| Entity Name: | PURE ALIGNMENT CHIROPRACTIC PLLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 03 Feb 2020 (5 years ago) |
| Document Number: | L20000039628 |
| FEI/EIN Number | 84-4791080 |
| Address: | 121 Victoria Commons Blvd., DELAND, FL, 32724, US |
| Mail Address: | 121 Victoria Commons Blvd., DELAND, FL, 32724, US |
| ZIP code: | 32724 |
| County: | Volusia |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1922610096 | 2020-08-20 | 2020-08-20 | 121 VICTORIA COMMONS BLVD STE 106, DELAND, FL, 327247772, US | 121 VICTORIA COMMONS BLVD STE 106, DELAND, FL, 327247772, US | |||||||||||||
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| Phone | +1 386-873-4787 |
Authorized person
| Name | DR. KATHERINE BURTIS |
| Role | OWNER |
| Phone | 3864735926 |
Taxonomy
| Taxonomy Code | 111N00000X - Chiropractor |
| Is Primary | Yes |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| PURE ALIGNMENT CHIROPRACTIC 401(K) PLAN | 2023 | 844791080 | 2024-05-07 | PURE ALIGNMENT CHIROPRACTIC | 6 | |||||||||||||||||||||||||||||||
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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 | 2024-05-07 |
| Name of individual signing | QIAN LIU |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2022-05-02 |
| Business code | 621310 |
| Sponsor’s telephone number | 3868734787 |
| Plan sponsor’s address | 121 VICTORIA COMMONS BLVD, SUITE 106, DELAND, FL, 32724 |
Plan administrator’s name and address
| 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 | 2023-05-30 |
| Name of individual signing | CHRISTINE RIMER |
| Valid signature | Filed with authorized/valid electronic signature |
| Name | Role | Address |
|---|---|---|
| BURTIS KATHERINE M | Agent | 2999 Jacqueline Cir, DELAND, FL, 32720 |
| Name | Role | Address |
|---|---|---|
| BURTIS PETER D | Vice President | 2999 Jacqueline Cir, DELAND, FL, 32720 |
| Name | Role | Address |
|---|---|---|
| BURTIS KATHERINE M | President | 2999 Jacqueline Cir, DELAND, FL, 32720 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT ADDRESS CHANGED | 2022-04-20 | 2999 Jacqueline Cir, DELAND, FL 32720 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2020-09-25 | 121 Victoria Commons Blvd., SUITE 106, DELAND, FL 32724 | No data |
| CHANGE OF MAILING ADDRESS | 2020-09-25 | 121 Victoria Commons Blvd., SUITE 106, DELAND, FL 32724 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-03-13 |
| ANNUAL REPORT | 2023-03-20 |
| ANNUAL REPORT | 2022-04-20 |
| ANNUAL REPORT | 2021-04-06 |
| Florida Limited Liability | 2020-02-03 |
Date of last update: 03 Feb 2025
Sources: Florida Department of State
