| Entity Name: | CREATIVE COMP SOLUTIONS, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 02 Feb 2022 (3 years ago) |
| Last Event: | LC AMENDMENT |
| Event Date Filed: | 06 Jun 2024 (8 months ago) |
| Document Number: | L22000056010 |
| FEI/EIN Number | 87-4769312 |
| Address: | 817 DOUGLAS AVE, SUITE 177, ALTAMONTE SPRINGS, FL 32714 |
| Mail Address: | 1170 TREE SWALLOW DRIVE, SUITE 377, WINTER SPRINGS, FL 32708 |
| ZIP code: | 32714 |
| County: | Seminole |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1841926102 | 2022-07-28 | 2023-01-03 | 1170 TREE SWALLOW DR STE 377, WINTER SPRINGS, FL, 327082826, US | 817 DOUGLAS AVE STE 177, ALTAMONTE SPRINGS, FL, 327145200, US | |||||||||||||||||||||
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| Phone | +1 407-421-1690 |
| Fax | 4079177095 |
| Phone | +1 888-211-8021 |
Authorized person
| Name | JAMES A CALDWELL |
| Role | CFO |
| Phone | 4079901064 |
Taxonomy
| Taxonomy Code | 171M00000X - Case Manager/Care Coordinator |
| Is Primary | Yes |
| Taxonomy Code | 171W00000X - Contractor |
| Is Primary | No |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| CREATIVE COMP SOLUTIONS 401(K) PLAN | 2023 | 874769312 | 2024-05-21 | CREATIVE COMP SOLUTIONS 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 |
|---|---|---|
| CALDWELL, JENA M | Agent | 132 SEVILLE CHASE DRIVE, WINTER SPRINGS, FL 32708 |
| Name | Role | Address |
|---|---|---|
| CALDWELL, JENA M | Manager | 132 SEVILLE CHASE DRIVE, WINTER SPRINGS, FL 32708 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| LC AMENDMENT | 2024-06-06 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2023-01-10 | 817 DOUGLAS AVE, SUITE 177, ALTAMONTE SPRINGS, FL 32714 | No data |
| LC AMENDMENT | 2022-02-22 | No data | No data |
| CHANGE OF MAILING ADDRESS | 2022-02-22 | 817 DOUGLAS AVE, SUITE 177, ALTAMONTE SPRINGS, FL 32714 | No data |
| Name | Date |
|---|---|
| LC Amendment | 2024-06-06 |
| ANNUAL REPORT | 2024-01-05 |
| ANNUAL REPORT | 2023-01-10 |
| LC Amendment | 2022-02-22 |
| Florida Limited Liability | 2022-02-02 |
Date of last update: 13 Jan 2025
Sources: Florida Department of State
