| Entity Name: | RENAISSANCE PLASTIC SURGERY, P.A. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 24 Jul 2003 (22 years ago) |
| Last Event: | REINSTATEMENT |
| Event Date Filed: | 28 Nov 2018 (6 years ago) |
| Document Number: | P03000081221 |
| FEI/EIN Number | 200111322 |
| Address: | 329 S. NOKOMIS AVE, SUITE K, VENICE, FL, 34285, US |
| Mail Address: | 329 S. NOKOMIS AVE, SUITE K, VENICE, FL, 34285, US |
| ZIP code: | 34285 |
| County: | Sarasota |
| Place of Formation: | FLORIDA |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| RENAISSANCE PLASTIC SURGERY PA 401K TRUST | 2014 | 200111322 | 2015-10-10 | RENAISSANCE PLASTIC SURGERY, P.A. | 3 | |||||||||||||||||||||||||||||||||||||||||
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| Role | Plan administrator |
| Date | 2015-10-10 |
| Name of individual signing | CHARLES L. RODRIGUEZ, M.D. |
| Valid signature | Filed with authorized/valid electronic signature |
| Role | Employer/plan sponsor |
| Date | 2015-10-10 |
| Name of individual signing | CHARLES L. RODRIGUEZ, M.D. |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2007-01-01 |
| Business code | 621111 |
| Sponsor’s telephone number | 9414887727 |
| Plan sponsor’s address | 321 NOKOMIS AVE. S. SUITE B, VENICE, FL, 34285 |
Signature of
| Role | Plan administrator |
| Date | 2014-08-21 |
| Name of individual signing | CHARLES L. RODRIGUEZ, M.D. |
| Valid signature | Filed with authorized/valid electronic signature |
| Role | Employer/plan sponsor |
| Date | 2014-08-21 |
| Name of individual signing | CHARLES L. RODRIGUEZ, M.D. |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2007-01-01 |
| Business code | 621111 |
| Sponsor’s telephone number | 9414887727 |
| Plan sponsor’s address | 321 NOKOMIS AVE. S. SUITE B, VENICE, FL, 34285 |
Signature of
| Role | Plan administrator |
| Date | 2013-07-13 |
| Name of individual signing | CHARLES L. RODRIGUEZ, M.D. |
| Valid signature | Filed with authorized/valid electronic signature |
| Role | Employer/plan sponsor |
| Date | 2013-07-13 |
| Name of individual signing | CHARLES L. RODRIGUEZ, M.D. |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2007-01-01 |
| Business code | 621111 |
| Sponsor’s telephone number | 9414887727 |
| Plan sponsor’s address | 329 NOKOMIS AVE. S. SUITE B, VENICE, FL, 34285 |
Plan administrator’s name and address
| Administrator’s EIN | 200111322 |
| Plan administrator’s name | RENAISSANCE PLASTIC SURGERY, P.A. |
| Plan administrator’s address | 329 NOKOMIS AVE. S. SUITE B, VENICE, FL, 34285 |
| Administrator’s telephone number | 9414887727 |
Signature of
| Role | Plan administrator |
| Date | 2012-10-10 |
| Name of individual signing | CHARLES L. RODRIGUEZ, M.D. |
| Valid signature | Filed with authorized/valid electronic signature |
| Role | Employer/plan sponsor |
| Date | 2012-10-10 |
| Name of individual signing | CHARLES RODRIGUEZ |
| Valid signature | Filed with authorized/valid electronic signature |
| Name | Role | Address |
|---|---|---|
| RODRIGUEZ CHARLES L | Agent | 329 S. NOKOMIS AVENUE, SUITE K, VENICE, FL, 34285 |
| Name | Role | Address |
|---|---|---|
| RODRIGUEZ CHARLES L | Director | 329 S NOKOMIS AVE, SUITE K, VENICE, FL, 34285 |
| Name | Role | Address |
|---|---|---|
| RODRIGUEZ CHARLES L | President | 329 S NOKOMIS AVE, SUITE K, VENICE, FL, 34285 |
| Name | Role | Address |
|---|---|---|
| RODRIGUEZ CHARLES L | Treasurer | 329 S NOKOMIS AVE, SUITE K, VENICE, FL, 34285 |
| Name | Role | Address |
|---|---|---|
| RODRIGUEZ CHARLES L | Secretary | 329 S NOKOMIS AVE, SUITE K, VENICE, FL, 34285 |
| Name | Role | Address |
|---|---|---|
| Rodriguez Jane | Vice President | 329 S. NOKOMIS AVE, VENICE, FL, 34285 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2018-11-28 | 329 S. NOKOMIS AVE, SUITE K, VENICE, FL 34285 | No data |
| REGISTERED AGENT NAME CHANGED | 2018-11-28 | RODRIGUEZ, CHARLES L | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2018-11-28 | 329 S. NOKOMIS AVENUE, SUITE K, VENICE, FL 34285 | No data |
| REINSTATEMENT | 2018-11-28 | No data | No data |
| CHANGE OF MAILING ADDRESS | 2018-11-28 | 329 S. NOKOMIS AVE, SUITE K, VENICE, FL 34285 | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2017-09-22 | No data | No data |
| NAME CHANGE AMENDMENT | 2005-04-18 | RENAISSANCE PLASTIC SURGERY, P.A. | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-03-11 |
| ANNUAL REPORT | 2023-04-12 |
| ANNUAL REPORT | 2022-03-29 |
| ANNUAL REPORT | 2021-02-08 |
| ANNUAL REPORT | 2020-03-31 |
| ANNUAL REPORT | 2019-03-14 |
| REINSTATEMENT | 2018-11-28 |
| ANNUAL REPORT | 2016-03-17 |
| ANNUAL REPORT | 2015-02-18 |
| ANNUAL REPORT | 2014-04-30 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
