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  5. VOLUNTEERS IN MEDICINE CLINIC, INC.

VOLUNTEERS IN MEDICINE CLINIC, INC.

Company Details

Entity Name: VOLUNTEERS IN MEDICINE CLINIC, INC.
Jurisdiction: FLORIDA
Filing Type: Domestic Non-Profit
Status: Active
Date Filed: 19 Jun 2001 (24 years ago)
Document Number: N01000004357
FEI/EIN Number 651115793
Address: 417 SE BALBOA AVE, STUART, FL, 34994, US
Mail Address: 417 SE BALBOA AVE, STUART, FL, 34994, US
ZIP code: 34994
County: Martin
Place of Formation: FLORIDA

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
VOLUNTEERS IN MEDICINE CLINIC 401(K) PROFIT SHARING PLAN & TRUST 2023 651115793 2024-05-23 VOLUNTEERS IN MEDICINE CLINIC 16
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-01-01
Business code 541990
Sponsor’s telephone number 7724634128
Plan sponsor’s address 417 SE BALBOA AVENUE, STUART, FL, 34994

Signature of
Role Plan administrator
Date 2024-05-23
Name of individual signing MARY FIELDS
Valid signature Filed with authorized/valid electronic signature
VOLUNTEERS IN MEDICINE CLINIC 401(K) PROFIT SHARING PLAN & TRUST 2022 651115793 2023-03-29 VOLUNTEERS IN MEDICINE CLINIC 15
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-01-01
Business code 541990
Sponsor’s telephone number 7724634128
Plan sponsor’s address 417 SE BALBOA AVENUE, STUART, FL, 34994

Signature of
Role Plan administrator
Date 2023-03-29
Name of individual signing MARY FIELDS
Valid signature Filed with authorized/valid electronic signature
VOLUNTEERS IN MEDICINE CLINIC 401(K) PROFIT SHARING PLAN & TRUST 2021 651115793 2022-04-08 VOLUNTEERS IN MEDICINE CLINIC 14
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-01-01
Business code 541990
Sponsor’s telephone number 7724634128
Plan sponsor’s address 417 SE BALBOA AVENUE, STUART, FL, 34994

Signature of
Role Plan administrator
Date 2022-04-08
Name of individual signing MARY FIELDS
Valid signature Filed with authorized/valid electronic signature
VOLUNTEERS IN MEDICINE CLINIC 401(K) PROFIT SHARING PLAN & TRUST 2020 651115793 2021-03-31 VOLUNTEERS IN MEDICINE CLINIC 12
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-01-01
Business code 541990
Sponsor’s telephone number 7724634128
Plan sponsor’s address 417 SE BALBOA AVENUE, STUART, FL, 34994

Signature of
Role Plan administrator
Date 2021-03-31
Name of individual signing MARY FIELDS
Valid signature Filed with authorized/valid electronic signature
VOLUNTEERS IN MEDICINE CLINIC 401(K) PROFIT SHARING PLAN & TRUST 2019 651115793 2020-04-26 VOLUNTEERS IN MEDICINE CLINIC 12
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-01-01
Business code 541990
Sponsor’s telephone number 7724634128
Plan sponsor’s address 417 SE BALBOA AVENUE, STUART, FL, 34994

Signature of
Role Plan administrator
Date 2020-04-26
Name of individual signing MARY FIELDS
Valid signature Filed with authorized/valid electronic signature
VOLUNTEERS IN MEDICINE CLINIC 401 K PROFIT SHARING PLAN TRUST 2018 651115793 2019-03-22 VOLUNTEERS IN MEDICINE CLINIC 14
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-01-01
Business code 541990
Sponsor’s telephone number 7724634128
Plan sponsor’s address 417 SE BALBOA AVENUE, STUART, FL, 34994

Signature of
Role Plan administrator
Date 2019-03-22
Name of individual signing MARY FIELDS
Valid signature Filed with authorized/valid electronic signature
VOLUNTEERS IN MEDICINE CLINIC 401 K PROFIT SHARING PLAN TRUST 2017 651115793 2018-06-07 VOLUNTEERS IN MEDICINE CLINIC 16
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-01-01
Business code 541990
Sponsor’s telephone number 7724634128
Plan sponsor’s address 417 SE BALBOA AVENUE, STUART, FL, 34994

Signature of
Role Plan administrator
Date 2018-06-07
Name of individual signing MARY FIELDS
Valid signature Filed with authorized/valid electronic signature
VOLUNTEERS IN MEDICINE CLINIC 401 K PROFIT SHARING PLAN TRUST 2016 651115793 2017-06-19 VOLUNTEERS IN MEDICINE CLINIC 12
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-01-01
Business code 541990
Sponsor’s telephone number 7724634128
Plan sponsor’s address 417 SE BALBOA AVENUE, STUART, FL, 34994

Signature of
Role Plan administrator
Date 2017-06-19
Name of individual signing MARY FIELDS
Valid signature Filed with authorized/valid electronic signature
VOLUNTEERS IN MEDICINE CLINIC 401 K PROFIT SHARING PLAN TRUST 2015 651115793 2016-06-24 VOLUNTEERS IN MEDICINE CLINIC 13
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-01-01
Business code 541990
Sponsor’s telephone number 7724634128
Plan sponsor’s address 417 SE BALBOA AVENUE, STUART, FL, 34994

Signature of
Role Plan administrator
Date 2016-06-24
Name of individual signing MARY FIELDS
Valid signature Filed with authorized/valid electronic signature
VOLUNTEERS IN MEDICINE CLINIC 401 K PROFIT SHARING PLAN TRUST 2014 651115793 2015-06-01 VOLUNTEERS IN MEDICINE CLINIC 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-01-01
Business code 541990
Sponsor’s telephone number 7724634128
Plan sponsor’s address 417 SE BALBOA AVENUE, STUART, FL, 34994

Signature of
Role Plan administrator
Date 2015-06-01
Name of individual signing MARY FIELDS
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
FIELDS MARY Agent 417 SE BALBOA AVENUE, STUART, FL, 34994

President

Name Role Address
BROMBERG JORDAN MD President 417 SE BALBOA AVE, STUART, FL, 34994

DB

Name Role Address
SWANSON PAUL MD DB 417 SE BALBOA AVE, STUART, FL, 34994
BETHEA WILLIAM MD DB 417 SE BALBOA AVE, STUART, FL, 34994

Director

Name Role Address
FIELDS MARY MD Director 417 SE BALBOA AVE, STUART, FL, 34994
Eddison Alan APRN Director 417 SE BALBOA AVE, STUART, FL, 34994
BROMBERG JORDAN MD Director 417 SE BALBOA AVE, STUART, FL, 34994

Secretary

Name Role Address
FIELDS MARY MD Secretary 417 SE BALBOA AVE, STUART, FL, 34994

Treasurer

Name Role Address
FIELDS MARY MD Treasurer 417 SE BALBOA AVE, STUART, FL, 34994

Vice President

Name Role Address
DODDS VICTORIA APRN Vice President 417 SE BALBOA AVE, STUART, FL, 34994

Related by officers

FIELDS MARY

UNIVERSITY MANORS CONDOMINIUM NUMBER ONE, INC. RAYMOND & SHEILA WILLIAMS, INC.

Related by address

No related companies by address

Date of last update: 02 Jan 2025

Sources: Florida Department of State

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