| Entity Name: | MODERN IMAGE, PLLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Inactive |
| Date Filed: | 19 Jul 2016 (9 years ago) |
| Date of dissolution: | 28 Sep 2018 (6 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 28 Sep 2018 (6 years ago) |
| Document Number: | L16000135504 |
| FEI/EIN Number | 813226918 |
| Address: | 334 VISTA OAK DRIVE, LONGWOOD, FL, 32779, US |
| Mail Address: | 334 VISTA OAK DRIVE, LONGWOOD, FL, 32779, US |
| ZIP code: | 32779 |
| County: | Seminole |
| Place of Formation: | FLORIDA |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| MODERN IMAGE PLLC 401(K) & PROFIT SHARING PLAN | 2018 | 460682419 | 2019-08-20 | MODERN IMAGE PLLC | 8 | |||||||||||||||||||||||
|
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| Role | Plan administrator |
| Date | 2019-08-20 |
| Name of individual signing | ERIK ROACH |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2011-01-01 |
| Business code | 621310 |
| Sponsor’s telephone number | 4076782009 |
| Plan sponsor’s address | 623 MAITLAND AVENUE - SUITE 1101, ALTAMONTE SPRINGS, FL, 32701 |
Signature of
| Role | Plan administrator |
| Date | 2018-07-10 |
| Name of individual signing | ERIK ROACH |
| Valid signature | Filed with authorized/valid electronic signature |
| Name | Role | Address |
|---|---|---|
| ROACH ERIK D | Agent | 334 VISTA OAK DRIVE, LONGWOOD, FL, 32779 |
| Name | Role | Address |
|---|---|---|
| ROACH ERIK D | Manager | 334 VISTA OAK DRIVE, LONGWOOD, FL, 32779 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G16000133395 | MODERN IMAGE | EXPIRED | 2016-12-12 | 2021-12-31 | No data | 334 VISTA OAK DRIVE, LONGWOOD, FL, 32779 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2018-09-28 | No data | No data |
| LC NAME CHANGE | 2016-11-21 | MODERN IMAGE, PLLC | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2017-02-16 |
| LC Name Change | 2016-11-21 |
| Florida Limited Liability | 2016-07-19 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
