name of individual signing GEORGE JAHN
Valid signature Filed with authorized/valid electronic signature
SOBER LIVING OUTPATIENT, LLC 401(K) PLAN 2014 454817398 2015-05-09 SOBER LIVING OUTPATIENT, LLC 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-01-01
Business code 621420
Sponsor’s telephone number 5612729404
Plan sponsor’s address 830 SE 5TH AVENUE, DELRAY BEACH, FL, 33483

Signature of
Role Plan administrator
Date 2015-05-09
Name of individual signing GEORGE JAHN
Valid signature Filed with authorized/valid electronic signature
SOBER LIVING OUTPATIENT, LLC CASH BALANCE PLAN 2014 454817398 2015-05-12 SOBER LIVING OUTPATIENT, LLC 4
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2013-01-01
Business code 621420
Sponsor’s telephone number 5612729404
Plan sponsor’s address 830 S.E. 5TH AVENUE, DELRAY BEACH, FL, 33483

Signature of
Role Plan administrator
Date 2015-05-12
Name of individual signing GEORGE JAHN
Valid signature Filed with authorized/valid electronic signature
SOBER LIVING OUTPATIENT, LLC CASH BALANCE PLAN 2013 454817398 2014-06-18 SOBER LIVING OUTPATIENT, LLC 2
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2013-01-01
Business code 621420
Sponsor’s telephone number 5612729404
Plan sponsor’s address 830 S.E. 5TH AVENUE, DELRAY BEACH, FL, 33483

Signature of
Role Plan administrator
Date 2014-06-18
Name of individual signing REBECCA TORRES
Valid signature Filed with authorized/valid electronic signature
SOBER LIVING OUTPATIENT, LLC 401(K) PLAN 2013 454817398 2014-06-18 SOBER LIVING OUTPATIENT, LLC 0
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-01-01
Business code 621420
Sponsor’s telephone number 5612729404
Plan sponsor’s address 830 SE 5TH AVENUE, DELRAY BEACH, FL, 33483

Signature of
Role Plan administrator
Date 2014-06-18
Name of individual signing REBECCA TORRES
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
The Wolff Law Firm Agent 1401 EAST BROWARD BLVD, Suite 204, FORT LAUDERDALE, FL 33301

Managing Member

Name Role Address
KOLKER, DAVID M Managing Member 11200 BRANDYWINE LAKE WAY, BOYNTON BEACH, FL 33473

Events

Event Type Filed Date Value Description
VOLUNTARY DISSOLUTION 2018-05-01 No data No data
CHANGE OF PRINCIPAL ADDRESS 2017-02-02 112 SE 10th Street, DELRAY BEACH, FL 33483 No data
REGISTERED AGENT NAME CHANGED 2017-02-02 The Wolff Law Firm No data
REGISTERED AGENT ADDRESS CHANGED 2017-02-02 1401 EAST BROWARD BLVD, Suite 204, FORT LAUDERDALE, FL 33301 No data
CHANGE OF MAILING ADDRESS 2017-02-02 112 SE 10th Street, DELRAY BEACH, FL 33483 No data
LC AMENDMENT 2014-06-11 No data No data
LC AMENDMENT 2014-06-06 No data No data

Documents

Name Date
VOLUNTARY DISSOLUTION 2018-05-01
ANNUAL REPORT 2017-02-02
ANNUAL REPORT 2016-02-15
ANNUAL REPORT 2015-01-22
LC Amendment 2014-06-11
LC Amendment 2014-06-06
ANNUAL REPORT 2014-01-08
ANNUAL REPORT 2013-01-25
Florida Limited Liability 2012-03-16

Related by officers

KOLKER, DAVID M

MARK THE NIGHT, LLC LIVING SOBER, LLC PERSONAL DEVELOPMENT & RECOVERY, LLC SLO RECOVERY CENTERS, LLC

The Wolff Law Firm

LAURIE E. BLACH, M.D., P.A. MODERN SUPPLIES MEDICAL, LLC

Related by address

112 SE 10th Street, Delray Beach, FL 33483

WLTC.LLC WPB TD2, LLC WPB TD1, LLC SOVEREIGN PROPERTY MANAGEMENT, INC. ONE WEST INVESTMENT II LLC ONE WEST INVESTMENT III LLC AGRIPPA HOME ADVISOR, LLC 112 DELRAY LLC

112 SE 10th Street, DELRAY BEACH, FL 33483

SLO RECOVERY CENTERS, LLC

Date of last update: 23 Jan 2025

Sources: Florida Department of State

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