| Entity Name: | EVERLONG GROUP MEDICAL CAPTIVE SERVICES, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 27 Aug 2024 (5 months ago) |
| Last Event: | CONVERSION |
| Event Date Filed: | 27 Aug 2024 (5 months ago) |
| Document Number: | L24000378276 |
| Address: | 153 FORT WADE RD STE 200, PONTE VEDRA, FL 32081 |
| Mail Address: | 153 FORT WADE RD STE 200, PONTE VEDRA, FL 32081 |
| ZIP code: | 32081 |
| County: | St. Johns |
| Place of Formation: | FLORIDA |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| EVERLONG GROUP MEDICAL CAPTIVE SERVICES 401(K) PLAN | 2023 | 461279719 | 2024-08-14 | EVERLONG GROUP MEDICAL CAPTIVE SERVICES | 19 | |||||||||||||||||||||||||||||||||
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| Role | Plan administrator |
| Date | 2024-08-14 |
| Name of individual signing | SHERRY GASKILL |
| Valid signature | Filed with authorized/valid electronic signature |
| Role | Employer/plan sponsor |
| Date | 2024-08-14 |
| Name of individual signing | SHERRY GASKILL |
| Valid signature | Filed with authorized/valid electronic signature |
| Name | Role | Address |
|---|---|---|
| SHIN, TAE | Agent | 189 S ORANGE AVE STE 1650, ORLANDO, FL 32801 |
| Name | Role | Address |
|---|---|---|
| TRUAX, DOUGLAS | Manager | 153 FORT WADE RD STE 200, PONTE VEDRA, FL 32081 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CONVERSION | 2024-08-27 | No data | CORPORATION WAS A CONVERSION RESULT. CONVERTING CORPORATION WAS M20000000620. CONVERSION NUMBER 500000257965 |
| Name | Date |
|---|---|
| Florida Limited Liability | 2024-08-27 |
Date of last update: 07 Jan 2025
Sources: Florida Department of State
