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  5. HEEKIN CLINIC, LLC

HEEKIN CLINIC, LLC

Company Details

Entity Name: HEEKIN CLINIC, LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Inactive
Date Filed: 08 Sep 2014 (10 years ago)
Date of dissolution: 27 Sep 2024 (4 months ago)
Last Event: ADMIN DISSOLUTION FOR ANNUAL REPORT
Event Date Filed: 27 Sep 2024 (4 months ago)
Document Number: L14000140073
FEI/EIN Number 47-1828527
Address: 2 Shircliff way, JACKSONVILLE, FL, 32204, US
Mail Address: 2 Shircliff way, JACKSONVILLE, FL, 32204, US
ZIP code: 32204
County: Duval
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1235533829 2014-10-10 2021-09-29 1045 RIVERSIDE AVE STE 100, JACKSONVILLE, FL, 322044148, US 1045 RIVERSIDE AVE STE 100, JACKSONVILLE, FL, 322044148, US

Contacts
Phone +1 904-328-5979
Fax 9046199925

Authorized person
Name FADY EL BAHRI
Role OWNER
Phone 9043285979

Taxonomy
Taxonomy Code 207X00000X - Orthopaedic Surgery Physician
Is Primary Yes
Taxonomy Code 207XS0114X - Adult Reconstructive Orthopaedic Surgery Physician
License Number ME49020
State FL
Is Primary No

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
HEEKIN CLINIC, LLC CASH BALANCE PENSION PLAN 2020 471828527 2021-03-31 HEEKIN CLINIC, LLC 19
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2015-01-01
Business code 621111
Sponsor’s telephone number 9045144463
Plan sponsor’s address 1061 HOLNESDALE ROAD, JACKSONVILLE, FL, 32207

Signature of
Role Plan administrator
Date 2021-03-31
Name of individual signing CLAIRE HEEKIN
Valid signature Filed with authorized/valid electronic signature
HEEKIN CLINIC, LLC CASH BALANCE PENSION PLAN 2019 471828527 2021-03-31 HEEKIN CLINIC, LLC 17
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2015-01-01
Business code 621111
Sponsor’s telephone number 9045144463
Plan sponsor’s address 1061 HOLNESDALE ROAD, JACKSONVILLE, FL, 32207

Signature of
Role Plan administrator
Date 2021-03-31
Name of individual signing CLAIRE HEEKIN
Valid signature Filed with authorized/valid electronic signature
HEEKIN CLINIC, LLC 401(K) PROFIT SHARING PLAN 2019 471828527 2020-06-09 HEEKIN CLINIC, LLC 22
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-01-01
Business code 621111
Sponsor’s telephone number 9043285979
Plan sponsor’s address 2 SHIRCLIFF WAY, SUITE 605, DEPAUL BUILDING, JACKSONVILLE, FL, 32207

Signature of
Role Plan administrator
Date 2020-06-09
Name of individual signing CLAIRE HEEKIN
Valid signature Filed with authorized/valid electronic signature
HEEKIN CLINIC, LLC 401(K) PROFIT SHARING PLAN 2019 471828527 2020-12-26 HEEKIN CLINIC, LLC 30
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-01-01
Business code 621111
Sponsor’s telephone number 9043285979
Plan sponsor’s address 2 SHIRCLIFF WAY, SUITE 605, DEPAUL BUILDING, JACKSONVILLE, FL, 32207

Signature of
Role Plan administrator
Date 2020-12-26
Name of individual signing CLAIRE HEEKIN
Valid signature Filed with authorized/valid electronic signature
HEEKIN CLINIC, LLC CASH BALANCE PENSION PLAN 2019 471828527 2020-07-16 HEEKIN CLINIC, LLC 17
Three-digit plan number (PN) 002
Effective date of plan 2015-01-01
Business code 621111
Sponsor’s telephone number 9043285979
Plan sponsor’s address 2 SHIRCLIFF WAY, SUITE 605, DEPAUL BUILDING, JACKSONVILLE, FL, 32207

Signature of
Role Plan administrator
Date 2020-07-16
Name of individual signing CLAIRE HEEKIN
Valid signature Filed with authorized/valid electronic signature
HEEKIN CLINIC, LLC CASH BALANCE PENSION PLAN 2018 471828527 2019-10-02 HEEKIN CLINIC, LLC 21
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2015-01-01
Business code 621111
Sponsor’s telephone number 9043285979
Plan sponsor’s address 2 SHIRCLIFF WAY, SUITE 605, DEPAUL BUILDING, JACKSONVILLE, FL, 32207

Signature of
Role Plan administrator
Date 2019-10-02
Name of individual signing CLAIRE HEEKIN
Valid signature Filed with authorized/valid electronic signature
HEEKIN CLINIC, LLC 401(K) PROFIT SHARING PLAN 2018 471828527 2019-06-12 HEEKIN CLINIC, LLC 30
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-01-01
Business code 621111
Sponsor’s telephone number 9043285979
Plan sponsor’s address 2 SHIRCLIFF WAY, SUITE 605, DEPAUL BUILDING, JACKSONVILLE, FL, 32207

Signature of
Role Plan administrator
Date 2019-06-12
Name of individual signing CLAIRE HEEKIN
Valid signature Filed with authorized/valid electronic signature
HEEKIN CLINIC, LLC CASH BALANCE PENSION PLAN 2017 471828527 2018-10-15 HEEKIN CLINIC, LLC 17
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2015-01-01
Business code 621111
Sponsor’s telephone number 9043285979
Plan sponsor’s address 2 SHIRCLIFF WAY, SUITE 605, DEPAUL BUILDING, JACKSONVILLE, FL, 32207

Signature of
Role Plan administrator
Date 2018-10-15
Name of individual signing CLAIRE HEEKIN
Valid signature Filed with authorized/valid electronic signature
HEEKIN CLINIC, LLC 401(K) PROFIT SHARING PLAN 2017 471828527 2018-05-21 HEEKIN CLINIC, LLC 31
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-01-01
Business code 621111
Sponsor’s telephone number 9043285979
Plan sponsor’s address 2 SHIRCLIFF WAY, SUITE 605, DEPAUL BUILDING, JACKSONVILLE, FL, 32207

Signature of
Role Plan administrator
Date 2018-05-21
Name of individual signing CLAIRE HEEKIN
Valid signature Filed with authorized/valid electronic signature
HEEKIN CLINIC, LLC 401(K) PROFIT SHARING PLAN 2016 471828527 2017-06-07 HEEKIN CLINIC, LLC 23
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-01-01
Business code 621111
Sponsor’s telephone number 9043285979
Plan sponsor’s address 2 SHIRCLIFF WAY, SUITE 605, DEPAUL BUILDING, JACKSONVILLE, FL, 32207

Signature of
Role Plan administrator
Date 2017-06-07
Name of individual signing CLAIRE HEEKIN
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
LePrell Samuel LEsq. Agent 1930 San Marco Blvd., Jacksonville, FL, 32207

Manager

Name Role Address
Bahri Fady Dr. Manager 2 Shircliff way, JACKSONVILLE, FL, 32204

Events

Event Type Filed Date Value Description
ADMIN DISSOLUTION FOR ANNUAL REPORT 2024-09-27 No data No data
REGISTERED AGENT NAME CHANGED 2020-06-30 LePrell, Samuel L., Esq. No data
REGISTERED AGENT ADDRESS CHANGED 2020-06-30 1930 San Marco Blvd., Suite 201, Jacksonville, FL 32207 No data
CHANGE OF PRINCIPAL ADDRESS 2015-02-11 2 Shircliff way, Suite 605, JACKSONVILLE, FL 32204 No data
CHANGE OF MAILING ADDRESS 2015-02-11 2 Shircliff way, Suite 605, JACKSONVILLE, FL 32204 No data

Documents

Name Date
ANNUAL REPORT 2023-04-29
ANNUAL REPORT 2022-03-15
ANNUAL REPORT 2021-04-07
AMENDED ANNUAL REPORT 2020-06-30
ANNUAL REPORT 2020-01-17
ANNUAL REPORT 2019-02-07
ANNUAL REPORT 2018-01-23
ANNUAL REPORT 2017-01-19
ANNUAL REPORT 2016-03-28
ANNUAL REPORT 2015-02-11

Related by officers

No related officers

Related by address

No related companies by address

Date of last update: 01 Feb 2025

Sources: Florida Department of State

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