| Entity Name: | THE AMERICAN BOARD OF PHYSICIAN SPECIALTIES, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Non-Profit |
| Status: | Active |
| Date Filed: | 07 May 2007 (18 years ago) |
| Last Event: | NAME CHANGE AMENDMENT |
| Event Date Filed: | 23 Aug 2023 (2 years ago) |
| Document Number: | N07000004667 |
| FEI/EIN Number | 237009389 |
| Address: | 5550 W EXECUTIVE DRIVE, SUITE 400, TAMPA, FL, 33609, US |
| Mail Address: | 5550 W EXECUTIVE DRIVE, SUITE 400, TAMPA, FL, 33609, US |
| ZIP code: | 33609 |
| County: | Hillsborough |
| Place of Formation: | FLORIDA |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| THE AMERICAN BOARD OF PHYSICIAN SPECIALTIES, INC. 401(K) PROFIT SHARING PLAN | 2023 | 237009389 | 2024-05-25 | THE AMERICAN BOARD OF PHYSICIAN SPECIALTIES, INC. | 18 | |||||||||||||
|
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| Name | Role | Address |
|---|---|---|
| JOHNSON ROBERT EESQ. | Agent | 401 E. JACKSON STREET, TAMPA, FL, 33602 |
| Name | Role | Address |
|---|---|---|
| Morris Jeffery LJr. | Othe | 5550 West Executive Drive, Suite 400, Tampa, FL, 33609 |
| Name | Role | Address |
|---|---|---|
| Gilbert Sarah EDr. | President | 5 Memory Avenue, Nashua, NH, 03062 |
| Chiasson Ann Marie Dr. | President | 11381 North Silver Pheasant Loop, Oro Valley, AZ, 85737 |
| Name | Role | Address |
|---|---|---|
| Mukau Leslie Jr. | Vice President | 9902 Rue Biarritz, San Diego, CA, 32131 |
| Name | Role | Address |
|---|---|---|
| Amernath Lingappa SDr. | Secretary | 8 Deerpath Court, New Hartford, NY, 13413 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G23000103013 | THE AMERICAN ASSOCIATION OF PHYSICIAN SPECIALISTS | ACTIVE | 2023-08-31 | 2028-12-31 | No data | 5550 W. EXECUTIVE DR., SUITE 400, TAMPA, FL, 33609 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| NAME CHANGE AMENDMENT | 2023-08-23 | THE AMERICAN BOARD OF PHYSICIAN SPECIALTIES, INC. | No data |
| REGISTERED AGENT NAME CHANGED | 2021-11-17 | JOHNSON, ROBERT E, ESQ. | No data |
| REINSTATEMENT | 2021-11-17 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2021-09-24 | No data | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2017-05-22 | 401 E. JACKSON STREET, SUITE 2700, TAMPA, FL 33602 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2008-01-28 | 5550 W EXECUTIVE DRIVE, SUITE 400, TAMPA, FL 33609 | No data |
| CHANGE OF MAILING ADDRESS | 2008-01-28 | 5550 W EXECUTIVE DRIVE, SUITE 400, TAMPA, FL 33609 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-23 |
| Name Change | 2023-08-23 |
| ANNUAL REPORT | 2023-04-11 |
| ANNUAL REPORT | 2022-04-04 |
| REINSTATEMENT | 2021-11-17 |
| ANNUAL REPORT | 2020-01-15 |
| ANNUAL REPORT | 2019-05-22 |
| Reg. Agent Change | 2019-01-30 |
| ANNUAL REPORT | 2018-01-16 |
| Reg. Agent Change | 2017-05-22 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
