| Entity Name: | KIM ROSE DIETITIAN, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 29 Nov 2017 (7 years ago) |
| Document Number: | L17000244731 |
| FEI/EIN Number | 82-3568587 |
| Address: | 4208 VISCAYA STREET, SEBRING, FL, 33872, US |
| Mail Address: | 4208 VISCAYA STREET, SEBRING, FL, 33872, US |
| ZIP code: | 33872 |
| County: | Highlands |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1750896114 | 2017-12-07 | 2017-12-07 | 4208 VISCAYA ST, SEBRING, FL, 338722122, US | 4208 VISCAYA ST, SEBRING, FL, 338722122, US | |||||||||||||
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| Phone | +1 863-451-2300 |
Authorized person
| Name | KIMBERLEY ROSE-FRANCIS |
| Role | SOLE MANAGER/OWNER |
| Phone | 8634512300 |
Taxonomy
| Taxonomy Code | 133V00000X - Registered Dietitian |
| Is Primary | Yes |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| KIM ROSE DIETITIAN LLC 401K | 2023 | 823568587 | 2024-08-24 | KIM ROSE DIETITIAN LLC | 1 | |||||||||||||||||||||||
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| Role | Plan administrator |
| Date | 2024-08-24 |
| Name of individual signing | SHIRLEY HORNER |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2022-05-01 |
| Business code | 621330 |
| Sponsor’s telephone number | 8634512300 |
| Plan sponsor’s address | 4208 VISCAYA ST, SEBRING, FL, 33872 |
Signature of
| Role | Plan administrator |
| Date | 2023-09-10 |
| Name of individual signing | SHIRLEY HORNER |
| Valid signature | Filed with authorized/valid electronic signature |
| Name | Role | Address |
|---|---|---|
| ROSE-FRANCIS KIMBERLEY L | Agent | 4208 VISCAYA STREET, SEBRING, FL, 33872 |
| Name | Role | Address |
|---|---|---|
| ROSE-FRANCIS KIMBERLEY L | Manager | 4208 VISCAYA STREET, SEBRING, FL, 33872 |
| Name | Role | Address |
|---|---|---|
| Francis Treson | Director | 4208 VISCAYA STREET, SEBRING, FL, 33872 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2022-01-28 | 4208 VISCAYA STREET, SEBRING, FL 33872 | No data |
| CHANGE OF MAILING ADDRESS | 2022-01-28 | 4208 VISCAYA STREET, SEBRING, FL 33872 | No data |
| Name | Date |
|---|---|
| AMENDED ANNUAL REPORT | 2024-02-23 |
| ANNUAL REPORT | 2024-01-04 |
| ANNUAL REPORT | 2023-01-12 |
| ANNUAL REPORT | 2022-01-28 |
| ANNUAL REPORT | 2021-02-04 |
| ANNUAL REPORT | 2020-02-23 |
| ANNUAL REPORT | 2019-02-10 |
| ANNUAL REPORT | 2018-02-15 |
| Florida Limited Liability | 2017-11-29 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
