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PANTHER COFFEE BEACH, LLC

Company Details

Entity Name: PANTHER COFFEE BEACH, LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Company
Status: Active
Date Filed: 08 Apr 2013 (12 years ago)
Last Event: LC STMNT OF RA/RO CHG
Event Date Filed: 18 Apr 2017 (8 years ago)
Document Number: L13000051788
FEI/EIN Number 45-5530938
Mail Address: 5934 NW 2ND AVE, MIAMI, FL 33127
Address: 1900 PURDY AVENUE, SUITE 109-F, MIAMI BEACH, FL 33139
ZIP code: 33139
County: Miami-Dade
Place of Formation: FLORIDA

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
PANTHER COFFEE BEACH 401(K) PLAN 2023 455530938 2024-06-14 PANTHER COFFEE BEACH, LLC. 16
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2019-01-01
Business code 722513
Sponsor’s telephone number 9713405029
Plan sponsor’s address 1900 PURDY AVE, 109F, MIAMI BEACH, FL, 33139

Plan administrator’s name and address

Administrator’s EIN 474474775
Plan administrator’s name GUIDELINE, INC.
Plan administrator’s address 1412 CHAPIN AVENUE, BURLINGAME, CA, 94010
Administrator’s telephone number 8882283491

Signature of

Role Plan administrator
Date 2024-06-14
Name of individual signing QIAN LIU
Valid signature Filed with authorized/valid electronic signature
PANTHER COFFEE BEACH 401(K) PLAN 2022 455530938 2023-05-27 PANTHER COFFEE BEACH, LLC. 13
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2019-01-01
Business code 722513
Sponsor’s telephone number 9713405029
Plan sponsor’s address 1900 PURDY AVE, 109F, MIAMI BEACH, FL, 33139

Plan administrator’s name and address

Administrator’s EIN 474474775
Plan administrator’s name GUIDELINE, INC.
Plan administrator’s address 1412 CHAPIN AVENUE, BURLINGAME, CA, 94010
Administrator’s telephone number 8882283491

Signature of

Role Plan administrator
Date 2023-05-26
Name of individual signing CHRISTINE RIMER
Valid signature Filed with authorized/valid electronic signature
PANTHER COFFEE BEACH 401(K) PLAN 2021 455530938 2022-06-02 PANTHER COFFEE BEACH, LLC. 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2019-01-01
Business code 722513
Sponsor’s telephone number 9713405029
Plan sponsor’s address 1900 PURDY AVE, 109F, MIAMI BEACH, FL, 33139

Plan administrator’s name and address

Administrator’s EIN 474474775
Plan administrator’s name GUIDELINE, INC.
Plan administrator’s address 1645 E 6TH STREET, SUITE 200, AUSTIN, TX, 78702
Administrator’s telephone number 8882283491

Signature of

Role Plan administrator
Date 2022-06-02
Name of individual signing CHRISTINE RIMER
Valid signature Filed with authorized/valid electronic signature
PANTHER COFFEE BEACH 401(K) PLAN 2020 455530938 2021-07-16 PANTHER COFFEE BEACH, LLC. 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2019-01-01
Business code 722513
Sponsor’s telephone number 9713405029
Plan sponsor’s address 1900 PURDY AVE, 109F, MIAMI BEACH, FL, 33139

Plan administrator’s name and address

Administrator’s EIN 474474775
Plan administrator’s name GUIDELINE, INC.
Plan administrator’s address 3050 S DELAWARE ST, #202, SAN MATEO, CA, 94403
Administrator’s telephone number 8882283491

Signature of

Role Plan administrator
Date 2021-07-15
Name of individual signing CAROL HO
Valid signature Filed with authorized/valid electronic signature
PANTHER COFFEE BEACH 401(K) PLAN 2019 455530938 2020-07-03 PANTHER COFFEE BEACH, LLC. 0
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2019-01-01
Business code 722513
Sponsor’s telephone number 9713405029
Plan sponsor’s address 1900 PURDY AVE, 109F, MIAMI BEACH, FL, 33139

Plan administrator’s name and address

Administrator’s EIN 474474775
Plan administrator’s name GUIDELINE, INC.
Plan administrator’s address 3050 S DELAWARE ST, #202, SAN MATEO, CA, 94403
Administrator’s telephone number 8882283491

Signature of

Role Plan administrator
Date 2020-07-02
Name of individual signing CAROL HO
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
ATKINS, LEONARD C, IV Agent 396 ALHAMRA CIRCLE, SUITE 210, CORAL GABLES, FL 33134

Managing Member

Name Role Address
POLLOCK, JOEL T Managing Member 1900 PURDY AVENUE, SUITE 109-F, MIAMI BEACH, FL 33139
POLLOCK, LETICIA D Managing Member 1900 PURDY AVENUE, SUITE 109-F, MIAMI BEACH, FL 33139
STRULOVIC, TOMAS Managing Member 1900 PURDY AVENUE, SUITE 109-F, MIAMI BEACH, FL 33139

Events

Event Type Filed Date Value Description
REGISTERED AGENT ADDRESS CHANGED 2022-03-01 396 ALHAMRA CIRCLE, SUITE 210, CORAL GABLES, FL 33134 No data
CHANGE OF MAILING ADDRESS 2018-03-09 1900 PURDY AVENUE, SUITE 109-F, MIAMI BEACH, FL 33139 No data
LC STMNT OF RA/RO CHG 2017-04-18 No data No data
REGISTERED AGENT NAME CHANGED 2017-04-18 ATKINS, LEONARD C, IV No data
CONVERSION 2013-04-08 No data CORPORATION WAS A CONVERSION RESULT. CONVERTING CORPORATION WAS P12000055466. CONVERSION NUMBER 300000130593

Documents

Name Date
ANNUAL REPORT 2024-03-15
ANNUAL REPORT 2023-02-01
ANNUAL REPORT 2022-03-01
ANNUAL REPORT 2021-03-18
ANNUAL REPORT 2020-04-07
ANNUAL REPORT 2019-02-22
ANNUAL REPORT 2018-03-09
CORLCRACHG 2017-04-18
ANNUAL REPORT 2017-02-20
ANNUAL REPORT 2016-01-29

Date of last update: 22 Jan 2025

Sources: Florida Department of State