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  5. VEIN & VASCULAR EXPERTS, PLLC

VEIN & VASCULAR EXPERTS, PLLC

Company Details

Entity Name: VEIN & VASCULAR EXPERTS, PLLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Active
Date Filed: 11 May 2017 (8 years ago)
Document Number: L17000103788
FEI/EIN Number 821510835
Address: 5325 US Hwy 98 south, LAKELAND, FL, 33812, US
Mail Address: POST OFFICE BOX 1328, HIGHLAND CITY, FL, 33846-1755, US
ZIP code: 33812
County: Polk
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1689196248 2017-07-14 2024-03-25 PO BOX 1328, HIGHLAND CITY, FL, 338461328, US 5325 US HWY 98 S, LAKELAND, FL, 33812, US

Contacts
Phone +1 863-937-3139
Fax 8639373147

Authorized person
Name DR. GUSTAVO DE JESUS-GOMEZ
Role OWNER/PRESIDENT
Phone 8639373139

Taxonomy
Taxonomy Code 2086S0129X - Vascular Surgery Physician
License Number ME112008
State FL
Is Primary Yes

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
VEIN & VASCULAR EXPERTS, PLLC 401(K) PLAN 2023 821510835 2024-09-05 VEIN & VASCULAR EXPERTS, PLLC 16
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2019-01-01
Business code 621111
Sponsor’s telephone number 8639373139
Plan sponsor’s address 5325 HWY 98 S, LAKELAND, FL, 33813

Plan administrator’s name and address
Administrator’s EIN 823719843
Plan administrator’s name FUTUREPLAN FIDUCIARY SERVICES LLC
Plan administrator’s address PO BOX 55757, BOSTON, MA, 02205
Administrator’s telephone number 8557115283

Signature of
Role Plan administrator
Date 2024-09-05
Name of individual signing ALICIA M. TURNER
Valid signature Filed with authorized/valid electronic signature
VEIN & VASCULAR EXPERTS, PLLC CASH BALANCE PLAN 2023 821510835 2024-10-15 VEIN & VASCULAR EXPERTS, PLLC 14
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2019-01-01
Business code 621399
Sponsor’s telephone number 8639373139
Plan sponsor’s address 5907 HILLSIDE HEIGHTS DRIVE, LAKELAND, FL, 33812

Signature of
Role Plan administrator
Date 2024-10-15
Name of individual signing JESSICA GUZMAN
Valid signature Filed with authorized/valid electronic signature
VEIN & VASCULAR EXPERTS, PLLC 401(K) PLAN 2022 821510835 2023-09-26 VEIN & VASCULAR EXPERTS, PLLC 15
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2019-01-01
Business code 621111
Sponsor’s telephone number 8639373139
Plan sponsor’s address 5907 HILLSIDE HEIGHTS DRIVE, LAKELAND, FL, 33812

Plan administrator’s name and address
Administrator’s EIN 823719843
Plan administrator’s name FUTUREPLAN FIDUCIARY SERVICES LLC
Plan administrator’s address PO BOX 55757, BOSTON, MA, 02205
Administrator’s telephone number 8557115283

Signature of
Role Plan administrator
Date 2023-09-26
Name of individual signing TIFFANY CHENARD
Valid signature Filed with authorized/valid electronic signature
VEIN & VASCULAR EXPERTS, PLLC CASH BALANCE PLAN 2022 821510835 2023-10-12 VEIN & VASCULAR EXPERTS, PLLC 13
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2019-01-01
Business code 621399
Sponsor’s telephone number 8639373139
Plan sponsor’s address 5907 HILLSIDE HEIGHTS DRIVE, LAKELAND, FL, 33812
VEIN & VASCULAR EXPERTS, PLLC CASH BALANCE PLAN 2021 821510835 2022-10-07 VEIN & VASCULAR EXPERTS, PLLC 14
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2019-01-01
Business code 621399
Sponsor’s telephone number 8639373139
Plan sponsor’s address 5907 HILLSIDE HEIGHTS DRIVE, LAKELAND, FL, 33812
VEIN & VASCULAR EXPERTS, PLLC 401(K) PLAN 2021 821510835 2022-10-19 VEIN & VASCULAR EXPERTS, PLLC 15
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2019-01-01
Business code 621111
Sponsor’s telephone number 7872149888
Plan sponsor’s address 5907 HILLSIDE HEIGHTS DRIVE, LAKELAND, FL, 33812
VEIN & VASCULAR EXPERTS, PLLC CASH BALANCE PLAN 2020 821510835 2021-10-13 VEIN & VASCULAR EXPERTS, PLLC 11
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2019-01-01
Business code 621399
Sponsor’s telephone number 8639373139
Plan sponsor’s address 5907 HILLSIDE HEIGHTS DRIVE, LAKELAND, FL, 33812
VEIN & VASCULAR EXPERTS, PLLC 401(K) PLAN 2020 821510835 2021-09-21 VEIN & VASCULAR EXPERTS, PLLC 12
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2019-01-01
Business code 621111
Sponsor’s telephone number 7872149888
Plan sponsor’s address 5907 HILLSIDE HEIGHTS DRIVE, LAKELAND, FL, 33812

Signature of
Role Plan administrator
Date 2021-09-21
Name of individual signing CHRISTINA OWEN
Valid signature Filed with authorized/valid electronic signature
VEIN & VASCULAR EXPERTS, PLLC 401(K) PLAN 2019 821510835 2020-10-13 VEIN & VASCULAR EXPERTS, PLLC 11
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2019-01-01
Business code 621111
Sponsor’s telephone number 7872149888
Plan sponsor’s address 5907 HILLSIDE HEIGHTS DRIVE, LAKELAND, FL, 33812

Signature of
Role Plan administrator
Date 2020-10-13
Name of individual signing CHRISTINA OWEN
Valid signature Filed with authorized/valid electronic signature
VEIN & VASCULAR EXPERTS, PLLC CASH BALANCE PLAN 2019 821510835 2020-07-29 VEIN & VASCULAR EXPERTS, PLLC 11
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2019-01-01
Business code 621399
Sponsor’s telephone number 8639373139
Plan sponsor’s address 5907 HILLSIDE HEIGHTS DRIVE, LAKELAND, FL, 33812

Agent

Name Role Address
DEJESUS GUSTAVO A Agent 5325 S. Hwy 98, LAKELAND, FL, 33812

Owne

Name Role Address
DEJESUS GUSTAVO A Owne 5325 S. Hwy 98, LAKELAND, FL, 33812

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2024-03-04 5325 US Hwy 98 south, LAKELAND, FL 33812 No data
REGISTERED AGENT ADDRESS CHANGED 2023-04-11 5325 S. Hwy 98, LAKELAND, FL 33812 No data

Documents

Name Date
ANNUAL REPORT 2024-03-04
ANNUAL REPORT 2023-04-11
ANNUAL REPORT 2022-07-16
ANNUAL REPORT 2021-05-21
ANNUAL REPORT 2020-01-13
ANNUAL REPORT 2019-02-07
ANNUAL REPORT 2018-04-23
Florida Limited Liability 2017-05-11

Related by officers

No related officers

Related by address

No related companies by address

Date of last update: 02 Feb 2025

Sources: Florida Department of State

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