| Entity Name: | OPTIMAL PERFORMANCE AND PHYSICAL THERAPIES - LUTZ, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 04 Dec 2013 (11 years ago) |
| Last Event: | LC STMNT OF RA/RO CHG |
| Event Date Filed: | 29 Apr 2019 (6 years ago) |
| Document Number: | L13000168504 |
| FEI/EIN Number | 464194853 |
| Address: | 21756 SR 54, LUTZ, FL, 33549, US |
| Mail Address: | 14004 Roosevelt Blvd., #613, Clearwater, FL, 33762, US |
| ZIP code: | 33549 |
| County: | Hillsborough |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1821429911 | 2013-11-28 | 2013-11-28 | 6023 HAMMOCK WOODS DR, ODESSA, FL, 335563330, US | 21756 STATE ROAD 54, SUITE 102, LUTZ, FL, 335492905, US | |||||||||||||||||
|
|||||||||||||||||||||
| Phone | +1 813-418-7350 |
Authorized person
| Name | MRS. BETH PATTERSON |
| Role | OWNER |
| Phone | 8136904414 |
Taxonomy
| Taxonomy Code | 261QP2000X - Physical Therapy Clinic/Center |
| License Number | PT4616 |
| State | FL |
| Is Primary | Yes |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| OPPT LUTZ 401(K) PLAN | 2023 | 464194853 | 2024-04-07 | OPTIMAL PERFORMANCE AND PHYSICAL THERAPIES - LUTZ, LLC | 6 | |||||||||||||||||||||||
|
||||||||||||||||||||||||||||
| Role | Plan administrator |
| Date | 2024-04-07 |
| Name of individual signing | WILLIAM S MERRICK |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2019-01-01 |
| Business code | 621340 |
| Sponsor’s telephone number | 8132796234 |
| Plan sponsor’s address | 21756 SR 54, SUITE 102, LUTZ, FL, 33549 |
Signature of
| Role | Plan administrator |
| Date | 2023-07-11 |
| Name of individual signing | WILLIAM MERRICK |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2019-01-01 |
| Business code | 621340 |
| Sponsor’s telephone number | 8132796234 |
| Plan sponsor’s address | 21756 SR 54, SUITE 102, LUTZ, FL, 33549 |
Signature of
| Role | Plan administrator |
| Date | 2022-09-20 |
| Name of individual signing | WILLIAM SHANNON MERRICK |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2019-01-01 |
| Business code | 621340 |
| Sponsor’s telephone number | 8132796234 |
| Plan sponsor’s address | 21756 SR 54, SUITE 102, LUTZ, FL, 33549 |
Signature of
| Role | Plan administrator |
| Date | 2021-10-11 |
| Name of individual signing | WILLIAM SHANNON MERRICK |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2019-01-01 |
| Business code | 621340 |
| Sponsor’s telephone number | 8132796234 |
| Plan sponsor’s address | 21756 SR 54, SUITE 102, LUTZ, FL, 33549 |
Signature of
| Role | Plan administrator |
| Date | 2020-10-13 |
| Name of individual signing | WILLIAM SHANNON MERRICK |
| Valid signature | Filed with authorized/valid electronic signature |
| Name | Role | Address |
|---|---|---|
| MERRICK SHANNON | Agent | 21756 SR 54, LUTZ, FL, 33549 |
| Name | Role |
|---|---|
| PATTERSON FAMILY LLC | Manager |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF MAILING ADDRESS | 2023-11-08 | 21756 SR 54, SUITE 102, LUTZ, FL 33549 | No data |
| LC STMNT OF RA/RO CHG | 2019-04-29 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2019-04-29 | MERRICK, SHANNON | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-01 |
| ANNUAL REPORT | 2023-01-18 |
| ANNUAL REPORT | 2022-01-20 |
| ANNUAL REPORT | 2021-01-10 |
| ANNUAL REPORT | 2020-01-19 |
| CORLCRACHG | 2019-04-29 |
| ANNUAL REPORT | 2019-01-26 |
| ANNUAL REPORT | 2018-01-14 |
| ANNUAL REPORT | 2017-01-10 |
| ANNUAL REPORT | 2016-01-23 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
