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  5. CLINICAL BILLING SERVICES, INC.

CLINICAL BILLING SERVICES, INC.

Company Details

Entity Name: CLINICAL BILLING SERVICES, INC.
Jurisdiction: FLORIDA
Filing Type: Florida Profit Corporation
Status: Active
Date Filed: 12 May 1988 (37 years ago)
Last Event: REINSTATEMENT
Event Date Filed: 15 Jun 2011 (14 years ago)
Document Number: M81221
FEI/EIN Number 59-2955712
Address: 5105 Memorial Hwy, Tampa, FL 33634
Mail Address: 5105 Memorial Hwy, Tampa, FL 33634
ZIP code: 33634
County: Hillsborough
Place of Formation: FLORIDA

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
AFFILIATED SERVICES PROFIT SHARING PLAN AND TRUST 2022 592955712 2023-10-16 CLINICAL BILLING SERVICES, INC. 43
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1989-01-01
Business code 621111
Sponsor’s telephone number 8135763600
Plan sponsor’s address 5105 MEMORIAL HIGHWAY, TAMPA, FL, 33634
AFFILIATED SERVICES PROFIT SHARING PLAN AND TRUST 2021 592955712 2022-10-16 CLINICAL BILLING SERVICES, INC. 42
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1989-01-01
Business code 621111
Sponsor’s telephone number 8138743993
Plan sponsor’s address 19045 N. DALE MABRY HIGHWAY, LUTZ, FL, 33548
AFFILIATED SERVICES PROFIT SHARING PLAN AND TRUST 2020 592955712 2021-10-05 CLINICAL BILLING SERVICES, INC. 39
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1989-01-01
Business code 621111
Sponsor’s telephone number 8138743993
Plan sponsor’s address 19045 N. DALE MABRY HIGHWAY, LUTZ, FL, 33548
AFFILIATED SERVICES PROFIT SHARING PLAN AND TRUST 2019 592955712 2020-10-14 CLINICAL BILLING SERVICES, INC. 37
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1989-01-01
Business code 621111
Sponsor’s telephone number 8138743993
Plan sponsor’s address 19045 N. DALE MABRY HIGHWAY, LUTZ, FL, 33548
AFFILIATED SERVICES PROFIT SHARING PLAN AND TRUST 2018 592955712 2019-10-14 CLINICAL BILLING SERVICES, INC. 35
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1989-01-01
Business code 621111
Sponsor’s telephone number 8138743993
Plan sponsor’s address 19045 N. DALE MABRY HIGHWAY, LUTZ, FL, 33548
CLINICAL BILLING SERVICES, INC. PENSION PLAN 2015 592955712 2016-02-08 CLINICAL BILLING SERVICES, INC. 23
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2009-01-01
Business code 621111
Sponsor’s telephone number 8138743993
Plan sponsor’s address 19045 N. DALE MABRY HIGHWAY, LUTZ, FL, 335484982

Signature of
Role Plan administrator
Date 2016-02-08
Name of individual signing MICHAEL FRIEDMAN
Valid signature Filed with authorized/valid electronic signature
AFFILIATED SERVICES PROFIT SHARING PLAN AND TRUST 2014 592955712 2015-10-06 CLINICAL BILLING SERVICES, INC. 33
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1989-01-01
Business code 621111
Sponsor’s telephone number 8138743993
Plan sponsor’s address 19045 N. DALE MABRY HIGHWAY, LUTZ, FL, 335484982

Signature of
Role Plan administrator
Date 2015-10-06
Name of individual signing MICHAEL FRIEDMAN
Valid signature Filed with authorized/valid electronic signature
CLINICAL BILLING SERVICES, INC. PENSION PLAN 2014 592955712 2015-10-06 CLINICAL BILLING SERVICES, INC. 23
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2009-01-01
Business code 621111
Sponsor’s telephone number 8138743993
Plan sponsor’s address 19045 N. DALE MABRY HIGHWAY, LUTZ, FL, 335484982

Signature of
Role Plan administrator
Date 2015-10-06
Name of individual signing MICHAEL FRIEDMAN
Valid signature Filed with authorized/valid electronic signature
CLINICAL BILLING SERVICES, INC. PENSION PLAN 2013 592955712 2014-07-24 CLINICAL BILLING SERVICES, INC. 24
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2009-01-01
Business code 621111
Sponsor’s telephone number 8138743993
Plan sponsor’s address 19045 N. DALE MABRY HIGHWAY, LUTZ, FL, 335484982

Signature of
Role Plan administrator
Date 2014-07-24
Name of individual signing MICHAEL FRIEDMAN
Valid signature Filed with authorized/valid electronic signature
AFFILIATED SERVICES PROFIT SHARING PLAN AND TRUST 2013 592955712 2014-07-24 CLINICAL BILLING SERVICES, INC. 33
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1989-01-01
Business code 621111
Sponsor’s telephone number 8138743993
Plan sponsor’s address 19045 N. DALE MABRY HIGHWAY, LUTZ, FL, 335484982

Signature of
Role Plan administrator
Date 2014-07-24
Name of individual signing MICHAEL FRIEDMAN
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
Edgington, Lauren Agent 5105 Memorial Hwy, Tampa, FL 33634

PRESIDENT

Name Role Address
RUFFOLO, EUGENE, Dr. PRESIDENT 5105 MEMORIAL HWY, TAMPA, FL 33634-7356

Secretary

Name Role Address
JEFFREY, P. BRIAN, Dr. Secretary 5105 MEMORIAL HWY, TAMPA, FL 33634-7356

Treasurer

Name Role Address
FRIEDMAN, MICHAEL I, Dr. Treasurer 5105 MEMORIAL HWY, TAMPA, FL 33607

Vice President

Name Role Address
BASCHINSKY, DMITRY, DR. Vice President 5105 MEMORIAL HWY, TAMPA, FL 33634

Events

Event Type Filed Date Value Description
REGISTERED AGENT ADDRESS CHANGED 2024-01-19 5105 Memorial Hwy, Tampa, FL 33634 No data
CHANGE OF PRINCIPAL ADDRESS 2023-05-16 5105 Memorial Hwy, Tampa, FL 33634 No data
CHANGE OF MAILING ADDRESS 2023-05-16 5105 Memorial Hwy, Tampa, FL 33634 No data
REGISTERED AGENT NAME CHANGED 2023-02-08 Edgington, Lauren No data
REINSTATEMENT 2011-06-15 No data No data
ADMIN DISSOLUTION FOR ANNUAL REPORT 2010-09-24 No data No data

Documents

Name Date
AMENDED ANNUAL REPORT 2024-07-01
ANNUAL REPORT 2024-01-19
ANNUAL REPORT 2023-02-08
ANNUAL REPORT 2022-03-07
ANNUAL REPORT 2021-02-10
ANNUAL REPORT 2020-02-11
ANNUAL REPORT 2019-02-11
ANNUAL REPORT 2018-03-08
ANNUAL REPORT 2017-01-13
ANNUAL REPORT 2016-03-07

Related by officers

JEFFREY, P. BRIAN, Dr.

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FRIEDMAN, MICHAEL I, Dr.

ASSOCIATED PATHOLOGISTS, P.A.

Related by address

5105 Memorial Hwy, Tampa, FL 33634

ASSOCIATED PATHOLOGISTS, P.A.

5105 Memorial Hwy, Tampa, FL 33634

ASSOCIATED PATHOLOGISTS, P.A.

Date of last update: 04 Feb 2025

Sources: Florida Department of State

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