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SARASOTA PLASTIC SURGERY, INC.

Company Details

Entity Name: SARASOTA PLASTIC SURGERY, INC.
Jurisdiction: FLORIDA
Filing Type: Florida Profit Corporation
Status: Active
Date Filed: 05 Jul 1991 (34 years ago)
Last Event: REINSTATEMENT
Event Date Filed: 19 Oct 2004 (20 years ago)
Document Number: S65232
FEI/EIN Number 65-0234256
Address: 2255 S TAMIAMI TRAIL, SARASOTA, FL 34239
Mail Address: 2255 S TAMIAMI TRAIL, SARASOTA, FL 34239
ZIP code: 34239
County: Sarasota
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1912058124 2007-01-15 2015-04-30 2255 S. TAMIAMI TRAIL, SARASOTA, FL, 342393806, US 2255 S. TAMIAMI TRAIL, SARASOTA, FL, 342393806, US

Contacts

Phone +1 941-366-8897
Fax 9413660518

Authorized person

Name MS. DEVONNE M LABONTE
Role CEO ADMINISTRATOR
Phone 9413668897

Taxonomy

Taxonomy Code 208200000X - Plastic Surgery Physician
Is Primary Yes

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
SARASOTA PLASTIC SURGERY, INC. CASH BALANCE PENSION PLAN 2023 650234256 2024-08-28 SARASOTA PLASTIC SURGERY, INC. 15
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2022-01-01
Business code 621111
Sponsor’s telephone number 9413211675
Plan sponsor’s address 2255 S. TAMIAMI TRAIL, SARASOTA, FL, 34239
SARASOTA PLASTIC SURGERY, INC. 401K PROFIT SHARING PLAN 2023 650234256 2024-09-09 SARASOTA PLASTIC SURGERY, INC. 47
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2021-01-01
Business code 621111
Sponsor’s telephone number 9413211675
Plan sponsor’s address 2255 S. TAMIAMI TRAIL, SARASOTA, FL, 34239
SARASOTA PLASTIC SURGERY, INC. 401K PROFIT SHARING PLAN 2022 650234256 2023-10-12 SARASOTA PLASTIC SURGERY, INC. 40
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2021-01-01
Business code 621111
Sponsor’s telephone number 9413211675
Plan sponsor’s address 2255 S. TAMIAMI TRAIL, SARASOTA, FL, 34239
SARASOTA PLASTIC SURGERY, INC. 401(K) PROFIT SHARING PLAN 2021 650234256 2022-10-14 SARASOTA PLASTIC SURGERY, INC. 30
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-01-01
Business code 621111
Sponsor’s telephone number 9413668787
Plan sponsor’s address 2255 S. TAMIAMI TRAIL, SARASOTA, FL, 34239
SARASOTA PLASTIC SURGERY, INC. 401(K) PROFIT SHARING PLAN 2020 650234256 2021-09-30 SARASOTA PLASTIC SURGERY, INC. 29
Three-digit plan number (PN) 001
Effective date of plan 2002-01-01
Business code 621111
Sponsor’s telephone number 9413668787
Plan sponsor’s address 2255 S. TAMIAMI TRAIL, SARASOTA, FL, 34239
SARASOTA PLASTIC SURGERY, INC. 401(K) PROFIT SHARING PLAN 2020 650234256 2022-10-14 SARASOTA PLASTIC SURGERY, INC. 29
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-01-01
Business code 621111
Sponsor’s telephone number 9413668787
Plan sponsor’s address 2255 S. TAMIAMI TRAIL, SARASOTA, FL, 34239
SARASOTA PLASTIC SURGERY, INC. 401(K) PROFIT SHARING PLAN 2019 650234256 2020-10-14 SARASOTA PLASTIC SURGERY, INC. 36
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-01-01
Business code 621111
Sponsor’s telephone number 9413668787
Plan sponsor’s address 2255 S. TAMIAMI TRAIL, SARASOTA, FL, 34239
SARASOTA PLASTIC SURGERY, INC. 401(K) PROFIT SHARING PLAN 2018 650234256 2019-10-10 SARASOTA PLASTIC SURGERY, INC. 30
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-01-01
Business code 621111
Sponsor’s telephone number 9413668787
Plan sponsor’s address 2255 S. TAMIAMI TRAIL, SARASOTA, FL, 34239
SARASOTA PLASTIC SURGERY, INC. 401K PROFIT SHARING PLAN 2017 650234256 2018-09-20 SARASOTA PLASTIC SURGERY, INC. 30
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-01-01
Business code 621111
Sponsor’s telephone number 9413668897
Plan sponsor’s address 2255 SOUTH TAMIAMI TRAIL, SARASOTA, FL, 34239

Plan administrator’s name and address

Administrator’s EIN 650234256
Plan administrator’s name SARASOTA PLASTIC SURGERY, INC.
Plan administrator’s address 2255 SOUTH TAMIAMI TRAIL, SARASOTA, FL, 34239
Administrator’s telephone number 9413668897

Signature of

Role Plan administrator
Date 2018-09-20
Name of individual signing DAVID MOBLEY
Valid signature Filed with authorized/valid electronic signature
SARASOTA PLASTIC SURGERY, INC. 401K PROFIT SHARING PLAN 2016 650234256 2017-07-22 SARASOTA PLASTIC SURGERY, INC. 27
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-01-01
Business code 621111
Sponsor’s telephone number 9413668897
Plan sponsor’s address 2255 SOUTH TAMIAMI TRAIL, SARASOTA, FL, 34239

Plan administrator’s name and address

Administrator’s EIN 650234256
Plan administrator’s name SARASOTA PLASTIC SURGERY, INC.
Plan administrator’s address 2255 SOUTH TAMIAMI TRAIL, SARASOTA, FL, 34239
Administrator’s telephone number 9413668897

Signature of

Role Plan administrator
Date 2017-07-22
Name of individual signing DAVID MOBLEY
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role
SARASOTA PLASTIC SURGERY, INC. Agent

President

Name Role Address
MOBLEY, DAVID L President 2255 S TAMIAMI TRAIL, SARASOTA, FL 34239

Vice President

Name Role Address
ENGEL, SCOTT J Vice President 2255 S TAMIAMI TRAIL, SARASOTA, FL 34239

Chief Executive Officer

Name Role Address
LaBonte, Devonne M Chief Executive Officer 2255 S TAMIAMI TRAIL, SARASOTA, FL 34239

Secretary

Name Role Address
Derby, Brian M Secretary 2255 S TAMIAMI TRAIL, SARASOTA, FL 34239

Treasurer

Name Role Address
Derby, Brian M Treasurer 2255 S TAMIAMI TRAIL, SARASOTA, FL 34239

Events

Event Type Filed Date Value Description
REGISTERED AGENT NAME CHANGED 2022-01-27 Sarasota Plastic Surgery Inc No data
REINSTATEMENT 2004-10-19 No data No data
ADMIN DISSOLUTION FOR ANNUAL REPORT 2004-10-01 No data No data
CHANGE OF PRINCIPAL ADDRESS 2000-05-05 2255 S TAMIAMI TRAIL, SARASOTA, FL 34239 No data
CHANGE OF MAILING ADDRESS 2000-05-05 2255 S TAMIAMI TRAIL, SARASOTA, FL 34239 No data
REGISTERED AGENT ADDRESS CHANGED 2000-05-05 2255 S TAMIAMI TRAIL, SARASOTA, FL 34239 No data

Documents

Name Date
ANNUAL REPORT 2025-01-03
ANNUAL REPORT 2024-02-02
ANNUAL REPORT 2023-01-23
ANNUAL REPORT 2022-01-27
ANNUAL REPORT 2021-01-13
ANNUAL REPORT 2020-01-23
ANNUAL REPORT 2019-02-06
AMENDED ANNUAL REPORT 2018-12-07
ANNUAL REPORT 2018-01-09
ANNUAL REPORT 2017-02-10

Date of last update: 03 Feb 2025

Sources: Florida Department of State