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  5. PALM BEACH WELLNESS, LLC

PALM BEACH WELLNESS, LLC

Company Details

Entity Name: PALM BEACH WELLNESS, LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Company
Status: Active
Date Filed: 08 Feb 2016 (9 years ago)
Document Number: L16000026245
FEI/EIN Number 32-0487365
Address: 2645 N FEDERAL HWY, SUITE 100, DELRAY BEACH, FL 33483
Mail Address: 2645 N FEDERAL HWY, SUITE 100, DELRAY BEACH, FL 33483
ZIP code: 33483
County: Palm Beach
Place of Formation: FLORIDA

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
PALM BEACH WELLNESS 401(K) PLAN 2023 320487365 2024-05-07 PALM BEACH WELLNESS 23
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2019-01-01
Business code 621900
Sponsor’s telephone number 5617402004
Plan sponsor’s address 2645 NORTH FEDERAL HIGHWAY, STE 100, DELRAY BEACH, FL, 33483

Plan administrator’s name and address
Administrator’s EIN 474474775
Plan administrator’s name GUIDELINE, INC.
Plan administrator’s address 1412 CHAPIN AVENUE, BURLINGAME, CA, 94010
Administrator’s telephone number 8882283491

Signature of
Role Plan administrator
Date 2024-05-07
Name of individual signing QIAN LIU
Valid signature Filed with authorized/valid electronic signature
PALM BEACH WELLNESS 401(K) PLAN 2022 320487365 2023-05-26 PALM BEACH WELLNESS 18
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2019-01-01
Business code 621900
Sponsor’s telephone number 5617402004
Plan sponsor’s address 2645 NORTH FEDERAL HIGHWAY, STE 100, DELRAY BEACH, FL, 33483

Plan administrator’s name and address
Administrator’s EIN 474474775
Plan administrator’s name GUIDELINE, INC.
Plan administrator’s address 1412 CHAPIN AVENUE, BURLINGAME, CA, 94010
Administrator’s telephone number 8882283491

Signature of
Role Plan administrator
Date 2023-05-26
Name of individual signing CHRISTINE RIMER
Valid signature Filed with authorized/valid electronic signature
PALM BEACH WELLNESS 401(K) PLAN 2021 320487365 2022-05-19 PALM BEACH WELLNESS 18
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2019-01-01
Business code 621900
Sponsor’s telephone number 5617402004
Plan sponsor’s address 2645 NORTH FEDERAL HIGHWAY, STE 100, DELRAY BEACH, FL, 33483

Plan administrator’s name and address
Administrator’s EIN 474474775
Plan administrator’s name GUIDELINE, INC.
Plan administrator’s address 1645 E 6TH STREET, SUITE 200, AUSTIN, TX, 78702
Administrator’s telephone number 8882283491

Signature of
Role Plan administrator
Date 2022-05-19
Name of individual signing CHRISTINE RIMER
Valid signature Filed with authorized/valid electronic signature
PALM BEACH WELLNESS 401(K) PLAN 2020 320487365 2021-04-23 PALM BEACH WELLNESS 24
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2019-01-01
Business code 621900
Plan sponsor’s address 2645 N FEDERAL HWY, SUITE 100, DELRAY BEACH, FL, 33483

Plan administrator’s name and address
Administrator’s EIN 474474775
Plan administrator’s name GUIDELINE, INC.
Plan administrator’s address 3050 S DELAWARE ST, #202, SAN MATEO, CA, 94403
Administrator’s telephone number 8882283491

Signature of
Role Plan administrator
Date 2021-04-23
Name of individual signing CAROL HO
Valid signature Filed with authorized/valid electronic signature
PALM BEACH WELLNESS 401(K) PLAN 2019 320487365 2020-05-05 PALM BEACH WELLNESS 18
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2019-01-01
Business code 621900
Plan sponsor’s address 2645 N FEDERAL HWY, SUITE 100, DELRAY BEACH, FL, 33483

Plan administrator’s name and address
Administrator’s EIN 474474775
Plan administrator’s name GUIDELINE, INC.
Plan administrator’s address 3050 S DELAWARE ST, #202, SAN MATEO, CA, 94403
Administrator’s telephone number 8882283491

Signature of
Role Plan administrator
Date 2020-05-05
Name of individual signing CAROL HO
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
SHIM, CHRISTINE Agent 2645 N FEDERAL HWY, SUITE 100, DELRAY BEACH, FL 33483

Manager

Name Role Address
SHIM, CHRISTINE Manager 2645 N FEDERAL HWY, SUITE 100, DELRAY BEACH, FL 33483

Authorized Member

Name Role Address
Dudley, Robert Authorized Member 2645 N Federal Hwy Ste 100, Delray Beach, FL 33483

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2019-02-12 2645 N FEDERAL HWY, SUITE 100, DELRAY BEACH, FL 33483 No data
CHANGE OF MAILING ADDRESS 2019-02-12 2645 N FEDERAL HWY, SUITE 100, DELRAY BEACH, FL 33483 No data
REGISTERED AGENT ADDRESS CHANGED 2019-02-12 2645 N FEDERAL HWY, SUITE 100, DELRAY BEACH, FL 33483 No data

Documents

Name Date
ANNUAL REPORT 2024-02-02
ANNUAL REPORT 2023-02-13
ANNUAL REPORT 2022-01-21
ANNUAL REPORT 2021-03-27
ANNUAL REPORT 2020-01-13
ANNUAL REPORT 2019-02-12
ANNUAL REPORT 2018-01-20
ANNUAL REPORT 2017-03-26
Florida Limited Liability 2016-02-08

Related by officers

Dudley, Robert

KE POZE, INC.

Related by address

No related companies by address

Date of last update: 20 Jan 2025

Sources: Florida Department of State

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