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FLORIDA INSTITUTE OF PAIN MEDICINE, LLC

Company Details

Entity Name: FLORIDA INSTITUTE OF PAIN MEDICINE, LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Active
Date Filed: 06 Jan 2010 (15 years ago)
Last Event: LC STMNT OF RA/RO CHG
Event Date Filed: 22 May 2018 (7 years ago)
Document Number: L10000001664
FEI/EIN Number 271608375
Address: 4796 Hodges BLVD, Suite 101, Jacksonville, FL, 32224, US
Mail Address: P.O. BOX 1538, Ponte Vedra Beach, FL, 32004, US
ZIP code: 32224
County: Duval
Place of Formation: FLORIDA

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
FLORIDA INSTITUTE OF PAIN MEDICINE, LLC 401(K) PROFIT SHARING PLAN 2023 271608375 2024-09-25 FLORIDA INSTITUTE OF PAIN MEDICINE, LLC 53
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2019-01-01
Business code 621111
Sponsor’s telephone number 9044497246
Plan sponsor’s address 4796 HODGES BLVD., SUITE 101, JACKSONVILLE, FL, 32224

Signature of

Role Plan administrator
Date 2024-09-25
Name of individual signing ALEXIS JIMENEZ
Valid signature Filed with authorized/valid electronic signature
FLORIDA INSTITUTE OF PAIN MEDICINE, LLC 401(K) PROFIT SHARING PLAN 2022 271608375 2023-10-11 FLORIDA INSTITUTE OF PAIN MEDICINE, LLC 46
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2019-01-01
Business code 621111
Sponsor’s telephone number 9044497246
Plan sponsor’s address 4796 HODGES BLVD., SUITE 101, JACKSONVILLE, FL, 32224

Signature of

Role Plan administrator
Date 2023-10-11
Name of individual signing ALEXIS JIMENEZ
Valid signature Filed with authorized/valid electronic signature
FLORIDA INSTITUTE OF PAIN MEDICINE, LLC 401(K) PROFIT SHARING PLAN 2021 271608375 2022-10-12 FLORIDA INSTITUTE OF PAIN MEDICINE, LLC 35
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2019-01-01
Business code 621111
Sponsor’s telephone number 9044497246
Plan sponsor’s address 4796 HODGES BLVD., SUITE 101, JACKSONVILLE, FL, 32224

Signature of

Role Plan administrator
Date 2022-10-12
Name of individual signing ALEXIS JIMENEZ
Valid signature Filed with authorized/valid electronic signature
FLORIDA INSTITUTE OF PAIN MEDICINE, LLC 401(K) PROFIT SHARING PLAN 2020 271608375 2021-09-10 FLORIDA INSTITUTE OF PAIN MEDICINE, LLC 14
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2019-01-01
Business code 621111
Sponsor’s telephone number 9044497246
Plan sponsor’s address 418 ROYAL TERN ROAD S, PONTE VEDRA BEACH, FL, 32082
FLORIDA INSTITUTE OF PAIN MEDICINE, LLC 401(K) PROFIT SHARING PLAN 2019 271608375 2020-07-20 FLORIDA INSTITUTE OF PAIN MEDICINE, LLC 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2019-01-01
Business code 621111
Sponsor’s telephone number 9044497246
Plan sponsor’s address 418 ROYAL TERN RD S, PONTE VEDRA BEACH, FL, 32082

Agent

Name Role Address
Foltz Jerry RDr. Agent 1331 1st St N, Jacksonville Beach, FL, 32250

Managing Member

Name Role Address
Foltz Jerry RDr. Managing Member 1331 1st St N, Jacksonville Beach, FL, 32250

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G20000114589 FLORIDA PAIN PHYSICIANS, LLC ACTIVE 2020-09-03 2025-12-31 No data 105 MEETING WAY, PONTE VEDRA, FL, 32082
G18000043182 FLORIDA COAST PAIN AND SPINE CENTER EXPIRED 2018-04-03 2023-12-31 No data 418 ROYAL TERN RD S, PONTE VEDRA BEACH, FL, 32082
G17000124076 FLORIDA COAST PAIN CENTER EXPIRED 2017-11-10 2022-12-31 No data 418 ROYAL TERN RD S, PONTE VEDRA BEACH, FL, 32082

Events

Event Type Filed Date Value Description
REGISTERED AGENT ADDRESS CHANGED 2022-04-25 1331 1st St N, Apt 805, Jacksonville Beach, FL 32250 No data
CHANGE OF PRINCIPAL ADDRESS 2022-04-25 4796 Hodges BLVD, Suite 101, Jacksonville, FL 32224 No data
CHANGE OF MAILING ADDRESS 2018-09-04 4796 Hodges BLVD, Suite 101, Jacksonville, FL 32224 No data
LC STMNT OF RA/RO CHG 2018-05-22 No data No data
LC STMNT CORR/NC 2017-11-03 FLORIDA INSTITUTE OF PAIN MEDICINE, LLC. No data
LC NAME CHANGE 2017-10-20 FLORIDA COAST PAIN CENTER, LLC No data
REGISTERED AGENT NAME CHANGED 2017-04-24 Foltz, Jerry R, Dr. No data
LC AMENDMENT 2010-10-20 No data No data

Documents

Name Date
ANNUAL REPORT 2024-04-22
ANNUAL REPORT 2023-04-30
ANNUAL REPORT 2022-04-25
ANNUAL REPORT 2021-02-06
ANNUAL REPORT 2020-04-29
ANNUAL REPORT 2019-04-21
CORLCRACHG 2018-05-22
ANNUAL REPORT 2018-04-07
CORLCSTCNC 2017-11-03
LC Name Change 2017-10-20

Date of last update: 02 Feb 2025

Sources: Florida Department of State