| Entity Name: | PRECISION SKIN, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 15 Dec 2014 (10 years ago) |
| Last Event: | REINSTATEMENT |
| Event Date Filed: | 23 Nov 2020 (4 years ago) |
| Document Number: | L14000190380 |
| FEI/EIN Number | 473826242 |
| Address: | 3501 S. UNIVERSITY DR, SUITE #5, DAVIE, FL, 33328, US |
| Mail Address: | 3501 S. UNIVERSITY DR, SUITE #5, DAVIE, FL, 33328, US |
| ZIP code: | 33328 |
| County: | Broward |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1962002154 | 2020-10-28 | 2020-10-28 | 3501 S UNIVERSITY DR STE 5, DAVIE, FL, 333282001, US | 3501 S UNIVERSITY DR STE 5, DAVIE, FL, 333282001, US | |||||||||||||||
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| Phone | +1 954-998-0345 |
| Fax | 9549980344 |
Authorized person
| Name | JASON BARRY |
| Role | EXECUTIVE PRACTICE MANAGER |
| Phone | 9549980345 |
Taxonomy
| Taxonomy Code | 207N00000X - Dermatology Physician |
| Is Primary | Yes |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| PRECISION SKIN INSTITUTE 401(K) PLAN | 2023 | 473826242 | 2024-09-06 | PRECISION SKIN, LLC | 15 | |||||||||||||||||||||||
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| Role | Plan administrator |
| Date | 2024-09-06 |
| Name of individual signing | LESLEY CLARK-LOESER |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2022-01-01 |
| Business code | 621111 |
| Sponsor’s telephone number | 9549980345 |
| Plan sponsor’s address | 3501 S UNIVERSITY DRIVE, SUITE 5, DAVIE, FL, 33328 |
Signature of
| Role | Plan administrator |
| Date | 2023-10-13 |
| Name of individual signing | LESLEY CLARK-LOESER |
| Valid signature | Filed with authorized/valid electronic signature |
| Name | Role | Address |
|---|---|---|
| CLARK-LOESER LESLEY | Agent | 10381 GOLDEN EAGLE CT, PLANTATION, FL, 33324 |
| Name | Role | Address |
|---|---|---|
| CLARK-LOESER LESLEY | Manager | 3501 S. UNIVERSITY DR, DAVIE, FL, 33328 |
| BLYUMIN-KARASIK MARIANNA | Manager | 3501 S. UNIVERSITY DR, DAVIE, FL, 33328 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G24000024153 | PRECISION SKIN AND BODY INSTITUTE | ACTIVE | 2024-02-13 | 2029-12-31 | No data | 3501 S. UNIVERSITY DR, SUITE 5, DAVIE, FL, 33328 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REINSTATEMENT | 2020-11-23 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2020-11-23 | CLARK-LOESER, LESLEY | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2020-09-25 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2015-12-10 | 3501 S. UNIVERSITY DR, SUITE #5, DAVIE, FL 33328 | No data |
| CHANGE OF MAILING ADDRESS | 2015-12-10 | 3501 S. UNIVERSITY DR, SUITE #5, DAVIE, FL 33328 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2025-01-07 |
| ANNUAL REPORT | 2024-01-17 |
| ANNUAL REPORT | 2023-01-19 |
| ANNUAL REPORT | 2022-01-11 |
| ANNUAL REPORT | 2021-04-07 |
| REINSTATEMENT | 2020-11-23 |
| ANNUAL REPORT | 2019-02-07 |
| ANNUAL REPORT | 2018-01-11 |
| ANNUAL REPORT | 2017-01-16 |
| ANNUAL REPORT | 2016-04-08 |
| Loan Number | Loan Funded Date | SBA Origination Office Code | Loan Delivery Method | Borrower Street Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1573547201 | 2020-04-15 | 0455 | PPP | 3501 S UNIVERSITY DR, DAVIE, FL, 33328-2001 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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Date of last update: 01 Feb 2025
Sources: Florida Department of State
