| Entity Name: | DOCTOR SAM LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: |
Florida Limited Liability Company
DOCTOR SAM 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. |
| 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: | 07 Feb 2018 (7 years ago) |
| Last Event: | LC AMENDMENT |
| Event Date Filed: | 06 Sep 2018 (6 years ago) |
| Document Number: | L18000034315 |
| FEI/EIN Number |
82-4367773
Federal Employer Identification (FEI) Number assigned by the IRS. |
| Address: | 2600 NORTH MILITARY TRAIL,, SUITE 355, BOCA RATON, FL 33431 |
| Mail Address: | 2600 NORTH MILITARY TRAIL,, SUITE 355, BOCA RATON, FL 33431 |
| ZIP code: | 33431 |
| County: | Palm Beach |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1407495575 | 2020-01-06 | 2022-06-02 | 2600 N MILITARY TRL STE 355, BOCA RATON, FL, 334316330, US | 2600 N MILITARY TRL STE 355, BOCA RATON, FL, 334316312, US | |||||||||||||||||||
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| Phone | +1 561-510-9150 |
| Fax | 5616009655 |
Authorized person
| Name | DR. SAMANTHA SALTZ |
| Role | OWNER |
| Phone | 5617151242 |
Taxonomy
| Taxonomy Code | 2084P0800X - Psychiatry Physician |
| Is Primary | Yes |
| Taxonomy Code | 2084P0804X - Child & Adolescent Psychiatry Physician |
| Is Primary | No |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| DOCTOR SAM LLC 401(K) PROFIT SHARING PLAN & TRUST | 2023 | 824367773 | 2024-06-18 | DOCTOR SAM LLC | 4 | |||||||||||||||||||||||
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| Role | Plan administrator |
| Date | 2024-06-18 |
| Name of individual signing | EDWARD ROJAS |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2021-01-01 |
| Business code | 812990 |
| Sponsor’s telephone number | 5617151242 |
| Plan sponsor’s address | 2600 N MILITARY TRAIL SUITE 355, BOCA RATON, FL, 33431 |
Signature of
| Role | Plan administrator |
| Date | 2023-04-26 |
| Name of individual signing | EDWARD ROJAS |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2021-01-01 |
| Business code | 812990 |
| Sponsor’s telephone number | 5617151242 |
| Plan sponsor’s address | 2600 N MILITARY TRAIL SUITE 355, BOCA RATON, FL, 33431 |
Signature of
| Role | Plan administrator |
| Date | 2022-04-05 |
| Name of individual signing | EDWARD ROJAS |
| Valid signature | Filed with authorized/valid electronic signature |
| Name | Role | Address |
|---|---|---|
| SALTZ, SAMANTHA BLOCK | Authorized Member | 2600 NORTH MILITARY TRAIL,, SUITE 355 BOCA RATON, FL 33431 |
| JOSHUA IP, PLLC | Agent | - |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT NAME CHANGED | 2021-01-06 | Joshua IP, PLLC | - |
| REGISTERED AGENT ADDRESS CHANGED | 2020-01-09 | 2600 NORTH MILITARY TRAIL,, SUITE 355, BOCA RATON, FL 33431 | - |
| CHANGE OF PRINCIPAL ADDRESS | 2019-10-21 | 2600 NORTH MILITARY TRAIL,, SUITE 355, BOCA RATON, FL 33431 | - |
| CHANGE OF MAILING ADDRESS | 2019-10-21 | 2600 NORTH MILITARY TRAIL,, SUITE 355, BOCA RATON, FL 33431 | - |
| LC AMENDMENT | 2018-09-06 | - | - |
| LC AMENDMENT | 2018-02-14 | - | - |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2025-02-03 |
| ANNUAL REPORT | 2024-01-05 |
| ANNUAL REPORT | 2023-01-06 |
| ANNUAL REPORT | 2022-01-08 |
| ANNUAL REPORT | 2021-01-06 |
| ANNUAL REPORT | 2020-01-09 |
| ANNUAL REPORT | 2019-02-23 |
| LC Amendment | 2018-09-06 |
| LC Amendment | 2018-02-14 |
| Florida Limited Liability | 2018-02-07 |
| Loan Number | Loan Funded Date | SBA Origination Office Code | Loan Delivery Method | Borrower Street Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| 4950737101 | 2020-04-13 | 0455 | PPP | 2600 N Military Trail, Ste 355 0.0, Boca Raton, FL, 33431-6312 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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Date of last update: 17 Feb 2025
Sources: Florida Department of State
