| Entity Name: | PREMIER PHYSICIAN MANAGEMENT SERVICES, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Inactive |
| Date Filed: | 06 Dec 1999 (25 years ago) |
| Date of dissolution: | 08 Jul 2020 (5 years ago) |
| Last Event: | CORPORATE MERGER |
| Event Date Filed: | 08 Jul 2020 (5 years ago) |
| Document Number: | L99000008450 |
| FEI/EIN Number | 65-0968856 |
| Address: | 6802 ENERGY COURT, SARASOTA, FL 34240 |
| Mail Address: | PO BOX 101, 1095 Day Hill Road, Windsor, CT 06095 |
| ZIP code: | 34240 |
| County: | Sarasota |
| Place of Formation: | FLORIDA |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| PARTNERS IN PRACTICE 401K SAVINGS PLAN | 2009 | 650968856 | 2010-06-18 | PREMIER PHYSICIAN MANAGEMENT SERVICES LLC | 104 | |||||||||||||||||||||||||||||||||
|
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| Administrator’s EIN | 650968856 |
| Plan administrator’s name | PREMIER PHYSICIAN MANAGEMENT SERVICES LLC |
| Plan administrator’s address | 6802 ENERGY CT, SARASOTA, FL, 34240 |
| Administrator’s telephone number | 9413668330 |
Signature of
| Role | Plan administrator |
| Date | 2010-06-18 |
| Name of individual signing | AMANDA LEWIS |
| Valid signature | Filed with incorrect/unrecognized electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 002 |
| Effective date of plan | 2004-01-01 |
| Business code | 621111 |
| Sponsor’s telephone number | 9413668330 |
| Plan sponsor’s DBA name | PARTNERS IN PRACTICE |
| Plan sponsor’s address | 6802 ENERGY CT, SARASOTA, FL, 34240 |
Plan administrator’s name and address
| Administrator’s EIN | 650968856 |
| Plan administrator’s name | PREMIER PHYSICIAN MANAGEMENT SERVICES LLC |
| Plan administrator’s address | 6802 ENERGY CT, SARASOTA, FL, 34240 |
| Administrator’s telephone number | 9413668330 |
Signature of
| Role | Plan administrator |
| Date | 2010-07-07 |
| Name of individual signing | AMANDA LEWIS |
| Valid signature | Filed with authorized/valid electronic signature |
| Name | Role |
|---|---|
| CORPORATION SERVICE COMPANY | Agent |
| Name | Role | Address |
|---|---|---|
| ORIGIN HEALTHCARE SOLUTIONS LLC | Manager | PO BOX 1010, 1095 Day Hill Road WINDSOR, CT 06095 |
| Name | Role | Address |
|---|---|---|
| Kralic, David | Chief Financial Officer | PO BOX 101, 1095 Day Hill Road Windsor, CT 06095 |
| Name | Role | Address |
|---|---|---|
| Leahy, Terry | PRESIDENT | PO BOX 101, 1095 Day Hill Road Windsor, CT 06095 |
| Name | Role | Address |
|---|---|---|
| Leahy, Terry | Chief Executive Officer | PO BOX 101, 1095 Day Hill Road Windsor, CT 06095 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| MERGER | 2020-07-08 | No data | CORPORATION WAS PART OF A MERGER. NON-QUALIFIED CORPORATION WAS ORIGIN HEALTHCARE SOLUTIONS LLC. MERGER NUMBER 500000204005 |
| CHANGE OF MAILING ADDRESS | 2020-02-05 | 6802 ENERGY COURT, SARASOTA, FL 34240 | No data |
| REGISTERED AGENT NAME CHANGED | 2019-01-07 | CORPORATION SERVICE COMPANY | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2019-01-07 | 6802 ENERGY COURT, SARASOTA, FL 34240 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2019-01-07 | 1201 HAYS ST, TALLAHASSEE, FL 32301 | No data |
| LC STMNT OF RA/RO CHG | 2019-01-07 | No data | No data |
| REINSTATEMENT | 2018-10-15 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2018-09-28 | No data | No data |
| REINSTATEMENT | 2018-05-09 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2017-09-22 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2020-02-05 |
| ANNUAL REPORT | 2019-02-07 |
| CORLCRACHG | 2019-01-07 |
| REINSTATEMENT | 2018-10-15 |
| Reinstatement | 2018-05-09 |
| ANNUAL REPORT | 2016-03-08 |
| ANNUAL REPORT | 2015-06-19 |
| CORLCRACHG | 2014-12-24 |
| ANNUAL REPORT | 2014-04-30 |
| ANNUAL REPORT | 2013-04-24 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
