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AMELIA ANESTHESIA, PL

Company Details

Entity Name: AMELIA ANESTHESIA, PL
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Company
Status: Active
Date Filed: 04 Dec 2012 (12 years ago)
Document Number: L12000151682
FEI/EIN Number 46-1507376
Address: 1250 S 18th St, Anesthesia Departmernt, FERNANDINA BEACH, FL 32034
Mail Address: 1997 Sadler Road, #15159, FERNANDINA BEACH, FL 32035
ZIP code: 32034
County: Nassau
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1508103540 2013-01-10 2013-04-04 95429 BARNWELL RD, FERNANDINA BEACH, FL, 320341698, US 1250 S 18TH ST, ANESTHESIA DEPARTMENT, FERNANDINA BEACH, FL, 320341902, US

Contacts

Phone +1 904-624-7088
Phone +1 904-321-3533

Authorized person

Name MICHAEL HOWINGTON
Role MEDICAL DIRECTOR
Phone 9045561236

Taxonomy

Taxonomy Code 207L00000X - Anesthesiology Physician
Is Primary Yes

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
AMELIA ANESTHESIA 401(K) PLAN 2023 461507376 2024-07-23 AMELIA ANESTHESIA, PL 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-08-15
Business code 621399
Sponsor’s telephone number 9042616221
Plan sponsor’s address P. O. BOX 15159, FERNANDINA BEACH, FL, 32035
AMELIA ANESTHESIA 401(K) PLAN 2022 461507376 2023-08-15 AMELIA ANESTHESIA, PL 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-08-15
Business code 621399
Sponsor’s telephone number 9042616221
Plan sponsor’s address P. O. BOX 15159, FERNANDINA BEACH, FL, 32035

Signature of

Role Plan administrator
Date 2023-08-15
Name of individual signing JASON KELLY
Valid signature Filed with authorized/valid electronic signature
AMELIA ANESTHESIA 401(K) PLAN 2021 461507376 2022-09-02 AMELIA ANESTHESIA, PL 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-08-15
Business code 621399
Sponsor’s telephone number 9042616221
Plan sponsor’s address PO BOX 15159, FERNANDINA BEACH, FL, 32034

Signature of

Role Plan administrator
Date 2022-09-02
Name of individual signing JASON KELLY
Valid signature Filed with authorized/valid electronic signature
AMELIA ANESTHESIA 401(K) PLAN 2020 461507376 2021-06-10 AMELIA ANESTHESIA, PL 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-08-15
Business code 621399
Sponsor’s telephone number 9042616221
Plan sponsor’s address PO BOX 15159, FERNANDINA BEACH, FL, 32035

Signature of

Role Plan administrator
Date 2021-06-10
Name of individual signing JASON KELLY
Valid signature Filed with authorized/valid electronic signature
AMELIA ANESTHESIA 401(K) PLAN 2019 461507376 2020-07-07 AMELIA ANESTHESIA, PL 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-08-15
Business code 621399
Sponsor’s telephone number 9042616221
Plan sponsor’s address 95429 BARNWELL ROAD, FERNANDINA BEACH, FL, 32034

Signature of

Role Plan administrator
Date 2020-07-07
Name of individual signing JASON KELLY
Valid signature Filed with authorized/valid electronic signature
AMELIA ANESTHESIA 401(K) PLAN 2018 461507376 2019-06-10 AMELIA ANESTHESIA, PL 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-08-15
Business code 621399
Sponsor’s telephone number 9042616221
Plan sponsor’s address 95429 BARNWELL ROAD, FERNANDINA BEACH, FL, 32034

Signature of

Role Plan administrator
Date 2019-06-10
Name of individual signing JASON KELLY
Valid signature Filed with authorized/valid electronic signature
AMELIA ANESTHESIA 401(K) PLAN 2017 461507376 2018-07-18 AMELIA ANESTHESIA, PL 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-08-15
Business code 621399
Sponsor’s telephone number 9042616221
Plan sponsor’s address 95429 BARNWELL ROAD, FERNANDINA BEACH, FL, 32034

Signature of

Role Plan administrator
Date 2018-07-18
Name of individual signing JASON KELLY
Valid signature Filed with authorized/valid electronic signature
AMELIA ANESTHESIA 401(K) PLAN 2016 461507376 2017-06-20 AMELIA ANESTHESIA, PL 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-08-15
Business code 621399
Sponsor’s telephone number 9042616221
Plan sponsor’s address 95429 BARNWELL ROAD, FERNANDINA BEACH, FL, 32034

Signature of

Role Plan administrator
Date 2017-06-20
Name of individual signing JASON KELLY
Valid signature Filed with authorized/valid electronic signature
AMELIA ANESTHESIA RETIREMENT PLAN 2015 461507376 2016-09-29 AMELIA ANESTHESIA, PL 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-08-15
Business code 621399
Sponsor’s telephone number 9042616221
Plan sponsor’s address 95429 BARNWELL ROAD, FERNANDINA BEACH, FL, 320341698

Signature of

Role Plan administrator
Date 2016-09-29
Name of individual signing JASON KELLY
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2016-09-29
Name of individual signing JASON KELLY
Valid signature Filed with authorized/valid electronic signature
AMELIA ANESTHESIA RETIREMENT PLAN 2014 461507376 2015-06-11 AMELIA ANESTHESIA, PL 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-08-15
Business code 621399
Sponsor’s telephone number 9042616221
Plan sponsor’s address 95429 BARNWELL ROAD, FERNANDINA BEACH, FL, 320341698

Signature of

Role Plan administrator
Date 2015-06-11
Name of individual signing JASON KELLY
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2015-06-11
Name of individual signing JASON KELLY
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
HOWINGTON, MICHAEL Agent 1997 Sadler Road, #15159, FERNANDINA BEACH, FL 32035

Managing Member

Name Role Address
HOWINGTON, MICHAEL Managing Member 1997 Sadler Road, #15159 FERNANDINA BEACH, FL 32035
MURPHY, TODD Managing Member 1997 Sadler Road, #15159 FERNANDINA BEACH, FL 32035
KELLY, JASON Managing Member 1997 Sadler Road, #15159 FERNANDINA BEACH, FL 32035

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2020-02-12 1250 S 18th St, Anesthesia Departmernt, FERNANDINA BEACH, FL 32034 No data
CHANGE OF MAILING ADDRESS 2020-02-12 1250 S 18th St, Anesthesia Departmernt, FERNANDINA BEACH, FL 32034 No data
REGISTERED AGENT ADDRESS CHANGED 2020-02-12 1997 Sadler Road, #15159, FERNANDINA BEACH, FL 32035 No data

Documents

Name Date
ANNUAL REPORT 2024-01-07
ANNUAL REPORT 2023-01-29
ANNUAL REPORT 2022-01-24
ANNUAL REPORT 2021-01-07
ANNUAL REPORT 2020-02-12
ANNUAL REPORT 2019-01-26
ANNUAL REPORT 2018-01-29
ANNUAL REPORT 2017-01-11
ANNUAL REPORT 2016-03-24
ANNUAL REPORT 2015-01-08

Date of last update: 23 Jan 2025

Sources: Florida Department of State