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PHYSICIAN COMPASSIONATE CARE LLC

Company Details

Entity Name: PHYSICIAN COMPASSIONATE CARE LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Company
Status: Active
Date Filed: 12 Aug 2016 (8 years ago)
Last Event: LC STMNT OF RA/RO CHG
Event Date Filed: 01 Oct 2024 (4 months ago)
Document Number: L16000151373
FEI/EIN Number 81-3685165
Address: 7901 4TH ST N, STE 300, ST PETERSBURG, FL 33702
Mail Address: 7901 4TH ST N, STE 300, ST PETERSBURG, FL 33702
ZIP code: 33702
County: Pinellas
Place of Formation: FLORIDA

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
PHYSICIAN COMPASSIONATE CARE LLC. 401(K) PLAN 2022 813685165 2023-09-24 PHYSICIAN COMPASSIONATE CARE LLC. 34
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2021-01-01
Business code 621111
Sponsor’s telephone number 7274202320
Plan sponsor’s address 2433 GULF TO BAY BLVD., STE.# 201, CLEARWATER, FL, 33765

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 2023-09-24
Name of individual signing CHRISTINE RIMER
Valid signature Filed with authorized/valid electronic signature
PHYSICIAN COMPASSIONATE CARE LLC. 401(K) PLAN 2022 813685165 2023-06-12 PHYSICIAN COMPASSIONATE CARE LLC. 55
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2021-01-01
Business code 621111
Sponsor’s telephone number 7274202320
Plan sponsor’s address 2433 GULF TO BAY BLVD., STE.# 201, CLEARWATER, FL, 33765

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 2023-06-12
Name of individual signing CHRISTINE RIMER
Valid signature Filed with authorized/valid electronic signature
PHYSICIAN COMPASSIONATE CARE LLC. 401(K) PLAN 2021 813685165 2022-05-19 PHYSICIAN COMPASSIONATE CARE LLC. 77
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2021-01-01
Business code 621111
Sponsor’s telephone number 7274202320
Plan sponsor’s address 2433 GULF TO BAY BLVD., STE.# 201, CLEARWATER, FL, 33765

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

Agent

Name Role
NORTHWEST REGISTERED AGENT LLC Agent

Manager

Name Role Address
Bloom, Aaron Manager 2433 Gulf To Bay, Suite 201 Clearwater, FL 33765

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G21000024647 DOCMJ-CARES ACTIVE 2021-02-20 2026-12-31 No data 2433 GULF TO BAY BLVD., SUITE 201, CLEARWATER, FL, 33765
G17000116210 DOCMJ ACTIVE 2017-10-22 2027-12-31 No data 2433 GULF TO BAY BLVD., SUITE 201, CLEARWATER, FL, 33765

Events

Event Type Filed Date Value Description
LC STMNT OF RA/RO CHG 2024-10-01 No data No data
CHANGE OF PRINCIPAL ADDRESS 2024-10-01 7901 4TH ST N, STE 300, ST PETERSBURG, FL 33702 No data
CHANGE OF MAILING ADDRESS 2024-10-01 7901 4TH ST N, STE 300, ST PETERSBURG, FL 33702 No data
REGISTERED AGENT NAME CHANGED 2024-10-01 NORTHWEST REGISTERED AGENT LLC No data
REGISTERED AGENT ADDRESS CHANGED 2024-10-01 7901 4TH ST N, STE 300, ST PETERSBURG, FL 33702 No data
LC AMENDMENT 2017-10-25 No data No data

Documents

Name Date
CORLCRACHG 2024-10-01
ANNUAL REPORT 2024-01-18
ANNUAL REPORT 2023-02-23
ANNUAL REPORT 2022-01-24
ANNUAL REPORT 2021-01-26
ANNUAL REPORT 2020-03-16
ANNUAL REPORT 2019-04-01
ANNUAL REPORT 2018-03-28
LC Amendment 2017-10-25
AMENDED ANNUAL REPORT 2017-05-15

Date of last update: 19 Jan 2025

Sources: Florida Department of State