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HOLCAM LLC

Company Details

Entity Name: HOLCAM LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Active
Date Filed: 07 Mar 2017 (8 years ago)
Document Number: L17000053533
FEI/EIN Number 82-0713120
Address: 124 Oak Street, Brooksville, FL, 34601, US
Mail Address: 124 Oak Street, Brooksville, FL, 34601, US
ZIP code: 34601
County: Hernando
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1699283325 2018-01-16 2020-06-17 25166 MARION AVE UNIT 114, PUNTA GORDA, FL, 339504017, US 25166 MARION AVE UNIT 114, PUNTA GORDA, FL, 339504017, US

Contacts

Phone +1 941-347-8288
Fax 8885472557

Authorized person

Name SUNNY CAVANAUGH
Role OWNER/ADMINISTRATOR
Phone 9413478288

Taxonomy

Taxonomy Code 251E00000X - Home Health Agency
License Number 299994657
State FL
Is Primary Yes
Taxonomy Code 251E00000X - Home Health Agency
License Number 302114657
State FL
Is Primary No

Other Provider Identifiers

Issuer HOME HEALTH CARE
Number 1699283325
State FL
Issuer HOME HEALTH CARE
Number 1386943710
State FL

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
HOLCAM LLC 401(K) PROFIT SHARING PLAN & TRUST 2021 820713120 2022-07-06 HOLCAM LLC 18
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2014-01-01
Business code 621610
Sponsor’s telephone number 9419161009
Plan sponsor’s address 25166 MARION AVENUE #114, PUNTA GORDA, FL, 33950

Signature of

Role Plan administrator
Date 2022-07-06
Name of individual signing SUNNY A CAVANAUGH
Valid signature Filed with authorized/valid electronic signature
HOLCAM LLC 401(K) PROFIT SHARING PLAN & TRUST 2020 820713120 2021-08-02 HOLCAM LLC 15
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2014-01-01
Business code 621610
Sponsor’s telephone number 9413478288
Plan sponsor’s address 25166 MARION AVE STE 114, PUNTA GORDA, FL, 339500000

Signature of

Role Plan administrator
Date 2021-08-02
Name of individual signing SUNNY A CAVANAUGH
Valid signature Filed with authorized/valid electronic signature
HOLCAM LLC 401(K) PROFIT SHARING PLAN & TRUST 2019 820713120 2020-07-28 HOLCAM LLC 13
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2014-01-01
Business code 621610
Sponsor’s telephone number 9413478288
Plan sponsor’s address 25166 MARION AVE STE 114, PUNTA GORDA, FL, 339500000

Signature of

Role Plan administrator
Date 2020-07-28
Name of individual signing SUNNY CAVANAUGH
Valid signature Filed with authorized/valid electronic signature
HOLCAM LLC 401 K PROFIT SHARING PLAN TRUST 2018 820713120 2019-07-30 HOLCAM LLC 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2014-01-01
Business code 621610
Sponsor’s telephone number 9413478288
Plan sponsor’s address 25166 MARION AVE STE 114, PUNTA GORDA, FL, 339500000

Signature of

Role Plan administrator
Date 2019-07-30
Name of individual signing SUNNY CAVANAUGH
Valid signature Filed with authorized/valid electronic signature
HOLCAM LLC 401 K PROFIT SHARING PLAN TRUST 2017 820713120 2018-04-17 HOLCAM LLC 1
Three-digit plan number (PN) 001
Effective date of plan 2014-01-01
Business code 621610
Sponsor’s telephone number 9413478288
Plan sponsor’s address 25166 MARION AVE STE 114, PUNTA GORDA, FL, 339500000

Signature of

Role Plan administrator
Date 2018-04-17
Name of individual signing SUNNY CAVANAUGH
Valid signature Filed with authorized/valid electronic signature
HOLCAM LLC 401 K PROFIT SHARING PLAN TRUST 2017 820713120 2020-01-06 HOLCAM LLC 1
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2014-01-01
Business code 621610
Sponsor’s telephone number 9413478288
Plan sponsor’s address 25166 MARION AVE STE 114, PUNTA GORDA, FL, 339500000

Signature of

Role Plan administrator
Date 2020-01-06
Name of individual signing SUNNY CAVANAUGH
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
CAVANAUGH KELLY A Agent 191 MT FAIR AVENUE, BROOKSVILLE, FL, 34601

Manager

Name Role Address
CAVANAUGH SUNNY A Manager 191 MT FAIR AVENUE, Brooksville, FL, 34601

Member

Name Role Address
CAVANAUGH KELLY A Member 191 MT FAIR AVENUE, Brooksville, FL, 34601
CAVANAUGH KYLE P Member 191 MT FAIR AVENUE, Brooksville, FL, 34601

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G17000028785 VISITING ANGELS FLORIDA WEST COAST EXPIRED 2017-03-17 2022-12-31 No data 25166 MARION AVENUE, UNIT 114, PUNTA GORDA, FL, 33950

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2024-04-15 124 Oak Street, Brooksville, FL 34601 No data
CHANGE OF MAILING ADDRESS 2024-04-15 124 Oak Street, Brooksville, FL 34601 No data

Documents

Name Date
ANNUAL REPORT 2024-04-15
ANNUAL REPORT 2023-04-24
ANNUAL REPORT 2022-01-31
ANNUAL REPORT 2021-01-08
ANNUAL REPORT 2020-01-13
ANNUAL REPORT 2019-01-24
ANNUAL REPORT 2018-03-04
Florida Limited Liability 2017-03-07

Date of last update: 01 Feb 2025

Sources: Florida Department of State