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  5. FIRST COAST PULMONARY ASSOCIATES, P.A.

FIRST COAST PULMONARY ASSOCIATES, P.A.

Company Details

Entity Name: FIRST COAST PULMONARY ASSOCIATES, P.A.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Active
Date Filed: 30 Mar 2001 (24 years ago)
Last Event: AMENDMENT
Event Date Filed: 25 Jul 2005 (20 years ago)
Document Number: P01000034030
FEI/EIN Number 593714157
Address: 100 WHETSTONE PLACE, STE 210, ST AUGUSTINE, FL, 32806, US
Mail Address: 100 Whetstone Place, Suite 210, ST AUGUSTINE, FL, 32806, US
ZIP code: 32806
County: Orange
Place of Formation: FLORIDA

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
FIRST COAST PULMONARY RETIREMENT PLAN 2023 593714157 2024-03-22 FIRST COAST PULMONARY ASSOCIATES, P.A. 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-08-01
Business code 621111
Sponsor’s telephone number 9048196800
Plan sponsor’s address 100 WHETSTONE PL STE 210, ST AUGUSTINE, FL, 320865775

Signature of
Role Plan administrator
Date 2024-03-22
Name of individual signing CAROL BORBELY
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2024-03-22
Name of individual signing CAROL BORBELY
Valid signature Filed with authorized/valid electronic signature
FIRST COAST PULMONARY RETIREMENT PLAN 2022 593714157 2023-03-28 FIRST COAST PULMONARY ASSOCIATES, P.A. 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-08-01
Business code 621111
Sponsor’s telephone number 9048196800
Plan sponsor’s address 100 WHETSTONE PL STE 210, ST AUGUSTINE, FL, 320865775

Signature of
Role Plan administrator
Date 2023-03-28
Name of individual signing CAROL BORBELY
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2023-03-28
Name of individual signing CAROL BORBELY
Valid signature Filed with authorized/valid electronic signature
FIRST COAST PULMONARY RETIREMENT PLAN 2021 593714157 2022-03-30 FIRST COAST PULMONARY ASSOCIATES, P.A. 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-08-01
Business code 621111
Sponsor’s telephone number 9048196800
Plan sponsor’s address 100 WHETSTONE PL STE 210, ST AUGUSTINE, FL, 320865775

Signature of
Role Plan administrator
Date 2022-03-30
Name of individual signing CAROL BORBELY
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2022-03-30
Name of individual signing CAROL BORBELY
Valid signature Filed with authorized/valid electronic signature
FIRST COAST PULMONARY RETIREMENT PLAN 2020 593714157 2021-03-16 FIRST COAST PULMONARY ASSOCIATES, P.A. 13
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-08-01
Business code 621111
Sponsor’s telephone number 9048196800
Plan sponsor’s address 100 WHETSTONE PL STE 208, ST AUGUSTINE, FL, 320865775

Signature of
Role Plan administrator
Date 2021-03-16
Name of individual signing CAROL BORBELY
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2021-03-16
Name of individual signing CAROL BORBELY
Valid signature Filed with authorized/valid electronic signature
FIRST COAST PULMONARY RETIREMENT PLAN 2019 593714157 2020-04-01 FIRST COAST PULMONARY ASSOCIATES, P.A. 15
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-08-01
Business code 621111
Sponsor’s telephone number 9048196800
Plan sponsor’s address 100 WHETSTONE PL STE 208, ST AUGUSTINE, FL, 320865775

Signature of
Role Plan administrator
Date 2020-04-01
Name of individual signing CAROL BORBELY
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2020-04-01
Name of individual signing CAROL BORBELY
Valid signature Filed with authorized/valid electronic signature
FIRST COAST PULMONARY RETIREMENT PLAN 2018 593714157 2019-04-03 FIRST COAST PULMONARY ASSOCIATES, P.A. 13
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-08-01
Business code 621111
Sponsor’s telephone number 9048196800
Plan sponsor’s address 100 WHETSTONE PL STE 208, ST AUGUSTINE, FL, 320865775

Signature of
Role Plan administrator
Date 2019-04-03
Name of individual signing CAROL BORBELY
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2019-04-03
Name of individual signing CAROL BORBELY
Valid signature Filed with authorized/valid electronic signature
FIRST COAST PULMONARY RETIREMENT PLAN 2017 593714157 2018-03-23 FIRST COAST PULMONARY ASSOCIATES, P.A. 14
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-08-01
Business code 621111
Sponsor’s telephone number 9048196800
Plan sponsor’s address 100 WHETSTONE PL STE 208, ST AUGUSTINE, FL, 320865775

Signature of
Role Plan administrator
Date 2018-03-23
Name of individual signing CAROL BORBELY
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2018-03-23
Name of individual signing CAROL BORBELY
Valid signature Filed with authorized/valid electronic signature
FIRST COAST PULMONARY RETIREMENT PLAN 2016 593714157 2017-04-17 FIRST COAST PULMONARY ASSOCIATES, P.A. 15
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-08-01
Business code 621111
Sponsor’s telephone number 9048196800
Plan sponsor’s address 100 WHETSTONE PL STE 208, ST AUGUSTINE, FL, 320865775

Signature of
Role Plan administrator
Date 2017-04-17
Name of individual signing CAROL BORBELY
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2017-04-17
Name of individual signing CAROL BORBELY
Valid signature Filed with authorized/valid electronic signature
FIRST COAST PULMONARY RETIREMENT PLAN 2015 593714157 2016-02-29 FIRST COAST PULMONARY ASSOCIATES, P.A. 16
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-08-01
Business code 621111
Sponsor’s telephone number 9048196800
Plan sponsor’s address 100 WHETSTONE PL STE 208, ST AUGUSTINE, FL, 320865775

Signature of
Role Plan administrator
Date 2016-02-29
Name of individual signing CAROL BORBELY
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2016-02-29
Name of individual signing CAROL BORBELY
Valid signature Filed with authorized/valid electronic signature
FIRST COAST PULMONARY RETIREMENT PLAN 2014 593714157 2015-03-09 FIRST COAST PULMONARY ASSOCIATES, P.A. 21
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-08-01
Business code 621111
Sponsor’s telephone number 9048196800
Plan sponsor’s address 100 WHETSTONE PL STE 208, ST AUGUSTINE, FL, 320865775

Signature of
Role Plan administrator
Date 2015-03-09
Name of individual signing CAROL BORBELY
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2015-03-09
Name of individual signing CAROL BORBELY
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
BORBELY BERNARD R Agent 100 WHETSTONE PLACE, ST. AUGUSTINE, FL, 32086

President

Name Role Address
BORBELY BERNARD R President 100 WHETSTONE PLACE, SUITE 210, SAINT AUGUSTINE, FL, 32086

Director

Name Role Address
BORBELY BERNARD R Director 100 WHETSTONE PLACE, SUITE 210, SAINT AUGUSTINE, FL, 32086

Secretary

Name Role Address
CAROL BORBELY Secretary 100 WHETSTONE PLACE, SUITE 210, SAINT AUGUSTINE, FL, 32086

Vice President

Name Role Address
Shaqareq Ramzi Vice President 100 WHETSTONE PLACE, ST AUGUSTINE, FL, 32806

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G17000015634 FIRST COAST SLEEP DISORDERS CENTER EXPIRED 2017-02-11 2022-12-31 No data 100 WHETSTONE PLACE, SUITE 208, ST. AUGUSTINE, FL, 32086
G10000067214 FIRST COAST MEDICAL ASSOCIATES EXPIRED 2010-07-21 2015-12-31 No data 100 WHETSTONE PLACE, SUITE 208, ST. AUGUSTINE, FL, 32086
G10000006044 FIRST COAST SLEEP DISORDERS CENTER EXPIRED 2010-01-20 2015-12-31 No data 3 PINECONE DRIVE, STE 106, PALM COAST, FL, 32137
G09000141823 FIRST COAST PULMONARY SLEEP DISORDERS CENTER EXPIRED 2009-08-03 2014-12-31 No data 3 PINECONE DRIVE, SUITE 106, PALM COAST, FL, 32137

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2022-03-02 100 WHETSTONE PLACE, STE 210, ST AUGUSTINE, FL 32806 No data
REGISTERED AGENT ADDRESS CHANGED 2022-03-02 100 WHETSTONE PLACE, SUITE 210, ST. AUGUSTINE, FL 32086 No data
CHANGE OF MAILING ADDRESS 2021-08-26 100 WHETSTONE PLACE, STE 210, ST AUGUSTINE, FL 32806 No data
REGISTERED AGENT NAME CHANGED 2007-03-02 BORBELY, BERNARD R No data
AMENDMENT 2005-07-25 No data No data

Documents

Name Date
ANNUAL REPORT 2024-02-12
ANNUAL REPORT 2023-03-19
ANNUAL REPORT 2022-03-02
ANNUAL REPORT 2021-01-15
ANNUAL REPORT 2020-04-04
ANNUAL REPORT 2019-04-06
ANNUAL REPORT 2018-04-02
ANNUAL REPORT 2017-02-09
ANNUAL REPORT 2016-03-16
ANNUAL REPORT 2015-03-23

Related by officers

BORBELY BERNARD R

RANA 2, LLC SLEEP PHYSICIAN, LLC RANA, LLC

Related by address

No related companies by address

Date of last update: 01 Feb 2025

Sources: Florida Department of State

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