| Entity Name: | YHN 1 LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 19 Apr 2023 (2 years ago) |
| Document Number: | L23000194476 |
| FEI/EIN Number | 93-3655941 |
| Address: | 3651 Lake Center Dr, mount dora, FL, 32757, US |
| Mail Address: | 3651 Lake Center Dr, mount dora, FL, 32757, US |
| ZIP code: | 32757 |
| County: | Lake |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1174212625 | 2023-05-02 | 2023-11-07 | 3651 LAKE CENTER DR, MOUNT DORA, FL, 327572364, US | 3651 LAKE CENTER DR, MOUNT DORA, FL, 327572364, US | |||||||||||||||
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| Phone | +1 352-385-9156 |
| Fax | 3523859159 |
Authorized person
| Name | MR. WILLIAM DERRICK |
| Role | OWNER |
| Phone | 4074632654 |
Taxonomy
| Taxonomy Code | 213E00000X - Podiatrist |
| Is Primary | Yes |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| YHN 1 LLC 401K PLAN | 2023 | 923655491 | 2024-12-20 | YHN 1 LLC | 5 | |||||||||||||||||||||||
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| Role | Plan administrator |
| Date | 2024-12-20 |
| Name of individual signing | SHIRLEY HORNER |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2023-09-01 |
| Business code | 621111 |
| Sponsor’s telephone number | 4074632654 |
| Plan sponsor’s address | 218 JACKSON ST, MAITLAND, FL, 32751 |
Signature of
| Role | Plan administrator |
| Date | 2024-09-04 |
| Name of individual signing | NICK RICE |
| Valid signature | Filed with authorized/valid electronic signature |
| Name | Role | Address |
|---|---|---|
| OBrien Patrick | Agent | 3651 Lake Center Dr, mount dora, FL, 32757 |
| Name | Role | Address |
|---|---|---|
| OBrien Patrick | Manager | 3651 Lake Center Dr, mount dora, FL, 32757 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G23000074923 | MOUNT DORA PODIATRY AND WOUND CARE SPECIALISTS | ACTIVE | 2023-06-21 | 2028-12-31 | No data | 218 JACKSON STREET, MAITLAND, FL, 32751 |
| G23000054645 | MOUNT DORA PODIATRY AND WOUND CARE SPECIALISTS | ACTIVE | 2023-04-24 | 2028-12-31 | No data | 3615 LAKE CENTER DRIVE, MT DORA, FL, 32757 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2024-02-18 | 3651 Lake Center Dr, mount dora, FL 32757 | No data |
| CHANGE OF MAILING ADDRESS | 2024-02-18 | 3651 Lake Center Dr, mount dora, FL 32757 | No data |
| REGISTERED AGENT NAME CHANGED | 2024-02-18 | OBrien, Patrick | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2024-02-18 | 3651 Lake Center Dr, mount dora, FL 32757 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-18 |
| Florida Limited Liability | 2023-04-19 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
