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  5. SPACE COAST HOSPITALISTS, LLC

SPACE COAST HOSPITALISTS, LLC

Company Details

Entity Name: SPACE COAST HOSPITALISTS, LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Inactive
Date Filed: 24 Aug 2007 (17 years ago)
Date of dissolution: 23 Sep 2016 (8 years ago)
Last Event: ADMIN DISSOLUTION FOR ANNUAL REPORT
Event Date Filed: 23 Sep 2016 (8 years ago)
Document Number: L07000087052
FEI/EIN Number 260873314
Address: 6080 Babcock Street, PALM BAY, FL, 32909, US
Mail Address: 6080 Babcock Street, PALM BAY, FL, 32909, US
ZIP code: 32909
County: Brevard
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1417138249 2007-11-20 2010-12-01 1326 MALABAR RD SE, SUITE 5, PALM BAY, FL, 329072502, US 1425 MALABAR ROAD NE, PALM BAY COMMUNITY HOSPITAL, PALM BAY, FL, 32907, US

Contacts
Phone +1 321-409-3073
Fax 3214093075
Fax 3214093073

Authorized person
Name DR. JOVEN T GARCIA
Role DIRECTOR
Phone 3213946863

Taxonomy
Taxonomy Code 208M00000X - Hospitalist Physician
Is Primary Yes

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
SPACE COAST HOSPITALISTS LLC 2013 260873314 2014-12-17 SPACE COAST HOSPITALISTS LLC 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 621111
Sponsor’s telephone number 3214093073
Plan sponsor’s address 6080 BABCOCK STREET, PALM BAY, FL, 32909

Signature of
Role Plan administrator
Date 2014-12-17
Name of individual signing JOVEN GARCIA
Valid signature Filed with authorized/valid electronic signature
SPACE COAST HOSPITALISTS LLC 2013 260873314 2014-12-17 SPACE COAST HOSPITALISTS LLC 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 621111
Sponsor’s telephone number 3214093073
Plan sponsor’s address 6080 BABCOCK STREET, PALM BAY, FL, 32909

Signature of
Role Plan administrator
Date 2014-12-17
Name of individual signing JOVEN GARCIA
Valid signature Filed with authorized/valid electronic signature
SPACE COAST HOSPITALISTS LLC 2012 260873314 2014-12-12 SPACE COAST HOSPITALISTS LLC 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 621111
Sponsor’s telephone number 3214093073
Plan sponsor’s address 1326 MALABAR RD., STE. 5, PALM BAY, FL, 32907

Signature of
Role Plan administrator
Date 2014-12-12
Name of individual signing JOVEN GARCIA
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2014-12-12
Name of individual signing JOVEN GARCIA
Valid signature Filed with authorized/valid electronic signature
SPACE COAST HOSPITALISTS LLC 401 K PROFIT SHARING PLAN TRUST 2011 260873314 2012-07-30 SPACE COAST HOSPITALISTS LLC 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 621111
Sponsor’s telephone number 3213946863
Plan sponsor’s address 1326 MALABAR RD SE STE 5, PALM BAY, FL, 329072502

Plan administrator’s name and address
Administrator’s EIN 260873314
Plan administrator’s name SPACE COAST HOSPITALISTS LLC
Plan administrator’s address 1326 MALABAR RD SE STE 5, PALM BAY, FL, 329072502
Administrator’s telephone number 3213946863

Signature of
Role Plan administrator
Date 2012-07-30
Name of individual signing SPACE COAST HOSPITALISTS LLC
Valid signature Filed with authorized/valid electronic signature
SPACE COAST HOSPITALISTS LLC 401 K PROFIT SHARING PLAN TRUST 2010 260873314 2011-08-22 SPACE COAST HOSPITALISTS LLC 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 621111
Sponsor’s telephone number 3213946863
Plan sponsor’s address 1326 MALABAR RD SE STE 5, PALM BAY, FL, 329072502

Plan administrator’s name and address
Administrator’s EIN 260873314
Plan administrator’s name SPACE COAST HOSPITALISTS LLC
Plan administrator’s address 1326 MALABAR RD SE STE 5, PALM BAY, FL, 329072502
Administrator’s telephone number 3213946863

Signature of
Role Plan administrator
Date 2011-08-22
Name of individual signing SPACE COAST HOSPITALISTS LLC
Valid signature Filed with authorized/valid electronic signature
SPACE COAST HOSPITALISTS LLC 2009 260873314 2010-07-31 SPACE COAST HOSPITALISTS LLC 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 621111
Sponsor’s telephone number 3214093073
Plan sponsor’s address 100 RIALTO PLACE SUITE 757, MELBOURNE, FL, 329010000

Plan administrator’s name and address
Administrator’s EIN 260873314
Plan administrator’s name SPACE COAST HOSPITALISTS LLC
Plan administrator’s address 100 RIALTO PLACE SUITE 757, MELBOURNE, FL, 329010000
Administrator’s telephone number 3214093073

Signature of
Role Plan administrator
Date 2010-07-31
Name of individual signing SPACE COAST HOSPITALISTS LLC
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
Jimenez Nydia Agent 6080 Babcock Street, Palm Bay, FL, 32909

Managing Member

Name Role Address
GARCIA JOVEN T Managing Member 6080 Babcock Street, PALM BAY, FL, 32909

Events

Event Type Filed Date Value Description
ADMIN DISSOLUTION FOR ANNUAL REPORT 2016-09-23 No data No data
REGISTERED AGENT NAME CHANGED 2015-04-30 Jimenez, Nydia No data
REGISTERED AGENT ADDRESS CHANGED 2015-04-30 6080 Babcock Street, Palm Bay, FL 32909 No data
CHANGE OF MAILING ADDRESS 2014-04-30 6080 Babcock Street, PALM BAY, FL 32909 No data
CHANGE OF PRINCIPAL ADDRESS 2014-04-30 6080 Babcock Street, PALM BAY, FL 32909 No data
LC AMENDED AND RESTATED ARTICLES 2007-11-05 No data No data
LC ARTICLE OF CORRECTION 2007-09-10 No data No data

Documents

Name Date
ANNUAL REPORT 2015-04-30
ANNUAL REPORT 2014-04-30
ANNUAL REPORT 2013-04-29
ANNUAL REPORT 2012-04-01
ANNUAL REPORT 2011-04-29
ADDRESS CHANGE 2010-10-27
ANNUAL REPORT 2010-04-28
ANNUAL REPORT 2009-04-30
ANNUAL REPORT 2008-04-07
LC Amended and Restated Art 2007-11-05

Related by officers

GARCIA JOVEN T

PALM BAY MEDICAL ASSOCIATES, LLC SUNSHINE FINANCE AND INVESTMENTS LLC FLASH INTERNATIONAL HUMAN RESOURCES USA, INC. FLASH HEALTH CARE SERVICES, INC.

Related by address

6080 Babcock Street, PALM BAY, FL, 32909, US

PALM BAY MEDICAL ASSOCIATES, LLC PHYSICIANS AESTHETIC SERVICES, LLC

6080 Babcock Street, PALM BAY, FL, 32909, US

PALM BAY MEDICAL ASSOCIATES, LLC PHYSICIANS AESTHETIC SERVICES, LLC

Date of last update: 01 Feb 2025

Sources: Florida Department of State

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