| Entity Name: | PRIVATE PHYSICIAN SERVICES, PLLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 26 Nov 2018 (6 years ago) |
| Document Number: | L18000273227 |
| FEI/EIN Number | 83-3098298 |
| Address: | 1250 SOUTH TAMIAMI TRAIL, SUITE 402, SARASOTA, FL, 34239, US |
| Mail Address: | 1250 SOUTH TAMIAMI TRAIL, SUITE 402, SARASOTA, FL, 34239, US |
| ZIP code: | 34239 |
| County: | Sarasota |
| Place of Formation: | FLORIDA |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| PRIVATE PHYSICIAN SERVICES 401 K PROFIT SHARING PLAN | 2010 | 651033933 | 2011-10-06 | PRIVATE PHYSICIAN SERVICES | 8 | |||||||||||||||||||||||||||||||
|
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| Administrator’s EIN | 651033933 |
| Plan administrator’s name | PRIVATE PHYSICIAN SERVICES |
| Plan administrator’s address | 1801 ARLINGTON ST, SARASOTA, FL, 342393502 |
| Administrator’s telephone number | 9419178365 |
Signature of
| Role | Plan administrator |
| Date | 2011-10-06 |
| Name of individual signing | DR. R. DEAN HAUTAMAKI |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2006-01-01 |
| Business code | 621111 |
| Sponsor’s telephone number | 9419178365 |
| Plan sponsor’s address | 1801 ARLINGTON ST, SARASOTA, FL, 342393502 |
Plan administrator’s name and address
| Administrator’s EIN | 651033933 |
| Plan administrator’s name | PRIVATE PHYSICIAN SERVICES |
| Plan administrator’s address | 1801 ARLINGTON ST, SARASOTA, FL, 342393502 |
| Administrator’s telephone number | 9419178365 |
Signature of
| Role | Plan administrator |
| Date | 2010-07-26 |
| Name of individual signing | DR. R. DEAN HAUTAMAKI |
| Valid signature | Filed with authorized/valid electronic signature |
| Name | Role | Address |
|---|---|---|
| Perfetto Lisa | Agent | 1250 SOUTH TAMIAMI TRAIL, SARASOTA, FL, 34239 |
| Name | Role | Address |
|---|---|---|
| CABALLERO CARLOS FM.D. | President | 1250 SOUTH TAMIAMI TRAIL, SARASOTA, FL, 34239 |
| Name | Role | Address |
|---|---|---|
| SANTANA JOSE RJR,M.D. | Manager | 1250 SOUTH TAMIAMI TRAIL, SUITE 402, SARASOTA, FL, 34239 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G20000058502 | PRIVATE PHYSICIAN SERVICES, PLLC | ACTIVE | 2020-05-27 | 2025-12-31 | No data | 1250 S TAMIAMI TRAIL, SUITE 402, SARASOTA, FL, 34239 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT NAME CHANGED | 2024-01-08 | Perfetto, Lisa | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2025-01-07 |
| ANNUAL REPORT | 2024-01-08 |
| ANNUAL REPORT | 2023-01-10 |
| ANNUAL REPORT | 2022-01-27 |
| ANNUAL REPORT | 2021-01-25 |
| ANNUAL REPORT | 2020-02-05 |
| ANNUAL REPORT | 2019-01-30 |
| Florida Limited Liability | 2018-11-26 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
