| Entity Name: | SUBSERO HEALTH, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 22 Sep 2017 (7 years ago) |
| Last Event: | LC AMENDMENT |
| Event Date Filed: | 06 May 2022 (3 years ago) |
| Document Number: | L17000197004 |
| FEI/EIN Number | 82-2912515 |
| Address: | 3030 N. ROCKY POINT DR., SUITE 825, TAMPA, FL, 33607, US |
| Mail Address: | 3030 N. ROCKY POINT DR., SUITE 825, TAMPA, FL, 33607, US |
| ZIP code: | 33607 |
| County: | Hillsborough |
| Place of Formation: | FLORIDA |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| FLORIDA BLUE | 2018 | 822912515 | 2019-12-10 | SUBSERO HEALTH, LLC | 195 | |||||||||||||||||||||||||||||||||||||||||||||||||
|
||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Active participants | 187 |
| Retired or separated participants receiving benefits | 5 |
| Other retired or separated participants entitled to future benefits | 0 |
| Deceased participants whose beneficiaries are receiving or are entitled to receive benefits | 0 |
| Number of participants with account balances as of the end of the plan year | 0 |
| Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested | 0 |
Signature of
| Role | Plan administrator |
| Date | 2019-12-10 |
| Name of individual signing | AMANDA LEWIS |
| Valid signature | Filed with authorized/valid electronic signature |
| Role | Employer/plan sponsor |
| Date | 2019-12-10 |
| Name of individual signing | AMANDA LEWIS |
| Valid signature | Filed with authorized/valid electronic signature |
| Name | Role |
|---|---|
| C T CORPORATION SYSTEM | Agent |
| Name | Role | Address |
|---|---|---|
| BEST VALUE INTERMEDIATE II, LLC | Authorized Member | 100 PARK AVENUE, NEW YORK, NY, 10017 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| LC AMENDMENT | 2022-05-06 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2022-05-06 | 3030 N. ROCKY POINT DR., SUITE 825, TAMPA, FL 33607 | No data |
| CHANGE OF MAILING ADDRESS | 2022-05-06 | 3030 N. ROCKY POINT DR., SUITE 825, TAMPA, FL 33607 | No data |
| REGISTERED AGENT NAME CHANGED | 2022-05-06 | C T CORPORATION SYSTEM | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2022-05-06 | 1200 SOUTH PINE ISLAND ROAD, PLANTATION, FL 33324 | No data |
| LC NAME CHANGE | 2018-05-17 | SUBSERO HEALTH, LLC | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-03-01 |
| ANNUAL REPORT | 2023-02-27 |
| LC Amendment | 2022-05-06 |
| ANNUAL REPORT | 2022-04-29 |
| ANNUAL REPORT | 2021-01-29 |
| ANNUAL REPORT | 2020-01-24 |
| ANNUAL REPORT | 2019-04-12 |
| LC Name Change | 2018-05-17 |
| ANNUAL REPORT | 2018-04-25 |
| Florida Limited Liability | 2017-09-22 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
