| Entity Name: | CBR HEALTH LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Foreign Limited Liability Co. |
| Status: |
Inactive
The business entity is inactive. This status may signal operational issues or voluntary closure, raising concerns about the business's ability to repay loans and requiring careful risk assessment by lenders. |
| Date Filed: | 04 Aug 2017 (8 years ago) |
| Date of dissolution: | 25 Sep 2020 (5 years ago) |
| Last Event: | REVOKED FOR ANNUAL REPORT |
| Event Date Filed: | 25 Sep 2020 (5 years ago) |
| Document Number: | M17000006677 |
| FEI/EIN Number |
82-2346019
Federal Employer Identification (FEI) Number assigned by the IRS. |
| Address: | 18167 US HWY 19, SUITE 450, CLEARWATER, FL, 33764 |
| Mail Address: | 18167 US HWY 19, SUITE 450, CLEARWATER, FL, 33764 |
| ZIP code: | 33764 |
| County: | Pinellas |
| Place of Formation: | DELAWARE |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| CBR HEALTH LLC 401 K PROFIT SHARING PLAN TRUST | 2018 | 822346019 | 2019-04-25 | CBR HEALTH LLC | 11 | |||||||||||||||||||||||
|
||||||||||||||||||||||||||||
| Role | Plan administrator |
| Date | 2019-04-25 |
| Name of individual signing | JACK CAPITO |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2017-01-01 |
| Business code | 524140 |
| Sponsor’s telephone number | 7272605130 |
| Plan sponsor’s address | 18167 US HWY 19 N STE 450, CLEARWATER, FL, 33764 |
Signature of
| Role | Plan administrator |
| Date | 2018-06-04 |
| Name of individual signing | EDWARD ROJAS |
| Valid signature | Filed with authorized/valid electronic signature |
| Name | Role | Address |
|---|---|---|
| MERCURIS CHERYL R | Manager | 18167 US HWY 19, CLEARWATER, FL, 33764 |
| Capito Jack M | Agent | 18167 US HWY 19, CLEARWATER, FL, 33764 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G17000085310 | HEALTH SOURCE NETWORK | EXPIRED | 2017-08-07 | 2022-12-31 | - | 18167 US HIGHWAY 19 NORTH, SUITE 450, CLEARWATER, FL, 33764 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REVOKED FOR ANNUAL REPORT | 2020-09-25 | - | - |
| REGISTERED AGENT NAME CHANGED | 2018-05-01 | Capito, Jack Michael | - |
| REGISTERED AGENT ADDRESS CHANGED | 2018-05-01 | 18167 US HWY 19, SUITE 450, CLEARWATER, FL 33764 | - |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2019-05-01 |
| ANNUAL REPORT | 2018-05-01 |
| Foreign Limited | 2017-08-04 |
Date of last update: 02 Apr 2025
Sources: Florida Department of State
