| Entity Name: | OPES HEALTH CHANNELSIDE LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Inactive |
| Date Filed: | 06 Feb 2015 (10 years ago) |
| Date of dissolution: | 24 Sep 2021 (3 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 24 Sep 2021 (3 years ago) |
| Document Number: | L15000023179 |
| FEI/EIN Number | 47-3039902 |
| Address: | 109 NORTH 12TH STREET, TAMPA, FL, 33602, US |
| Mail Address: | 109 NORTH 12TH STREET, TAMPA, FL, 33602, US |
| ZIP code: | 33602 |
| County: | Hillsborough |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1013385004 | 2015-09-08 | 2016-02-23 | 109 N 12TH ST, SUITE 1105, TAMPA, FL, 336023686, US | 912 CHANNELSIDE DR, SUITE 2103, TAMPA, FL, 336024229, US | |||||||||||||||||||||
|
|||||||||||||||||||||||||
| Phone | +1 813-906-6737 |
| Fax | 8559166737 |
Authorized person
| Name | VICTOR CRUZ |
| Role | PRESIDENT |
| Phone | 8133973632 |
Taxonomy
| Taxonomy Code | 208D00000X - General Practice Physician |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 015842000 |
| State | FL |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| OPES HEALTH CHANNELSIDE LLC 401(K) PROFIT SHARING PLAN & TRUST | 2020 | 473039902 | 2021-04-13 | OPES HEALTH CHANNELSIDE LLC | 38 | |||||||||||||||||||||||||||||||
|
||||||||||||||||||||||||||||||||||||
| Role | Plan administrator |
| Date | 2021-04-13 |
| Name of individual signing | EDWARD ROJAS |
| Valid signature | Filed with authorized/valid electronic signature |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2018-01-01 |
| Business code | 621111 |
| Sponsor’s telephone number | 8139066737 |
| Plan sponsor’s address | 109 N 12TH STREET, SUITE 1105, TAMPA, FL, 33602 |
Signature of
| Role | Plan administrator |
| Date | 2021-04-13 |
| Name of individual signing | EDWARD ROJAS |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2018-01-01 |
| Business code | 621111 |
| Sponsor’s telephone number | 8139066737 |
| Plan sponsor’s address | 109 N 12TH STREET, SUITE 1105, TAMPA, FL, 33602 |
Signature of
| Role | Plan administrator |
| Date | 2020-07-14 |
| Name of individual signing | EDWARD ROJAS |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2018-01-01 |
| Business code | 621111 |
| Sponsor’s telephone number | 8139066737 |
| Plan sponsor’s address | 109 N 12TH STREET, SUITE 1105, TAMPA, FL, 33602 |
Plan administrator’s name and address
| Administrator’s EIN | 264477125 |
| Plan administrator’s name | 401K GENERATION |
| Plan administrator’s address | 195 INTERNATIONAL PKWY, S #311, LAKE MARY, FL, 32746 |
| Administrator’s telephone number | 8669985879 |
Signature of
| Role | Plan administrator |
| Date | 2019-06-27 |
| Name of individual signing | EDWARD ROJAS |
| Valid signature | Filed with authorized/valid electronic signature |
| Name | Role | Address |
|---|---|---|
| Cruz Victor D | Agent | 109 N 12th St, Tampa, FL, 33602 |
| Name | Role | Address |
|---|---|---|
| CRUZ VICTOR D | Manager | 1190 EAST WASHINGTON STREET, TAMPA, FL, 33602 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G16000068875 | OPES HEALTH | ACTIVE | 2016-07-13 | 2026-12-31 | No data | 912 CHANNELSIDE DRIVE, STE. 2102, TAMPA, FL, 33602 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2021-09-24 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2020-04-30 | Cruz, Victor Damaso | No data |
| REINSTATEMENT | 2020-04-30 | No data | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2020-04-30 | 109 N 12th St, 1105, Tampa, FL 33602 | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2019-09-27 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2017-05-01 | 109 NORTH 12TH STREET, SUITE 1105, TAMPA, FL 33602 | No data |
| CHANGE OF MAILING ADDRESS | 2016-03-24 | 109 NORTH 12TH STREET, SUITE 1105, TAMPA, FL 33602 | No data |
| LC AMENDMENT | 2015-07-14 | No data | No data |
| Document Number | Status | Case Number | Name of Court | Date of Entry | Expiration Date | Amount Due | Plaintiff |
|---|---|---|---|---|---|---|---|
| J20000281150 | ACTIVE | 2017 CA 005285 | HILLSBOROUGH CO | 2020-07-31 | 2025-08-24 | $1,030,699.49 | DPR CONSTRUCTION A GENERAL PARTNERSHIP, 315 E. ROBINSON STREET, SUITE 100, ORLANDO, FLORIDA 32801 |
| J20000109476 | ACTIVE | 1000000860303 | HILLSBOROU | 2020-02-13 | 2030-02-19 | $ 3,770.63 | STATE OF FLORIDA, DEPARTMENT OF REVENUE, TAMPA SERVICE CENTER, 5483 W WATERS AVE STE 1210, TAMPA FL336341236 |
| J19000279578 | ACTIVE | 1000000822606 | HILLSBOROU | 2019-04-10 | 2029-04-17 | $ 5,636.77 | STATE OF FLORIDA, DEPARTMENT OF REVENUE, TAMPA SERVICE CENTER, 5483 W WATERS AVE STE 1210, TAMPA FL336341236 |
| Name | Date |
|---|---|
| REINSTATEMENT | 2020-04-30 |
| ANNUAL REPORT | 2018-05-01 |
| ANNUAL REPORT | 2017-05-01 |
| ANNUAL REPORT | 2016-03-24 |
| LC Amendment | 2015-07-14 |
| Florida Limited Liability | 2015-02-06 |
Date of last update: 03 Feb 2025
Sources: Florida Department of State
