| Entity Name: | PHYSICIANS COLLABORATIVE AFFILIATES, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 14 May 2021 (4 years ago) |
| Last Event: | LC STMNT OF RA/RO CHG |
| Event Date Filed: | 03 Mar 2022 (3 years ago) |
| Document Number: | L21000214486 |
| FEI/EIN Number | 47-4671442 |
| Address: | 5314 Maryland Way, Suite 110, Brentwood, TN 37027 |
| Mail Address: | 5314 Maryland Way, Suite 110, Brentwood, TN 37027 |
| Place of Formation: | FLORIDA |
| Name | Role |
|---|---|
| COGENCY GLOBAL INC. | Agent |
| Name | Role | Address |
|---|---|---|
| Martin, Ann | Chief Financial Officer | 5314 Maryland Way, Suite 110, Brentwood, TN 37027 |
| Name | Role | Address |
|---|---|---|
| Weiss, David | President and Secretary | 5314 Maryland Way, Suite 110, Brentwood, TN 37027 |
| Name | Role | Address |
|---|---|---|
| Weiss, David | Treasurer | 5314 Maryland Way, Suite 110, Brentwood, TN 37027 |
| Name | Role | Address |
|---|---|---|
| Weiss, David | CEO) | 5314 Maryland Way, Suite 110, Brentwood, TN 37027 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2022-04-28 | 5314 Maryland Way, Suite 110, Brentwood, TN 37027 | No data |
| CHANGE OF MAILING ADDRESS | 2022-04-28 | 5314 Maryland Way, Suite 110, Brentwood, TN 37027 | No data |
| LC STMNT OF RA/RO CHG | 2022-03-03 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2022-03-03 | COGENCY GLOBAL INC. | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2022-03-03 | 115 NORTH CALHOUN ST - STE. 4, TALLAHASSEE, FL 32301 | No data |
| CONVERSION | 2021-05-14 | No data | CORPORATION WAS A CONVERSION RESULT. CONVERTING CORPORATION WAS P15000064328. CONVERSION NUMBER 100000212961 |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-18 |
| ANNUAL REPORT | 2023-04-11 |
| ANNUAL REPORT | 2022-04-28 |
| CORLCRACHG | 2022-03-03 |
| Florida Limited Liability | 2021-05-14 |
Date of last update: 14 Jan 2025
Sources: Florida Department of State
