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BREVARD EMERGENCY SERVICES, P.A.

Company Details

Entity Name: BREVARD EMERGENCY SERVICES, P.A.
Jurisdiction: FLORIDA
Filing Type: Florida Profit Corporation
Status: Inactive
Date Filed: 04 May 1984 (41 years ago)
Date of dissolution: 15 Dec 2016 (8 years ago)
Last Event: VOL DISSOLUTION OF INACTIVE CORP
Event Date Filed: 15 Dec 2016 (8 years ago)
Document Number: H02151
FEI/EIN Number 59-2409554
Address: 1775 W Hibiscus Blvd, Suite 215, MELBOURNE, FL 32901
Mail Address: PO Box 1928, MELBOURNE, FL 32902
ZIP code: 32901
County: Brevard
Place of Formation: FLORIDA

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
BREVARD EMERGENCY SERVICES, P.A. 401(K) PROFIT SHARING PLAN 2014 592409554 2015-10-05 BREVARD EMERGENCY SERVICES, P.A. 78
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2001-01-01
Business code 621111
Sponsor’s telephone number 3218373820
Plan sponsor’s mailing address P.O. BOX 1928, MELBOURNE, FL, 32901
Plan sponsor’s address 1775 W HIBISCUS BLVD, SUITE 215, MELBOURNE, FL, 32901

Number of participants as of the end of the plan year

Active participants 0
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 2015-10-05
Name of individual signing TABITHA ABRAHAM
Valid signature Filed with authorized/valid electronic signature
BREVARD EMERGENCY SERVICES, P.A. 401(K) PROFIT SHARING PLAN 2013 592409554 2014-09-09 BREVARD EMERGENCY SERVICES, P.A. 69
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2001-01-01
Business code 621111
Sponsor’s telephone number 3212559671
Plan sponsor’s mailing address P.O. BOX 1928, MELBOURNE, FL, 32901
Plan sponsor’s address 520 E STRAWBRIDGE AVENUE, MELBOURNE, FL, 32901

Number of participants as of the end of the plan year

Active participants 0
Retired or separated participants receiving benefits 0
Other retired or separated participants entitled to future benefits 19
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 19
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 2014-09-09
Name of individual signing TABITHA ABRAHAM
Valid signature Filed with authorized/valid electronic signature
BREVARD EMERGENCY SERVICES, P.A. 401(K) PROFIT SHARING PLAN 2012 592409554 2013-10-15 BREVARD EMERGENCY SERVICES, P.A. 53
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2001-01-01
Business code 621111
Sponsor’s telephone number 3212559671
Plan sponsor’s mailing address P.O. BOX 1928, MELBOURNE, FL, 32901
Plan sponsor’s address 520 E STRAWBRIDGE AVENUE, MELBOURNE, FL, 32901

Plan administrator’s name and address

Administrator’s EIN 592409554
Plan administrator’s name BREVARD EMERGENCY SERVICES, P.A.
Plan administrator’s address P.O. BOX 1928, MELBOURNE, FL, 32901
Administrator’s telephone number 3212559671

Number of participants as of the end of the plan year

Active participants 49
Retired or separated participants receiving benefits 0
Other retired or separated participants entitled to future benefits 20
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 61
Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2

Signature of

Role Plan administrator
Date 2013-10-15
Name of individual signing RAJESH GUTTA
Valid signature Filed with authorized/valid electronic signature
BREVARD EMERGENCY SERVICES, P.A. 401(K) PROFIT SHARING PLAN 2011 592409554 2012-10-02 BREVARD EMERGENCY SERVICES, P.A. 56
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2001-01-01
Business code 621111
Sponsor’s telephone number 3212559671
Plan sponsor’s mailing address 520 E STRAWBRIDGE AVENUE, MELBOURNE, FL, 32901
Plan sponsor’s address 520 E STRAWBRIDGE AVENUE, MELBOURNE, FL, 32901

Plan administrator’s name and address

Administrator’s EIN 592409554
Plan administrator’s name BREVARD EMERGENCY SERVICES, P.A.
Plan administrator’s address 520 E STRAWBRIDGE AVENUE, MELBOURNE, FL, 32901
Administrator’s telephone number 3212559671

Number of participants as of the end of the plan year

Active participants 35
Retired or separated participants receiving benefits 0
Other retired or separated participants entitled to future benefits 18
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 44
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 2012-10-02
Name of individual signing RAJESH GUTTA
Valid signature Filed with authorized/valid electronic signature
BREVARD EMERGENCY SERVICES, P.A. 401(K) PROFIT SHARING PLAN 2010 592409554 2011-10-13 BREVARD EMERGENCY SERVICES, P.A. 62
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2001-01-01
Business code 621111
Sponsor’s telephone number 3212559671
Plan sponsor’s mailing address 551 SOUTH APOLLO BLVD, SUITE 201, MELBOURNE, FL, 32901
Plan sponsor’s address 551 SOUTH APOLLO BLVD, SUITE 201, MELBOURNE, FL, 32901

Plan administrator’s name and address

Administrator’s EIN 592409554
Plan administrator’s name BREVARD EMERGENCY SERVICES, P.A.
Plan administrator’s address 551 SOUTH APOLLO BLVD, SUITE 201, MELBOURNE, FL, 32901
Administrator’s telephone number 3212559671

Number of participants as of the end of the plan year

Active participants 26
Retired or separated participants receiving benefits 0
Other retired or separated participants entitled to future benefits 22
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 47
Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 4

Signature of

Role Plan administrator
Date 2011-10-13
Name of individual signing RONALD GILROY
Valid signature Filed with authorized/valid electronic signature
BREVARD EMERGENCY SERVICES, P.A. 401(K) PROFIT SHARING PLAN 2009 592409554 2010-07-06 BREVARD EMERGENCY SERVICES, P.A. 73
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2001-01-01
Business code 621111
Sponsor’s telephone number 3212559671
Plan sponsor’s mailing address 2080 W EAU GALLIE BLVD, STE A, MELBOURNE, FL, 32935
Plan sponsor’s address 2080 W EAU GALLIE BLVD, STE A, MELBOURNE, FL, 32935

Plan administrator’s name and address

Administrator’s EIN 592409554
Plan administrator’s name BREVARD EMERGENCY SERVICES, P.A.
Plan administrator’s address 2080 W EAU GALLIE BLVD, STE A, MELBOURNE, FL, 32935
Administrator’s telephone number 3212559671

Number of participants as of the end of the plan year

Active participants 53
Retired or separated participants receiving benefits 0
Other retired or separated participants entitled to future benefits 9
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 57
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 2010-07-06
Name of individual signing RONALD GILROY
Valid signature Filed with authorized/valid electronic signature

President

Name Role Address
GUTTA, RAJESH MD President 1775 W Hibiscus Blvd, Suite 215 MELBOURNE, FL 32901

Vice President

Name Role Address
REHAK, CHRISTOPHER MD Vice President 1775 W Hibiscus Blvd, Suite 215 MELBOURNE, FL 32901

Secretary

Name Role Address
BROWN, MARTY MD Secretary 1775 W Hibiscus Blvd, Suite 215 MELBOURNE, FL 32901

Events

Event Type Filed Date Value Description
VOL DISSOLUTION OF INACTIVE CORP 2016-12-15 No data No data
ADMIN DISSOLUTION FOR ANNUAL REPORT 2016-09-23 No data No data
CHANGE OF PRINCIPAL ADDRESS 2015-03-09 1775 W Hibiscus Blvd, Suite 215, MELBOURNE, FL 32901 No data
CHANGE OF MAILING ADDRESS 2013-01-21 1775 W Hibiscus Blvd, Suite 215, MELBOURNE, FL 32901 No data
NAME CHANGE AMENDMENT 1997-11-21 BREVARD EMERGENCY SERVICES, P.A. No data

Documents

Name Date
Reg. Agent Resignation 2018-07-18
Vol. Diss. of Inactive Corp. 2016-12-15
ANNUAL REPORT 2015-03-09
ANNUAL REPORT 2014-03-07
ANNUAL REPORT 2013-01-21
ANNUAL REPORT 2012-01-04
ANNUAL REPORT 2011-03-10
Reg. Agent Change 2010-11-18
ANNUAL REPORT 2010-02-01
ANNUAL REPORT 2009-09-17

Date of last update: 04 Feb 2025

Sources: Florida Department of State