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COLLIER COUNTY MEDICAL SOCIETY, INC.

Company Details

Entity Name: COLLIER COUNTY MEDICAL SOCIETY, INC.
Jurisdiction: FLORIDA
Filing Type: Domestic Non-Profit
Status: Active
Date Filed: 10 Sep 1979 (45 years ago)
Document Number: 748835
FEI/EIN Number 510202537
Address: 88 12th St N Unit 200, NAPLES, FL, 34102, US
Mail Address: 88 12th St N Unit 200, NAPLES, FL, 34102, US
ZIP code: 34102
County: Collier
Place of Formation: FLORIDA

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
COLLIER COUNTY MEDICAL SOCIETY 401(K) PROFIT SHARING PLAN & TRUST 2015 510202537 2017-12-19 COLLIER COUNTY MEDICAL SOCIETY INC 2
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-01-01
Business code 561110
Sponsor’s telephone number 2394357727
Plan sponsor’s address 1148 GOODLETTE RD N, NAPLES, FL, 341025451

Signature of

Role Plan administrator
Date 2017-12-19
Name of individual signing APRIL DONAHUE
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2017-12-19
Name of individual signing APRIL DONAHUE
Valid signature Filed with authorized/valid electronic signature
COLLIER COUNTY MEDICAL SOCIETY 401(K) PROFIT SHARING PLAN & TRUST 2015 510202537 2017-12-19 COLLIER COUNTY MEDICAL SOCIETY INC 2
Three-digit plan number (PN) 001
Effective date of plan 2006-01-01
Business code 561110
Sponsor’s telephone number 2394357727
Plan sponsor’s address 1148 GOODLETTE RD N, NAPLES, FL, 341025451

Signature of

Role Plan administrator
Date 2017-12-19
Name of individual signing APRIL DONAHUE
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2017-12-19
Name of individual signing APRIL DONAHUE
Valid signature Filed with authorized/valid electronic signature
COLLIER COUNTY MEDICAL SOCIETY 401 K PROFIT SHARING PLAN TRUST 2014 510202537 2015-07-21 COLLIER COUNTY MEDICAL SOCIETY 1
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-01-01
Business code 561110
Sponsor’s telephone number 2394357727
Plan sponsor’s address INC, 1148 GOODLETTE RD N, NAPLES, FL, 341025451

Signature of

Role Plan administrator
Date 2015-07-21
Name of individual signing APRIL DONAHUE
Valid signature Filed with authorized/valid electronic signature
COLLIER COUNTY MEDICAL SOCIETY 401 K PROFIT SHARING PLAN TRUST 2013 510202537 2014-07-22 COLLIER COUNTY MEDICAL SOCIETY 1
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-01-01
Business code 561110
Sponsor’s telephone number 2394357727
Plan sponsor’s address INC, 1148 GOODLETTE RD N, NAPLES, FL, 341025451

Signature of

Role Plan administrator
Date 2014-07-22
Name of individual signing APRIL DONAHUE
Valid signature Filed with authorized/valid electronic signature
COLLIER COUNTY MEDICAL SOCIETY 401 K PROFIT SHARING PLAN TRUST 2012 510202537 2013-07-16 COLLIER COUNTY MEDICAL SOCIETY 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-01-01
Business code 561110
Sponsor’s telephone number 2394357727
Plan sponsor’s address INC, 1148 GOODLETTE RD N, NAPLES, FL, 341025451

Signature of

Role Plan administrator
Date 2013-07-16
Name of individual signing COLLIER COUNTY MEDICAL SOCIETY
Valid signature Filed with authorized/valid electronic signature
COLLIER COUNTY MEDICAL SOCIETY 2009 510202537 2010-07-15 COLLIER COUNTY MEDICAL SOCIETY 2
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-01-01
Business code 921000
Sponsor’s telephone number 2394357727
Plan sponsor’s address INC, 1148 GOODLETTE RD N, NAPLES, FL, 341025451

Plan administrator’s name and address

Administrator’s EIN 510202537
Plan administrator’s name COLLIER COUNTY MEDICAL SOCIETY
Plan administrator’s address INC, 1148 GOODLETTE RD N, NAPLES, FL, 341025451
Administrator’s telephone number 2394357727

Signature of

Role Plan administrator
Date 2010-07-15
Name of individual signing COLLIER COUNTY MEDICAL SOCIETY
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
DONAHUE APRIL Agent 88 12th St N Unit 200, NAPLES, FL, 34102

Exec

Name Role Address
Donahue April Exec 88 12th St N Unit 200, NAPLES, FL, 34102

Imme

Name Role Address
Swain Gary Dr. Imme 88 12th St N Unit 200, NAPLES, FL, 34102

Treasurer

Name Role Address
Brinnig George Dr. Treasurer 88 12th St N Unit 200, NAPLES, FL, 34102

President

Name Role Address
Pachori Zubin President 88 12th St N Unit 200, NAPLES, FL, 34102

Vice President

Name Role Address
Baez Jose Dr. Vice President 88 12th St N Unit 200, NAPLES, FL, 34102

Secretary

Name Role Address
Groat Glenn Dr. Secretary 88 12th St N Unit 200, NAPLES, FL, 34102

Date of last update: 02 Feb 2025

Sources: Florida Department of State