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  5. MELBOURNE INTERNAL MEDICINE ASSOCIATES, P.A.

MELBOURNE INTERNAL MEDICINE ASSOCIATES, P.A.

Company Details

Entity Name: MELBOURNE INTERNAL MEDICINE ASSOCIATES, P.A.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Inactive
Date Filed: 23 Dec 1968 (56 years ago)
Document Number: 600694
FEI/EIN Number 591224281
Address: 1223 GATEWAY DR, MELBOURNE, FL, 32901
Mail Address: 1223 GATEWAY DR, MELBOURNE, FL, 32901
ZIP code: 32901
County: Brevard
Place of Formation: FLORIDA

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
MIMA 401(K) PLAN AND TRUST 2015 591224281 2016-07-27 MELBOURNE INTERNAL MEDICINE ASSOCIATES, P.A. 2
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1984-05-01
Business code 621111
Sponsor’s telephone number 3219564220
Plan sponsor’s address 1535 WEST NASA BLVD, SUITE A, MELBOURNE, FL, 32901
MIMA 401(K) PLAN AND TRUST 2014 591224281 2015-05-21 MELBOURNE INTERNAL MEDICINE ASSOCIATES, P.A. 1
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1984-05-01
Business code 621111
Sponsor’s telephone number 3219564220
Plan sponsor’s address 1535 WEST NASA BLVD, SUITE A, MELBOURNE, FL, 32901

Signature of
Role Plan administrator
Date 2015-05-21
Name of individual signing ROBERT PINNICK
Valid signature Filed with authorized/valid electronic signature
MIMA 401(K) PLAN AND TRUST 2010 591224281 2012-03-21 MELBOURNE INTERNAL MEDICINE ASSOCIATES, P.A. 1481
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1984-05-01
Business code 621111
Sponsor’s telephone number 3219564220
Plan sponsor’s mailing address 1535 WEST NASA BLVD, MELBOURNE, FL, 32901
Plan sponsor’s address SUITE A, MELBOURNE, FL, 32901

Plan administrator’s name and address
Administrator’s EIN 591224281
Plan administrator’s name MELBOURNE INTERNAL MEDICINE ASSOCIATES, P.A.
Plan administrator’s address 5200 BABCOCK ST. NE, PALM BAY, FL, 32905
Administrator’s telephone number 3219564220

Number of participants as of the end of the plan year
Active participants 851
Retired or separated participants receiving benefits 0
Other retired or separated participants entitled to future benefits 174
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 1001
Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 89

Signature of
Role Plan administrator
Date 2012-03-21
Name of individual signing JAMES RONALDSON
Valid signature Filed with authorized/valid electronic signature
MIMA 401(K) PLAN AND TRUST 2010 591224281 2011-10-06 MELBOURNE INTERNAL MEDICINE ASSOCIATES, P.A. 1481
Three-digit plan number (PN) 001
Effective date of plan 1984-05-01
Business code 621111
Sponsor’s telephone number 3219564220
Plan sponsor’s mailing address 1535 WEST NASA BLVD, MELBOURNE, FL, 32901
Plan sponsor’s address SUITE A, MELBOURNE, FL, 32901

Plan administrator’s name and address
Administrator’s EIN 591224281
Plan administrator’s name MELBOURNE INTERNAL MEDICINE ASSOCIATES, P.A.
Plan administrator’s address 5200 BABCOCK ST. NE, PALM BAY, FL, 32905
Administrator’s telephone number 3219564220

Number of participants as of the end of the plan year
Active participants 851
Retired or separated participants receiving benefits 0
Other retired or separated participants entitled to future benefits 174
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 1001
Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 89

Signature of
Role Plan administrator
Date 2011-10-06
Name of individual signing JAMES RONALDSON
Valid signature Filed with authorized/valid electronic signature
MIMA 401(K) PLAN AND TRUST 2009 591224281 2010-10-08 MELBOURNE INTERNAL MEDICINE ASSOCIATES, P.A. 1383
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1970-04-30
Business code 621111
Sponsor’s telephone number 3219564220
Plan sponsor’s mailing address 5200 BABCOCK ST. NE, PALM BAY, FL, 32905
Plan sponsor’s address SUITE 108, PALM BAY, FL, 32905

Plan administrator’s name and address
Administrator’s EIN 591224281
Plan administrator’s name MELBOURNE INTERNAL MEDICINE ASSOCIATES, P.A.
Plan administrator’s address 5200 BABCOCK ST. NE, PALM BAY, FL, 32905
Administrator’s telephone number 3219564220

Number of participants as of the end of the plan year
Active participants 932
Retired or separated participants receiving benefits 270
Other retired or separated participants entitled to future benefits 265
Deceased participants whose beneficiaries are receiving or are entitled to receive benefits 4
Number of participants with account balances as of the end of the plan year 1466
Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 46

Signature of
Role Plan administrator
Date 2010-10-08
Name of individual signing JAMES M. RONALDSON
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
NOHRR PHILIP Agent 1223 GATEWAY DR, MELBOURNE, FL, 32901

Director

Name Role Address
RONALDSON JAMES Director 1223 GATEWAY DR, MELBOURNE, FL, 32901
ISENMAN MARTY Director 1223 GATEWAY DR, MELBOURNE, FL, 32901
NOHRR PHILIP Director 1223 GATEWAY DR, MELBOURNE, FL, 32901

Treasurer

Name Role Address
PINNICK ROBERT Treasurer 1223 GATEWAY DR, MELBOURNE, FL, 32901

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G11000005703 MIMA EXPIRED 2011-01-12 2016-12-31 No data 1223 GATEWAY DR, MELBOURNE, FL, 32901

Events

Event Type Filed Date Value Description
VOLUNTARY DISSOLUTION 2013-04-04 No data No data
AMENDED AND RESTATEDARTICLES 2001-11-26 No data No data
AMENDMENT 1996-12-04 No data No data
NAME CHANGE AMENDMENT 1988-06-03 MELBOURNE INTERNAL MEDICINE ASSOCIATES, P.A. No data
AMENDMENT 1986-02-04 No data No data
NAME CHANGE AMENDMENT 1983-04-27 SEELMAN, DECKER, GARDNER & GRAFF, M.D.'S, P.A. No data
NAME CHANGE AMENDMENT 1977-08-10 BLACKBURN, SEELMAN AND DECKER, M.D.'S, P.A. No data
NAME CHANGE AMENDMENT 1975-10-10 DONOVAN, BLACKBURN, SEELMAN AND DECKER, M.D.'S, P.A. No data
NAME CHANGE AMENDMENT 1975-09-08 MELBOURNE INTERNAL MEDICINE ASSOCIATES, INC No data
NAME CHANGE AMENDMENT 1973-10-15 DONOVAN, BLACKBURN, SEELMAN AND DECKER, M.D'S, P.A. No data

Related by officers

RONALDSON JAMES

MIMA DIAGNOSTIC SERVICES, LLC

ISENMAN MARTY

MIMA DIAGNOSTIC SERVICES, LLC

NOHRR PHILIP

MIMA DIAGNOSTIC SERVICES, LLC

PINNICK ROBERT

MIMA DIAGNOSTIC SERVICES, LLC MIMA LAND, LLC

Related by address

No related companies by address

Date of last update: 02 Feb 2025

Sources: Florida Department of State

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