Entity Name: | SARASOTA LASER AND SPINE CENTER, LLC |
Jurisdiction: | FLORIDA |
Filing Type: | Florida Limited Liability Co. |
Status: | Active |
Date Filed: | 19 Aug 2019 (5 years ago) |
Document Number: | L19000207217 |
FEI/EIN Number | 84-3117005 |
Address: | 903 OSBORNE DRIVE, SARASOTA, FL, 34234, US |
Mail Address: | 903 OSBORNE DRIVE, SARASOTA, FL, 34234, US |
ZIP code: | 34234 |
County: | Sarasota |
Place of Formation: | FLORIDA |
NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1154148930 | 2024-09-24 | 2024-09-24 | 903 OSBORNE DR, SARASOTA, FL, 342344333, US | 903 OSBORNE DR, SARASOTA, FL, 342344333, US | |||||||||||||||
|
Phone | +1 941-402-4003 |
Fax | 9412149595 |
Authorized person
Name | MICHAEL H SALOMON |
Role | OFFICE MANAGER |
Phone | 7326780264 |
Taxonomy
Taxonomy Code | 207XS0117X - Orthopaedic Surgery of the Spine Physician |
Is Primary | Yes |
Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
SARASOTA LASER AND SPINE CENTER, LLC 401(K) PROFIT SHARING PLAN | 2023 | 843117005 | 2024-09-26 | SARASOTA LASER AND SPINE CENTER, LLC | 1 | |||||||||||||||||||||||||||||||||
|
Role | Plan administrator |
Date | 2024-09-26 |
Name of individual signing | PASQUALE MONTESANO |
Valid signature | Filed with authorized/valid electronic signature |
Role | Employer/plan sponsor |
Date | 2024-09-26 |
Name of individual signing | PASQUALE MONTESANO |
Valid signature | Filed with authorized/valid electronic signature |
File | View Page |
Three-digit plan number (PN) | 001 |
Effective date of plan | 2013-01-01 |
Business code | 621111 |
Sponsor’s telephone number | 5618334869 |
Plan sponsor’s address | 903 OSBORNE DR., SARASOTA, FL, 34234 |
Signature of
Role | Plan administrator |
Date | 2023-09-22 |
Name of individual signing | PASQUALE MONTESANO |
Valid signature | Filed with authorized/valid electronic signature |
Role | Employer/plan sponsor |
Date | 2023-09-22 |
Name of individual signing | PASQUALE MONTESANO |
Valid signature | Filed with authorized/valid electronic signature |
Name | Role | Address |
---|---|---|
LICHTBLAU NEAL | Agent | 600 NORTHLAKE BLVD, NORTH PALM BEACH, FL, 33408 |
Name | Role | Address |
---|---|---|
MONTESANO PASQUALE X | President | 903 OSBORNE DRIVE, SARASOTA, FL, 34234 |
Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
---|---|---|---|---|---|---|
G21000034672 | MONTESANO SPINE AND SPORT EAST | ACTIVE | 2021-03-11 | 2026-12-31 | No data | 903 OSBORNE DR, SARASOTA, FL, 34234 |
Event Type | Filed Date | Value | Description |
---|---|---|---|
CHANGE OF PRINCIPAL ADDRESS | 2021-04-30 | 903 OSBORNE DRIVE, SARASOTA, FL 34234 | No data |
CHANGE OF MAILING ADDRESS | 2021-04-30 | 903 OSBORNE DRIVE, SARASOTA, FL 34234 | No data |
Name | Date |
---|---|
ANNUAL REPORT | 2024-04-09 |
ANNUAL REPORT | 2023-03-31 |
ANNUAL REPORT | 2022-03-22 |
AMENDED ANNUAL REPORT | 2021-04-30 |
ANNUAL REPORT | 2021-04-13 |
ANNUAL REPORT | 2020-04-30 |
Florida Limited Liability | 2019-08-19 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State