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  5. ANESTHESIA ASSOCIATES OF CLAY COUNTY, P.A.

ANESTHESIA ASSOCIATES OF CLAY COUNTY, P.A.

Company Details

Entity Name: ANESTHESIA ASSOCIATES OF CLAY COUNTY, P.A.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Inactive
Date Filed: 07 Oct 1986 (38 years ago)
Document Number: J36730
FEI/EIN Number 592720179
Address: 1665 KINGSLEY AVENUE, SUITE 105, ORANGE PARK, FL, 32073, US
Mail Address: 1665 KINGSLEY AVENUE, SUITE 105, ORANGE PARK, FL, 32073, US
ZIP code: 32073
County: Clay
Place of Formation: FLORIDA

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
A.A.C.C. PROFIT SHARING PLAN 2017 592720179 2018-05-07 ANESTHESIA ASSOCIATES OF CLAY COUNTY, P.A. 14
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1990-01-01
Business code 621111
Sponsor’s telephone number 9042157015
Plan sponsor’s address 1665 KINGSLEY AVENUE, SUITE 105, ORANGE PARK, FL, 320735128
A.A.C.C. PROFIT SHARING PLAN 2017 592720179 2018-05-07 ANESTHESIA ASSOCIATES OF CLAY COUNTY, P.A. 36
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1990-01-01
Business code 621111
Sponsor’s telephone number 9042157015
Plan sponsor’s address 1665 KINGSLEY AVENUE, SUITE 105, ORANGE PARK, FL, 320735128
A.A.C.C. PROFIT SHARING PLAN 2016 592720179 2017-08-23 ANESTHESIA ASSOCIATES OF CLAY COUNTY, P.A. 36
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1990-01-01
Business code 621111
Sponsor’s telephone number 9042157015
Plan sponsor’s address 1665 KINGSLEY AVENUE, SUITE 105, ORANGE PARK, FL, 320735128
A.A.C.C. PROFIT SHARING PLAN 2015 592720179 2016-07-21 ANESTHESIA ASSOCIATES OF CLAY COUNTY, P.A. 36
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1990-01-01
Business code 621111
Sponsor’s telephone number 9042765400
Plan sponsor’s address 1665 KINGSLEY AVENUE, SUITE 105, ORANGE PARK, FL, 320735128
A.A.C.C. PROFIT SHARING PLAN 2014 592720179 2015-07-16 ANESTHESIA ASSOCIATES OF CLAY COUNTY, P.A. 37
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1990-01-01
Business code 621111
Sponsor’s telephone number 9042765400
Plan sponsor’s address 1665 KINGSLEY AVENUE, SUITE 105, ORANGE PARK, FL, 320735128
A.A.C.C. PROFIT SHARING PLAN 2013 592720179 2014-09-18 ANESTHESIA ASSOCIATES OF CLAY COUNTY, P.A. 34
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1990-01-01
Business code 621111
Sponsor’s telephone number 9042765400
Plan sponsor’s address 1665 KINGSLEY AVENUE, SUITE 105, ORANGE PARK, FL, 320735128
A.A.C.C. PROFIT SHARING PLAN 2012 592720179 2013-05-30 ANESTHESIA ASSOCIATES OF CLAY COUNTY, P.A. 24
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1990-01-01
Business code 621111
Sponsor’s telephone number 9042765400
Plan sponsor’s address 1665 KINGSLEY AVENUE, SUITE 105, ORANGE PARK, FL, 320735128

Plan administrator’s name and address
Administrator’s EIN 592720179
Plan administrator’s name ANESTHESIA ASSOCIATES OF CLAY COUNTY, P.A.
Plan administrator’s address 1665 KINGSLEY AVENUE, SUITE 105, ORANGE PARK, FL, 320735128
Administrator’s telephone number 9042765400

Signature of
Role Plan administrator
Date 2013-05-30
Name of individual signing JOHN J. ZAPP
Valid signature Filed with authorized/valid electronic signature
A.A.C.C. PROFIT SHARING PLAN 2011 592720179 2012-09-20 ANESTHESIA ASSOCIATES OF CLAY COUNTY, P.A. 24
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1990-01-01
Business code 621111
Sponsor’s telephone number 9042765400
Plan sponsor’s address 1665 KINGSLEY AVENUE, SUITE 105, ORANGE PARK, FL, 320735128

Plan administrator’s name and address
Administrator’s EIN 592720179
Plan administrator’s name ANESTHESIA ASSOCIATES OF CLAY COUNTY, P.A.
Plan administrator’s address 1665 KINGSLEY AVENUE, SUITE 105, ORANGE PARK, FL, 320735128
Administrator’s telephone number 9042765400

Signature of
Role Plan administrator
Date 2012-09-20
Name of individual signing JOHN J. ZAPP
Valid signature Filed with authorized/valid electronic signature
A.A.C.C. PROFIT SHARING PLAN 2010 592720179 2011-05-27 ANESTHESIA ASSOCIATES OF CLAY COUNTY, P.A. 20
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1990-01-01
Business code 621111
Sponsor’s telephone number 9042765400
Plan sponsor’s address 2021 KINGSLEY AVENUE, SUITE 105, ORANGE PARK, FL, 320735128

Plan administrator’s name and address
Administrator’s EIN 592720179
Plan administrator’s name ANESTHESIA ASSOCIATES OF CLAY COUNTY, P.A.
Plan administrator’s address 2021 KINGSLEY AVENUE, SUITE 105, ORANGE PARK, FL, 320735128
Administrator’s telephone number 9042765400

Signature of
Role Plan administrator
Date 2011-05-27
Name of individual signing JOHN J. ZAPP, M.D.
Valid signature Filed with authorized/valid electronic signature
A.A.C.C. PROFIT SHARING PLAN 2009 592720179 2010-10-07 ANESTHESIA ASSOCIATES OF CLAY COUNTY, P.A. 18
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1990-01-01
Business code 621111
Sponsor’s telephone number 9042765400
Plan sponsor’s address 2021 KINGSLEY AVENUE, SUITE 105, ORANGE PARK, FL, 320735128

Plan administrator’s name and address
Administrator’s EIN 592720179
Plan administrator’s name ANESTHESIA ASSOCIATES OF CLAY COUNTY, P.A.
Plan administrator’s address 2021 KINGSLEY AVENUE, SUITE 105, ORANGE PARK, FL, 320735128
Administrator’s telephone number 9042765400

Signature of
Role Plan administrator
Date 2010-10-07
Name of individual signing JOHN J. ZAPP, M.D.
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
JOHN J. ZAPP M.D. Agent 1665 KINGSEY AVE, ORANGE PARK, FL, 32073

President

Name Role Address
MILLER, DEEVID President 1665 KINGSLEY AVE STE 105, ORANGE PARK, FL, 32073

Secretary

Name Role Address
ZAPP JOHN J Secretary 1665 KINGSEY AVE STE 105, ORANGE PARK, FL, 32073

Vice President

Name Role Address
VALACHOVIC ANTHONY J Vice President 1665 KINGSLEY AVE., STE. 102, ORANGE PARK, FL, 32073
CAMPBELL CHRISTOPHER Vice President 1665 KINGSLEY AVE. STE 105, ORANGE PARK, FL, 32073
Garcia Omar Vice President 1665 KINGSLEY AVENUE, SUITE 105, ORANGE PARK, FL, 32073
Suhrer Scott Vice President 1665 KINGSLEY AVENUE, SUITE 105, ORANGE PARK, FL, 32073

Events

Event Type Filed Date Value Description
VOLUNTARY DISS W/ NOTICE 2018-03-19 No data No data
AMENDMENT 2009-01-23 No data No data
NAME CHANGE AMENDMENT 1997-08-22 ANESTHESIA ASSOCIATES OF CLAY COUNTY, P.A. No data
CORPORATE MERGER 1997-01-17 No data CORPORATION WAS A MERGER RESULT. TOTAL NUMBER OF QUALIFIED CORPORATION(S) INVOLVED WAS 2. CORPORATE MERGER NUMBER 900000012719
NAME CHANGE AMENDMENT 1989-01-30 BIENVENIDO A. ALIBUDBUD, DEEVID MILLER, DAVID C. BURDETTE, SHUN T. KIANG AND NAPOLEON F. LEANO, MEDICAL DOCTORS, PROFESSIONAL ASSOCIATION No data

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ZAPP JOHN J

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Garcia Omar

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Related by address

No related companies by address

Date of last update: 01 Feb 2025

Sources: Florida Department of State

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