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  5. VASCULAR SURGERY ASSOCIATES OF NORTH FLORIDA, P.A.

VASCULAR SURGERY ASSOCIATES OF NORTH FLORIDA, P.A.

Company Details

Entity Name: VASCULAR SURGERY ASSOCIATES OF NORTH FLORIDA, P.A.
Jurisdiction: FLORIDA
Filing Type: Florida Profit Corporation
Status: Inactive
Date Filed: 05 Jul 1988 (37 years ago)
Date of dissolution: 27 Sep 2024 (4 months ago)
Last Event: ADMIN DISSOLUTION FOR ANNUAL REPORT
Event Date Filed: 27 Sep 2024 (4 months ago)
Document Number: K28191
FEI/EIN Number 59-2895258
Address: 5 Judson Circle, ORANGE PARK, FL 32073
Mail Address: 5 Judson Circle, ORANGE PARK, FL 32073
ZIP code: 32073
County: Clay
Place of Formation: FLORIDA

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
VASCULAR SURGERY ASSOCIATES OF NORTH FLORIDA 401(K) PROFIT SHARING PLAN 2020 592895258 2021-03-31 VASCULAR SURGERY ASSOCIATES OF NORTH FLORIDA, P.A. 13
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1984-01-01
Business code 621111
Sponsor’s telephone number 9042767997
Plan sponsor’s address 2140 KINGSLEY AVENUE SUITE 14, ORANGE PARK, FL, 32073

Signature of
Role Plan administrator
Date 2021-03-31
Name of individual signing KERRY RIFKIN, M.D.
Valid signature Filed with authorized/valid electronic signature
VASCULAR SURGERY ASSOCIATES OF NORTH FLORIDA 401(K) PROFIT SHARING PLAN 2019 592895258 2020-06-02 VASCULAR SURGERY ASSOCIATES OF NORTH FLORIDA, P.A. 11
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1984-01-01
Business code 621111
Sponsor’s telephone number 9042767997
Plan sponsor’s address 2140 KINGSLEY AVENUE SUITE 14, ORANGE PARK, FL, 32073

Signature of
Role Plan administrator
Date 2020-06-02
Name of individual signing KERRY RIFKIN, M.D.
Valid signature Filed with authorized/valid electronic signature
VASCULAR SURGERY ASSOCIATES OF NORTH FLORIDA 401(K) PROFIT SHARING PLAN 2018 592895258 2019-07-11 VASCULAR SURGERY ASSOCIATES OF NORTH FLORIDA, P.A. 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1984-01-01
Business code 621111
Sponsor’s telephone number 9042767997
Plan sponsor’s address 2140 KINGSLEY AVENUE SUITE 14, ORANGE PARK, FL, 32073

Signature of
Role Plan administrator
Date 2019-07-11
Name of individual signing KERRY RIFKIN, M.D.
Valid signature Filed with authorized/valid electronic signature
VASCULAR SURGERY ASSOCIATES OF NORTH FLORIDA, P. A. PROFIT SHARING PLAN & TRUST 2014 592895258 2015-08-28 VASCULAR SURGERY ASSOCIATES OF NORTH FLORIDA, P A 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1984-01-01
Business code 621111
Sponsor’s telephone number 9042769514
Plan sponsor’s address 2140 KINGSLEY AVENUE SUITE 14, ORANGE PARK, FL, 32073

Signature of
Role Plan administrator
Date 2015-08-28
Name of individual signing KERRY RIFKIN M.D.
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2015-08-28
Name of individual signing KERRY RIFKIN
Valid signature Filed with authorized/valid electronic signature
VASCULAR SURGERY ASSOCIATES OF NORTH FLORIDA, P. A. PROFIT SHARING PLAN & TRUST 2013 592895258 2014-07-01 VASCULAR SURGERY ASSOCIATES OF NORTH FLORIDA, P A 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1984-01-01
Business code 621111
Sponsor’s telephone number 9042769514
Plan sponsor’s address 2140 KINGSLEY AVENUE SUITE 14, ORANGE PARK, FL, 32073

Signature of
Role Plan administrator
Date 2014-07-01
Name of individual signing KERRY RIFKIN M.D.
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2014-07-01
Name of individual signing KERRY RIFKIN MD
Valid signature Filed with authorized/valid electronic signature
VASCULAR SURGERY ASSOCIATES OF NORTH FLORIDA, P. A. PROFIT SHARING PLAN & TRUST 2012 592895258 2013-06-28 VASCULAR SURGERY ASSOCIATES OF NORTH FLORIDA, P A 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1984-01-01
Business code 621111
Sponsor’s telephone number 9042769514
Plan sponsor’s address 2140 KINGSLEY AVENUE SUITE 14, ORANGE PARK, FL, 32073

Signature of
Role Plan administrator
Date 2013-06-28
Name of individual signing KERRY RIFKIN M.D.
Valid signature Filed with authorized/valid electronic signature
VASCULAR SURGERY ASSOCIATES OF NORTH FLORIDA, P. A. PROFIT SHARING PLAN & TRUST 2011 592895258 2012-06-11 VASCULAR SURGERY ASSOCIATES OF NORTH FLORIDA, P A 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1984-01-01
Business code 621111
Sponsor’s telephone number 9042769514
Plan sponsor’s address 2140 KINGSLEY AVENUE SUITE 14, ORANGE PARK, FL, 32073

Plan administrator’s name and address
Administrator’s EIN 592895258
Plan administrator’s name VASCULAR SURGERY ASSOCIATES OF NORTH FLORIDA, P A
Plan administrator’s address 2140 KINGSLEY AVENUE SUITE 14, ORANGE PARK, FL, 32073
Administrator’s telephone number 9042769514

Signature of
Role Plan administrator
Date 2012-06-11
Name of individual signing KERRY RIFKIN M.D.
Valid signature Filed with authorized/valid electronic signature
VASCULAR SURGERY ASSOCIATES OF NORTH FLORIDA, P. A. PROFIT SHARING PLAN & TRUST 2010 592895258 2011-06-23 VASCULAR SURGERY ASSOCIATES OF NORTH FLORIDA, P A 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1984-01-01
Business code 621111
Sponsor’s telephone number 9042769514
Plan sponsor’s address 2140 KINGSLEY AVENUE SUITE 14, ORANGE PARK, FL, 32073

Plan administrator’s name and address
Administrator’s EIN 592895258
Plan administrator’s name VASCULAR SURGERY ASSOCIATES OF NORTH FLORIDA, P A
Plan administrator’s address 2140 KINGSLEY AVENUE SUITE 14, ORANGE PARK, FL, 32073
Administrator’s telephone number 9042769514

Signature of
Role Plan administrator
Date 2011-06-23
Name of individual signing KERRY RIFKIN M.D.
Valid signature Filed with authorized/valid electronic signature
VASCULAR SURGERY ASSOCIATES OF NORTH FLORIDA, P.A PROFIT SHARING PLAN & TRUST 2009 592895258 2010-07-23 VASCULAR SURGERY ASSOCIATES OF NORTH FLORIDA, P.A. 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1984-01-01
Business code 621111
Sponsor’s telephone number 9042769514
Plan sponsor’s address 2140 KINGSLEY AVENUE, SUITE 14, ORANGE PARK, FL, 32073

Plan administrator’s name and address
Administrator’s EIN 592895258
Plan administrator’s name VASCULAR SURGERY ASSOCIATES OF NORTH FLORIDA, P.A.
Plan administrator’s address 2140 KINGSLEY AVENUE, SUITE 14, ORANGE PARK, FL, 32073
Administrator’s telephone number 9042769514

Signature of
Role Plan administrator
Date 2010-07-23
Name of individual signing KERRY V. RIFKIN, MD
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2010-07-23
Name of individual signing KERRY V. RIFKIN, MD
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
AKEL, EDWARD C Agent 1 INDEPENDENTDR STE 2301, JACKSONVILLE, FL 32202

Manager

Name Role Address
RIFKIN, KERRY V Manager 5 Judson Circle, ORANGE PARK, FL 32073

Director

Name Role Address
RIFKIN, KERRY V Director 5 Judson Circle, ORANGE PARK, FL 32073

Events

Event Type Filed Date Value Description
ADMIN DISSOLUTION FOR ANNUAL REPORT 2024-09-27 No data No data
CHANGE OF PRINCIPAL ADDRESS 2023-01-20 5 Judson Circle, ORANGE PARK, FL 32073 No data
CHANGE OF MAILING ADDRESS 2023-01-20 5 Judson Circle, ORANGE PARK, FL 32073 No data
REGISTERED AGENT ADDRESS CHANGED 2002-03-11 1 INDEPENDENTDR STE 2301, JACKSONVILLE, FL 32202 No data
NAME CHANGE AMENDMENT 1996-02-27 VASCULAR SURGERY ASSOCIATES OF NORTH FLORIDA, P.A. No data
NAME CHANGE AMENDMENT 1989-08-30 VASCULAR SURGERY ASSOCIATES OF NORTH FLORIDA, P.A., DRS. RIFKIN & ELLISON, M.D. No data

Documents

Name Date
ANNUAL REPORT 2023-01-20
ANNUAL REPORT 2022-02-17
ANNUAL REPORT 2021-01-11
ANNUAL REPORT 2020-01-15
ANNUAL REPORT 2019-02-07
ANNUAL REPORT 2018-01-16
ANNUAL REPORT 2017-01-09
ANNUAL REPORT 2016-01-26
ANNUAL REPORT 2015-01-07
ANNUAL REPORT 2014-03-06

Related by officers

AKEL, EDWARD C

ALL DAY NUTRITION, INC. COVER MY TRACTOR, LLC LEWIS ASSOCIATES OF CLAY COUNTY, INC. STEPHEN S. HWANG, D.D.S., P.A. P T TOWERS, INC. V S W CONSTRUCTION, INC. HOPKINS SQUARE, INC. HAWA RESTAURANTS, INC. BELL-REEVES, INC. FIRST COAST HEALTH SERVICES, P.A.

RIFKIN, KERRY V

LAKE ASBURY PLAZA, INC.

Related by address

No related companies by address

Date of last update: 04 Feb 2025

Sources: Florida Department of State

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