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  5. PRIMARY CARE ASSOCIATES OF S.W. FLORIDA, P.A.

PRIMARY CARE ASSOCIATES OF S.W. FLORIDA, P.A.

Company Details

Entity Name: PRIMARY CARE ASSOCIATES OF S.W. FLORIDA, P.A.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Inactive
Date Filed: 27 Nov 2000 (24 years ago)
Date of dissolution: 10 Aug 2021 (3 years ago)
Last Event: VOLUNTARY DISSOLUTION
Event Date Filed: 10 Aug 2021 (3 years ago)
Document Number: P00000109934
FEI/EIN Number 651052826
Address: 2091 TAMIAMI TRL., PORT CHARLOTTE, FL, 33948, US
Mail Address: 2091 TAMIAMI TRL., PORT CHARLOTTE, FL, 33948, US
ZIP code: 33948
County: Charlotte
Place of Formation: FLORIDA

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
PRIMARY CARE ASSOCIATES OF S.W. FLORIDA, P.A. 401(K) PLAN & TRUST 2017 651052826 2018-10-12 PRIMARY CARE ASSOCIATES OF S.W. FLORIDA, P.A. 1
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-01-01
Business code 621111
Sponsor’s telephone number 9416259494
Plan sponsor’s address 2091 TAMIAMI TRAIL, PORT CHARLOTTE, FL, 339482112

Signature of
Role Plan administrator
Date 2018-10-12
Name of individual signing DEBRA A. HOOPER
Valid signature Filed with authorized/valid electronic signature
PRIMARY CARE ASSOCIATES OF S.W. FLORIDA, P.A. 401(K) PLAN & TRUST 2016 651052826 2018-01-31 PRIMARY CARE ASSOCIATES OF S.W. FLORIDA, P.A. 21
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-01-01
Business code 621111
Sponsor’s telephone number 9416259494
Plan sponsor’s address 2091 TAMIAMI TRAIL, PORT CHARLOTTE, FL, 339482112

Signature of
Role Plan administrator
Date 2018-01-31
Name of individual signing DEBRA A. HOOPER
Valid signature Filed with authorized/valid electronic signature
PRIMARY CARE ASSOCIATES OF S.W. FLORIDA, P.A. 401(K) PLAN & TRUST 2015 651052826 2016-10-17 PRIMARY CARE ASSOCIATES OF S.W. FLORIDA, P.A. 11
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-01-01
Business code 621111
Sponsor’s telephone number 9416259494
Plan sponsor’s address 2091 TAMIAMI TRAIL, PORT CHARLOTTE, FL, 339482112

Signature of
Role Plan administrator
Date 2016-10-17
Name of individual signing DEBRA A. HOOPER
Valid signature Filed with authorized/valid electronic signature
PRIMARY CARE ASSOCIATES OF S.W. FLORIDA, P.A. 401(K) PLAN & TRUST 2014 651052826 2015-10-15 PRIMARY CARE ASSOCIATES OF S.W. FLORIDA, P.A. 15
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-01-01
Business code 621111
Sponsor’s telephone number 9416259494
Plan sponsor’s address 2091 TAMIAMI TRAIL, PORT CHARLOTTE, FL, 339482112

Signature of
Role Plan administrator
Date 2015-10-15
Name of individual signing DEBRA A. HOOPER
Valid signature Filed with authorized/valid electronic signature
PRIMARY CARE ASSOCIATES OF S.W. FLORIDA, P.A. 401(K) PLAN & TRUST 2013 651052826 2014-10-15 PRIMARY CARE ASSOCIATES OF S.W. FLORIDA, P.A. 15
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-01-01
Business code 621111
Sponsor’s telephone number 9416259494
Plan sponsor’s address 2091 TAMIAMI TRAIL, PORT CHARLOTTE, FL, 339482112

Signature of
Role Plan administrator
Date 2014-10-15
Name of individual signing DEBRA A. HOOPER
Valid signature Filed with authorized/valid electronic signature
PRIMARY CARE ASSOCIATES OF S.W. FLORIDA, P.A. 401(K) PLAN & TRUST 2012 651052826 2013-10-15 PRIMARY CARE ASSOCIATES OF S.W. FLORIDA, P.A. 16
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-01-01
Business code 621111
Sponsor’s telephone number 9416259494
Plan sponsor’s address 2091 TAMIAMI TRAIL, PORT CHARLOTTE, FL, 339482112

Signature of
Role Plan administrator
Date 2013-10-15
Name of individual signing DEBRA A. HOOPER
Valid signature Filed with authorized/valid electronic signature
PRIMARY CARE ASSOCIATES OF S.W. FLORIDA, P.A. 401(K) PLAN & TRUST 2011 651052826 2012-10-16 PRIMARY CARE ASSOCIATES OF S.W. FLORIDA, P.A. 16
File View Page
Three-digit plan number (PN) 003
Effective date of plan 2009-01-01
Business code 621111
Sponsor’s telephone number 9416259494
Plan sponsor’s address 2091 TAMIAMI TRAIL, PORT CHARLOTTE, FL, 339482112

Plan administrator’s name and address
Administrator’s EIN 651052826
Plan administrator’s name PRIMARY CARE ASSOCIATES OF S.W. FLORIDA, P.A.
Plan administrator’s address 2091 TAMIAMI TRAIL, PORT CHARLOTTE, FL, 339482112
Administrator’s telephone number 9416259494

Signature of
Role Plan administrator
Date 2012-10-15
Name of individual signing DEBRA HOOPER
Valid signature Filed with authorized/valid electronic signature
PRIMARY CARE ASSOCIATES OF 401(K) PROFIT SHARING PLAN & TRUST 2010 651052826 2013-04-09 PRIMARY CARE ASSOCIATES OF S.W. FLORIDA, P.A. 4
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2009-01-01
Business code 621111
Sponsor’s telephone number 9416259494
Plan sponsor’s address 2091 TAMIAMI TRAIL, PORT CHARLOTTE, FL, 339482112

Plan administrator’s name and address
Administrator’s EIN 651052826
Plan administrator’s name PRIMARY CARE ASSOCIATES OF S.W. FLORIDA, P.A.
Plan administrator’s address 2091 TAMIAMI TRAIL, PORT CHARLOTTE, FL, 339482112
Administrator’s telephone number 9416259494

Signature of
Role Plan administrator
Date 2013-04-09
Name of individual signing TANWEER A. MEMON, M.D.
Valid signature Filed with authorized/valid electronic signature
PRIMARY CARE ASSOCIATES OF S.W. FLORIDA, P.A. 401(K) PLAN & TRUST 2010 651052826 2011-10-17 PRIMARY CARE ASSOCIATES OF S.W. FLORIDA, P.A. 12
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-01-01
Business code 621111
Sponsor’s telephone number 9416259494
Plan sponsor’s address 2091 TAMIAMI TRAIL, PORT CHARLOTTE, FL, 339482112

Plan administrator’s name and address
Administrator’s EIN 651052826
Plan administrator’s name PRIMARY CARE ASSOCIATES OF S.W. FLORIDA, P.A.
Plan administrator’s address 2091 TAMIAMI TRAIL, PORT CHARLOTTE, FL, 339482112
Administrator’s telephone number 9416259494

Signature of
Role Plan administrator
Date 2011-10-17
Name of individual signing GERMAINE LEVERETTE
Valid signature Filed with authorized/valid electronic signature
PRIMARY CARE ASSOCIATES, INC. 401(K) PROFIT SHARING PLAN 2010 651052826 2010-12-16 PRIMARY CARE ASSOCIATES OF S.W. FLORIDA, P.A. 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-01-01
Business code 621111
Sponsor’s telephone number 9416259494
Plan sponsor’s mailing address 2091 TAMIAMI TRAIL, PORT CHARLOTTE, FL, 339482112
Plan sponsor’s address 2091 TAMIAMI TRAIL, PORT CHARLOTTE, FL, 339482112

Plan administrator’s name and address
Administrator’s EIN 651052826
Plan administrator’s name PRIMARY CARE ASSOCIATES OF S.W. FLORIDA, P.A.
Plan administrator’s address 2091 TAMIAMI TRAIL, PORT CHARLOTTE, FL, 339482112
Administrator’s telephone number 9416259494

Number of participants as of the end of the plan year
Active participants 5
Retired or separated participants receiving benefits 0
Other retired or separated participants entitled to future benefits 1
Deceased participants whose beneficiaries are receiving or are entitled to receive benefits 0
Number of participants with account balances as of the end of the plan year 6
Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 1

Signature of
Role Plan administrator
Date 2010-12-16
Name of individual signing DEBRA HOOPER
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
HOLMES DAVID A Agent 99 NESBIT STREET, PUNTA GORDA, FL, 33950

Director

Name Role Address
KAMAL ASIF Director 1011 HARBOR BLVD, PORT CHARLOTTE, FL, 33952
KOPPUZHA GEORGE C Director 3020 RIVERSHORE LANE, PORT CHARLOTTE, FL, 33953
MEMON TANWEER A Director 3657 Tropicaire Blvd., North Port, FL, 34286
HASSAN SYED Director 3079 TROPICAIRE BLVD, NORTH PORT, FL, 34286

President

Name Role Address
KAMAL ASIF President 1011 HARBOR BLVD, PORT CHARLOTTE, FL, 33952

Vice President

Name Role Address
KOPPUZHA GEORGE C Vice President 3020 RIVERSHORE LANE, PORT CHARLOTTE, FL, 33953
MEMON TANWEER A Vice President 3657 Tropicaire Blvd., North Port, FL, 34286
HASSAN SYED Vice President 3079 TROPICAIRE BLVD, NORTH PORT, FL, 34286

Events

Event Type Filed Date Value Description
VOLUNTARY DISSOLUTION 2021-08-10 No data No data
REGISTERED AGENT NAME CHANGED 2012-04-29 HOLMES, DAVID AESQ No data
REGISTERED AGENT ADDRESS CHANGED 2012-04-29 99 NESBIT STREET, PUNTA GORDA, FL 33950 No data
CHANGE OF PRINCIPAL ADDRESS 2004-03-24 2091 TAMIAMI TRL., PORT CHARLOTTE, FL 33948 No data
CHANGE OF MAILING ADDRESS 2004-03-24 2091 TAMIAMI TRL., PORT CHARLOTTE, FL 33948 No data

Documents

Name Date
Voluntary Dissolution 2021-08-10
ANNUAL REPORT 2021-05-01
ANNUAL REPORT 2020-06-29
ANNUAL REPORT 2019-04-18
ANNUAL REPORT 2018-04-18
ANNUAL REPORT 2017-04-24
ANNUAL REPORT 2016-04-22
ANNUAL REPORT 2015-04-30
ANNUAL REPORT 2014-03-21
ANNUAL REPORT 2013-04-26

Related by officers

KAMAL ASIF

KAMAL & HASSAN, LLC PRIMARY CARE PROPERTIES, LLC

KOPPUZHA GEORGE C

ACC MCCALL II, LLC KOPPUZHA INVESTMENTS, LLC KOPPUZHA ENGLEWOOD, LLC KOPPUZHA BINOY PROPERTIES, LLC KOPPUZHA CALIFORNIA, LLC KOPPUZHA HARBOR BLVD., LLC KOPPUZHA RIVERWOOD, LLC CHARLOTTE INTERNAL MEDICINE ASSOCIATES, P.A. KOPPUZHA NORTH PORT, LLC

MEMON TANWEER A

MEMON MEMON PROPERTIES, LLC M AND D PARK LLC

HASSAN SYED

FRIENDZ FOOD MARKET, LLC FLAMINGO FOOD MARKET LLC CCTEAM22 ENTERPRISES LLC HASSAN SALEEM PROPERTIES, LLC REDENONE GLOBAL VENTURES LLC

HOLMES DAVID A

ENZYMEDICA TRAVELS, LLC MANNY TADALAN CONSULTING, LLC DOUBLERIDGE, LLC CPCON, LLC CHARLOTTE RADIOLOGY READING COMPANY, LLC PHARMACON SERVICES, INC. HEALTHY WEIGHT RX, LLC MAAGUA, LLC TRAKKING PARTNERS, LLLP CLRK HOLDINGS, LLC

Related by address

No related companies by address

Date of last update: 02 Feb 2025

Sources: Florida Department of State

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