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  5. PEACE RIVER ANESTHESIOLOGY ASSOCIATES, P.A.

PEACE RIVER ANESTHESIOLOGY ASSOCIATES, P.A.

Company Details

Entity Name: PEACE RIVER ANESTHESIOLOGY ASSOCIATES, P.A.
Jurisdiction: FLORIDA
Filing Type: Florida Profit Corporation
Status: Inactive
Date Filed: 26 Jun 1990 (35 years ago)
Date of dissolution: 16 Feb 2022 (3 years ago)
Last Event: VOLUNTARY DISSOLUTION
Event Date Filed: 16 Feb 2022 (3 years ago)
Document Number: L83352
FEI/EIN Number 65-0200858
Mail Address: PO BOX 510626, PUNTA GORDA, FL 33951
Address: 4054 BEAVER LN #7, PORT CHARLOTTE, FL 33952
ZIP code: 33952
County: Charlotte
Place of Formation: FLORIDA

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
PEACE RIVER ANESTHESIOLOGY ASSOCIATES, P.A. 401K PROFIT SHARING PLAN & TRUST 2021 650200858 2022-02-16 PEACE RIVER ANESTHESIOLOGY ASSOCIATES, P.A. 8
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2000-01-18
Business code 621111
Sponsor’s telephone number 9416251951
Plan sponsor’s address 17801 MURDOCK CIRCLE, SUITE C, PORT CHARLOTTE, FL, 33948
PEACE RIVER ANESTHESIOLOGY ASSOCIATES, P.A. 401K PROFIT SHARING PLAN & TRUST 2020 650200858 2021-08-02 PEACE RIVER ANESTHESIOLOGY ASSOCIATES, P.A. 8
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2000-01-18
Business code 621111
Sponsor’s telephone number 9416251951
Plan sponsor’s address 17801 MURDOCK CIRCLE, SUITE C, PORT CHARLOTTE, FL, 33948
PEACE RIVER ANESTHESIOLOGY ASSOCIATES, P. A. 401K PROFIT SHARING PLAN & TRUST 2019 650200858 2020-10-15 PEACE RIVER ANESTHESIOLOGY ASSOCIATES, P.A. 7
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2000-01-18
Business code 621111
Sponsor’s telephone number 9416251951
Plan sponsor’s address C/O JAY WUNDER, C.P.A., 17801 MURDOCK CIRCLE, SUITE C, PORT CHARLOTTE, FL, 33948
PEACE RIVER ANESTHESIOLOGY ASSOCIATES, P. A. 401K PROFIT SHARING PLAN & TRUST 2018 650200858 2020-10-15 PEACE RIVER ANESTHESIOLOGY ASSOCIATES, P.A. 6
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2000-01-18
Business code 621111
Sponsor’s telephone number 9416251951
Plan sponsor’s address C/O JAY WUNDER, C.P.A., 17801 MURDOCK CIRCLE, SUITE C, PORT CHARLOTTE, FL, 33948
PEACE RIVER ANESTHESIOLOGY ASSOCIATES, P.A. 401K PROFIT SHARING PLAN & TRUST 2017 650200858 2018-07-10 PEACE RIVER ANESTHESIOLOGY ASSOCIATES, P.A. 8
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2000-01-18
Business code 621111
Sponsor’s telephone number 9416251951
Plan sponsor’s address 17801 MURDOCK CIRCLE, SUITE C, PORT CHARLOTTE, FL, 33948

Signature of
Role Plan administrator
Date 2018-07-10
Name of individual signing ANTHONY POLLIZZI
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2018-07-10
Name of individual signing ANTHONY POLLIZZI
Valid signature Filed with authorized/valid electronic signature
PEACE RIVER ANESTHESIOLOGY ASSOCIATES, P.A. 401K PROFIT SHARING PLAN & TRUST 2016 650200858 2017-09-14 PEACE RIVER ANESTHESIOLOGY ASSOCIATES, P.A. 8
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2000-01-18
Business code 621111
Sponsor’s telephone number 9416251951
Plan sponsor’s address 17801 MURDOCK CIRCLE, SUITE C, PORT CHARLOTTE, FL, 33948

Signature of
Role Plan administrator
Date 2017-09-14
Name of individual signing ANTHONY POLLIZZI
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2017-09-14
Name of individual signing ANTHONY POLLIZZI
Valid signature Filed with authorized/valid electronic signature
PEACE RIVER ANESTHESIOLOGY ASSOCIATES, P.A. 401K PROFIT SHARING PLAN & TRUST 2015 650200858 2016-08-10 PEACE RIVER ANESTHESIOLOGY ASSOCIATES, P.A. 10
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2000-01-18
Business code 621111
Sponsor’s telephone number 9416251951
Plan sponsor’s address 17801 MURDOCK CIRCLE, SUITE C, PORT CHARLOTTE, FL, 33948

Signature of
Role Plan administrator
Date 2016-08-10
Name of individual signing ANTHONY POLLIZZI
Valid signature Filed with authorized/valid electronic signature
PEACE RIVER ANESTHESIOLOGY ASSOCIATES, P.A. 401K PROFIT SHARING PLAN & TRUST 2014 650200858 2015-10-13 PEACE RIVER ANESTHESIOLOGY ASSOCIATES, P.A. 10
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2000-01-18
Business code 621111
Sponsor’s telephone number 9416251951
Plan sponsor’s address 17801 MURDOCK CIRCLE, SUITE C, PORT CHARLOTTE, FL, 33948

Signature of
Role Plan administrator
Date 2015-10-13
Name of individual signing JOHN O. WUNDER
Valid signature Filed with authorized/valid electronic signature
PEACE RIVER ANESTHESIOLOGY ASSOCIATES, P.A. 401K PROFIT SHARING PLAN & TRUST 2013 650200858 2014-10-15 PEACE RIVER ANESTHESIOLOGY ASSOCIATES, P.A. 9
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2000-01-18
Business code 621111
Sponsor’s telephone number 9416251951
Plan sponsor’s address 17801 MURDOCK CIRCLE, SUITE C, PORT CHARLOTTE, FL, 33948

Plan administrator’s name and address
Administrator’s EIN 650200858
Plan administrator’s name PEACE RIVER ANESTHESIOLOGY ASSOCIATES, P.A.
Plan administrator’s address P.O. BOX 510626, PUNTA GORDA, FL, 339510626
Administrator’s telephone number 9416251951

Signature of
Role Plan administrator
Date 2014-10-15
Name of individual signing ANTHONY POLLIZZI
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2014-10-15
Name of individual signing ANTHONY POLLIZZI
Valid signature Filed with authorized/valid electronic signature
PEACE RIVER ANESTHESIOLOGY ASSOCIATES, P.A. 401K PROFIT SHARING PLAN & TRUST 2012 650200858 2013-07-31 PEACE RIVER ANESTHESIOLOGY ASSOCIATES, P.A. 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2000-01-18
Business code 621111
Sponsor’s telephone number 9416251951
Plan sponsor’s address 17801 MURDOCK CIRCLE, SUITE C, PORT CHARLOTTE, FL, 33948

Plan administrator’s name and address
Administrator’s EIN 650200858
Plan administrator’s name PEACE RIVER ANESTHESIOLOGY ASSOCIATES, P.A.
Plan administrator’s address P.O. BOX 510626, PUNTA GORDA, FL, 339510626
Administrator’s telephone number 9416251951

Signature of
Role Plan administrator
Date 2013-07-31
Name of individual signing ANTHONY POLLIZZI
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2013-07-31
Name of individual signing ANTHONY POLLIZZI
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
HOLMES, DAVID A., Esq. Agent FARR LAW FIRM, 99 NESBIT STREET, PUNTA GORDA, FL 33950

Director

Name Role Address
POLLIZZI, ANTHONY Director PO BOX 510626, PUNTA GORDA, FL 33951-0626
FORENSKY, JAMES P Director PO BOX 510626, PUNTA GORDA, FL 33951-0626

President

Name Role Address
POLLIZZI, ANTHONY President PO BOX 510626, PUNTA GORDA, FL 33951-0626

Secretary

Name Role Address
FORENSKY, JAMES P Secretary PO BOX 510626, PUNTA GORDA, FL 33951-0626

Treasurer

Name Role Address
FORENSKY, JAMES P Treasurer PO BOX 510626, PUNTA GORDA, FL 33951-0626

Vice President

Name Role Address
FORENSKY, JAMES P Vice President PO BOX 510626, PUNTA GORDA, FL 33951-0626

Events

Event Type Filed Date Value Description
VOLUNTARY DISSOLUTION 2022-02-16 No data No data
REGISTERED AGENT ADDRESS CHANGED 2015-03-04 FARR LAW FIRM, 99 NESBIT STREET, PUNTA GORDA, FL 33950 No data
REGISTERED AGENT NAME CHANGED 2015-03-04 HOLMES, DAVID A., Esq. No data
CHANGE OF MAILING ADDRESS 2005-03-28 4054 BEAVER LN #7, PORT CHARLOTTE, FL 33952 No data
CHANGE OF PRINCIPAL ADDRESS 1999-03-10 4054 BEAVER LN #7, PORT CHARLOTTE, FL 33952 No data
AMENDMENT 1998-12-28 No data No data
REINSTATEMENT 1996-11-21 No data No data
ADMIN DISSOLUTION FOR ANNUAL REPORT 1996-08-23 No data No data

Documents

Name Date
Voluntary Dissolution 2022-02-16
ANNUAL REPORT 2021-02-03
ANNUAL REPORT 2020-02-21
ANNUAL REPORT 2019-02-27
ANNUAL REPORT 2018-03-12
ANNUAL REPORT 2017-03-31
ANNUAL REPORT 2016-03-29
ANNUAL REPORT 2015-03-04
ANNUAL REPORT 2014-01-23
ANNUAL REPORT 2013-03-20

Related by officers

No related officers

Related by address

No related companies by address

Date of last update: 03 Feb 2025

Sources: Florida Department of State

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