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UNITED CLINICAL LABORATORY LLC

Company Details

Entity Name: UNITED CLINICAL LABORATORY LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Company
Status: Active
Date Filed: 12 Sep 2014 (10 years ago)
Last Event: REINSTATEMENT
Event Date Filed: 28 Sep 2023 (a year ago)
Document Number: L14000142737
FEI/EIN Number 47-1814607
Mail Address: 2925 10th Avenue N., Palm Springs, FL 33461
Address: 2925 10th Ave N, Palm Springs, FL 33461
ZIP code: 33461
County: Palm Beach
Place of Formation: FLORIDA

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
UNITED CLINICAL LABORATORY LLC 401(K) PROFIT SHARING PLAN & TRUST 2020 471814607 2021-05-17 UNITED CLINICAL LABORATORY LLC 11
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-01-01
Business code 541700
Sponsor’s telephone number 5616169000
Plan sponsor’s address 2257 VISTA PKWY STE 2, WEST PALM BEACH, FL, 33411

Plan administrator’s name and address

Administrator’s EIN 471637791
Plan administrator’s name ERISA FIDUCIARY SERVICES
Plan administrator’s address 1373 VETERAN'S MEMORIAL HWY, SUITE 10, HAUPPAUGE, NY, 11788
Administrator’s telephone number 6312490500

Signature of

Role Plan administrator
Date 2021-05-17
Name of individual signing ERISA FIDUCIARY SERVICES
Valid signature Filed with authorized/valid electronic signature
UNITED CLINICAL LABORATORY LLC 401(K) PROFIT SHARING PLAN & TRUST 2020 471814607 2021-05-17 UNITED CLINICAL LABORATORY LLC 1
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-01-01
Business code 541700
Sponsor’s telephone number 5616169000
Plan sponsor’s address 2257 VISTA PKWY STE 2, WEST PALM BEACH, FL, 33411

Plan administrator’s name and address

Administrator’s EIN 471637791
Plan administrator’s name ERISA FIDUCIARY SERVICES
Plan administrator’s address 1373 VETERAN'S MEMORIAL HWY, SUITE 10, HAUPPAUGE, NY, 11788
Administrator’s telephone number 6312490500

Signature of

Role Plan administrator
Date 2021-05-17
Name of individual signing ERISA FIDUCIARY SERVICES
Valid signature Filed with authorized/valid electronic signature
UNITED CLINICAL LABORATORY LLC 401 K PROFIT SHARING PLAN TRUST 2017 471814607 2018-07-17 UNITED CLINICAL LABORATORY LLC 34
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-01-01
Business code 541700
Sponsor’s telephone number 5616169000
Plan sponsor’s address 2257 VISTA PKWY STE 2, WEST PALM BEACH, FL, 33411

Signature of

Role Plan administrator
Date 2018-07-17
Name of individual signing KIRILL VESSELOV
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
VESSELOV, KIRILL Agent 2925 10th Avenue N., Palm Springs, FL 33461

Managing Member

Name Role Address
VESSELOV, KIRILL Managing Member 2925 10th Avenue N., Palm Springs, FL 33461
VESSELOV, MIKHAIL Managing Member 2925 10th Avenue N., Palm Springs, FL 33461

Events

Event Type Filed Date Value Description
REINSTATEMENT 2023-09-28 No data No data
CHANGE OF PRINCIPAL ADDRESS 2023-09-28 2925 10th Ave N, Palm Springs, FL 33461 No data
REGISTERED AGENT NAME CHANGED 2023-09-28 VESSELOV, KIRILL No data
ADMIN DISSOLUTION FOR ANNUAL REPORT 2023-09-22 No data No data
CHANGE OF MAILING ADDRESS 2021-01-07 2925 10th Ave N, Palm Springs, FL 33461 No data
REGISTERED AGENT ADDRESS CHANGED 2021-01-07 2925 10th Avenue N., Palm Springs, FL 33461 No data

Documents

Name Date
ANNUAL REPORT 2024-02-26
REINSTATEMENT 2023-09-28
ANNUAL REPORT 2022-01-20
ANNUAL REPORT 2021-01-07
ANNUAL REPORT 2020-01-10
ANNUAL REPORT 2019-02-08
ANNUAL REPORT 2018-01-05
ANNUAL REPORT 2017-01-11
ANNUAL REPORT 2016-01-13
ANNUAL REPORT 2015-01-16

Date of last update: 21 Jan 2025

Sources: Florida Department of State