| Entity Name: | CLEARWATER MEDICAL GROUP, PLLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 26 Aug 2022 (2 years ago) |
| Document Number: | L22000376621 |
| FEI/EIN Number | 88-4070531 |
| Address: | 1172 BROWNELL ST, CLEARWATER, FL, 33756, US |
| Mail Address: | 1172 BROWNELL ST, CLEARWATER, FL, 33756, US |
| ZIP code: | 33756 |
| County: | Pinellas |
| Place of Formation: | FLORIDA |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| CLEARWATER MEDICAL GROUP 401(K) PLAN | 2023 | 884070531 | 2024-05-28 | CLEARWATER MEDICAL GROUP | 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 | 2024-05-28 |
| Name of individual signing | QIAN LIU |
| Valid signature | Filed with authorized/valid electronic signature |
| Name | Role |
|---|---|
| UNITED STATES CORPORATION AGENTS, INC. | Agent |
| Name | Role | Address |
|---|---|---|
| SPINOSO ALEX C | Owne | 1172 BROWNELL ST, CLEARWATER, FL, 33756 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT ADDRESS CHANGED | 2023-02-18 | 476 RIVERSIDE AVE., JACKSONVILLE, FL 32202 | No data |
| Name | Date |
|---|---|
| AMENDED ANNUAL REPORT | 2024-06-05 |
| ANNUAL REPORT | 2024-02-22 |
| ANNUAL REPORT | 2023-03-20 |
| Florida Limited Liability | 2022-08-26 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
