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  5. CARDIAC & VEINWORX LLC

CARDIAC & VEINWORX LLC

Company Details

Entity Name: CARDIAC & VEINWORX LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Active
Date Filed: 08 Apr 2015 (10 years ago)
Last Event: REINSTATEMENT
Event Date Filed: 21 Oct 2016 (8 years ago)
Document Number: L15000062027
FEI/EIN Number 47-3660763
Address: 3702 Washington Street, Hollywood, FL, 33021, US
Mail Address: 3702 Washington Street, Hollywood, FL, 33021, US
ZIP code: 33021
County: Broward
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1134516974 2015-04-20 2024-01-25 8362 PINES BLVD # 296, PEMBROKE PINES, FL, 330246600, US 3702 WASHINGTON ST, SUITE 305, HOLLYWOOD, FL, 330218282, US

Contacts
Phone +1 954-983-8910
Fax 9549855781

Authorized person
Name YALE COHEN
Role MANAGER
Phone 9549838910

Taxonomy
Taxonomy Code 207RC0000X - Cardiovascular Disease Physician
Is Primary Yes

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
CARDIAC & VEINWORX LLC 401(K) PROFIT SHARING PLAN & TRUST 2023 473660763 2024-07-15 CARDIAC & VEINWORX LLC 22
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2017-01-01
Business code 621111
Sponsor’s telephone number 9549838910
Plan sponsor’s address 3702 WASHINGTON STREET SUITE 305, HOLLYWOOD, FL, 33021

Signature of
Role Plan administrator
Date 2024-07-15
Name of individual signing YALE COHEN
Valid signature Filed with authorized/valid electronic signature
CARDIAC & VEINWORX, LLC CASH BALANCE PLAN 2023 473660763 2024-04-02 CARDIAC & VEINWORX, LLC 21
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2017-01-01
Business code 621111
Sponsor’s telephone number 9549838910
Plan sponsor’s address 3702 WASHINGTON STREET, SUITE 305, HOLLYWOOD, FL, 330218287
CARDIAC & VEINWORX, LLC CASH BALANCE PLAN 2022 473660763 2023-05-08 CARDIAC & VEINWORX, LLC 18
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2017-01-01
Business code 621111
Sponsor’s telephone number 9549838910
Plan sponsor’s address 3702 WASHINGTON STREET, SUITE 305, HOLLYWOOD, FL, 330218287
CARDIAC & VEINWORX LLC 401(K) PROFIT SHARING PLAN & TRUST 2022 473660763 2023-06-14 CARDIAC & VEINWORX LLC 18
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2017-01-01
Business code 621111
Sponsor’s telephone number 9549838910
Plan sponsor’s address 3702 WASHINGTON STREET SUITE 305, HOLLYWOOD, FL, 33021

Signature of
Role Plan administrator
Date 2023-06-14
Name of individual signing YALE COHEN
Valid signature Filed with authorized/valid electronic signature
CARDIAC & VEINWORX LLC 401(K) PROFIT SHARING PLAN & TRUST 2021 473660763 2022-03-30 CARDIAC & VEINWORX LLC 19
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2017-01-01
Business code 621111
Sponsor’s telephone number 9549838910
Plan sponsor’s address 3702 WASHINGTON STREET SUITE 305, HOLLYWOOD, FL, 33021

Signature of
Role Plan administrator
Date 2022-03-30
Name of individual signing JANINE LAMOURT
Valid signature Filed with authorized/valid electronic signature
CARDIAC & VEINWORX, LLC CASH BALANCE PLAN 2021 473660763 2022-06-14 CARDIAC & VEINWORX, LLC 18
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2017-01-01
Business code 621111
Sponsor’s telephone number 9549838910
Plan sponsor’s address 3702 WASHINGTON STREET, SUITE 305, HOLLYWOOD, FL, 330218287
CARDIAC & VEINWORX, LLC CASH BALANCE PLAN 2020 473660763 2021-06-21 CARDIAC & VEINWORX, LLC 16
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2017-01-01
Business code 621111
Sponsor’s telephone number 9549838910
Plan sponsor’s address 3702 WASHINGTON STREET, SUITE 305, HOLLYWOOD, FL, 330218287
CARDIAC & VEINWORX LLC 401(K) PROFIT SHARING PLAN & TRUST 2020 473660763 2021-07-30 CARDIAC & VEINWORX LLC 16
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2017-01-01
Business code 621111
Sponsor’s telephone number 9549838910
Plan sponsor’s address 3702 WASHINGTON STREET SUITE 305, HOLLYWOOD, FL, 33021

Signature of
Role Plan administrator
Date 2021-07-30
Name of individual signing YALE COHEN
Valid signature Filed with authorized/valid electronic signature
CARDIAC & VEINWORX LLC 401(K) PROFIT SHARING PLAN & TRUST 2019 473660763 2020-06-23 CARDIAC & VEINWORX LLC 16
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2017-01-01
Business code 621111
Sponsor’s telephone number 9549838910
Plan sponsor’s address 3702 WASHINGTON STREET SUITE 305, HOLLYWOOD, FL, 33021

Signature of
Role Plan administrator
Date 2020-06-23
Name of individual signing JANINE LAMOURT
Valid signature Filed with authorized/valid electronic signature
CARDIAC & VEINWORX, LLC CASH BALANCE PLAN 2019 473660763 2020-05-13 CARDIAC & VEINWORX, LLC 15
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2017-01-01
Business code 621111
Sponsor’s telephone number 9549838910
Plan sponsor’s address 3702 WASHINGTON STREET, SUITE 305, HOLLYWOOD, FL, 330218287

Agent

Name Role Address
Cohen Yale Agent 3702 Washington Street, Hollywood, FL, 33021

Chief Executive Officer

Name Role Address
COHEN YALE M.D. Chief Executive Officer 3702 Washington Street, Hollywood, FL, 33021

Auth

Name Role Address
LAMOURT JANINE Auth 3702 Washington Street, Hollywood, FL, 33021

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2017-04-20 3702 Washington Street, Suite 305, Hollywood, FL 33021 No data
CHANGE OF MAILING ADDRESS 2017-04-20 3702 Washington Street, Suite 305, Hollywood, FL 33021 No data
REGISTERED AGENT ADDRESS CHANGED 2017-04-20 3702 Washington Street, Suite 305, Hollywood, FL 33021 No data
REINSTATEMENT 2016-10-21 No data No data
REGISTERED AGENT NAME CHANGED 2016-10-21 Cohen, Yale No data
ADMIN DISSOLUTION FOR ANNUAL REPORT 2016-09-23 No data No data

Documents

Name Date
ANNUAL REPORT 2024-02-13
ANNUAL REPORT 2023-01-23
ANNUAL REPORT 2022-01-27
ANNUAL REPORT 2021-02-02
ANNUAL REPORT 2020-01-21
ANNUAL REPORT 2019-01-21
ANNUAL REPORT 2018-04-08
ANNUAL REPORT 2017-04-20
REINSTATEMENT 2016-10-21
Florida Limited Liability 2015-04-08

Related by officers

No related officers

Related by address

3702 Washington Street, Hollywood, FL, 33021, US

SOUTH FLORIDA RESEARCH SOLUTIONS, LLC SPILLER HEART INSTITUTE, LLC

3702 Washington Street, Hollywood, FL, 33021, US

SOUTH FLORIDA RESEARCH SOLUTIONS, LLC SPILLER HEART INSTITUTE, LLC

Date of last update: 02 Feb 2025

Sources: Florida Department of State

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