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  5. HANDS ON PERFORMANCE

HANDS ON PERFORMANCE

Company Details

Entity Name: HANDS ON PERFORMANCE
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Company
Status: Active
Date Filed: 28 Jun 2012 (13 years ago)
Document Number: L12000084951
FEI/EIN Number 46-0773739
Mail Address: 1295 SE Port Saint Lucie Blvd., PORT ST. LUCIE, FL 34952
Address: 1295 SE Port Saint Lucie Blvd, PORT ST. LUCIE, FL 34952
ZIP code: 34952
County: St. Lucie
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1417205147 2012-08-28 2012-08-30 1430 SW SAINT LUCIE WEST BLVD, SUITE 103, PORT ST LUCIE, FL, 349862134, US 1430 SW SAINT LUCIE WEST BLVD, SUITE 103, PORT ST LUCIE, FL, 349862134, US

Contacts
Phone +1 772-785-8500

Authorized person
Name DR. MICHAEL T KELLY
Role OWNER
Phone 7723424612

Taxonomy
Taxonomy Code 261QH0100X - Health Service Clinic/Center
Is Primary Yes

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
HANDS ON PERFORMANCE 401(K) PLAN 2023 223861218 2024-09-25 HANDS ON PERFORMANCE 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2018-01-01
Business code 621310
Sponsor’s telephone number 7727858500
Plan sponsor’s address 1295 SE ST LUCIE BLVD., PORT ST. LUCIE, FL, 39524

Signature of
Role Plan administrator
Date 2024-09-25
Name of individual signing MICHAEL T. KELLY
Valid signature Filed with authorized/valid electronic signature
HANDS ON PERFORMANCE 401(K) PLAN 2022 223861218 2023-10-02 HANDS ON PERFORMANCE 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2018-01-01
Business code 621310
Sponsor’s telephone number 7727858500
Plan sponsor’s address 1295 SE ST LUCIE BLVD., PORT ST. LUCIE, FL, 39524

Signature of
Role Plan administrator
Date 2023-10-02
Name of individual signing MICHAEL T. KELLY
Valid signature Filed with authorized/valid electronic signature
HANDS ON PERFORMANCE 401(K) PLAN 2021 223861218 2022-10-04 HANDS ON PERFORMANCE 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2018-01-01
Business code 621310
Sponsor’s telephone number 7727858500
Plan sponsor’s address 1295 SE ST LUCIE BLVD., PORT ST. LUCIE, FL, 39524

Signature of
Role Plan administrator
Date 2022-10-04
Name of individual signing MICHAEL T. KELLY
Valid signature Filed with authorized/valid electronic signature
HANDS ON PERFORMANCE 401(K) PLAN 2020 223861218 2021-05-11 HANDS ON PERFORMANCE 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2018-01-01
Business code 621310
Sponsor’s telephone number 7727858500
Plan sponsor’s address 1430 SW ST LUCIE WEST BLVD #103, PORT ST. LUCIE, FL, 34986
HANDS ON PERFORMANCE 401(K) PLAN 2019 223861218 2020-06-29 HANDS ON PERFORMANCE 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2018-01-01
Business code 621310
Sponsor’s telephone number 7727858500
Plan sponsor’s address 1430 SW ST LUCIE WEST BLVD #103, PORT ST. LUCIE, FL, 34986
HANDS ON PERFORMANCE 401(K) PLAN 2018 223861218 2019-09-11 HANDS ON PERFORMANCE 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2018-01-01
Business code 621310
Sponsor’s telephone number 7727858500
Plan sponsor’s address 1430 SW ST LUCIE WEST BLVD #103, PORT ST. LUCIE, FL, 34986

Agent

Name Role Address
KELLY, MICHAEL T Agent 1295 SE Port Saint Lucie Blvd., PORT ST. LUCIE, FL 34952

Manager

Name Role Address
KELLY, MICHAEL T Manager 1295 SE Port Saint Lucie Blvd, PORT ST. LUCIE, FL 34952

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2022-04-08 1295 SE Port Saint Lucie Blvd, PORT ST. LUCIE, FL 34952 No data
CHANGE OF MAILING ADDRESS 2022-04-08 1295 SE Port Saint Lucie Blvd, PORT ST. LUCIE, FL 34952 No data
REGISTERED AGENT ADDRESS CHANGED 2022-04-08 1295 SE Port Saint Lucie Blvd., PORT ST. LUCIE, FL 34952 No data

Documents

Name Date
ANNUAL REPORT 2024-04-08
ANNUAL REPORT 2023-04-22
ANNUAL REPORT 2022-04-08
ANNUAL REPORT 2021-04-14
ANNUAL REPORT 2020-04-15
ANNUAL REPORT 2019-04-06
ANNUAL REPORT 2018-04-17
ANNUAL REPORT 2017-04-03
ANNUAL REPORT 2016-04-21
ANNUAL REPORT 2015-04-22

Related by officers

KELLY, MICHAEL T

LOOSE CHANGE CHANGES LIVES INC PERFORMANCE CARE, INC. SAFE BARRIER SYSTEMS, LLC MY PERFORMANCE PROPERTIES, LLC BRUSHFIRE HOLDINGS, INC. BASIC MORTGAGE CO. ELITE IMAGING, INC. COASTAL RESTAURANT DEVELOPMENT, LLC KELLY-WESTERN HOLDINGS, LLC THE HANDYMAN CAN OF JACKSONVILE INC.

Related by address

1295 SE Port Saint Lucie Blvd., PORT ST. LUCIE, FL 34952

PERFORMANCE CARE, INC.

Date of last update: 23 Jan 2025

Sources: Florida Department of State

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