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  5. KEVIN USRY DC, LLC

KEVIN USRY DC, LLC

Company Details

Entity Name: KEVIN USRY DC, LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Active
Date Filed: 28 Jan 2014 (11 years ago)
Document Number: L14000014825
FEI/EIN Number 46-4773883
Address: 1541 PROSPERITY FARMS ROAD, LAKE PARK, FL, 33403, US
Mail Address: 1541 PROSPERITY FARMS ROAD, LAKE PARK, FL, 33403, US
ZIP code: 33403
County: Palm Beach
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1912511684 2020-09-01 2020-10-16 1541 PROSPERITY FARMS RD, LAKE PARK, FL, 334032025, US 1541 PROSPERITY FARMS RD, LAKE PARK, FL, 334032025, US

Contacts
Phone +1 561-863-8779

Authorized person
Name KEVIN USRY
Role OWNER
Phone 5618638779

Taxonomy
Taxonomy Code 111N00000X - Chiropractor
Is Primary Yes

Other Provider Identifiers
Issuer LICENSE NUMBER
Number FL5055
State FL

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
ALL AMERICAN WELLNESS RETIREMENT PLAN 2018 464773883 2019-11-13 KEVIN USRY DC, LLC 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-01-01
Business code 622000
Sponsor’s telephone number 5613247098
Plan sponsor’s address 1541 PROSPERITY FARMS ROAD, LAKE PARK, FL, 33403

Signature of
Role Plan administrator
Date 2019-11-13
Name of individual signing KEVIN M USRY
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2019-11-13
Name of individual signing KEVIN M USRY
Valid signature Filed with authorized/valid electronic signature
ALL AMERICAN WELLNESS RETIREMENT PLAN 2018 464773883 2019-11-13 KEVIN USRY DC, LLC 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-01-01
Business code 622000
Sponsor’s telephone number 5613247098
Plan sponsor’s address 1541 PROSPERITY FARMS ROAD, LAKE PARK, FL, 33403

Signature of
Role Plan administrator
Date 2019-11-13
Name of individual signing KEVIN M USRY
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2019-11-13
Name of individual signing KEVIN M USRY
Valid signature Filed with authorized/valid electronic signature
ALL AMERICAN WELLNESS RETIREMENT PLAN 2017 464773883 2018-09-27 KEVIN USRY DC, LLC 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-01-01
Business code 622000
Sponsor’s telephone number 5613247098
Plan sponsor’s address 1541 PROSPERITY FARMS ROAD, LAKE PARK, FL, 33403

Signature of
Role Plan administrator
Date 2018-09-27
Name of individual signing KEVIN USRY
Valid signature Filed with authorized/valid electronic signature
ALL AMERICAN WELLNESS RETIREMENT PLAN 2016 464773883 2017-10-16 KEVIN USRY DC, LLC 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-01-01
Business code 622000
Sponsor’s telephone number 5613247098
Plan sponsor’s address 1541 PROSPERITY FARMS ROAD, LAKE PARK, FL, 33403

Signature of
Role Plan administrator
Date 2017-10-16
Name of individual signing KEVIN USRY
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2017-10-16
Name of individual signing KEVIN USRY
Valid signature Filed with authorized/valid electronic signature
ALL AMERICAN WELLNESS RETIREMENT PLAN 2015 464773883 2016-10-10 KEVIN USRY DC, LLC 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-01-01
Business code 622000
Sponsor’s telephone number 5613247098
Plan sponsor’s address 1541 PROSPERITY FARMS ROAD, LAKE PARK, FL, 33403

Signature of
Role Plan administrator
Date 2016-10-10
Name of individual signing KEVIN USRY
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
USRY KEVIN M Agent 1541 PROSPERITY FARMS ROAD, LAKE PARK, FL, 33403

Manager

Name Role Address
USRY KEVIN M Manager 1541 PROSPERITY FARMS ROAD, LAKE PARK, FL, 33403

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G21000130793 ALL AMERICAN WELLNESS CENTER ACTIVE 2021-09-29 2026-12-31 No data 1541 PROSPERITY FARMS ROAD, LAKE PARK, FL, 33403

Documents

Name Date
ANNUAL REPORT 2024-04-02
ANNUAL REPORT 2023-04-10
ANNUAL REPORT 2022-04-01
ANNUAL REPORT 2021-04-13
ANNUAL REPORT 2020-05-18
ANNUAL REPORT 2019-04-11
ANNUAL REPORT 2018-04-01
ANNUAL REPORT 2017-03-22
ANNUAL REPORT 2016-03-02
ANNUAL REPORT 2015-04-29

Related by officers

No related officers

Related by address

1541 PROSPERITY FARMS ROAD, LAKE PARK, FL, 33403, US

MARQUELY CELESTIN LMT CORP

1541 PROSPERITY FARMS ROAD, LAKE PARK, FL, 33403, US

MARQUELY CELESTIN LMT CORP

Date of last update: 02 Feb 2025

Sources: Florida Department of State

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