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  5. DOUGLAS F. LIEB, M.D., LLC

DOUGLAS F. LIEB, M.D., LLC

Company Details

Entity Name: DOUGLAS F. LIEB, M.D., LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Active
Date Filed: 22 Apr 2016 (9 years ago)
Last Event: REINSTATEMENT
Event Date Filed: 16 Oct 2017 (7 years ago)
Document Number: L16000082287
FEI/EIN Number 81-2288672
Address: 1053 MEDICAL CENTER DR., ORANGE CITY, FL, 32763, US
Mail Address: 1053 Medical Center Dr, Suite 242, Orange City, FL, 32763, US
ZIP code: 32763
County: Volusia
Place of Formation: FLORIDA

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
DOUGLAS F. LIEB, M.D., LLC 401(K) PROFIT SHARING PLAN 2023 812288672 2024-07-25 DOUGLAS F. LIEB, M.D., LLC 21
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2017-01-01
Business code 621111
Sponsor’s telephone number 3864560210
Plan sponsor’s address 1053 MEDICAL CENTER DRIVE, SUITE 242, ORANGE CITY, FL, 32763
DOUGLAS F. LIEB, M.D., LLC 401(K) PROFIT SHARING PLAN 2022 812288672 2023-06-20 DOUGLAS F. LIEB, M.D., 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 3864560210
Plan sponsor’s address 1053 MEDICAL CENTER DRIVE, SUITE 242, ORANGE CITY, FL, 32763
DOUGLAS F. LIEB, M.D., LLC 401(K) PROFIT SHARING PLAN 2021 812288672 2022-04-18 DOUGLAS F. LIEB, M.D., LLC 17
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2017-01-01
Business code 621111
Sponsor’s telephone number 3864560210
Plan sponsor’s address 1712 COTTOWOOD CREEK PLACE, LAKE MARY, FL, 32746
DOUGLAS F. LIEB, M.D., LLC 401(K) PROFIT SHARING PLAN 2020 812288672 2021-07-14 DOUGLAS F. LIEB, M.D., LLC 13
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2017-01-01
Business code 621111
Sponsor’s telephone number 3864560210
Plan sponsor’s address 1712 COTTOWOOD CREEK PLACE, LAKE MARY, FL, 32746
DOUGLAS F. LIEB, M.D., LLC 401(K) PROFIT SHARING PLAN 2019 812288672 2020-07-29 DOUGLAS F. LIEB, M.D., LLC 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2017-01-01
Business code 621111
Sponsor’s telephone number 3854560210
Plan sponsor’s address 1712 COTTOWOOD CREEK PLACE, LAKE MARY, FL, 32746
DOUGLAS F. LIEB, M.D., LLC 401(K) PROFIT SHARING PLAN 2018 812288672 2019-04-19 DOUGLAS F. LIEB, M.D., LLC 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2017-01-01
Business code 621111
Sponsor’s telephone number 3864560210
Plan sponsor’s address 1712 COTTOWOOD CREEK PLACE, LAKE MARY, FL, 32746

Signature of
Role Plan administrator
Date 2019-04-18
Name of individual signing JENNIFER LIEB
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2019-04-18
Name of individual signing JENNIFER LIEB
Valid signature Filed with authorized/valid electronic signature
DOUGLAS F. LIEB, M.D., LLC 401(K) PROFIT SHARING PLAN 2017 812288672 2018-03-22 DOUGLAS F. LIEB, M.D., LLC 0
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2017-01-01
Business code 621111
Sponsor’s telephone number 3854560210
Plan sponsor’s address 1712 COTTOWOOD CREEK PLACE, LAKE MARY, FL, 32746

Signature of
Role Plan administrator
Date 2018-03-22
Name of individual signing JENNIFER LIEB
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2018-03-22
Name of individual signing JENNIFER LIEB
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
Lieb Douglas FDr. Agent 1053 Medical Center Dr, Suite 242, Orange City, FL, 32763

Manager

Name Role Address
LIEB DOUGLAS F Manager 1053 Medical Center Dr, Suite 242, Orange City, FL, 32763

Auth

Name Role Address
Lieb Douglas FDr. Auth 1053 Medical Center Dr, Suite 242, Orange City, FL, 32763

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G16000057031 ADVANCED RETINA ASSOCIATES ACTIVE 2016-06-09 2026-12-31 No data 1712 COTTONWOOD CREEK PL, LAKE MARY, FL, 32746
G16000051431 THE RETINA INSTITUTE EXPIRED 2016-05-23 2021-12-31 No data 1712 COTTONWOOD CREEK PL, LAKE MARY, FL, 32746

Events

Event Type Filed Date Value Description
CHANGE OF MAILING ADDRESS 2022-03-11 1053 MEDICAL CENTER DR., SUITE 242, ORANGE CITY, FL 32763 No data
REGISTERED AGENT ADDRESS CHANGED 2022-03-11 1053 Medical Center Dr, Suite 242, Orange City, FL 32763 No data
REGISTERED AGENT NAME CHANGED 2020-05-26 Lieb, Douglas F, Dr. No data
CHANGE OF PRINCIPAL ADDRESS 2019-03-31 1053 MEDICAL CENTER DR., SUITE 242, ORANGE CITY, FL 32763 No data
REINSTATEMENT 2017-10-16 No data No data
ADMIN DISSOLUTION FOR ANNUAL REPORT 2017-09-22 No data No data

Documents

Name Date
AMENDED ANNUAL REPORT 2024-02-06
ANNUAL REPORT 2024-01-08
ANNUAL REPORT 2023-01-23
ANNUAL REPORT 2022-03-11
ANNUAL REPORT 2021-02-01
AMENDED ANNUAL REPORT 2020-05-26
ANNUAL REPORT 2020-01-13
ANNUAL REPORT 2019-03-31
ANNUAL REPORT 2018-01-13
REINSTATEMENT 2017-10-16

Related by officers

LIEB DOUGLAS F

LIEB LIQUID ASSETS, LLC LIEB NSB CONDO, LLC DJ LIEB DAYTONA OFFICE, LLC DJ LIEB COTTONWOOD RENTAL, LLC

Related by address

No related companies by address

Date of last update: 02 Feb 2025

Sources: Florida Department of State

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