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  5. PALM BEACH HEART ASSOCIATES, P.A.

PALM BEACH HEART ASSOCIATES, P.A.

Company Details

Entity Name: PALM BEACH HEART ASSOCIATES, P.A.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Inactive
Date Filed: 06 Mar 1980 (45 years ago)
Document Number: 660212
FEI/EIN Number 591975559
Address: 5401 SOUTH CONGRESS AVE, 102, ATLANTIS, FL, 33462, US
Mail Address: 5401 SOUTH CONGRESS AVE, 102, ATLANTIS, FL, 33462, US
ZIP code: 33462
County: Palm Beach
Place of Formation: FLORIDA

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
PALM BEACH HEART ASSOCIATES, P.A. PROFIT SHARING PLAN 2019 591975559 2020-02-10 PALM BEACH HEART ASSOCIATES, P.A. 12
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1984-03-28
Business code 621111
Sponsor’s telephone number 5614330591
Plan sponsor’s address 5503 S CONGRESS AVE SUITE 206, ATLANTIS, FL, 33462

Signature of
Role Plan administrator
Date 2020-02-10
Name of individual signing JOSHUA KIEVAL
Valid signature Filed with authorized/valid electronic signature
PALM BEACH HEART ASSOCIATES, P.A. PROFIT SHARING PLAN 2018 591975559 2019-11-08 PALM BEACH HEART ASSOCIATES, P.A. 13
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1984-03-28
Business code 621111
Sponsor’s telephone number 5614330591
Plan sponsor’s address 784 HARBOUR ISLES COURT, NORTH PALM BEACH, FL, 33410

Signature of
Role Plan administrator
Date 2019-11-08
Name of individual signing JOSHUA KIEVAL
Valid signature Filed with authorized/valid electronic signature
PALM BEACH HEART ASSOCIATES, P.A. PROFIT SHARING PLAN 2018 591975559 2019-11-05 PALM BEACH HEART ASSOCIATES, P.A. 13
Three-digit plan number (PN) 001
Effective date of plan 1984-03-28
Business code 621111
Sponsor’s telephone number 5614330591
Plan sponsor’s address 5503 S CONGRESS AVE SUITE 206, ATLANTIS, FL, 33462

Signature of
Role Plan administrator
Date 2019-11-05
Name of individual signing JOSHUA KIEVAL
Valid signature Filed with authorized/valid electronic signature
PALM BEACH HEART ASSOCIATES, P.A. PROFIT SHARING PLAN 2017 591975559 2018-08-16 PALM BEACH HEART ASSOCIATES, P.A. 15
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1984-03-28
Business code 621111
Sponsor’s telephone number 7722853511
Plan sponsor’s address 5401 SOUTH CONGRESS AVENUE SUITE 10, ATLANTIS, FL, 33462

Signature of
Role Plan administrator
Date 2018-08-16
Name of individual signing JOSHUA KIEVAL
Valid signature Filed with authorized/valid electronic signature
PALM BEACH HEART ASSOCIATES, P.A. PROFIT SHARING PLAN 2016 591975559 2017-08-21 PALM BEACH HEART ASSOCIATES, P.A. 15
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1984-03-28
Business code 621111
Sponsor’s telephone number 5614330591
Plan sponsor’s address 5503 S CONGRESS AVE. SUITE 206, ATLANTIS, FL, 33462

Signature of
Role Plan administrator
Date 2017-08-21
Name of individual signing JOSHUA KIEVAL
Valid signature Filed with authorized/valid electronic signature
PALM BEACH HEART ASSOCIATES, P.A. PROFIT SHARING PLAN 2015 591975559 2016-08-28 PALM BEACH HEART ASSOCIATES, P.A. 14
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1984-03-28
Business code 621111
Sponsor’s telephone number 5614330591
Plan sponsor’s address 5503 S CONGRESS AVE. SUITE 206, ATLANTIS, FL, 33462

Signature of
Role Plan administrator
Date 2016-08-28
Name of individual signing JOSHUA KIEVAL
Valid signature Filed with authorized/valid electronic signature
PALM BEACH HEART ASSOCIATES, P.A. PROFIT SHARING PLAN 2014 591975559 2015-07-21 PALM BEACH HEART ASSOCIATES, P.A. 24
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1984-03-28
Business code 621111
Sponsor’s telephone number 5614330591
Plan sponsor’s address 5503 S CONGRESS AVE. SUITE 206, ATLANTIS, FL, 33462

Signature of
Role Plan administrator
Date 2015-07-21
Name of individual signing JOSHUA KIEVAL
Valid signature Filed with authorized/valid electronic signature
PALM BEACH HEART ASSOCIATES, P.A. PROFIT SHARING PLAN 2013 591975559 2014-10-05 PALM BEACH HEART ASSOCIATES, P.A. 26
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1984-03-28
Business code 621111
Sponsor’s telephone number 5614330591
Plan sponsor’s address 5503 S CONGRESS AVE. SUITE 206, ATLANTIS, FL, 33462

Signature of
Role Plan administrator
Date 2014-10-05
Name of individual signing JOSHUA KIEVAL
Valid signature Filed with authorized/valid electronic signature
PALM BEACH HEART ASSOCIATES, P.A. PROFIT SHARING PLAN 2012 591975559 2013-09-06 PALM BEACH HEART ASSOCIATES, P.A. 33
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1984-03-28
Business code 621111
Sponsor’s telephone number 5614330591
Plan sponsor’s address 5503 S CONGRESS AVE. SUITE 206, ATLANTIS, FL, 33462

Signature of
Role Plan administrator
Date 2013-09-06
Name of individual signing JOSHUA KIEVAL
Valid signature Filed with authorized/valid electronic signature
PALM BEACH HEART ASSOCIATES, P.A. PROFIT SHARING PLAN 2010 591975559 2011-07-21 PALM BEACH HEART ASSOCIATES, P.A. 39
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1984-03-28
Business code 621111
Sponsor’s telephone number 5614330591
Plan sponsor’s address 5503 S CONGRESS AVE, SUITE 102, ATLANTIS, FL, 33462

Plan administrator’s name and address
Administrator’s EIN 591975559
Plan administrator’s name PALM BEACH HEART ASSOCIATES, P.A.
Plan administrator’s address 5503 S CONGRESS AVE, SUITE 102, ATLANTIS, FL, 33462
Administrator’s telephone number 5614330591

Signature of
Role Plan administrator
Date 2011-07-21
Name of individual signing JOSHUA KIEVAL
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
Gerson Gary N Agent 3001 PGA Blvd., Palm Beach Gardens, FL, 33410

Vice President

Name Role Address
ROTHENBERG MARK M Vice President 5503 S CONGRESS AVE, # 206, ATLANTIS, FL, 33462

President

Name Role Address
LOVITZ LAWRENCE S President 5503 SOUTH CONGRESS AVE, LAKE WORTH, FL, 33462

Events

Event Type Filed Date Value Description
ADMIN DISSOLUTION FOR ANNUAL REPORT 2019-09-27 No data No data
NAME CHANGE AMENDMENT 1991-03-26 PALM BEACH HEART ASSOCIATES, P.A. No data
NAME CHANGE AMENDMENT 1987-02-13 JAY MIDWALL, M.D. JOSHUA KIEVAL, M.D. PALM BEACH HEART ASSOCIATES, P.A. No data

Related by officers

Gerson Gary N

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Related by address

No related companies by address

Date of last update: 01 Feb 2025

Sources: Florida Department of State

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