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  5. ORIGIN HEALTH LLC

ORIGIN HEALTH LLC - Florida Company Profile

Company Details

Entity Name: ORIGIN HEALTH LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.

ORIGIN HEALTH LLC is structured as a Limited Liability Company (LLC), a common business structure that offers its members limited liability protection, separating their personal assets from the company's debts and obligations.
In Florida, LLCs are governed by Title XXXVI, Chapter 605, Florida Revised Limited Liability Company Act
Status: Active

The business entity is active. This status indicates that the business is currently operating and compliant with state regulations, suggesting a lower risk profile for lenders and potentially better creditworthiness.

Date Filed: 16 May 2017 (8 years ago)
Last Event: LC REVOCATION OF DISSOLUTION
Event Date Filed: 12 Mar 2024 (a year ago)
Document Number: L17000108348
FEI/EIN Number 82-1573223

Federal Employer Identification (FEI) Number assigned by the IRS.
Address: 35196 US HWY 19 N, PALM HARBOR, FL, 34683, US
Mail Address: 1846 Douglas Ave, Dunedin, FL, 34698, US
ZIP code: 34683
County: Pinellas
Place of Formation: FLORIDA

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
LIVINGYOUNG CENTER 401(K) PLAN 2023 821573223 2024-05-07 ORIGIN HEALTH 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2018-12-28
Business code 621399
Sponsor’s telephone number 7277850375
Plan sponsor’s address 35196 US HIGHWAY 19 N, PALM HARBOR, FL, 34684

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 2024-05-07
Name of individual signing QIAN LIU
Valid signature Filed with authorized/valid electronic signature
LIVINGYOUNG CENTER 401(K) PLAN 2022 821573223 2023-05-26 ORIGIN HEALTH 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2018-12-28
Business code 621399
Sponsor’s telephone number 7277850375
Plan sponsor’s address 35196 US HIGHWAY 19 N, PALM HARBOR, FL, 34684

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 2023-05-26
Name of individual signing CHRISTINE RIMER
Valid signature Filed with authorized/valid electronic signature
LIVINGYOUNG CENTER 401(K) PLAN 2021 821573223 2022-06-01 ORIGIN HEALTH 2
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2018-12-28
Business code 621399
Sponsor’s telephone number 7277850375
Plan sponsor’s address 35196 US HIGHWAY 19 N, PALM HARBOR, FL, 34684

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 2022-06-01
Name of individual signing CHRISTINE RIMER
Valid signature Filed with authorized/valid electronic signature
LIVINGYOUNG CENTER 401(K) PLAN 2020 821573223 2021-06-18 ORIGIN HEALTH 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2018-12-28
Business code 621399
Sponsor’s telephone number 7277850375
Plan sponsor’s address 35196 US HIGHWAY 19 N, PALM HARBOR, FL, 34684

Plan administrator’s name and address
Administrator’s EIN 474474775
Plan administrator’s name GUIDELINE, INC.
Plan administrator’s address 3050 S DELAWARE ST, #202, SAN MATEO, CA, 94403
Administrator’s telephone number 8882283491

Signature of
Role Plan administrator
Date 2021-06-18
Name of individual signing CAROL HO
Valid signature Filed with authorized/valid electronic signature
LIVINGYOUNG CENTER 401(K) PLAN 2019 821573223 2020-06-28 ORIGIN HEALTH 2
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2018-12-28
Business code 621399
Plan sponsor’s address 35136 US HIGHWAY 19 N, PALM HARBOR, FL, 34684

Plan administrator’s name and address
Administrator’s EIN 474474775
Plan administrator’s name GUIDELINE, INC.
Plan administrator’s address 3050 S DELAWARE ST, #202, SAN MATEO, CA, 94403
Administrator’s telephone number 8882283491

Signature of
Role Plan administrator
Date 2020-06-28
Name of individual signing CAROL HO
Valid signature Filed with authorized/valid electronic signature

Key Officers & Management

Name Role Address
ALINAT CARISSA B Manager 1846 DOUGLAS AVE, DUNEDIN, FL, 34698
REGISTERED AGENTS INC Agent -

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G17000101200 LIVING YOUNG CENTER ACTIVE 2017-09-07 2027-12-31 - 35196 U.S. HIGHWAY 19 N, PALM HARBOR, FL, 34684

Events

Event Type Filed Date Value Description
REGISTERED AGENT NAME CHANGED 2024-03-14 Registered Agents Inc. -
REGISTERED AGENT ADDRESS CHANGED 2024-03-14 7901 4th Street North, Suite 300, St. Petersburg, FL 33702 -
LC REVOCATION OF DISSOLUTION 2024-03-12 - -
VOLUNTARY DISSOLUTION 2023-12-12 - -
CHANGE OF PRINCIPAL ADDRESS 2021-02-01 35196 US HWY 19 N, PALM HARBOR, FL 34683 -
CHANGE OF MAILING ADDRESS 2019-01-28 35196 US HWY 19 N, PALM HARBOR, FL 34683 -

Documents

Name Date
ANNUAL REPORT 2024-03-14
LC Revocation of Dissolution 2024-03-12
VOLUNTARY DISSOLUTION 2023-12-12
ANNUAL REPORT 2023-03-13
ANNUAL REPORT 2022-01-30
ANNUAL REPORT 2021-02-01
ANNUAL REPORT 2020-01-17
ANNUAL REPORT 2019-01-28
ANNUAL REPORT 2018-04-30
Florida Limited Liability 2017-05-16

Paycheck Protection Program

Loan Number Loan Funded Date SBA Origination Office Code Loan Delivery Method Borrower Street Address
8759957402 2020-05-19 0455 PPP 35136 US HIGHWAY 19 N, PALM HARBOR, FL, 34684-1929
Loan Status Date 2021-04-21
Loan Status Paid in Full
Loan Maturity in Months 24
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 20353.12
Loan Approval Amount (current) 20353.12
Undisbursed Amount 0
Franchise Name -
Lender Location ID 19248
Servicing Lender Name Synovus Bank
Servicing Lender Address 1148 Broadway, COLUMBUS, GA, 31901-2429
Rural or Urban Indicator U
Hubzone N
LMI N
Business Age Description Existing or more than 2 years old
Project Address PALM HARBOR, PINELLAS, FL, 34684-1929
Project Congressional District FL-13
Number of Employees 3
NAICS code 541720
Borrower Race Unanswered
Borrower Ethnicity Unknown/NotStated
Business Type Limited Liability Company(LLC)
Originating Lender ID 19248
Originating Lender Name Synovus Bank
Originating Lender Address COLUMBUS, GA
Gender Unanswered
Veteran Unanswered
Forgiveness Amount 20516.5
Forgiveness Paid Date 2021-03-09

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Companies related by address

No other companies in our directory share the same address as ORIGIN HEALTH LLC

Date of last update: 03 Apr 2025

Sources: Florida Department of State

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