| Entity Name: | BKMD1 HOLDINGS LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 03 Jul 2018 (7 years ago) |
| Last Event: | LC AMENDMENT AND NAME CHANGE |
| Event Date Filed: | 25 Nov 2024 (2 months ago) |
| Document Number: | L18000161491 |
| FEI/EIN Number | 83-1134533 |
| Address: | 705 MOORING LINE DRIVE, NAPLES, FL, 34102, US |
| Mail Address: | 705 MOORING LINE DRIVE, NAPLES, FL, 34102, US |
| ZIP code: | 34102 |
| County: | Collier |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1700372182 | 2018-07-09 | 2023-11-30 | 1012 GOODLETTE-FRANK RD N STE 100, NAPLES, FL, 341025463, US | 1012 GOODLETTE-FRANK RD N STE 100, NAPLES, FL, 341025463, US | |||||||||||||||
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| Phone | +1 239-300-9767 |
| Fax | 2398421273 |
Authorized person
| Name | BRANDON M KIRSCH |
| Role | OWNER |
| Phone | 2679012873 |
Taxonomy
| Taxonomy Code | 207N00000X - Dermatology Physician |
| Is Primary | Yes |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| KIRSCH DERMATOLOGY 401(K) PLAN | 2023 | 831134533 | 2024-05-17 | KIRSCH DERMATOLOGY | 0 | |||||||||||||||||||||||||||||||
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| 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 | 2024-05-17 |
| Name of individual signing | QIAN LIU |
| Valid signature | Filed with authorized/valid electronic signature |
| Name | Role | Address |
|---|---|---|
| Kirsch Brandon | Agent | 705 Mooring Line Drive, Naples, FL, 34102 |
| Name | Role | Address |
|---|---|---|
| KIRSCH BRANDON M.D. | Manager | 705 MOORING LINE DRIVE, NAPLES, FL, 34102 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G18000127454 | KIRSCH DERMATOLOGY | ACTIVE | 2018-12-03 | 2028-12-31 | No data | 1012 GOODLETTE FRANK ROAD N 100, NAPLES, FL, 34102 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| LC AMENDMENT AND NAME CHANGE | 2024-11-25 | BKMD1 HOLDINGS LLC | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2024-11-25 | 705 MOORING LINE DRIVE, NAPLES, FL 34102 | No data |
| CHANGE OF MAILING ADDRESS | 2024-11-25 | 705 MOORING LINE DRIVE, NAPLES, FL 34102 | No data |
| REGISTERED AGENT NAME CHANGED | 2023-06-01 | Kirsch, Brandon | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2023-06-01 | 705 Mooring Line Drive, Naples, FL 34102 | No data |
| Name | Date |
|---|---|
| LC Amendment and Name Change | 2024-11-25 |
| ANNUAL REPORT | 2024-02-06 |
| AMENDED ANNUAL REPORT | 2023-06-01 |
| ANNUAL REPORT | 2023-01-30 |
| ANNUAL REPORT | 2022-04-19 |
| ANNUAL REPORT | 2021-04-22 |
| ANNUAL REPORT | 2020-02-10 |
| ANNUAL REPORT | 2019-04-17 |
| Florida Limited Liability | 2018-07-03 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
