Search icon

ERNESTO J. PEREZ, M.D., LLC

Company Details

Entity Name: ERNESTO J. PEREZ, M.D., LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Inactive
Date Filed: 22 Nov 1999 (25 years ago)
Document Number: L99000008023
FEI/EIN Number 593609841
Address: 1450 6TH ST SE, WINTER HAVEN, FL, 33884
Mail Address: 1450 6TH ST SE, WINTER HAVEN, FL, 33884
ZIP code: 33884
County: Polk
Place of Formation: FLORIDA

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
ERNESTO J. PEREZ, M.D., LLC PROFIT SHARING PLAN 2016 593609841 2017-08-29 ERNESTO J. PEREZ, M.D., LLC 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2001-01-01
Business code 621111
Sponsor’s telephone number 8632991485
Plan sponsor’s address 1450 6TH STREET S.E., WINTER HAVEN, FL, 338804505
ERNESTO J. PEREZ, M.D., LLC PROFIT SHARING PLAN 2015 593609841 2016-05-12 ERNESTO J. PEREZ, M.D., LLC 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2001-01-01
Business code 621111
Sponsor’s telephone number 8632991485
Plan sponsor’s address 1450 6TH STREET S.E., WINTER HAVEN, FL, 338804505
ERNESTO J. PEREZ, M.D., LLC PROFIT SHARING PLAN 2014 593609841 2016-05-12 ERNESTO J. PEREZ, M.D., LLC 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2001-01-01
Business code 621111
Sponsor’s telephone number 8632991485
Plan sponsor’s address 1450 6TH STREET S.E., WINTER HAVEN, FL, 338804505
ERNESTO J. PEREZ, M.D., LLC PROFIT SHARING PLAN 2013 593609841 2014-04-30 ERNESTO J. PEREZ, M.D., LLC 14
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2001-01-01
Business code 621111
Sponsor’s telephone number 8632991485
Plan sponsor’s address 1450 6TH STREET S.E., WINTER HAVEN, FL, 338804505
ERNESTO J. PEREZ, M.D., LLC PROFIT SHARING PLAN 2012 593609841 2013-09-30 ERNESTO J. PEREZ, M.D., LLC 14
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2001-01-01
Business code 621111
Sponsor’s telephone number 8632991485
Plan sponsor’s address 1450 6TH STREET S.E., WINTER HAVEN, FL, 338804505

Signature of

Role Plan administrator
Date 2013-09-30
Name of individual signing ERNESTO J. PEREZ
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2013-09-30
Name of individual signing ERNESTO J. PEREZ
Valid signature Filed with authorized/valid electronic signature
ERNESTO J. PEREZ, M.D., LLC PROFIT SHARING PLAN 2011 593609841 2013-09-30 ERNESTO J. PEREZ, M.D., LLC 11
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2001-01-01
Business code 621111
Sponsor’s telephone number 8632991485
Plan sponsor’s address 1450 6TH STREET S.E., WINTER HAVEN, FL, 338804505

Plan administrator’s name and address

Administrator’s EIN 593609841
Plan administrator’s name ERNESTO J. PEREZ, M.D., LLC
Plan administrator’s address 1450 6TH STREET S.E., WINTER HAVEN, FL, 338804505
Administrator’s telephone number 8632991485

Signature of

Role Plan administrator
Date 2013-09-30
Name of individual signing ERNESTO J. PEREZ
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2013-09-30
Name of individual signing ERNESTO J. PEREZ
Valid signature Filed with authorized/valid electronic signature
ERNESTO J. PEREZ, M.D., LLC PROFIT SHARING PLAN 2010 593609841 2013-09-30 ERNESTO J. PEREZ, M.D., LLC 12
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2001-01-01
Business code 621111
Sponsor’s telephone number 8632991485
Plan sponsor’s address 1450 6TH STREET S.E., WINTER HAVEN, FL, 338804505

Plan administrator’s name and address

Administrator’s EIN 593609841
Plan administrator’s name ERNESTO J. PEREZ, M.D., LLC
Plan administrator’s address 1450 6TH STREET S.E., WINTER HAVEN, FL, 338804505
Administrator’s telephone number 8632991485

Signature of

Role Plan administrator
Date 2013-09-30
Name of individual signing ERNESTO J. PEREZ
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2013-09-30
Name of individual signing ERNESTO J. PEREZ
Valid signature Filed with authorized/valid electronic signature
ERNESTO J. PEREZ, M.D., LLC PROFIT SHARING PLAN 2009 593609841 2013-09-30 ERNESTO J. PEREZ, M.D., LLC 13
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2001-01-01
Business code 621111
Sponsor’s telephone number 8632991485
Plan sponsor’s address 1450 6TH STREET S.E., WINTER HAVEN, FL, 338804505

Plan administrator’s name and address

Administrator’s EIN 593609841
Plan administrator’s name ERNESTO J. PEREZ, M.D., LLC
Plan administrator’s address 1450 6TH STREET S.E., WINTER HAVEN, FL, 338804505
Administrator’s telephone number 8632991485

Signature of

Role Plan administrator
Date 2013-09-30
Name of individual signing ERNESTO J. PEREZ
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2013-09-30
Name of individual signing ERNESTO J. PEREZ
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
PEREZ SUSAN Agent 1450 6TH ST SE, WINTER HAVEN, FL, 33880

Manager

Name Role Address
PEREZ ERNESTO J Manager 1450 6TH ST SE, WINTER HAVEN, FL, 33880
PEREZ SUSAN J Manager 1450 6TH ST SE, WINTER HAVEN, FL, 33880

Events

Event Type Filed Date Value Description
ADMIN DISSOLUTION FOR ANNUAL REPORT 2011-09-23 No data No data
CANCEL ADM DISS/REV 2005-12-23 No data No data
ADMIN DISSOLUTION FOR ANNUAL REPORT 2005-09-16 No data No data

Debts

Document Number Status Case Number Name of Court Date of Entry Expiration Date Amount Due Plaintiff
J11000276704 TERMINATED 1000000214002 POLK 2011-05-02 2031-05-04 $ 1,163.93 STATE OF FLORIDA, DEPARTMENT OF REVENUE, CLEARWATER SERVICE CENTER, 19337 US HIGHWAY 19 N STE 200, CLEARWATER FL337643149
J10001066528 TERMINATED 1000000192929 POLK 2010-11-02 2030-11-19 $ 1,453.88 STATE OF FLORIDA, DEPARTMENT OF REVENUE, LAKELAND SERVICE CENTER, 115 S MISSOURI AVE STE 202, LAKELAND FL338154644
J10001066536 TERMINATED 1000000192933 POLK 2010-11-02 2030-11-19 $ 1,151.79 STATE OF FLORIDA, DEPARTMENT OF REVENUE, LAKELAND SERVICE CENTER, 115 S MISSOURI AVE STE 202, LAKELAND FL338154644
J10000901345 TERMINATED 1000000186345 POLK 2010-09-03 2030-09-08 $ 1,124.42 STATE OF FLORIDA, DEPARTMENT OF REVENUE, LAKELAND SERVICE CENTER, 115 S MISSOURI AVE STE 202, LAKELAND FL338154644
J10000901352 TERMINATED 1000000186346 POLK 2010-09-03 2030-09-08 $ 1,434.44 STATE OF FLORIDA, DEPARTMENT OF REVENUE, LAKELAND SERVICE CENTER, 115 S MISSOURI AVE STE 202, LAKELAND FL338154644

Date of last update: 01 Jan 2025

Sources: Florida Department of State