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  5. PENSACOLA RADIOLOGY CONSULTANTS, P.A.

PENSACOLA RADIOLOGY CONSULTANTS, P.A.

Company Details

Entity Name: PENSACOLA RADIOLOGY CONSULTANTS, P.A.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Active
Date Filed: 31 Dec 1974 (50 years ago)
Document Number: 466960
FEI/EIN Number 591563688
Address: 1549 Airport Blvd. Suite 110, PENSACOLA, FL, 32504, US
Mail Address: P.O. BOX 9210, PENSACOLA, FL, 32513-9210
ZIP code: 32504
County: Escambia
Place of Formation: FLORIDA

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
PENSACOLA RADIOLOGY CONSULTANTS, PA 401(K) PROFIT SHARING PLAN 2023 591563688 2024-07-05 PENSACOLA RADIOLOGY CONSULTANTS, P.A. 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1976-12-02
Business code 621111
Sponsor’s telephone number 8504768602
Plan sponsor’s address P.O. BOX 9210, PENSACOLA, FL, 32513

Signature of
Role Plan administrator
Date 2024-07-05
Name of individual signing ROBERT C. NUSBAUM, MD
Valid signature Filed with authorized/valid electronic signature
PENSACOLA RADIOLOGY CONSULTANTS, PA 401(K) PROFIT SHARING PLAN 2022 591563688 2023-05-26 PENSACOLA RADIOLOGY CONSULTANTS, P.A. 11
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1976-12-02
Business code 621111
Sponsor’s telephone number 8504768602
Plan sponsor’s address P.O. BOX 9210, PENSACOLA, FL, 32513

Signature of
Role Plan administrator
Date 2023-05-26
Name of individual signing ROBERT C. NUSBAUM, MD
Valid signature Filed with authorized/valid electronic signature
PENSACOLA RADIOLOGY CONSULTANTS, PA 401(K) PROFIT SHARING PLAN 2021 591563688 2022-08-08 PENSACOLA RADIOLOGY CONSULTANTS, P.A 13
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1976-12-02
Business code 621111
Sponsor’s telephone number 8504768602
Plan sponsor’s address P.O. BOX 9210, PENSACOLA, FL, 32513

Signature of
Role Plan administrator
Date 2022-08-08
Name of individual signing ROBERT C. NUSBAUM, MD
Valid signature Filed with authorized/valid electronic signature
PENSACOLA RADIOLOGY CONSULTANTS, PA 401(K) PROFIT SHARING PLAN 2020 591563688 2021-06-27 PENSACOLA RADIOLOGY CONSULTANTS, P.A. 18
Three-digit plan number (PN) 001
Effective date of plan 1976-12-02
Business code 621111
Sponsor’s telephone number 8504768602
Plan sponsor’s address P.O. BOX 9210, PENSACOLA, FL, 32513

Signature of
Role Plan administrator
Date 2021-06-27
Name of individual signing ROBERT C. NUSBAUM, MD
Valid signature Filed with authorized/valid electronic signature
PENSACOLA RADIOLOGY CONSULTANTS, PA 401(K) PROFIT SHARING PLAN 2020 591563688 2021-08-05 PENSACOLA RADIOLOGY CONSULTANTS, P.A. 18
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1976-12-02
Business code 621111
Sponsor’s telephone number 8504768602
Plan sponsor’s address P.O. BOX 9210, PENSACOLA, FL, 32513

Signature of
Role Plan administrator
Date 2021-08-05
Name of individual signing ROBERT C. NUSBAUM, MD
Valid signature Filed with authorized/valid electronic signature
PENSACOLA RADIOLOGY CONSULTANTS, PA 401(K) PROFIT SHARING PLAN 2019 591563688 2020-05-29 PENSACOLA RADIOLOGY CONSULTANTS, P.A. 16
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1976-12-02
Business code 621111
Sponsor’s telephone number 8504768602
Plan sponsor’s address P.O. BOX 9210, PENSACOLA, FL, 32513

Signature of
Role Plan administrator
Date 2020-05-29
Name of individual signing ANTHONY DERAIMO, MD
Valid signature Filed with authorized/valid electronic signature
PENSACOLA RADIOLOGY CONSULTANTS, PA 401(K) PROFIT SHARING PLAN 2018 591563688 2019-05-21 PENSACOLA RADIOLOGY CONSULTANTS, P.A. 18
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1976-12-02
Business code 621111
Sponsor’s telephone number 8504768602
Plan sponsor’s address PO BOX 9210, PENSACOLA, FL, 32513

Signature of
Role Plan administrator
Date 2019-05-21
Name of individual signing ANTHONY DERAIMO, MD
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
Nusbaum Robert CMD Agent 1549 Airport Blvd. Suite 110, PENSACOLA, FL, 32504

Boar

Name Role Address
NUSBAUM ROBERT CDr. Boar P.O. BOX 9210, PENSACOLA, FL, 325139210
POLLITT CLARK MDr. Boar P.O. BOX 9210, PENSACOLA, FL, 325139210

Events

Event Type Filed Date Value Description
AMENDMENT 2009-01-16 No data No data
NAME CHANGE AMENDMENT 1988-09-08 PENSACOLA RADIOLOGY CONSULTANTS, P.A. No data
AMENDMENT 1986-06-02 No data No data
NAME CHANGE AMENDMENT 1986-03-17 HOBGOOD, POST & BALCHUNAS, M.D.'S, P.A. No data
NAME CHANGE AMENDMENT 1983-05-25 HOBGOOD & POST, M.D'S, P.A. No data
NAME CHANGE AMENDMENT 1981-01-09 GOULD, HOBGOOD & POST, M.D.'S., P.A. No data

Related by officers

No related officers

Related by address

No related companies by address

Date of last update: 01 Jan 2025

Sources: Florida Department of State

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