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  5. AMS BAPTIST LLC

AMS BAPTIST LLC - Florida Company Profile

Company Details

Entity Name: AMS BAPTIST LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.

AMS BAPTIST LLC is structured as a Limited Liability Company (LLC), a common business structure that offers its members limited liability protection, separating their personal assets from the company's debts and obligations.
In Florida, LLCs are governed by Title XXXVI, Chapter 605, Florida Revised Limited Liability Company Act
Status: Active

The business entity is active. This status indicates that the business is currently operating and compliant with state regulations, suggesting a lower risk profile for lenders and potentially better creditworthiness.

Date Filed: 11 Aug 2010 (15 years ago)
Last Event: LC NAME CHANGE
Event Date Filed: 25 Oct 2011 (13 years ago)
Document Number: L10000084141
FEI/EIN Number 273173025

Federal Employer Identification (FEI) Number assigned by the IRS.
Address: 362 GULF BREEZE PARKWAY, GULF BREEZE, FL, 32561, US
Mail Address: 362 GULF BREEZE PARKWAY, GULF BREEZE, FL, 32561, US
ZIP code: 32561
County: Santa Rosa
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1093020216 2010-08-12 2021-10-13 PO BOX 919330, ORLANDO, FL, 328919330, US 28 N PALAFOX ST, PENSACOLA, FL, 325025626, US

Contacts
Phone +1 866-653-2540

Authorized person
Name DAVID W. SIMPSON
Role MEMBER
Phone 8666532540

Taxonomy
Taxonomy Code 207L00000X - Anesthesiology Physician
Is Primary Yes
Taxonomy Code 367500000X - Certified Registered Nurse Anesthetist
Is Primary No

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
AMS BAPTIST, LLC 401(K) PROFIT SHARING PLAN 2023 723173025 2024-10-07 AMS BAPTIST, LLC 4
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2011-01-01
Business code 621399
Sponsor’s telephone number 8505498707
Plan sponsor’s address 362 GULF BREEZE PARKWAY, SUITE 116, GULF BREEZE, FL, 32561

Signature of
Role Plan administrator
Date 2024-10-07
Name of individual signing AARON BARTER
Valid signature Filed with authorized/valid electronic signature
AMS BAPTIST, LLC 401(K) PROFIT SHARING PLAN 2022 723173025 2023-10-12 AMS BAPTIST, LLC 4
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2011-01-01
Business code 621399
Sponsor’s telephone number 8505498707
Plan sponsor’s address 362 GULF BREEZE PARKWAY, SUITE 116, GULF BREEZE, FL, 32561

Signature of
Role Plan administrator
Date 2023-10-12
Name of individual signing AARON BARTER
Valid signature Filed with authorized/valid electronic signature
AMS BAPTIST, LLC 401(K) PROFIT SHARING PLAN 2021 723173025 2022-10-14 AMS BAPTIST, LLC 4
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2011-01-01
Business code 621399
Sponsor’s telephone number 8505498707
Plan sponsor’s address 362 GULF BREEZE PARKWAY, SUITE 116, GULF BREEZE, FL, 32561

Signature of
Role Plan administrator
Date 2022-10-14
Name of individual signing AARON BARTER
Valid signature Filed with authorized/valid electronic signature
AMS BAPTIST, LLC DEFINED BENEFIT PLAN 2021 723173025 2022-04-22 AMS BAPTIST, LLC 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2011-01-01
Business code 621399
Sponsor’s telephone number 8505498707
Plan sponsor’s address 362 GULF BREEZE PARKWAY, SUITE 116, GULF BREEZE, FL, 32561

Signature of
Role Plan administrator
Date 2022-04-22
Name of individual signing AARON BARTER
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2022-04-22
Name of individual signing AARON BARTER
Valid signature Filed with authorized/valid electronic signature
AMS BAPTIST, LLC 401(K) PROFIT SHARING PLAN 2020 723173025 2021-10-15 AMS BAPTIST, LLC 4
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2011-01-01
Business code 621399
Sponsor’s telephone number 8505498707
Plan sponsor’s address 362 GULF BREEZE PARKWAY, SUITE 116, GULF BREEZE, FL, 32561

Signature of
Role Plan administrator
Date 2021-10-15
Name of individual signing AARON BARTER
Valid signature Filed with authorized/valid electronic signature
AMS BAPTIST, LLC DEFINED BENEFIT PLAN 2020 723173025 2021-09-16 AMS BAPTIST, LLC 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2011-01-01
Business code 621399
Sponsor’s telephone number 8505498707
Plan sponsor’s address 362 GULF BREEZE PARKWAY, SUITE 116, GULF BREEZE, FL, 32561

Signature of
Role Plan administrator
Date 2021-09-16
Name of individual signing AARON BARTER
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2021-09-16
Name of individual signing AARON BARTER
Valid signature Filed with authorized/valid electronic signature
AMS BAPTIST, LLC 401(K) PROFIT SHARING PLAN 2019 723173025 2021-01-15 AMS BAPTIST, LLC 4
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2011-01-01
Business code 621399
Sponsor’s telephone number 8505498707
Plan sponsor’s address 362 GULF BREEZE PARKWAY, SUITE 116, GULF BREEZE, FL, 32561

Signature of
Role Plan administrator
Date 2021-01-15
Name of individual signing AARON BARTER
Valid signature Filed with authorized/valid electronic signature
AMS BAPTIST, LLC DEFINED BENEFIT PLAN 2019 723173025 2020-10-13 AMS BAPTIST, LLC 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2011-01-01
Business code 621399
Sponsor’s telephone number 8505498707
Plan sponsor’s address 362 GULF BREEZE PARKWAY, SUITE 116, GULF BREEZE, FL, 32561

Signature of
Role Plan administrator
Date 2020-10-13
Name of individual signing AARON BARTER
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2020-10-13
Name of individual signing AARON BARTER
Valid signature Filed with authorized/valid electronic signature
AMS BAPTIST, LLC DEFINED BENEFIT PLAN 2018 723173025 2020-10-13 AMS BAPTIST, LLC 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2011-01-01
Business code 621399
Sponsor’s telephone number 8505498707
Plan sponsor’s address 362 GULF BREEZE PARKWAY, SUITE 116, GULF BREEZE, FL, 32561

Signature of
Role Plan administrator
Date 2020-10-13
Name of individual signing AARON BARTER
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2020-10-13
Name of individual signing AARON BARTER
Valid signature Filed with authorized/valid electronic signature
AMS BAPTIST, LLC 401(K) PROFIT SHARING PLAN 2018 723173025 2019-10-15 AMS BAPTIST, LLC 4
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2011-01-01
Business code 621399
Sponsor’s telephone number 8505498707
Plan sponsor’s address 362 GULF BREEZE PARKWAY, SUITE 116, GULF BREEZE, FL, 32561

Signature of
Role Plan administrator
Date 2019-10-15
Name of individual signing AARON BARTER
Valid signature Filed with authorized/valid electronic signature

Key Officers & Management

Name Role Address
CROSS STREET CORPORATE SERVICES, LLC Agent -
SIMPSON, M.D. DAVID W Manager 362 GULF BREEZE PARKWAY, GULF BREEZE, FL, 32561
BARTER AARON Manager 362 GULF BREEZE PARKWAY, GULF BREEZE, FL, 32561

Events

Event Type Filed Date Value Description
REGISTERED AGENT ADDRESS CHANGED 2023-10-30 50 CENTRAL AVENUE,, 8TH FLOOR,, SARASOTA, FL 34236 -
ADMIN DISSOLUTION FOR ANNUAL REPORT 2019-09-27 - -
CHANGE OF PRINCIPAL ADDRESS 2018-04-26 362 GULF BREEZE PARKWAY, 116, GULF BREEZE, FL 32561 -
CHANGE OF MAILING ADDRESS 2018-04-26 362 GULF BREEZE PARKWAY, 116, GULF BREEZE, FL 32561 -
REGISTERED AGENT NAME CHANGED 2017-03-09 CROSS STREET CORPORATE SERVICES, LLC -
LC NAME CHANGE 2011-10-25 AMS BAPTIST LLC -

Documents

Name Date
ANNUAL REPORT 2025-02-05
ANNUAL REPORT 2024-02-08
ANNUAL REPORT 2023-01-23
ANNUAL REPORT 2022-01-27
ANNUAL REPORT 2021-01-11
ANNUAL REPORT 2020-03-05
ANNUAL REPORT 2019-04-30
ANNUAL REPORT 2018-04-26
ANNUAL REPORT 2017-03-09
ANNUAL REPORT 2016-03-28

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SIMPSON, M.D. DAVID W

AMS OF CRESTVIEW, LLC - Active
Florida Limited Liability Co. (2011 )
AMS NATIONAL, LLC - Active
Foreign Limited Liability Co. (2015 )
AMS OF GULF BREEZE, LLC - Active
Florida Limited Liability Co. (2011 )
ANESTHESIA MANAGEMENT SOLUTIONS LLC - Active
Florida Limited Liability Co. (2011 )
AMS DESTIN, LLC - Active
Florida Limited Liability Co. (2012 )
AMS ANESTHETIST SERVICES, LLC - Active
Florida Limited Liability Co. (2012 )
AMS SACRED HEART, LLC - Active
Florida Limited Liability Co. (2011 )
SANTA ROSA ANESTHESIA ASSOCIATES, P.A. - Inactive
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BARTER AARON

AMS OF CRESTVIEW, LLC - Active
Florida Limited Liability Co. (2011 )
AMS OF GULF BREEZE, LLC - Active
Florida Limited Liability Co. (2011 )
A. BARTER CONSULTING, LLC - Active
Florida Limited Liability Co. (2010 )
A. BARTER CONSULTING, LLC - Active
Florida Limited Liability Co. (2010 )

Companies related by address

362 GULF BREEZE PARKWAY, GULF BREEZE, FL, 32561, US

CORPORATE KNOWLEDGE, LLC ALPHA CORE SOLUTIONS, LLC HOLBROOK & ASSOCIATES MEDICAL-LEGAL CONSULTANTS LLC MEDIFIBERS, LLC FIBERWORKS, LLC AMS OF GULF BREEZE, LLC AMS OF CRESTVIEW, LLC IDN OF NORTHWEST FL., INC. ALOYAL VISION, LLC

362 GULF BREEZE PARKWAY, GULF BREEZE, FL, 32561, US

CORPORATE KNOWLEDGE, LLC ALPHA CORE SOLUTIONS, LLC HOLBROOK & ASSOCIATES MEDICAL-LEGAL CONSULTANTS LLC MEDIFIBERS, LLC FIBERWORKS, LLC AMS OF GULF BREEZE, LLC AMS OF CRESTVIEW, LLC IDN OF NORTHWEST FL., INC. ALOYAL VISION, LLC

Date of last update: 01 Mar 2025

Sources: Florida Department of State

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