| Entity Name: | ACTION THERAPY GROUP LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 25 Sep 2020 (4 years ago) |
| Document Number: | L20000303507 |
| FEI/EIN Number | 85-3479428 |
| Address: | 2547 Angel Court, Gulf Breeze, FL, 32563, US |
| Mail Address: | 2547 Angel Court, Gulf Breeze, FL, 32563, US |
| ZIP code: | 32563 |
| County: | Santa Rosa |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1548861602 | 2020-11-05 | 2020-11-05 | 3331 SUMMIT BLVD APT 172, PENSACOLA, FL, 325034331, US | THE TERRACE OF IVY ACRES, 3964 FLORIDA AVE, JAY, FL, 325651104, US | |||||||||||||
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| Phone | +1 850-741-6715 |
Authorized person
| Name | JENNIFER PAULLEY |
| Role | MANAGING MEMBER |
| Phone | 3185471090 |
Taxonomy
| Taxonomy Code | 225100000X - Physical Therapist |
| Is Primary | Yes |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| ACTION THERAPY GROUP 401(K) PLAN | 2023 | 853479428 | 2024-05-21 | ACTION THERAPY GROUP, LLC | 0 | |||||||||||||||||||||||||||||||
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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 | 2024-05-21 |
| Name of individual signing | QIAN LIU |
| Valid signature | Filed with authorized/valid electronic signature |
| Name | Role | Address |
|---|---|---|
| PAULLEY JENNIFER S | Agent | 2547 Angel Court, Gulf Breeze, FL, 32563 |
| Name | Role | Address |
|---|---|---|
| PAULLEY JENNIFER S | Manager | 2547 Angel Court, Gulf Breeze, FL, 32563 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2024-07-18 | 2547 Angel Court, Gulf Breeze, FL 32563 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2023-03-02 | 2547 Angel Court, Gulf Breeze, FL 32563 | No data |
| CHANGE OF MAILING ADDRESS | 2022-08-09 | 2547 Angel Court, Gulf Breeze, FL 32563 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-01-09 |
| ANNUAL REPORT | 2023-03-02 |
| ANNUAL REPORT | 2022-02-20 |
| ANNUAL REPORT | 2021-03-13 |
| Florida Limited Liability | 2020-09-25 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
