| Entity Name: | DIVINE DERMATOLOGY, PLLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 21 Aug 2017 (7 years ago) |
| Last Event: | CONVERSION |
| Event Date Filed: | 21 Aug 2017 (7 years ago) |
| Document Number: | L17000178919 |
| FEI/EIN Number | 71-0955196 |
| Address: | 2191 9TH AVE N, ST PETERSBURG, FL, 33713, US |
| Mail Address: | 3950 39TH CIR S, ST PETERSBURG, FL, 33711, US |
| ZIP code: | 33713 |
| County: | Pinellas |
| Place of Formation: | FLORIDA |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| DIVINE DERMATOLOGY | 2017 | 710955196 | 2018-01-11 | DIVINE DERMATOLOGY | 4 | |||||||||||||||||||||||||||||||||
|
||||||||||||||||||||||||||||||||||||||
| Role | Plan administrator |
| Date | 2018-01-11 |
| Name of individual signing | CAROL SIMS-ROBERTSON |
| Valid signature | Filed with authorized/valid electronic signature |
| Role | Employer/plan sponsor |
| Date | 2018-01-10 |
| Name of individual signing | ANGELA WILSON |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2016-10-01 |
| Business code | 621111 |
| Sponsor’s telephone number | 7275280321 |
| Plan sponsor’s address | 2191 9TH AVENUE N. #100, ST. PETERSBURG, FL, 33719 |
Signature of
| Role | Plan administrator |
| Date | 2017-07-27 |
| Name of individual signing | CAROL SIMS-ROBERTSON |
| Valid signature | Filed with authorized/valid electronic signature |
| Role | Employer/plan sponsor |
| Date | 2017-07-27 |
| Name of individual signing | ANGELA WILSON |
| Valid signature | Filed with authorized/valid electronic signature |
| Name | Role | Address |
|---|---|---|
| SIMS-ROBERTSON CAROL MD | Agent | 3950 39TH CIR S, ST PETERSBURG, FL, 33711 |
| Name | Role | Address |
|---|---|---|
| SIMS-ROBERTSON CAROL MD | Manager | 3950 39TH CIR S, ST PETERSBURG, FL, 33711 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G19000062069 | DIVINE DERMATOLOGY | ACTIVE | 2019-05-28 | 2029-12-31 | No data | 2191 9TH AVE N STE 100, 100, SAINT PETERSBURG, FL, 33713 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2023-02-24 | 2191 9TH AVE N, 100, ST PETERSBURG, FL 33713 | No data |
| CONVERSION | 2017-08-21 | No data | CORPORATION WAS A CONVERSION RESULT. CONVERTING CORPORATION WAS M06000004880. CONVERSION NUMBER 300000173883 |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-08 |
| ANNUAL REPORT | 2023-02-24 |
| ANNUAL REPORT | 2022-02-24 |
| ANNUAL REPORT | 2021-02-11 |
| ANNUAL REPORT | 2020-02-10 |
| ANNUAL REPORT | 2019-02-12 |
| ANNUAL REPORT | 2018-01-22 |
| Florida Limited Liability | 2017-08-21 |
Date of last update: 03 Feb 2025
Sources: Florida Department of State
