| Entity Name: | GREY MATTERS BEHAVIOR SERVICES, LLC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 25 Aug 2020 (4 years ago) |
| Document Number: | L20000252015 |
| FEI/EIN Number | 85-2851276 |
| Address: | 41 Fairpoint Dr., Ste. G, Gulf Breeze, FL, 32561, US |
| Mail Address: | 41 Fairpoint Dr., Ste. G, Gulf Breeze, FL, 32561, US |
| ZIP code: | 32561 |
| County: | Santa Rosa |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1134733090 | 2020-09-08 | 2020-09-08 | 401 ANDREW JACKSON TRL, GULF BREEZE, FL, 325614414, US | 401 ANDREW JACKSON TRL, GULF BREEZE, FL, 325614414, US | |||||||||||||
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| Phone | +1 248-798-4402 |
Authorized person
| Name | MRS. SHANNON LEVEILLE |
| Role | OWNER |
| Phone | 2487984402 |
Taxonomy
| Taxonomy Code | 103K00000X - Behavior Analyst |
| Is Primary | Yes |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| GREY MATTERS BEHAVIOR SERVICES 401(K) PLAN | 2023 | 852851276 | 2024-05-22 | GREY MATTERS BEHAVIOR SERVICES, LLC | 8 | |||||||||||||||||||||||
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| Role | Plan administrator |
| Date | 2024-05-22 |
| Name of individual signing | SHANNON F. LEVEILLE |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2022-01-01 |
| Business code | 621330 |
| Sponsor’s telephone number | 8507339336 |
| Plan sponsor’s address | 41 FAIRPOINT DRIVE, SUITE G, GULF BREEZE, FL, 32561 |
Signature of
| Role | Plan administrator |
| Date | 2023-10-11 |
| Name of individual signing | SHANNON F. LEVEILLE |
| Valid signature | Filed with authorized/valid electronic signature |
| Name | Role | Address |
|---|---|---|
| LEVEILLE SHANNON | Agent | 401 ANDREW JACKSON STREET, GULF BREEZE, FL, 32561 |
| Name | Role | Address |
|---|---|---|
| Leveille Shannon | Owne | 401 Andrew Jackson Trail, Gulf Breeze, FL, 32561 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF MAILING ADDRESS | 2022-02-07 | 41 Fairpoint Dr., Ste. G, Gulf Breeze, FL 32561 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2021-03-23 | 41 Fairpoint Dr., Ste. G, Gulf Breeze, FL 32561 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-01-09 |
| ANNUAL REPORT | 2023-02-21 |
| ANNUAL REPORT | 2022-02-07 |
| ANNUAL REPORT | 2021-03-23 |
| Florida Limited Liability | 2020-08-25 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
