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  5. BREVARD ANESTHESIA SERVICES, P.A.

BREVARD ANESTHESIA SERVICES, P.A. - Florida Company Profile

Company Details

Entity Name: BREVARD ANESTHESIA SERVICES, P.A.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit

BREVARD ANESTHESIA SERVICES, P.A. is structured as a Domestic Profit Corporation, which, in Florida signifies a Profit Corporation (also known as a C-Corporation). This business structure is recognized as a separate legal entity from its owners. This offers shareholders the benefit of limited liability protection, safeguarding their personal assets from the corporation's debts and obligations, and facilitates raising capital through the issuance of stock. In Florida, Domestic Profit Corporations are governed by Title XXXVI, Chapter 607, Florida Statutes – Florida Business Corporation Act.
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: 15 Jun 1977 (48 years ago)
Date of dissolution: 15 Dec 2015 (9 years ago)
Last Event: VOLUNTARY DISS W/ NOTICE
Event Date Filed: 15 Dec 2015 (9 years ago)
Document Number: 537334
FEI/EIN Number 591755503

Federal Employer Identification (FEI) Number assigned by the IRS.
Address: 1775 W. HIBISCUS BLVD, SUITE 215, MELBOURNE, FL, 32901, US
Mail Address: P.O. BOX 2400, MELBOURNE, FL, 32902, US
ZIP code: 32901
County: Brevard
Place of Formation: FLORIDA

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
BREVARD ANESTHESIA SERVICES, P.A. 401(K) PROFIT SHARING PLAN 2012 591755503 2013-05-16 BREVARD ANESTHESIA SERVICES, P.A. 57
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1992-01-01
Business code 621111
Sponsor’s telephone number 3217234723
Plan sponsor’s mailing address 1304 OAK STREET, MELBOURNE, FL, 32901
Plan sponsor’s address 1304 OAK STREET, MELBOURNE, FL, 32901

Plan administrator’s name and address
Administrator’s EIN 591755503
Plan administrator’s name BREVARD ANESTHESIA SERVICES, P.A.
Plan administrator’s address 1304 OAK STREET, MELBOURNE, FL, 32901
Administrator’s telephone number 3217234723

Number of participants as of the end of the plan year
Active participants 47
Retired or separated participants receiving benefits 0
Other retired or separated participants entitled to future benefits 11
Deceased participants whose beneficiaries are receiving or are entitled to receive benefits 0
Number of participants with account balances as of the end of the plan year 58
Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 0

Signature of
Role Plan administrator
Date 2013-05-16
Name of individual signing LYLE SALTZMAN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2013-05-16
Name of individual signing LYLE SALTZMAN
Valid signature Filed with authorized/valid electronic signature
BREVARD ANESTHESIA SERVICES, P.A. 401(K) PROFIT SHARING PLAN 2011 591755503 2012-04-25 BREVARD ANESTHESIA SERVICES, P.A. 59
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1992-01-01
Business code 621111
Sponsor’s telephone number 3217234723
Plan sponsor’s mailing address 1304 OAK STREET, MELBOURNE, FL, 32901
Plan sponsor’s address 1304 OAK STREET, MELBOURNE, FL, 32901

Plan administrator’s name and address
Administrator’s EIN 591755503
Plan administrator’s name BREVARD ANESTHESIA SERVICES, P.A.
Plan administrator’s address 1304 OAK STREET, MELBOURNE, FL, 32901
Administrator’s telephone number 3217234723

Number of participants as of the end of the plan year
Active participants 47
Retired or separated participants receiving benefits 0
Other retired or separated participants entitled to future benefits 10
Deceased participants whose beneficiaries are receiving or are entitled to receive benefits 0
Number of participants with account balances as of the end of the plan year 57
Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 0

Signature of
Role Plan administrator
Date 2012-04-25
Name of individual signing LYLE SALTZMAN
Valid signature Filed with authorized/valid electronic signature
BREVARD ANESTHESIA SERVICES, P.A. 401(K) PROFIT SHARING PLAN 2010 591755503 2011-05-10 BREVARD ANESTHESIA SERVICES, P.A. 60
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1992-01-01
Business code 621111
Sponsor’s telephone number 3217234723
Plan sponsor’s mailing address 1304 OAK STREET, MELBOURNE, FL, 32901
Plan sponsor’s address 1304 OAK STREET, MELBOURNE, FL, 32901

Plan administrator’s name and address
Administrator’s EIN 591755503
Plan administrator’s name BREVARD ANESTHESIA SERVICES, P.A.
Plan administrator’s address 1304 OAK STREET, MELBOURNE, FL, 32901
Administrator’s telephone number 3217234723

Number of participants as of the end of the plan year
Active participants 48
Retired or separated participants receiving benefits 0
Other retired or separated participants entitled to future benefits 11
Deceased participants whose beneficiaries are receiving or are entitled to receive benefits 0
Number of participants with account balances as of the end of the plan year 59
Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 0

Signature of
Role Plan administrator
Date 2011-05-10
Name of individual signing LYLE SALTZMAN
Valid signature Filed with authorized/valid electronic signature
BREVARD ANESTHESIA SERVICES, P.A. 401(K) PROFIT SHARING PLAN 2010 591755503 2011-05-10 BREVARD ANESTHESIA SERVICES, P.A. 60
Three-digit plan number (PN) 002
Effective date of plan 1992-01-01
Business code 621111
Sponsor’s telephone number 3217234723
Plan sponsor’s mailing address 1304 OAK STREET, MELBOURNE, FL, 32901
Plan sponsor’s address 1304 OAK STREET, MELBOURNE, FL, 32901

Plan administrator’s name and address
Administrator’s EIN 591755503
Plan administrator’s name BREVARD ANESTHESIA SERVICES, P.A.
Plan administrator’s address 1304 OAK STREET, MELBOURNE, FL, 32901
Administrator’s telephone number 3217234723

Number of participants as of the end of the plan year
Active participants 48
Retired or separated participants receiving benefits 0
Other retired or separated participants entitled to future benefits 11
Deceased participants whose beneficiaries are receiving or are entitled to receive benefits 0
Number of participants with account balances as of the end of the plan year 59
Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 0

Signature of
Role Employer/plan sponsor
Date 2011-05-10
Name of individual signing LYLE SALTZMAN
Valid signature Filed with authorized/valid electronic signature
BREVARD ANESTHESIA SERVICES, P.A. 401(K) PROFIT SHARING PLAN 2009 591755503 2010-09-28 BREVARD ANESTHESIA SERVICES, P.A. 60
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1992-01-01
Business code 621111
Sponsor’s telephone number 6207938473
Plan sponsor’s address 1304 OAK STREET, MELBOURNE, FL, 32901

Plan administrator’s name and address
Administrator’s EIN 591755503
Plan administrator’s name BREVARD ANESTHESIA SERVICES, P.A.
Plan administrator’s address 1304 OAK STREET, MELBOURNE, FL, 32901
Administrator’s telephone number 6207938473

Signature of
Role Plan administrator
Date 2010-09-28
Name of individual signing LYLE SALTZMAN
Valid signature Filed with authorized/valid electronic signature

Key Officers & Management

Name Role Address
JACOBSON MATTHEW WDr. President P.O. BOX 2400, MELBOURNE, FL, 32902
SCHRADER KEITH JDr. Vice President P.O. BOX 2400, MELBOURNE, FL, 32902
ANDERSON COREY LDr. Vice President P.O. BOX 2400, MELBOURNE, FL, 32902
GOTAY RICARDO MDr. Vice President P.O. BOX 2400, MELBOURNE, FL, 32902
WAGNER MICHAEL DDr. Secretary P.O. BOX 2400, MELBOURNE, FL, 32902
WAGNER MICHAEL DDr. Treasurer P.O. BOX 2400, MELBOURNE, FL, 32902
WEBB OSCAR WDr. Vice President P.O. BOX 2400, MELBOURNE, FL, 32902
JACOBSON MATTHEW W Agent 1775 W. HIBISCUS BLVD, MELBOURNE, FL, 32901

Events

Event Type Filed Date Value Description
VOLUNTARY DISS W/ NOTICE 2015-12-15 - -
REGISTERED AGENT ADDRESS CHANGED 2015-03-25 1775 W. HIBISCUS BLVD, SUITE 215, MELBOURNE, FL 32901 -
CHANGE OF PRINCIPAL ADDRESS 2014-12-09 1775 W. HIBISCUS BLVD, SUITE 215, MELBOURNE, FL 32901 -
CHANGE OF MAILING ADDRESS 2014-12-09 1775 W. HIBISCUS BLVD, SUITE 215, MELBOURNE, FL 32901 -
REGISTERED AGENT NAME CHANGED 2012-01-03 JACOBSON, MATTHEW WMD -
NAME CHANGE AMENDMENT 1988-06-30 BREVARD ANESTHESIA SERVICES, P.A. -
NAME CHANGE AMENDMENT 1985-08-23 BREVARD ANESTHESIA SERVICES - DRS.DEMETRIADES, BLUNK, HALLSTRAND, STOLTZ, CURRIE, SIMMONS AND NEELSON, P.A. -
NAME CHANGE AMENDMENT 1985-03-20 BREVARD ANESTHESIA SERVICES - DRS. WEARE, DEMETRIADES, BLUNK, HALLSTRAND, STOLTZ AND CURRIE, P.A. -
NAME CHANGE AMENDMENT 1983-08-05 BREVARD ANESTHESIA SERVICES - DRS. WEARE, DEMETRIADES, BLUNK, SESSOMS, GEORGE AND HALLSTRAND, P.A. -

Documents

Name Date
CORAPVDWN 2015-12-15
ANNUAL REPORT 2015-03-25
ANNUAL REPORT 2014-01-07
ANNUAL REPORT 2013-03-21
ANNUAL REPORT 2012-01-03
ANNUAL REPORT 2011-01-04
ANNUAL REPORT 2010-01-04
ANNUAL REPORT 2009-01-13
ANNUAL REPORT 2008-01-04
ANNUAL REPORT 2007-01-03

Companies related by officers

JACOBSON MATTHEW WDr.

BREVARD PROFESSIONAL SERVICE CORP. - Inactive
Domestic Profit (1974 - 2015)

SCHRADER KEITH JDr.

BREVARD PROFESSIONAL SERVICE CORP. - Inactive
Domestic Profit (1974 - 2015)

ANDERSON COREY LDr.

BREVARD PROFESSIONAL SERVICE CORP. - Inactive
Domestic Profit (1974 - 2015)

GOTAY RICARDO MDr.

BREVARD PROFESSIONAL SERVICE CORP. - Inactive
Domestic Profit (1974 - 2015)

WAGNER MICHAEL DDr.

BREVARD PROFESSIONAL SERVICE CORP. - Inactive
Domestic Profit (1974 - 2015)
BREVARD PROFESSIONAL SERVICE CORP. - Inactive
Domestic Profit (1974 - 2015)

WEBB OSCAR WDr.

BREVARD PROFESSIONAL SERVICE CORP. - Inactive
Domestic Profit (1974 - 2015)

JACOBSON MATTHEW W

DSP ANESTHESIA, INC. - Inactive
Domestic Profit (1999 - 2002)
DSP ANESTHESIA, INC. - Inactive
Domestic Profit (1999 - 2002)
DSP ANESTHESIA, INC. - Inactive
Domestic Profit (1999 - 2002)
BREVARD PROFESSIONAL SERVICE CORP. - Inactive
Domestic Profit (1974 - 2015)

Companies related by address

1775 W. HIBISCUS BLVD, SUITE 215, MELBOURNE, FL, 32901, US

BREVARD PROFESSIONAL SERVICE CORP.

P.O. BOX 2400, MELBOURNE, FL, 32902, US

BREVARD PROFESSIONAL SERVICE CORP.

Date of last update: 02 Mar 2025

Sources: Florida Department of State

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