| Entity Name: | BLUE ZONE HEALTH, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: |
Florida Limited Liability Co.
BLUE ZONE HEALTH, LLC is structured as a Limited Liability Company (LLC), a common business structure that offers its members limited liability protection, separating their personal assets from the company's debts and obligations. |
| Status: |
Active
The business entity is active. This status indicates that the business is currently operating and compliant with state regulations, suggesting a lower risk profile for lenders and potentially better creditworthiness. |
| Date Filed: | 28 Jul 2014 (11 years ago) |
| Document Number: | L14000118340 |
| FEI/EIN Number |
47-1453877
Federal Employer Identification (FEI) Number assigned by the IRS. |
| Address: | 1000 N OLIVE AVE, WEST PALM BEACH, FL, 33401, US |
| Mail Address: | 1000 N Olive Ave, West Palm Beach, FL, 33401, US |
| ZIP code: | 33401 |
| County: | Palm Beach |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1982001277 | 2014-12-02 | 2014-12-02 | 1411 N FLAGLER DR STE 7200, WEST PALM BEACH, FL, 334013418, US | 1411 N FLAGLER DR STE 7200, WEST PALM BEACH, FL, 334013418, US | |||||||||||||||||
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| Phone | +1 561-557-1767 |
Authorized person
| Name | DR. LAURA BALDA |
| Role | PRESIDENT/PHYSICIAN |
| Phone | 5615571767 |
Taxonomy
| Taxonomy Code | 261QP2300X - Primary Care Clinic/Center |
| License Number | ME99506 |
| State | FL |
| Is Primary | Yes |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| BALDA HEALTH 401K PROFIT SHARING PLAN | 2023 | 471453877 | 2024-08-23 | BLUE ZONE HEALTH LLC | 7 | |||||||||||||||||||||||||||||||
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| Administrator’s EIN | 621874769 |
| Plan administrator’s name | ADMINISTRATIVE GROUP, LLC DBA TAG RESOURCES |
| Plan administrator’s address | 6501 DEANE HILL DRIVE, KNONXVILLE, TN, 37919 |
| Administrator’s telephone number | 8656701844 |
Signature of
| Role | Plan administrator |
| Date | 2024-08-23 |
| Name of individual signing | TARA EVANS, FOR TAG RESOURCES |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2021-01-01 |
| Business code | 624100 |
| Sponsor’s telephone number | 4079295222 |
| Plan sponsor’s address | 1000 SOUTH OLIVE AVENUE, WEST PALM BEACH, FL, 33401 |
Plan administrator’s name and address
| Administrator’s EIN | 621874769 |
| Plan administrator’s name | ADMINISTRATIVE GROUP, LLC DBA TAG RESOURCES |
| Plan administrator’s address | 6501 DEANE HILL DRIVE, KNONXVILLE, TN, 37919 |
| Administrator’s telephone number | 8656701844 |
Signature of
| Role | Plan administrator |
| Date | 2023-08-18 |
| Name of individual signing | TARA EVANS, FOR TAG RESOURCES |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2021-01-01 |
| Business code | 624100 |
| Sponsor’s telephone number | 4079295222 |
| Plan sponsor’s address | 1000 NORTH OLIVE AVENUE, WEST PALM BEACH, FL, 33401 |
Plan administrator’s name and address
| Administrator’s EIN | 621874769 |
| Plan administrator’s name | TAG RESOURCES, LLC |
| Plan administrator’s address | 6501 DEANE HILL DRIVE, KNONXVILLE, TN, 37919 |
| Administrator’s telephone number | 8656701844 |
Signature of
| Role | Plan administrator |
| Date | 2022-09-23 |
| Name of individual signing | TARA EVANS |
| Valid signature | Filed with authorized/valid electronic signature |
| Name | Role | Address |
|---|---|---|
| BALDA LAURA M | Manager | 1000 N OLIVE AVE, WEST PALM BEACH, FL, 33401 |
| LAURA BALDA | Agent | 1000 N OLIVE AVE, WEST PALM BEACH, FL, 33401 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G23000028001 | BALDAHEALTH | ACTIVE | 2023-03-01 | 2028-12-31 | - | 1000 N OLIVE AVE, WEST PALM BEACH, FL, 33401 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT ADDRESS CHANGED | 2021-01-13 | 1000 N OLIVE AVE, WEST PALM BEACH, FL 33401 | - |
| CHANGE OF MAILING ADDRESS | 2020-11-09 | 1000 N OLIVE AVE, WEST PALM BEACH, FL 33401 | - |
| CHANGE OF PRINCIPAL ADDRESS | 2020-11-05 | 1000 N OLIVE AVE, WEST PALM BEACH, FL 33401 | - |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2025-02-11 |
| ANNUAL REPORT | 2024-01-17 |
| ANNUAL REPORT | 2023-01-17 |
| ANNUAL REPORT | 2022-01-17 |
| ANNUAL REPORT | 2021-01-13 |
| ANNUAL REPORT | 2020-01-17 |
| ANNUAL REPORT | 2019-02-12 |
| ANNUAL REPORT | 2018-01-08 |
| ANNUAL REPORT | 2017-01-09 |
| ANNUAL REPORT | 2016-03-01 |
| Loan Number | Loan Funded Date | SBA Origination Office Code | Loan Delivery Method | Borrower Street Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| 4084667706 | 2020-05-01 | 0455 | PPP | 1411 N FLAGLER DR STE 7200, WEST PALM BEACH, FL, 33401 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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Date of last update: 01 Apr 2025
Sources: Florida Department of State
