| Entity Name: | PRANA MEDICAL AESTHETICS, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 12 May 2015 (10 years ago) |
| Last Event: | LC STMNT OF RA/RO CHG |
| Event Date Filed: | 23 Nov 2016 (8 years ago) |
| Document Number: | L15000083615 |
| FEI/EIN Number | 47-4064011 |
| Address: | 1478 RIVERPLACE BOULEVARD, JACKSONVILLE, FL, 32207, US |
| Mail Address: | 3432 SUNNYSIDE DR, JACKSONVILLE, FL, 32207, US |
| ZIP code: | 32207 |
| County: | Duval |
| Place of Formation: | FLORIDA |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| PRANA MEDICAL AESTHETICS LLC 401K PLAN | 2021 | 474064011 | 2022-11-30 | PRANA MEDICAL AESTHETICS LLC | 5 | |||||||||||||||||||||||||||||||||
|
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| Role | Plan administrator |
| Date | 2022-11-30 |
| Name of individual signing | KONIKA SCHALLEN |
| 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 | 9046549629 |
| Plan sponsor’s address | 1478 RIVERPLACE BOULEVARD, SUITE 110, JACKSONVILLE, FL, 32207 |
Signature of
| Role | Plan administrator |
| Date | 2022-11-30 |
| Name of individual signing | KONIKA SCHALLEN |
| 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 | 9042719169 |
| Plan sponsor’s address | 1478 RIVERPLACE BOULEVARD, SUITE 110, JACKSONVILLE, FL, 32207 |
Signature of
| Role | Plan administrator |
| Date | 2020-07-05 |
| Name of individual signing | KONIKA SCHALLEN |
| Valid signature | Filed with authorized/valid electronic signature |
| Role | Employer/plan sponsor |
| Date | 2020-07-05 |
| Name of individual signing | ERIC SCHALLEN |
| Valid signature | Filed with incorrect/unrecognized 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 | 9042719169 |
| Plan sponsor’s address | 1478 RIVERPLACE BOULEVARD, SUITE 110, JACKSONVILLE, FL, 32207 |
Signature of
| Role | Plan administrator |
| Date | 2019-07-24 |
| Name of individual signing | ERIC SCHALLEN |
| Valid signature | Filed with authorized/valid electronic signature |
| Name | Role | Address |
|---|---|---|
| schallen konika | Agent | 1478 RIVERPLACE BOULEVARD, JACKSONVILLE, FL, 32207 |
| Name | Role | Address |
|---|---|---|
| schallen konika | President | 3432 sunnyside dr, JACKSONVILLE, FL, 32207 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G21000151210 | CMA MEDICINE | ACTIVE | 2021-11-11 | 2026-12-31 | No data | 1478 RIVERPLACE BOULEVARD, SUITE 110, JACKSONVILLE, FL, 32207 |
| G16000105920 | CMA THE CENTER FOR MODERN AESTHETIC MEDICINE | EXPIRED | 2016-09-27 | 2021-12-31 | No data | 1478 RIVERPLACE BLVD., SUITE 110, JACKSONVILLE, FL, 32207 |
| G15000087287 | CENTER FOR MODERN AESTHETIC MEDICINE | EXPIRED | 2015-08-24 | 2020-12-31 | No data | 353 6TH AVENUE SOUTH, JACKSONVILLE BEACH, FL, 32250 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF MAILING ADDRESS | 2024-03-27 | 1478 RIVERPLACE BOULEVARD, SUITE 110, JACKSONVILLE, FL 32207 | No data |
| LC STMNT OF RA/RO CHG | 2016-11-23 | No data | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2016-11-23 | 1478 RIVERPLACE BOULEVARD, SUITE 110, JACKSONVILLE, FL 32207 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2016-11-02 | 1478 RIVERPLACE BOULEVARD, SUITE 110, JACKSONVILLE, FL 32207 | No data |
| REGISTERED AGENT NAME CHANGED | 2016-04-29 | schallen, konika | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-03-27 |
| ANNUAL REPORT | 2023-03-20 |
| ANNUAL REPORT | 2022-04-23 |
| ANNUAL REPORT | 2021-05-02 |
| ANNUAL REPORT | 2020-05-02 |
| ANNUAL REPORT | 2019-05-01 |
| ANNUAL REPORT | 2018-04-29 |
| ANNUAL REPORT | 2017-04-25 |
| CORLCRACHG | 2016-11-23 |
| ANNUAL REPORT | 2016-04-29 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
