| Entity Name: | PINES NURSING HOME 2015, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 02 Jul 2015 (10 years ago) |
| Document Number: | L15000112208 |
| FEI/EIN Number | 35-2537248 |
| Address: | 301 NE 141 STREET, MIAMI, FL, 33161, US |
| Mail Address: | 301 NE 141 STREET, MIAMI, FL, 33161, US |
| ZIP code: | 33161 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1326423682 | 2015-07-28 | 2015-07-28 | 1815 PURDY AVE, MIAMI BEACH, FL, 331391425, US | 301 NE 141ST ST, NORTH MIAMI, FL, 331612837, US | |||||||||||||||||
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| Phone | +1 786-877-6449 |
Authorized person
| Name | MR. MEIR COSIOL |
| Role | MANAGER |
| Phone | 7868776449 |
Taxonomy
| Taxonomy Code | 314000000X - Skilled Nursing Facility |
| License Number | 1442096 |
| State | FL |
| Is Primary | Yes |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| PINES NURSING HOME 2015 LLC 401(K) PROFIT SHARING PLAN & TRUST | 2019 | 352537248 | 2020-04-20 | PINES NURSING HOME 2015 LLC | 69 | |||||||||||||||||||||||||||||||||
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| Role | Plan administrator |
| Date | 2020-04-20 |
| Name of individual signing | ANDREW NEUMAN |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2009-01-01 |
| Business code | 623000 |
| Sponsor’s telephone number | 3058935000 |
| Plan sponsor’s address | 301 NE 141ST ST, MIAMI, FL, 331612837 |
Plan administrator’s name and address
| Administrator’s EIN | 352537248 |
| Plan administrator’s name | MEIR COSIOL |
| Plan administrator’s address | 301 NE 141 STREET, MIAMI, FL, 331612387 |
| Administrator’s telephone number | 3058935000 |
Signature of
| Role | Plan administrator |
| Date | 2019-07-19 |
| Name of individual signing | MEIR COSIOL |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2005-05-13 |
| Business code | 623000 |
| Sponsor’s telephone number | 3058931102 |
| Plan sponsor’s address | 301 NE 141ST ST, MIAMI, FL, 33161 |
Signature of
| Role | Plan administrator |
| Date | 2017-07-25 |
| Name of individual signing | ANDREW NEUMAN |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2005-06-09 |
| Business code | 623000 |
| Sponsor’s telephone number | 3058931102 |
| Plan sponsor’s address | 301 NE 141 ST, MIAMI, FL, 331612899 |
Signature of
| Role | Plan administrator |
| Date | 2016-10-14 |
| Name of individual signing | ANDREW NEUMAN |
| Valid signature | Filed with authorized/valid electronic signature |
| Role | Employer/plan sponsor |
| Date | 2016-10-14 |
| Name of individual signing | ANDREW NEUMAN |
| Valid signature | Filed with authorized/valid electronic signature |
| Name | Role | Address |
|---|---|---|
| Cosiol Meir | Agent | 301 NE 141 STREET, MIAMI, FL, 33161 |
| Name | Role |
|---|---|
| PINES HOLDINGS 2015, LLC | Manager |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G15000078178 | PINES NURSING HOME | ACTIVE | 2015-07-28 | 2025-12-31 | No data | 301 NE 141ST ST, MIAMI, FL, 33161 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT NAME CHANGED | 2023-03-02 | Cosiol, Meir | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2017-01-09 | 301 NE 141 STREET, MIAMI, FL 33161 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2016-02-04 | 301 NE 141 STREET, MIAMI, FL 33161 | No data |
| CHANGE OF MAILING ADDRESS | 2016-02-04 | 301 NE 141 STREET, MIAMI, FL 33161 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-01-22 |
| ANNUAL REPORT | 2023-03-02 |
| ANNUAL REPORT | 2022-01-21 |
| ANNUAL REPORT | 2021-02-02 |
| AMENDED ANNUAL REPORT | 2020-03-06 |
| ANNUAL REPORT | 2020-01-30 |
| ANNUAL REPORT | 2019-01-13 |
| ANNUAL REPORT | 2018-01-15 |
| ANNUAL REPORT | 2017-01-09 |
| ANNUAL REPORT | 2016-02-04 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
