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  5. SAINNOVAL SURGICAL LLC

SAINNOVAL SURGICAL LLC

Company Details

Entity Name: SAINNOVAL SURGICAL LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Company
Status: Active
Date Filed: 10 Apr 2012 (13 years ago)
Last Event: REINSTATEMENT
Event Date Filed: 29 Sep 2021 (3 years ago)
Document Number: L12000048499
FEI/EIN Number 45-5008913
Mail Address: PO Box 346, Clinton, MO 64735
Address: 105 NE 19TH DR, OKEECHOBEE, FL 34972
ZIP code: 34972
County: Okeechobee
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1609135755 2012-05-10 2022-07-21 105 NE 19TH DR, OKEECHOBEE, FL, 349721933, US 105 NE 19TH DR, OKEECHOBEE, FL, 349721933, US

Contacts
Phone +1 863-623-4486
Fax 8636234487

Authorized person
Name DR. GREGORY SAINNOVAL
Role MEMBER
Phone 8636234486

Taxonomy
Taxonomy Code 208600000X - Surgery Physician
License Number ME112305
State FL
Is Primary Yes
Taxonomy Code 208600000X - Surgery Physician
License Number 112305
State FL
Is Primary No

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
SAINNOVAL SURGICAL LLC 401K PLAN 2015 455008913 2016-10-06 SAINNOVAL SURGICAL LLC 1
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2012-05-01
Business code 621111
Sponsor’s telephone number 8636234486
Plan sponsor’s address 245 N.EAST 19TH DRIVE, OKEECHOBEE, FL, 34972

Plan administrator’s name and address
Administrator’s EIN 455008913
Plan administrator’s name SAINNOVAL SURGICAL LLC
Plan administrator’s address 245 N.EAST 19TH DRIVE, OKEECHOBEE, FL, 34972
Administrator’s telephone number 8636234486
SAINNOVAL SURGICAL LLC 401K PLAN 2014 455008913 2015-07-28 SAINNOVAL SURGICAL LLC 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2012-05-01
Business code 621111
Sponsor’s telephone number 8636234486
Plan sponsor’s address 245 N.EAST 19TH DRIVE, OKEECHOBEE, FL, 34972

Plan administrator’s name and address
Administrator’s EIN 455008913
Plan administrator’s name SAINNOVAL SURGICAL LLC
Plan administrator’s address 245 N.EAST 19TH DRIVE, OKEECHOBEE, FL, 34972
Administrator’s telephone number 8636234486
SAINNOVAL SURGICAL LLC 401K PLAN 2013 455008913 2014-10-10 SAINNOVAL SURGICAL LLC 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2012-05-01
Business code 621111
Sponsor’s telephone number 8636234486
Plan sponsor’s address 245 N.EAST 19TH DRIVE, OKEECHOBEE, FL, 34972

Plan administrator’s name and address
Administrator’s EIN 455008913
Plan administrator’s name SAINNOVAL SURGICAL LLC
Plan administrator’s address 245 N.EAST 19TH DRIVE, OKEECHOBEE, FL, 34972
Administrator’s telephone number 8636234486
SAINNOVAL SURGICAL LLC 401K PLAN 2012 455008913 2013-10-24 SAINNOVAL SURGICAL LLC 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2012-05-01
Business code 621111
Sponsor’s telephone number 8636234486
Plan sponsor’s address 245 N.EAST 19TH DRIVE, OKEECHOBEE, FL, 34972

Plan administrator’s name and address
Administrator’s EIN 455008913
Plan administrator’s name SAINNOVAL SURGICAL LLC
Plan administrator’s address 245 N.EAST 19TH DRIVE, OKEECHOBEE, FL, 34972
Administrator’s telephone number 8636234486

Signature of
Role Plan administrator
Date 2013-10-24
Name of individual signing MARY JO HARTMAN
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
SAINNOVAL, GREGORY Agent 105 NE 19TH DR, OKEECHOBEE, FL 34972

Managing Member

Name Role Address
SAINNOVAL, GREGORY Managing Member 105 NE 19TH DR, OKEECHOBEE, FL 34972

Events

Event Type Filed Date Value Description
REGISTERED AGENT NAME CHANGED 2021-09-29 SAINNOVAL, GREGORY No data
CHANGE OF MAILING ADDRESS 2021-09-29 105 NE 19TH DR, OKEECHOBEE, FL 34972 No data
REINSTATEMENT 2021-09-29 No data No data
ADMIN DISSOLUTION FOR ANNUAL REPORT 2021-09-24 No data No data
REGISTERED AGENT ADDRESS CHANGED 2016-04-11 105 NE 19TH DR, OKEECHOBEE, FL 34972 No data
CHANGE OF PRINCIPAL ADDRESS 2016-04-11 105 NE 19TH DR, OKEECHOBEE, FL 34972 No data
REINSTATEMENT 2014-10-01 No data No data
ADMIN DISSOLUTION FOR ANNUAL REPORT 2014-09-26 No data No data
REINSTATEMENT 2013-10-07 No data No data
ADMIN DISSOLUTION FOR ANNUAL REPORT 2013-09-27 No data No data

Documents

Name Date
ANNUAL REPORT 2024-06-30
ANNUAL REPORT 2023-01-29
ANNUAL REPORT 2022-04-21
REINSTATEMENT 2021-09-29
ANNUAL REPORT 2020-07-19
ANNUAL REPORT 2019-04-16
ANNUAL REPORT 2018-03-18
ANNUAL REPORT 2017-01-10
ANNUAL REPORT 2016-04-11
ANNUAL REPORT 2015-03-25

Related by officers

No related officers

Related by address

PO Box 346, Clinton, MO 64735

INDIGO COAST LLC

Date of last update: 23 Jan 2025

Sources: Florida Department of State

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