| Entity Name: | ST. PETERSBURG SKIN AND LASER CENTER, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 13 Nov 2019 (5 years ago) |
| Last Event: | LC AMENDMENT |
| Event Date Filed: | 18 Feb 2020 (5 years ago) |
| Document Number: | L19000282741 |
| FEI/EIN Number | 84-3903398 |
| Address: | 100 40th Avenue North, St. Petersburg, FL, 33703, UN |
| Mail Address: | 100 40th Avenue North, St. Petersburg, FL, 33703, UN |
| ZIP code: | 33703 |
| County: | Pinellas |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1205475761 | 2020-01-02 | 2020-05-28 | 100 40TH AVE N, ST PETERSBURG, FL, 337036125, US | 100 40TH AVE N, ST PETERSBURG, FL, 337036125, US | |||||||||||||||
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| Phone | +1 727-474-9399 |
| Fax | 2024369358 |
Authorized person
| Name | KATARINA R KESTY |
| Role | PHYSICIAN |
| Phone | 7274744938 |
Taxonomy
| Taxonomy Code | 207N00000X - Dermatology Physician |
| Is Primary | Yes |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| ST. PETERSBURG SKIN & LASER 401(K) PLAN | 2023 | 843903398 | 2024-07-23 | ST. PETERSBURG SKIN AND LASER CENTER LLC | 17 | |||||||||||||||||||||||
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| Role | Plan administrator |
| Date | 2024-07-23 |
| Name of individual signing | CHRIS HORNE |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2021-06-01 |
| Business code | 621111 |
| Sponsor’s telephone number | 7274749399 |
| Plan sponsor’s address | 100 40TH AVE N, ST PETERSBURG, FL, 33703 |
Signature of
| Role | Plan administrator |
| Date | 2023-07-19 |
| Name of individual signing | CHRIS HORNE |
| Valid signature | Filed with authorized/valid electronic signature |
| Name | Role | Address |
|---|---|---|
| Jordan Paula | Agent | co Paula Pardee Jordan CPA PLLC, St Petersburg, FL, 33707 |
| Name | Role | Address |
|---|---|---|
| KESTY KATARINA R | Authorized Member | 100 40th Avenue North, St. Petersburg, FL, 33703 |
| Name | Role | Address |
|---|---|---|
| KESTY KATARINA R | Manager | 100 40th Avenue North, St. Petersburg, FL, 33703 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G20000053447 | ST. PETERSBURG SKIN AND LASER | ACTIVE | 2020-05-14 | 2025-12-31 | No data | 100 40TH AVENUE NORTH, ST. PETERSBURG, FL, 33703 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT NAME CHANGED | 2023-02-21 | Jordan, Paula | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2023-02-21 | co Paula Pardee Jordan CPA PLLC, 6401 1st Ave S, Ste 2, St Petersburg, FL 33707 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2020-05-11 | 100 40th Avenue North, St. Petersburg, FL 33703 UN | No data |
| CHANGE OF MAILING ADDRESS | 2020-05-11 | 100 40th Avenue North, St. Petersburg, FL 33703 UN | No data |
| LC AMENDMENT | 2020-02-18 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-02 |
| ANNUAL REPORT | 2023-02-21 |
| AMENDED ANNUAL REPORT | 2022-10-27 |
| ANNUAL REPORT | 2022-01-24 |
| ANNUAL REPORT | 2021-02-02 |
| AMENDED ANNUAL REPORT | 2020-04-30 |
| LC Amendment | 2020-02-18 |
| ANNUAL REPORT | 2020-01-16 |
| Florida Limited Liability | 2019-11-13 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
