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  5. BAYSIDE MEDICAL GROUP, LLC

BAYSIDE MEDICAL GROUP, LLC

Company Details

Entity Name: BAYSIDE MEDICAL GROUP, LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Company
Status: Active
Date Filed: 30 Aug 2013 (11 years ago)
Document Number: L13000123228
FEI/EIN Number 46-3557333
Address: 61 DOLPHIN DRIVE, TREASURE ISLAND, FL 33706
Mail Address: 61 DOLPHIN DRIVE, TREASURE ISLAND, FL 33706
ZIP code: 33706
County: Pinellas
Place of Formation: FLORIDA

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
BAYSIDE MEDICAL GROUP 401(K) PLAN 2023 463557333 2024-07-18 BAYSIDE MEDICAL GROUP 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2017-01-01
Business code 621111
Sponsor’s telephone number 5133007105
Plan sponsor’s address 61 DOLPHIN DR, TREASURE ISLAND, FL, 33706

Signature of
Role Plan administrator
Date 2024-07-18
Name of individual signing CHRIS CARSON
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2024-07-18
Name of individual signing CHRIS CARSON
Valid signature Filed with authorized/valid electronic signature
BAYSIDE MEDICAL GROUP 401(K) PLAN 2022 463557333 2023-10-11 BAYSIDE MEDICAL GROUP 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2017-01-01
Business code 621111
Sponsor’s telephone number 5133007105
Plan sponsor’s address 61 DOLPHIN DR, TREASURE ISLAND, FL, 33706

Signature of
Role Plan administrator
Date 2023-10-11
Name of individual signing CHRIS CARSON
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2023-10-11
Name of individual signing CHRIS CARSON
Valid signature Filed with authorized/valid electronic signature
BAYSIDE MEDICAL GROUP 401(K) PLAN 2021 463557333 2022-05-04 BAYSIDE MEDICAL GROUP 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2017-01-01
Business code 621111
Sponsor’s telephone number 5133007105
Plan sponsor’s address 61 DOLPHIN DR, TREASURE ISLAND, FL, 33706

Signature of
Role Plan administrator
Date 2022-05-04
Name of individual signing CHRIS CARSON
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2022-05-04
Name of individual signing CHRIS CARSON
Valid signature Filed with authorized/valid electronic signature
BAYSIDE MEDICAL GROUP 401(K) PLAN 2020 463557333 2021-09-30 BAYSIDE MEDICAL GROUP 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2017-01-01
Business code 621111
Sponsor’s telephone number 5133007105
Plan sponsor’s address 61 DOLPHIN DR, TREASURE ISLAND, FL, 33706

Signature of
Role Plan administrator
Date 2021-09-30
Name of individual signing CHRIS CARSON
Valid signature Filed with authorized/valid electronic signature
BAYSIDE MEDICAL GROUP 401(K) PLAN 2019 463557333 2020-04-29 BAYSIDE MEDICAL GROUP 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2017-01-01
Business code 621111
Sponsor’s telephone number 5133007105
Plan sponsor’s address 61 DOLPHIN DR, TREASURE ISLAND, FL, 33706

Signature of
Role Plan administrator
Date 2020-04-29
Name of individual signing CHRIS CARSON
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2020-04-29
Name of individual signing CHRIS CARSON
Valid signature Filed with authorized/valid electronic signature
BAYSIDE MEDICAL GROUP 401(K) PLAN 2018 463557333 2019-06-12 BAYSIDE MEDICAL GROUP 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2017-01-01
Business code 621111
Sponsor’s telephone number 5133007105
Plan sponsor’s address 61 DOLPHIN DR, TREASURE ISLAND, FL, 33706

Signature of
Role Plan administrator
Date 2019-06-12
Name of individual signing CHRIS CARSON
Valid signature Filed with authorized/valid electronic signature
BAYSIDE MEDICAL GROUP 401(K) PLAN 2017 463557333 2018-07-19 BAYSIDE MEDICAL GROUP 2
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2017-01-01
Business code 621111
Sponsor’s telephone number 5133007105
Plan sponsor’s address 61 DOLPHIN DR, TREASURE ISLAND, FL, 33706

Signature of
Role Plan administrator
Date 2018-07-19
Name of individual signing CHRIS CHRIS
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2018-07-19
Name of individual signing CHRIS CARSON
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
SMITH, WALTER E, ESQUIRE Agent 757 ARLINGTON AVENUE N., ST. PETERSBURG, FL 33701

Authorized Member

Name Role Address
CARSON, CHRIS Authorized Member 61 DOLPHIN DRIVE, TREASURE ISLAND, FL 33706

Documents

Name Date
ANNUAL REPORT 2024-01-17
ANNUAL REPORT 2023-01-31
ANNUAL REPORT 2022-01-28
ANNUAL REPORT 2021-01-07
ANNUAL REPORT 2020-06-30
ANNUAL REPORT 2019-02-26
ANNUAL REPORT 2018-01-08
ANNUAL REPORT 2017-01-10
ANNUAL REPORT 2016-03-06
ANNUAL REPORT 2015-01-08

Related by officers

SMITH, WALTER E, ESQUIRE

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CARSON, CHRIS

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Related by address

No related companies by address

Date of last update: 22 Jan 2025

Sources: Florida Department of State

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