| Entity Name: | ELLIS EMERGENCY MEDICAL SERVICES, PLLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 15 Oct 2013 (11 years ago) |
| Last Event: | REINSTATEMENT |
| Event Date Filed: | 16 Feb 2024 (a year ago) |
| Document Number: | L13000144897 |
| FEI/EIN Number | 46-3891572 |
| Address: | 491 22ND Ave SE, ST. PETERSBURG, FL, 33705, US |
| Mail Address: | 491 22ND AVE SE, ST. PETERSBURG, FL, 33705, US |
| ZIP code: | 33705 |
| County: | Pinellas |
| Place of Formation: | FLORIDA |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| ELLIS EMERGENCY MEDICAL SERVICES LLC | 2019 | 463891572 | 2020-06-25 | ELLIS EMERGENCY MEDICAL SERVICES PLLC | 1 | |||||||||||||||||||||||||||||||||||||||||
|
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| Administrator’s EIN | 463891572 |
| Plan administrator’s name | ELLIS EMERGENCY MEDICAL SERVICES PL |
| Plan administrator’s address | 491 22ND AVE SE, ST PETERSBURG, FL, 337053303 |
| Administrator’s telephone number | 3525142610 |
Signature of
| Role | Plan administrator |
| Date | 2020-06-23 |
| Name of individual signing | ANGELA M ANDERSON CPA |
| Valid signature | Filed with authorized/valid electronic signature |
| Role | Employer/plan sponsor |
| Date | 2020-06-23 |
| Name of individual signing | BETH ELLIS |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2018-01-01 |
| Business code | 621111 |
| Sponsor’s telephone number | 3525142610 |
| Plan sponsor’s address | 491 22ND AVE SE, ST PETERSBURG, FL, 337053303 |
Plan administrator’s name and address
| Administrator’s EIN | 463891572 |
| Plan administrator’s name | ELLIS EMERGENCY MEDICAL SERVICES PL |
| Plan administrator’s address | 491 22ND AVE SE, ST PETERSBURG, FL, 337053303 |
| Administrator’s telephone number | 3525142610 |
Signature of
| Role | Plan administrator |
| Date | 2019-07-02 |
| Name of individual signing | ANGELA M ANDERSON CPA |
| Valid signature | Filed with authorized/valid electronic signature |
| Role | Employer/plan sponsor |
| Date | 2019-07-02 |
| Name of individual signing | BETH ELLIS |
| Valid signature | Filed with authorized/valid electronic signature |
| Name | Role | Address |
|---|---|---|
| ELLIS BETH H | Agent | 491 22ND AVE SE, ST. PETERSBURG, FL, 33705 |
| Name | Role | Address |
|---|---|---|
| ELLIS BETH H | Manager | 491 22ND Ave SE, ST. PETERSBURG, FL, 33705 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REINSTATEMENT | 2024-02-16 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2024-02-16 | ELLIS, BETH H | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2020-09-25 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2015-04-06 | 491 22ND Ave SE, ST. PETERSBURG, FL 33705 | No data |
| LC STMNT OF RA/RO CHG | 2014-04-24 | No data | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2014-04-24 | 491 22ND AVE SE, ST. PETERSBURG, FL 33705 | No data |
| Name | Date |
|---|---|
| REINSTATEMENT | 2024-02-16 |
| ANNUAL REPORT | 2019-06-05 |
| ANNUAL REPORT | 2018-04-19 |
| ANNUAL REPORT | 2017-03-16 |
| ANNUAL REPORT | 2016-01-26 |
| ANNUAL REPORT | 2015-04-06 |
| CORLCRACHG | 2014-04-24 |
| ANNUAL REPORT | 2014-03-21 |
| Florida Limited Liability | 2013-10-15 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
