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  5. JACKSONVILLE PEDIATRICS, P.A.

JACKSONVILLE PEDIATRICS, P.A.

Company Details

Entity Name: JACKSONVILLE PEDIATRICS, P.A.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Active
Date Filed: 30 Jun 1986 (39 years ago)
Document Number: J21849
FEI/EIN Number 592711337
Address: 2606 PARK STREET, JACKSONVILLE, FL, 32204, US
Mail Address: 2606 PARK STREET, JACKSONVILLE, FL, 32204, US
ZIP code: 32204
County: Duval
Place of Formation: FLORIDA

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
JACKSONVILLE PEDIATRICS, P.A. 401(K) PLAN 2022 592711337 2023-12-20 JACKSONVILLE PEDIATRICS, P.A. 26
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2018-01-01
Business code 621111
Sponsor’s telephone number 9043884646
Plan sponsor’s address 2606 PARK STREET, JACKSONVILLE, FL, 32204

Signature of
Role Plan administrator
Date 2023-12-20
Name of individual signing RYAN CANTVILLE
Valid signature Filed with authorized/valid electronic signature
JACKSONVILLE PEDIATRICS, P.A. 401(K) PLAN 2022 592711337 2023-08-29 JACKSONVILLE PEDIATRICS, P.A. 24
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2018-01-01
Business code 621111
Sponsor’s telephone number 9043884646
Plan sponsor’s address 2606 PARK STREET, JACKSONVILLE, FL, 32204

Signature of
Role Plan administrator
Date 2023-08-29
Name of individual signing RYAN CANTVILLE
Valid signature Filed with authorized/valid electronic signature
JACKSONVILLE PEDIATRICS, P.A. 401(K) PLAN 2021 592711337 2022-09-29 JACKSONVILLE PEDIATRICS, P.A. 23
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2018-01-01
Business code 621111
Sponsor’s telephone number 9043884646
Plan sponsor’s address 2606 PARK STREET, JACKSONVILLE, FL, 32204

Signature of
Role Plan administrator
Date 2022-09-29
Name of individual signing RYAN CANTVILLE
Valid signature Filed with authorized/valid electronic signature
JACKSONVILLE PEDIATRICS, P.A. 401(K) PLAN 2020 592711337 2021-08-23 JACKSONVILLE PEDIATRICS, P.A. 22
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2018-01-01
Business code 621111
Sponsor’s telephone number 9043884646
Plan sponsor’s address 2606 PARK STREET, JACKSONVILLE, FL, 32204
JACKSONVILLE PEDIATRICS, P.A. 401(K) PLAN 2019 592711337 2020-07-16 JACKSONVILLE PEDIATRICS, P.A. 19
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2018-01-01
Business code 621111
Sponsor’s telephone number 9043884646
Plan sponsor’s address 2606 PARK STREET, JACKSONVILLE, FL, 32204
JACKSONVILLE PEDIATRICS, P.A. 401(K) PLAN 2018 592711337 2019-10-11 JACKSONVILLE PEDIATRICS, P.A. 17
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2018-01-01
Business code 621111
Sponsor’s telephone number 9043884646
Plan sponsor’s address 2606 PARK STREET, JACKSONVILLE, FL, 32204

Agent

Name Role Address
COLD KATHLEEN H Agent ONE INDEPENDENT DRIVE, JACKSONVILLE, FL, 32202

Director

Name Role Address
THORNTON, RANDOLPH E., M Director 2606 PARK ST., JACKSONVILLE, FL, 32204
SAVARESE JENNIFER ADr. Director 2606 PARK STREET, JACKSONVILLE, FL, 32204

President

Name Role Address
THORNTON, RANDOLPH E., M President 2606 PARK ST., JACKSONVILLE, FL, 32204

Officer

Name Role Address
Cantville Ryan C Officer 2606 PARK STREET, JACKSONVILLE, FL, 32204

Events

Event Type Filed Date Value Description
NAME CHANGE AMENDMENT 1994-01-18 JACKSONVILLE PEDIATRICS, P.A. No data
NAME CHANGE AMENDMENT 1986-07-31 GYLAND, LANIER & THORNTON, P.A. No data

Related by officers

COLD KATHLEEN H

DR. JON WALKER & ASSOCIATES, INC. BELL-GAY LIMITED PARTNERSHIP, LTD. SRW ENTERPRISES, INC. 3330 EVERGREEN AVENUE, LLC LOGICAL LOGISTICS, LLC COBALT MOON, LLC PB&H OF NORTHEAST FLORIDA, INC. ABUNDANT GRACE CHURCH, INC. W.W. GAY PROPERTIES OF PUTNAM COUNTY, LLC KATHRYN BIETENHOLZ, M.D., P.A.

Related by address

No related companies by address

Date of last update: 03 Jan 2025

Sources: Florida Department of State

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