| Entity Name: | SKYWAY SURGERY CENTER, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 12 Jul 2016 (9 years ago) |
| Last Event: | LC STMNT OF RA/RO CHG |
| Event Date Filed: | 28 Oct 2022 (2 years ago) |
| Document Number: | L16000127800 |
| FEI/EIN Number | 81-3237016 |
| Address: | 625 6TH AVENUE SOUTH, Suite 150, ST. PETERSBURG, FL, 33701, US |
| Mail Address: | 14201 DALLAS PKWY, Dallas, TX, 75254, US |
| ZIP code: | 33701 |
| County: | Pinellas |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1366935074 | 2018-06-08 | 2024-09-06 | 625 6TH AVE S, ST PETERSBURG, FL, 337014662, US | 625 6TH AVE S, ST PETERSBURG, FL, 337014662, US | |||||||||||||
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| Phone | +1 727-742-7317 |
Authorized person
| Name | COLLIN LEMAISTRE |
| Role | AUTHORIZED OFFICIAL |
| Phone | 2142130732 |
Taxonomy
| Taxonomy Code | 261QA1903X - Ambulatory Surgical Clinic/Center |
| Is Primary | Yes |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| SKYWAY SURGERY CENTER LLC 401(K) PLAN | 2022 | 813237016 | 2023-10-16 | SKYWAY SURGERY CENTER LLC | 6 | |||||||||||||||||||||||
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| Role | Plan administrator |
| Date | 2023-10-16 |
| Name of individual signing | KRISTIN CUTTS |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2020-01-01 |
| Business code | 621493 |
| Sponsor’s telephone number | 7277427317 |
| Plan sponsor’s address | 625 6TH AVE S, SUITE 150, ST PETERSBURG, FL, 33701 |
Signature of
| Role | Plan administrator |
| Date | 2021-09-29 |
| Name of individual signing | LAURA SMITH |
| Valid signature | Filed with authorized/valid electronic signature |
| Name | Role | Address |
|---|---|---|
| CT CORPORATION SYSTEM | Agent | 1200 S PINE ISLAND RD, PLANTATION, FL, 33324 |
| Name | Role | Address |
|---|---|---|
| LeMaistre Collin | President | 14201 DALLAS PKWY, Dallas, TX, 75254 |
| Name | Role | Address |
|---|---|---|
| Sims Karen | Auth | 14201 DALLAS PKWY, Dallas, TX, 75254 |
| Name | Role | Address |
|---|---|---|
| Zinckgraf Eric | Vice President | 625 6TH AVENUE SOUTH, ST. PETERSBURG, FL, 33701 |
| Name | Role | Address |
|---|---|---|
| Bowden James | Secretary | 14201 DALLAS PKWY, Dallas, TX, 75254 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF MAILING ADDRESS | 2024-05-02 | 625 6TH AVENUE SOUTH, Suite 150, ST. PETERSBURG, FL 33701 | No data |
| LC STMNT OF RA/RO CHG | 2022-10-28 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2022-10-28 | CT CORPORATION SYSTEM | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2022-10-28 | 1200 S PINE ISLAND RD, PLANTATION, FL 33324 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2021-03-15 | 625 6TH AVENUE SOUTH, Suite 150, ST. PETERSBURG, FL 33701 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-05-02 |
| ANNUAL REPORT | 2023-04-19 |
| CORLCRACHG | 2022-10-28 |
| ANNUAL REPORT | 2022-04-05 |
| ANNUAL REPORT | 2021-03-15 |
| ANNUAL REPORT | 2020-06-26 |
| ANNUAL REPORT | 2019-02-08 |
| ANNUAL REPORT | 2018-03-18 |
| ANNUAL REPORT | 2017-03-15 |
| Florida Limited Liability | 2016-07-12 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
