| Entity Name: | GREENBROOK MEDICAL MANAGEMENT, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 11 Aug 2021 (3 years ago) |
| Document Number: | L21000359973 |
| FEI/EIN Number | 87-2132363 |
| Address: | 11200 E Dr Martin Luther King Jr Blvd, Suite 107, Seffner, FL, 33584, US |
| Mail Address: | 11200 E Dr Martin Luther King Jr Blvd, Suite 107, Seffner, FL, 33584, US |
| ZIP code: | 33584 |
| County: | Hillsborough |
| Place of Formation: | FLORIDA |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| GREENBROOK MEDICAL MANAGEMENT, LLC 401(K) PLAN | 2023 | 872132363 | 2024-09-27 | GREENBROOK MEDICAL MANAGEMENT, LLC | 0 | |||||||||||||||||||||||
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| Role | Plan administrator |
| Date | 2024-09-27 |
| Name of individual signing | AMANDA SHEPHERD |
| Valid signature | Filed with authorized/valid electronic signature |
| Name | Role | Address |
|---|---|---|
| MACHHAR RAJ M.D. | Agent | 6811 FLORIDA HIGHWAY 54 WEST, NEW PORT RICHEY, FL, 34653 |
| Name | Role | Address |
|---|---|---|
| MACHHAR RAJ M.D. | Manager | 202 S Parker Street, Tampa, FL, 33606 |
| MACHHAR NEIL | Manager | 4038 Executive Drive, Palm Harbor, FL, 34685 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2022-03-17 | 11200 E Dr Martin Luther King Jr Blvd, Suite 107, Seffner, FL 33584 | No data |
| CHANGE OF MAILING ADDRESS | 2022-03-17 | 11200 E Dr Martin Luther King Jr Blvd, Suite 107, Seffner, FL 33584 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-01-17 |
| ANNUAL REPORT | 2023-01-23 |
| ANNUAL REPORT | 2022-03-17 |
| Florida Limited Liability | 2021-08-11 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
