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PALM BEACH COUNTY MEDICAL SOCIETY OF FLORIDA, INCORPORATED - Florida Company Profile

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Company Details

Entity Name: PALM BEACH COUNTY MEDICAL SOCIETY OF FLORIDA, INCORPORATED
Jurisdiction: FLORIDA
Filing Type: Domestic Non-Profit
Status: Active
Date Filed: 30 Jun 1992 (33 years ago)
Document Number: N49647
FEI/EIN Number 300130804
Address: 3540 FOREST HILL BLVD, SUITE 101, WEST PALM BEACH, FL, 33406, US
Mail Address: 3540 FOREST HILL BLVD, SUITE 101, WEST PALM BEACH, FL, 33406, US
ZIP code: 33406
City: West Palm Beach
County: Palm Beach
Place of Formation: FLORIDA

Key Officers & Management

Name Role Address
Kirk Barto Claudia Agent 3540 FOREST HILL BLVD., WEST PALM BEACH, FL, 33406
Berkman Andrew MD President 3540 Forest Hill Boulevard, West Palm Beach, FL, 33406
Kirk Barto Claudia Director 3540 Forest Hill Blvd. Suite 101, West Palm Beach, FL, 33406
Norton Vicki MD President 3540 Forest Hill Boulevard, West Palm Beacvh, FL, 33406
Gottsegen Josh Vice President 3540 Forest Hill Boulevard, West Palm Beach, FL, 33406
Thomas Ann MD Treasurer 3540 Forest Hill Boulevard, West Palm Beach, FL, 33406

Form 5500 Series

Employer Identification Number (EIN):
300130804
Plan Year:
2021
Number Of Participants:
19
Sponsors Telephone Number:
Plan Year:
2020
Number Of Participants:
0
Sponsors Telephone Number:

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G15000094092 PALM BEACH COUNTY MEDICAL SOCIETY EXPIRED 2015-09-14 2020-12-31 - 3540 FOREST HILL BLVD., SUITE 101, WEST PALM BEACH, FL, 33406

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2022-03-25 3540 FOREST HILL BLVD, SUITE 101, WEST PALM BEACH, FL 33406 -
CHANGE OF MAILING ADDRESS 2022-03-25 3540 FOREST HILL BLVD, SUITE 101, WEST PALM BEACH, FL 33406 -
REGISTERED AGENT NAME CHANGED 2020-12-11 Skidmore, Kelly -
REGISTERED AGENT ADDRESS CHANGED 1999-03-17 3540 FOREST HILL BLVD., #101, WEST PALM BEACH, FL 33406 -

Debts

Document Number Status Case Number Name of Court Date of Entry Expiration Date Amount Due Plaintiff
J13001174771 TERMINATED 1000000512325 PALM BEACH 2013-05-29 2023-07-10 $ 1,845.58 STATE OF FLORIDA, DEPARTMENT OF REVENUE, WEST PALM BEACH SERVICE CENTER, 2468 METROCENTRE BLVD, WEST PALM BEACH FL334073105

Documents

Name Date
ANNUAL REPORT 2024-03-11
ANNUAL REPORT 2023-03-04
ANNUAL REPORT 2022-03-25
ANNUAL REPORT 2021-02-02
AMENDED ANNUAL REPORT 2020-12-11
ANNUAL REPORT 2020-03-18
ANNUAL REPORT 2019-04-19
ANNUAL REPORT 2018-03-02
ANNUAL REPORT 2017-05-09
ANNUAL REPORT 2016-02-08

USAspending Awards / Financial Assistance

Date:
2020-05-02
Awarding Agency Name:
Small Business Administration
Transaction Description:
TO AID SMALL BUSINESSES IN MAINTAINING WORK FORCE DURING COVID-19 PANDEMIC.
Obligated Amount:
0.00
Face Value Of Loan:
154400.00
Total Face Value Of Loan:
154400.00

Tax Exempt

Employer Identification Number (EIN) :
30-0130804
In Care Of Name:
% TENNA WLLES
Classification:
Government Instrumentality, Title-Holding Corporation, Charitable Organization, Agricultural Organization, Board of Trade, Pleasure, Recreational, or Social Club, Fraternal Beneficiary Society, Order or Association, Voluntary Employees' Beneficiary Association (Non-Govt. Emps.), Domestic Fraternal Societies and Associations, Teachers Retirement Fund Assoc., Benevolent Life Insurance Assoc., Burial Association, Credit Union, Mutual Insurance Company or Assoc. Other Than Life or Marine, Corp. Financing Crop Operations, Supplemental Unemployment Compensation Trust or Plan, Employee Funded Pension Trust (Created Before 6/25/59), Post or Organization of War Veterans, Legal Service Organization, Black Lung Trust, Multiemployer Pension Plan, Veterans Assoc. Formed Prior to 1880, Trust Described in Sect. 4049 of ERISA, Title Holding Co. for Pensions, etc., State-Sponsored High Risk Health Insurance Organizations, State-Sponsored Workers' Compensation Reinsurance, ACA 1322 Qualified Nonprofit Health Insurance Issuers, Apostolic and Religious Org. (501(d)), Cooperative Hospital Service Organization (501(e)), Cooperative Service Organization of Operating Educational Organization (501(f)), Child Care Organization (501(k)), Charitable Risk Pool, Qualified State-Sponsored Tuition Program, 4947(a)(1) - Private Foundation (Form 990PF Filer)
Ruling Date:
2003-06

Paycheck Protection Program

Jobs Reported:
11
Initial Approval Amount:
$154,400
Date Approved:
2020-05-01
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$154,400
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Unanswered
Veteran:
Unanswered
Forgiveness Amount:
$155,362.07
Servicing Lender:
First-Citizens Bank & Trust Company
Use of Proceeds:
Payroll: $154,400

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Date of last update: 03 Jul 2025

Sources: Florida Department of State