| Entity Name: | SERGIO J. CABRERA, M.D., P.L. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 16 Feb 1998 (27 years ago) |
| Last Event: | REINSTATEMENT |
| Event Date Filed: | 25 Jan 2024 (a year ago) |
| Document Number: | L98000000198 |
| FEI/EIN Number | 593492937 |
| Address: | 131 E REDSTONE AVE, CRESTVIEW, FL, 32539, US |
| Mail Address: | 131 E REDSTONE AVE, CRESTVIEW, FL, 32539, US |
| ZIP code: | 32539 |
| County: | Okaloosa |
| Place of Formation: | FLORIDA |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| SERGIO J. CABRERA, M.D., P.L. EMPLOYEE STOCK OWNERSHIP PLAN | 2010 | 593492937 | 2011-10-20 | SERGIO J. CABRERA, M.D., P.L. | 37 | |||||||||||||||||||||||||||||||||||||||||||||
|
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| Administrator’s EIN | 593492937 |
| Plan administrator’s name | SERGIO J. CABRERA, M.D., P.L. |
| Plan administrator’s address | 4100 SOUTH FERBON BLVD. SUITE A4, CRESTVIEW, FL, 32536 |
| Administrator’s telephone number | 8503988940 |
Number of participants as of the end of the plan year
| Active participants | 38 |
| Retired or separated participants receiving benefits | 1 |
| Other retired or separated participants entitled to future benefits | 0 |
| Deceased participants whose beneficiaries are receiving or are entitled to receive benefits | 0 |
| Number of participants with account balances as of the end of the plan year | 39 |
| Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested | 0 |
Signature of
| Role | Plan administrator |
| Date | 2011-10-20 |
| Name of individual signing | SERGIO J. CABRERA |
| Valid signature | Filed with authorized/valid electronic signature |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 1998-12-31 |
| Business code | 621111 |
| Sponsor’s telephone number | 8503988940 |
| Plan sponsor’s mailing address | 4100 SOUTH FERBON, CRESTVIEW, FL, 32536 |
| Plan sponsor’s address | 4100 SOUTH FERBON, CRESTVIEW, FL, 32536 |
Plan administrator’s name and address
| Administrator’s EIN | 593492937 |
| Plan administrator’s name | SERGIO J. CABRERA, M.D., P.L. |
| Plan administrator’s address | 4100 SOUTH FERBON, CRESTVIEW, FL, 32536 |
| Administrator’s telephone number | 8503988940 |
Number of participants as of the end of the plan year
| Active participants | 38 |
| Retired or separated participants receiving benefits | 1 |
| Other retired or separated participants entitled to future benefits | 0 |
| Deceased participants whose beneficiaries are receiving or are entitled to receive benefits | 0 |
| Number of participants with account balances as of the end of the plan year | 39 |
| Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested | 0 |
Signature of
| Role | Plan administrator |
| Date | 2010-06-02 |
| Name of individual signing | SERGIO J. CABRERA |
| Valid signature | Filed with authorized/valid electronic signature |
| Name | Role | Address |
|---|---|---|
| CABRERA SERGIO J | Agent | 131 E REDSTONE AVE, CRESTVIEW, FL, 32539 |
| Name | Role | Address |
|---|---|---|
| CABRERA SERGIO J | Manager | 131 E REDSTONE AVE, CRESTVIEW, FL, 32539 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT ADDRESS CHANGED | 2024-01-25 | 131 E REDSTONE AVE, SUITE 102, CRESTVIEW, FL 32539 | No data |
| CHANGE OF MAILING ADDRESS | 2024-01-25 | 131 E REDSTONE AVE, SUITE 102, CRESTVIEW, FL 32539 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2024-01-25 | 131 E REDSTONE AVE, SUITE 102, CRESTVIEW, FL 32539 | No data |
| REINSTATEMENT | 2024-01-25 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2021-09-24 | No data | No data |
| REINSTATEMENT | 2018-10-31 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2018-09-28 | No data | No data |
| REINSTATEMENT | 2017-10-18 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2017-09-22 | No data | No data |
| REINSTATEMENT | 2016-11-03 | No data | No data |
| Document Number | Status | Case Number | Name of Court | Date of Entry | Expiration Date | Amount Due | Plaintiff |
|---|---|---|---|---|---|---|---|
| J13001354670 | TERMINATED | 1000000523078 | OKALOOSA | 2013-08-28 | 2023-09-05 | $ 731.66 | STATE OF FLORIDA, DEPARTMENT OF REVENUE, PENSACOLA SERVICE CENTER, 3670 N L ST STE C, PENSACOLA FL325055254 |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2025-01-15 |
| REINSTATEMENT | 2024-01-25 |
| ANNUAL REPORT | 2020-03-18 |
| ANNUAL REPORT | 2019-04-22 |
| REINSTATEMENT | 2018-10-31 |
| REINSTATEMENT | 2017-10-18 |
| REINSTATEMENT | 2016-11-03 |
| ANNUAL REPORT | 2015-02-19 |
| ANNUAL REPORT | 2014-04-11 |
| ANNUAL REPORT | 2013-05-31 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
