| Entity Name: | PEAK PAYER SOLUTIONS INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Foreign Profit Corporation |
| Status: | Inactive |
| Date Filed: | 02 Jun 2016 (9 years ago) |
| Date of dissolution: | 23 Jan 2018 (7 years ago) |
| Last Event: | WITHDRAWAL |
| Event Date Filed: | 23 Jan 2018 (7 years ago) |
| Document Number: | F16000002517 |
| FEI/EIN Number | 32-0432180 |
| Address: | 12332 RACE TRACK ROADD, TAMPA, FL 33626 |
| Mail Address: | 2121 EISENHOWER AVENUE STE 600, ALEXANDRIA, VA 22314 |
| ZIP code: | 33626 |
| County: | Hillsborough |
| Place of Formation: | DELAWARE |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1033635149 | 2017-08-21 | 2017-08-21 | 11332 RACE TRACK ROAD, TAMPA, FL, 33626, US | 12332 RACE TRACK ROAD, TAMPA, FL, 33626, US | |||||||||||||||
|
|||||||||||||||||||
| Phone | +1 888-449-3595 |
| Phone | +1 813-756-4383 |
Authorized person
| Name | MR. RULPH LAMOUR |
| Role | MEDICAL DIRECTOR RISK ADJUSTMENT |
| Phone | 8884493595 |
Taxonomy
| Taxonomy Code | 208D00000X - General Practice Physician |
| Is Primary | Yes |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| PEAK PAYER SOLUTIONS | 2016 | 320482180 | 2017-05-23 | PEAK PAYER SOLUTIONS | 200 | |||||||||||||||||||||||||||||||||||||||
|
||||||||||||||||||||||||||||||||||||||||||||
| Active participants | 200 |
| Retired or separated participants receiving benefits | 0 |
| Other retired or separated participants entitled to future benefits | 0 |
| 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 | 0 |
| 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 | 2017-05-22 |
| Name of individual signing | AMANDA PEARSON |
| Valid signature | Filed with authorized/valid electronic signature |
| Name | Role | Address |
|---|---|---|
| Bunker, Robert | Chairman | 12332 RACE TRACK ROADD, TAMPA, FL 33626 |
| Name | Role | Address |
|---|---|---|
| GAFFNEY, MICHAEL | Director | 12332 RACE TRACK ROADD, TAMPA, FL 33626 |
| SCHMIDT, JUSTIN | Director | 12332 RACE TRACK ROADD, TAMPA, FL 33626 |
| Name | Role | Address |
|---|---|---|
| Mihale , Dennis | Dr. | 12332 RACE TRACK ROADD, TAMPA, FL 33626 |
| Name | Role | Address |
|---|---|---|
| Jensen , Gary S | Interim CFO | 12332 RACE TRACK ROADD, TAMPA, FL 33626 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| WITHDRAWAL | 2018-01-23 | No data | No data |
| CHANGE OF MAILING ADDRESS | 2018-01-23 | 12332 RACE TRACK ROADD, TAMPA, FL 33626 | No data |
| REGISTERED AGENT CHANGED | 2018-01-23 | REGISTERED AGENT REVOKED | No data |
| Name | Date |
|---|---|
| Withdrawal | 2018-01-23 |
| ANNUAL REPORT | 2017-08-15 |
| Foreign Profit | 2016-06-02 |
Date of last update: 20 Jan 2025
Sources: Florida Department of State
