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  5. SELECT PHYSICIANS SURGERY CENTER, LLC

SELECT PHYSICIANS SURGERY CENTER, LLC

Company Details

Entity Name: SELECT PHYSICIANS SURGERY CENTER, LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Company
Status: Active
Date Filed: 23 Jun 2014 (11 years ago)
Last Event: REINSTATEMENT
Event Date Filed: 12 Oct 2022 (2 years ago)
Document Number: L14000100531
FEI/EIN Number 38-3935220
Mail Address: 14201 DALLAS PKWY, FL 13, Dallas, TX 75254
Address: 3440 W Dr. Martin Luther King Jr. Blvd, Suite 103, Tampa, FL 33607
ZIP code: 33607
County: Hillsborough
Place of Formation: FLORIDA

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
SELECT PHYSICIANS SURGERY CENTER 401(K) RETIREMENT PLAN 2021 383935220 2022-07-15 SELECT PHYSICIANS SURGERY CENTER, LLC 16
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-12-01
Business code 621493
Sponsor’s telephone number 8133211618
Plan sponsor’s address 3440 W. DR. MARTIN LUTHER KING JR., BLVD. SUITE 103, TAMPA, FL, 336076214

Signature of
Role Plan administrator
Date 2022-07-15
Name of individual signing MERISSA COLON
Valid signature Filed with authorized/valid electronic signature
SELECT PHYSICIANS SURGERY CENTER 401(K) RETIREMENT PLAN 2020 383935220 2021-10-21 SELECT PHYSICIANS SURGERY CENTER, LLC 17
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-12-01
Business code 621493
Sponsor’s telephone number 8133211618
Plan sponsor’s address 3440 W. DR. MARTIN LUTHER KING JR., BLVD. SUITE 103, TAMPA, FL, 336076214

Signature of
Role Plan administrator
Date 2021-10-21
Name of individual signing LAURA SMITH
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2021-10-21
Name of individual signing LAURA SMITH
Valid signature Filed with authorized/valid electronic signature
SELECT PHYSICIANS SURGERY CENTER 401(K) RETIREMENT PLAN 2019 383935220 2020-06-01 SELECT PHYSICIANS SURGERY CENTER, LLC 15
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-12-01
Business code 621493
Sponsor’s telephone number 8133211618
Plan sponsor’s address 3440 W. DR. MARTIN LUTHER KING JR., BLVD. SUITE 103, TAMPA, FL, 336076214

Signature of
Role Plan administrator
Date 2020-06-01
Name of individual signing MERISSA COLON
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2020-06-01
Name of individual signing MERISSA COLON
Valid signature Filed with authorized/valid electronic signature
SELECT PHYSICIANS SURGERY CENTER 401(K) RETIREMENT PLAN 2018 383935220 2020-01-24 SELECT PHYSICIANS SURGERY CENTER, LLC 16
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-12-01
Business code 621493
Sponsor’s telephone number 8133211618
Plan sponsor’s address 3440 W. DR. MARTIN LUTHER KING JR., BLVD. SUITE 103, TAMPA, FL, 336076214

Signature of
Role Plan administrator
Date 2020-01-24
Name of individual signing MERISSA COLON
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2020-01-24
Name of individual signing MERISSA COLON
Valid signature Filed with authorized/valid electronic signature
SELECT PHYSICIANS SURGERY CENTER 401(K) RETIREMENT PLAN 2017 383935220 2018-03-22 SELECT PHYSICIANS SURGERY CENTER, LLC 12
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-12-01
Business code 621493
Sponsor’s telephone number 8133211618
Plan sponsor’s address 3440 W. DR. MARTIN LUTHER KING JR., BLVD. SUITE 103, TAMPA, FL, 336076214

Signature of
Role Plan administrator
Date 2018-03-22
Name of individual signing LAURA SMITH
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2018-03-22
Name of individual signing LAURA SMITH
Valid signature Filed with authorized/valid electronic signature
SELECT PHYSICIANS SURGERY CENTER 401(K) RETIREMENT PLAN 2016 383935220 2017-02-28 SELECT PHYSICIANS SURGERY CENTER, LLC 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-12-01
Business code 621111
Sponsor’s telephone number 8133211618
Plan sponsor’s address 3440 W. DR. MARTIN LUTHER KING JR., BLVD. SUITE 103, TAMPA, FL, 336076214

Signature of
Role Plan administrator
Date 2017-02-28
Name of individual signing LAURA SMITH
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2017-02-28
Name of individual signing LAURA SMITH
Valid signature Filed with authorized/valid electronic signature
SELECT PHYSICIANS SURGERY CENTER 401(K) RETIREMENT PLAN 2015 383935220 2016-08-29 SELECT PHYSICIANS SURGERY CENTER, LLC 2
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-12-01
Business code 621111
Sponsor’s telephone number 7277427317
Plan sponsor’s address 3440 W. DR. MARTIN LUTHER, KING JR. BLVD, TAMPA, FL, 336076214

Signature of
Role Plan administrator
Date 2016-08-29
Name of individual signing LAURA SMITH
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2016-08-29
Name of individual signing LAURA SMITH
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
CT Corporation System Agent 1200 South Pine Island Road, Plantation, FL 33324

Vice President

Name Role Address
Farrington, Pam Vice President 14201 DALLAS PKWY, FL 13 Dallas, TX 75254

President

Name Role Address
LeMaistre, Collin President 14201 DALLAS PKWY, FL 13 Dallas, TX 75254

Secretary

Name Role Address
Bowden, James Secretary 14201 DALLAS PKWY, FL 13 Dallas, TX 75254

Authorized Representative

Name Role Address
Sims, Karen Authorized Representative 14201 DALLAS PKWY, FL 13 Dallas, TX 75254

Events

Event Type Filed Date Value Description
REINSTATEMENT 2022-10-12 No data No data
CHANGE OF MAILING ADDRESS 2022-10-12 3440 W Dr. Martin Luther King Jr. Blvd, Suite 103, Tampa, FL 33607 No data
REGISTERED AGENT NAME CHANGED 2022-10-12 CT Corporation System No data
REGISTERED AGENT ADDRESS CHANGED 2022-10-12 1200 South Pine Island Road, Plantation, FL 33324 No data
ADMIN DISSOLUTION FOR ANNUAL REPORT 2022-09-23 No data No data
CHANGE OF PRINCIPAL ADDRESS 2016-02-04 3440 W Dr. Martin Luther King Jr. Blvd, Suite 103, Tampa, FL 33607 No data

Documents

Name Date
ANNUAL REPORT 2024-05-02
ANNUAL REPORT 2023-04-19
REINSTATEMENT 2022-10-12
ANNUAL REPORT 2021-04-06
ANNUAL REPORT 2020-06-26
ANNUAL REPORT 2019-04-12
ANNUAL REPORT 2018-03-19
ANNUAL REPORT 2017-02-17
ANNUAL REPORT 2016-02-04
ANNUAL REPORT 2015-03-17

Related by officers

Farrington, Pam

MARION SURGERY CENTER LLC SAFETY HARBOR ASC COMPANY, LLC PALM BEACH INTERNATIONAL SURGERY CENTER, LLC ADVANCED SURGICAL CARE OF CLEARWATER, LLC LAKEWOOD RANCH SURGICAL SUITES, LLC

LeMaistre, Collin

TITAN HEALTH OF TITUSVILLE, INC. NATIONAL SURGERY CENTER HOLDINGS, INC. SURGCENTER NORTHEAST LLC SURGCENTER OF ORANGE PARK LLC LONGLEAF SURGERY CENTER, LLC MARION SURGERY CENTER LLC ORLANDO HEALTH/USP SURGERY CENTERS, L.L.C. MIAMI SURGICAL SUITES LLC SEASIDE SURGERY CENTER LLC LAKE ENDOSCOPY CENTER, LLC

Bowden, James

TITAN HEALTH OF TITUSVILLE, INC. NATIONAL SURGERY CENTER HOLDINGS, INC. SURGCENTER NORTHEAST LLC SURGERY CENTER OF OKEECHOBEE, LLC SURGCENTER OF PALM BEACH GARDENS LLC LONGLEAF SURGERY CENTER, LLC MARION SURGERY CENTER LLC ORLANDO HEALTH/USP SURGERY CENTERS, L.L.C. USP ORLANDO, INC. ADVANCED SURGERY CENTER OF TAMPA LLC

Sims, Karen

TITAN HEALTH OF TITUSVILLE, INC. NATIONAL SURGERY CENTER HOLDINGS, INC. SURGCENTER NORTHEAST LLC SURGCENTER OF ORANGE PARK LLC SURGCENTER OF PALM BEACH GARDENS LLC LONGLEAF SURGERY CENTER, LLC MARION SURGERY CENTER LLC ORLANDO HEALTH/USP SURGERY CENTERS, L.L.C. USP ORLANDO, INC. ADVANCED SURGERY CENTER OF TAMPA LLC

CT Corporation System

PAPER MONEY GUARANTY, LLC LIQUID CAPITAL EXCHANGE, INC. ALTEA USA, INC. MINTOTO US HOLDINGS, LLC NTERSPEC TECHNOLOGIES, LLC CRANE CONTRACTORS LLC SAGE DENTAL GROUP OF FLORIDA, PLLC R.C.V.O. PROPERTIES, LLC REQUIRO SCIENTIA LLC EARTH TECH (DE), LLC

Related by address

14201 DALLAS PKWY, FL 13, Dallas, TX 75254

SURGCENTER OF PALM BEACH GARDENS LLC ADVANCED SURGERY CENTER OF TAMPA LLC MIAMI SURGICAL SUITES LLC SEASIDE SURGERY CENTER LLC SURGCENTER OF ST. LUCIE, LLC JACKSONVILLE ENDOSCOPY CENTERS, LLC INTRACOASTAL SURGERY CENTER, LLC MINIMALLY INVASIVE SURGICENTER LLC TAMPA BAY JOINT AND SPINE, LLC

Date of last update: 21 Jan 2025

Sources: Florida Department of State

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