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  5. PATH MEDICAL CENTER HOLDINGS, INC.

PATH MEDICAL CENTER HOLDINGS, INC.

Company Details

Entity Name: PATH MEDICAL CENTER HOLDINGS, INC.
Jurisdiction: FLORIDA
Filing Type: Foreign Profit Corporation
Status: Inactive
Date Filed: 04 Oct 2016 (8 years ago)
Date of dissolution: 22 Sep 2023 (a year ago)
Last Event: REVOKED FOR ANNUAL REPORT
Event Date Filed: 22 Sep 2023 (a year ago)
Document Number: F16000004435
FEI/EIN Number 81-3942921
Address: 2304 West Oakland Park Boulevard, Fort Lauderdale, FL 33311
Mail Address: 2304 West Oakland Park Boulevard, Fort Lauderdale, FL 33311
ZIP code: 33311
County: Broward
Place of Formation: DELAWARE

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
PATH MEDICAL LIFE & WELFARE PLAN 2023 813942921 2024-05-09 PATH MEDICAL CENTER HOLDINGS INC 217
File View Page
Three-digit plan number (PN) 504
Effective date of plan 2016-11-01
Business code 621340
Sponsor’s telephone number 9415048502
Plan sponsor’s DBA name PATH MEDICAL
Plan sponsor’s mailing address 2304 W OAKLAND PARK BLVD, OAKLAND PARK, FL, 333111422
Plan sponsor’s address 2304 W OAKLAND PARK BLVD, OAKLAND PARK, FL, 333111422

Number of participants as of the end of the plan year
Active participants 185

Signature of
Role Plan administrator
Date 2024-05-09
Name of individual signing BRENDA SIBERT
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2024-05-09
Name of individual signing BRENDA SIBERT
Valid signature Filed with authorized/valid electronic signature
PATH MEDICAL DENTAL & WELFARE PLAN 2023 813942921 2024-05-09 PATH MEDICAL CENTER HOLDINGS INC 128
File View Page
Three-digit plan number (PN) 502
Effective date of plan 2016-11-01
Business code 621340
Sponsor’s telephone number 9415048502
Plan sponsor’s DBA name PATH MEDICAL
Plan sponsor’s mailing address 2304 W OAKLAND PARK BLVD, OAKLAND PARK, FL, 333111422
Plan sponsor’s address 2304 W OAKLAND PARK BLVD, OAKLAND PARK, FL, 333111422

Number of participants as of the end of the plan year
Active participants 107
Retired or separated participants receiving benefits 1

Signature of
Role Plan administrator
Date 2024-05-09
Name of individual signing BRENDA SIBERT
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2024-05-09
Name of individual signing BRENDA SIBERT
Valid signature Filed with authorized/valid electronic signature
PATH MEDICAL VISION & WELFARE PLAN 2023 813942921 2024-05-09 PATH MEDICAL CENTER HOLDINGS INC 111
File View Page
Three-digit plan number (PN) 503
Effective date of plan 2016-11-01
Business code 621340
Sponsor’s telephone number 9415048502
Plan sponsor’s DBA name PATH MEDICAL
Plan sponsor’s mailing address 2304 W OAKLAND PARK BLVD, OAKLAND PARK, FL, 333111422
Plan sponsor’s address 2304 W OAKLAND PARK BLVD, OAKLAND PARK, FL, 333111422

Number of participants as of the end of the plan year
Active participants 96
Retired or separated participants receiving benefits 1

Signature of
Role Plan administrator
Date 2024-05-09
Name of individual signing BRENDA SIBERT
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2024-05-09
Name of individual signing BRENDA SIBERT
Valid signature Filed with authorized/valid electronic signature
PATH MEDICAL HEALTH & WELFARE PLAN 2023 813942921 2024-05-09 PATH MEDICAL CENTER HOLDINGS INC 134
File View Page
Three-digit plan number (PN) 501
Effective date of plan 2016-11-01
Business code 621340
Sponsor’s telephone number 9415048502
Plan sponsor’s DBA name PATH MEDICAL
Plan sponsor’s mailing address 2304 W OAKLAND PARK BLVD, OAKLAND PARK, FL, 333111422
Plan sponsor’s address 2304 W OAKLAND PARK BLVD, OAKLAND PARK, FL, 333111422

Number of participants as of the end of the plan year
Active participants 93
Retired or separated participants receiving benefits 1

Signature of
Role Plan administrator
Date 2024-05-09
Name of individual signing BRENDA SIBERT
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2024-05-09
Name of individual signing BRENDA SIBERT
Valid signature Filed with authorized/valid electronic signature
PATH MEDICAL AD&D & WELFARE PLAN 2022 813942921 2023-07-27 PATH MEDICAL CENTER HOLDINGS INC 247
File View Page
Three-digit plan number (PN) 505
Effective date of plan 2016-11-01
Business code 621340
Sponsor’s telephone number 9415048502
Plan sponsor’s DBA name PATH MEDICAL
Plan sponsor’s mailing address 2304 W OAKLAND PARK BLVD, OAKLAND PARK, FL, 333111422
Plan sponsor’s address 2304 W OAKLAND PARK BLVD, OAKLAND PARK, FL, 333111422

Number of participants as of the end of the plan year
Active participants 237

Signature of
Role Plan administrator
Date 2023-07-27
Name of individual signing BRENDA SIBERT
Valid signature Filed with authorized/valid electronic signature
PATH MEDICAL LIFE & WELFARE PLAN 2022 813942921 2023-07-27 PATH MEDICAL CENTER HOLDINGS INC 247
File View Page
Three-digit plan number (PN) 504
Effective date of plan 2016-11-01
Business code 621340
Sponsor’s telephone number 9415048502
Plan sponsor’s DBA name PATH MEDICAL
Plan sponsor’s mailing address 2304 W OAKLAND PARK BLVD, OAKLAND PARK, FL, 333111422
Plan sponsor’s address 2304 W OAKLAND PARK BLVD, OAKLAND PARK, FL, 333111422

Number of participants as of the end of the plan year
Active participants 237

Signature of
Role Plan administrator
Date 2023-07-27
Name of individual signing BRENDA SIBERT
Valid signature Filed with authorized/valid electronic signature
PATH MEDICAL VISION & WELFARE PLAN 2022 813942921 2023-07-27 PATH MEDICAL CENTER HOLDINGS INC 93
File View Page
Three-digit plan number (PN) 503
Effective date of plan 2016-11-01
Business code 621340
Sponsor’s telephone number 9415048502
Plan sponsor’s DBA name PATH MEDICAL
Plan sponsor’s mailing address 2304 W OAKLAND PARK BLVD, OAKLAND PARK, FL, 333111422
Plan sponsor’s address 2304 W OAKLAND PARK BLVD, OAKLAND PARK, FL, 333111422

Number of participants as of the end of the plan year
Active participants 100
Retired or separated participants receiving benefits 1

Signature of
Role Plan administrator
Date 2023-07-27
Name of individual signing BRENDA SIBERT
Valid signature Filed with authorized/valid electronic signature
PATH MEDICAL DENTAL & WELFARE PLAN 2022 813942921 2023-07-27 PATH MEDICAL CENTER HOLDINGS INC 115
File View Page
Three-digit plan number (PN) 502
Effective date of plan 2016-11-01
Business code 621340
Sponsor’s telephone number 9415048502
Plan sponsor’s DBA name PATH MEDICAL
Plan sponsor’s mailing address 2304 W OAKLAND PARK BLVD, OAKLAND PARK, FL, 333111422
Plan sponsor’s address 2304 W OAKLAND PARK BLVD, OAKLAND PARK, FL, 333111422

Number of participants as of the end of the plan year
Active participants 118
Retired or separated participants receiving benefits 1

Signature of
Role Plan administrator
Date 2023-07-27
Name of individual signing BRENDA SIBERT
Valid signature Filed with authorized/valid electronic signature
PATH MEDICAL HEALTH & WELFARE PLAN 2022 813942921 2023-07-27 PATH MEDICAL CENTER HOLDINGS INC 131
File View Page
Three-digit plan number (PN) 501
Effective date of plan 2016-11-01
Business code 621340
Sponsor’s telephone number 9415048502
Plan sponsor’s DBA name PATH MEDICAL
Plan sponsor’s mailing address 2304 W OAKLAND PARK BLVD, OAKLAND PARK, FL, 333111422
Plan sponsor’s address 2304 W OAKLAND PARK BLVD, OAKLAND PARK, FL, 333111422

Number of participants as of the end of the plan year
Active participants 127
Retired or separated participants receiving benefits 1

Signature of
Role Plan administrator
Date 2023-07-27
Name of individual signing BRENDA SIBERT
Valid signature Filed with authorized/valid electronic signature
PATH MEDICAL EAP & WELFARE PLAN 2022 813942921 2023-07-27 PATH MEDICAL CENTER HOLDINGS INC 247
File View Page
Three-digit plan number (PN) 506
Effective date of plan 2016-11-01
Business code 621340
Sponsor’s telephone number 9415048502
Plan sponsor’s DBA name PATH MEDICAL
Plan sponsor’s mailing address 2304 W OAKLAND PARK BLVD, OAKLAND PARK, FL, 333111422
Plan sponsor’s address 2304 W OAKLAND PARK BLVD, OAKLAND PARK, FL, 333111422

Number of participants as of the end of the plan year
Active participants 237

Signature of
Role Plan administrator
Date 2023-07-27
Name of individual signing BRENDA SIBERT
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role
PATH MEDICAL ACQUISITION COMPANY INC Agent

Chief Executive Officer

Name Role Address
FERNANDEZ, MANUEL Chief Executive Officer 2304 West Oakland Park Boulevard, Fort Lauderdale, FL 33311

Events

Event Type Filed Date Value Description
REGISTERED AGENT NAME CHANGED 2024-02-26 PATH MEDICAL ACQUISITION COMPANY INC No data
REGISTERED AGENT ADDRESS CHANGED 2024-02-26 1380 N. UNIVERSITY DR., SUITE 100MR, PLANTATION, FL 33322 No data
REVOKED FOR ANNUAL REPORT 2023-09-22 No data No data
CHANGE OF PRINCIPAL ADDRESS 2019-01-11 2304 West Oakland Park Boulevard, Fort Lauderdale, FL 33311 No data
CHANGE OF MAILING ADDRESS 2019-01-11 2304 West Oakland Park Boulevard, Fort Lauderdale, FL 33311 No data

Documents

Name Date
Reg. Agent Change 2024-02-26
Reg. Agent Change 2023-11-14
Reg. Agent Change 2023-03-08
ANNUAL REPORT 2022-03-11
ANNUAL REPORT 2021-05-03
ANNUAL REPORT 2020-06-24
AMENDED ANNUAL REPORT 2019-04-25
ANNUAL REPORT 2019-01-11
ANNUAL REPORT 2018-04-30
ANNUAL REPORT 2017-04-28

Paycheck Protection Program

Loan Number Loan Funded Date SBA Origination Office Code Loan Delivery Method Borrower Street Address
7462577106 2020-04-14 0455 PPP 2304 W. Oakland Park Blvd, OAKLAND PARK, FL, 33311-1422
Loan Status Date 2021-07-21
Loan Status Paid in Full
Loan Maturity in Months 24
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 2555800
Loan Approval Amount (current) 2555800
Undisbursed Amount 0
Franchise Name -
Lender Location ID 464999
Servicing Lender Name BankUnited, National Association
Servicing Lender Address 14817 Oak Lane, MIAMI LAKES, FL, 33016-1517
Rural or Urban Indicator U
Hubzone N
LMI Y
Business Age Description New Business or 2 years or less
Project Address OAKLAND PARK, BROWARD, FL, 33311-1422
Project Congressional District FL-20
Number of Employees 367
NAICS code 621310
Borrower Race Unanswered
Borrower Ethnicity Unknown/NotStated
Business Type Corporation
Originating Lender ID 464999
Originating Lender Name BankUnited, National Association
Originating Lender Address MIAMI LAKES, FL
Gender Unanswered
Veteran Unanswered
Forgiveness Amount 2585049.71
Forgiveness Paid Date 2021-06-11

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FERNANDEZ, MANUEL

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Related by address

No related companies by address

Date of last update: 18 Feb 2025

Sources: Florida Department of State

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