| Entity Name: | JACKSONVILLE HEARING AND BALANCE INSTITUTE, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 16 Dec 2013 (11 years ago) |
| Document Number: | L13000173289 |
| FEI/EIN Number | 46-4371746 |
| Mail Address: | 11945 SAN JOSE BLVD BLDG 300, JACKSONVILLE, FL 32223 |
| Address: | 10475 CENTURION PARKWAY N., STE 303, JACKSONVILLE, FL 32256 |
| ZIP code: | 32256 |
| County: | Duval |
| Place of Formation: | FLORIDA |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| JACKSONVILLE HEARING AND BALANCE INSTITUTE, P.A. RETIREMENT PLAN | 2010 | 593554523 | 2011-08-16 | JACKSONVILLE HEARING AND BALANCE INSTITUTE | 20 | |||||||||||||||||||||||||||||||
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| Administrator’s EIN | 593554523 |
| Plan administrator’s name | JACKSONVILLE HEARING AND BALANCE INSTITUTE |
| Plan administrator’s address | 10475 CENTURIAN PARKWAY, JACKSONVILLE, FL, 32256 |
| Administrator’s telephone number | 9043990350 |
Signature of
| Role | Plan administrator |
| Date | 2011-08-16 |
| Name of individual signing | SANDY ALBERT |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2001-01-01 |
| Business code | 621399 |
| Sponsor’s telephone number | 9043990350 |
| Plan sponsor’s address | 10475 CENTURIAN PARKWAY, JACKSONVILLE, FL, 32256 |
Plan administrator’s name and address
| Administrator’s EIN | 593554523 |
| Plan administrator’s name | JACKSONVILLE HEARING AND BALANCE INSTITUTE |
| Plan administrator’s address | 10475 CENTURIAN PARKWAY, JACKSONVILLE, FL, 32256 |
| Administrator’s telephone number | 9043990350 |
Signature of
| Role | Plan administrator |
| Date | 2011-08-16 |
| Name of individual signing | SANDY ALBERT |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2001-01-01 |
| Business code | 621399 |
| Sponsor’s telephone number | 9043990350 |
| Plan sponsor’s address | 10475 CENTURIAN PARKWAY, JACKSONVILLE, FL, 32256 |
Plan administrator’s name and address
| Administrator’s EIN | 593554523 |
| Plan administrator’s name | JACKSONVILLE HEARING AND BALANCE INSTITUTE |
| Plan administrator’s address | 10475 CENTURIAN PARKWAY, JACKSONVILLE, FL, 32256 |
| Administrator’s telephone number | 9043990350 |
Signature of
| Role | Plan administrator |
| Date | 2010-08-18 |
| Name of individual signing | J. DOUGLAS GREEN, JR., M.D. |
| Valid signature | Filed with authorized/valid electronic signature |
| Name | Role | Address |
|---|---|---|
| BERLIN, JOHN | Agent | 11945 SAN JOSE BLVD BLDG 300, JACKSONVILLE, FL 32223 |
| Name | Role | Address |
|---|---|---|
| NORTH FLORIDA SURGEONS PA | Manager | 11945 SAN JOSE BLVD BLDG 300, JACKSONVILLE, FL 32223 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2015-02-06 | 10475 CENTURION PARKWAY N., STE 303, JACKSONVILLE, FL 32256 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-01-31 |
| ANNUAL REPORT | 2023-03-02 |
| ANNUAL REPORT | 2022-03-15 |
| ANNUAL REPORT | 2021-03-17 |
| ANNUAL REPORT | 2020-04-02 |
| ANNUAL REPORT | 2019-03-09 |
| ANNUAL REPORT | 2018-02-06 |
| ANNUAL REPORT | 2017-02-16 |
| ANNUAL REPORT | 2016-01-29 |
| ANNUAL REPORT | 2015-01-19 |
Date of last update: 22 Jan 2025
Sources: Florida Department of State
