| Entity Name: | FMSG BRANDON ORTHOPEDIC ASSOCIATES LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Inactive |
| Date Filed: | 19 Apr 2013 (12 years ago) |
| Date of dissolution: | 03 Jan 2024 (a year ago) |
| Last Event: | LC VOLUNTARY DISSOLUTION |
| Event Date Filed: | 03 Jan 2024 (a year ago) |
| Document Number: | L13000057914 |
| FEI/EIN Number | 80-0915454 |
| Address: | 721 WEST ROBERTSON STREET, BRANDON, FL, 33511, US |
| Mail Address: | 721 WEST ROBERTSON STREET, BRANDON, FL, 33511, US |
| ZIP code: | 33511 |
| County: | Hillsborough |
| Place of Formation: | FLORIDA |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| ORTHOCARE 401(K) AND PROFIT SHARING PLAN III | 2020 | 800915454 | 2023-01-12 | FMSG BRANDON ORTHOPEDIC ASSOCIATES, LLC | 79 | |||||||||||||||||||||||||||||||||
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| Role | Plan administrator |
| Date | 2023-01-12 |
| Name of individual signing | JOHN KILGORE |
| Valid signature | Filed with authorized/valid electronic signature |
| Role | Employer/plan sponsor |
| Date | 2023-01-12 |
| Name of individual signing | JOHN KILGORE |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2017-01-01 |
| Business code | 621111 |
| Sponsor’s telephone number | 7273695016 |
| Plan sponsor’s address | 4600 4TH STREET NORTH, ST. PETERSBURG, FL, 33703 |
Signature of
| Role | Plan administrator |
| Date | 2020-10-14 |
| Name of individual signing | KAREN FULLAM |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2017-01-01 |
| Business code | 621111 |
| Sponsor’s telephone number | 7273695016 |
| Plan sponsor’s address | 4600 4TH STREET NORTH, ST. PETERSBURG, FL, 33703 |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2017-01-01 |
| Business code | 621111 |
| Sponsor’s telephone number | 7273695016 |
| Plan sponsor’s address | 4600 4TH STREET NORTH, ST. PETERSBURG, FL, 33703 |
| Name | Role | Address |
|---|---|---|
| Lopez Peter DMD | Agent | 721 WEST ROBERTSON STREET, BRANDON, FL, 33511 |
| Name | Role |
|---|---|
| FLORIDA MUSCULOSKELETAL SURGICAL GROUP, LLC | Managing Member |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| LC VOLUNTARY DISSOLUTION | 2024-01-03 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2022-07-20 | Lopez, Peter D, MD | No data |
| REINSTATEMENT | 2014-10-06 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2014-09-26 | No data | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2014-06-13 | 721 WEST ROBERTSON STREET, BRANDON, FL 33511 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2014-06-13 | 721 WEST ROBERTSON STREET, BRANDON, FL 33511 | No data |
| CHANGE OF MAILING ADDRESS | 2014-06-13 | 721 WEST ROBERTSON STREET, BRANDON, FL 33511 | No data |
| LC STMNT OF RA/RO CHG | 2014-06-13 | No data | No data |
| Name | Date |
|---|---|
| LC Voluntary Dissolution | 2024-01-03 |
| ANNUAL REPORT | 2023-03-10 |
| ANNUAL REPORT | 2022-07-20 |
| ANNUAL REPORT | 2021-04-08 |
| ANNUAL REPORT | 2020-09-10 |
| ANNUAL REPORT | 2019-02-26 |
| ANNUAL REPORT | 2018-03-30 |
| ANNUAL REPORT | 2017-02-10 |
| ANNUAL REPORT | 2016-03-01 |
| ANNUAL REPORT | 2015-03-18 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
