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  5. SPACE COAST RHEUMATOLOGY & ARTHRITIS CENTER, P.A.

SPACE COAST RHEUMATOLOGY & ARTHRITIS CENTER, P.A.

Company Details

Entity Name: SPACE COAST RHEUMATOLOGY & ARTHRITIS CENTER, P.A.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Active
Date Filed: 07 Jun 2001 (24 years ago)
Document Number: P01000056445
FEI/EIN Number 593720851
Address: 40 FORTENBERRY ROAD, MERRITT ISLAND, FL, 32952
Mail Address: 7136 PENA LANE, MELBOURNE, FL, 32940, US
ZIP code: 32952
County: Brevard
Place of Formation: FLORIDA

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
SPACE COAST RHEUMATOLOGY & ARTHRITIS CENTER, P.A. PROFIT SHARING PLAN 2015 593720851 2016-11-30 SPACE COAST RHEUMATOLOGY & ARTHRITIS CENTER, P.A 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-01-01
Business code 621111
Sponsor’s telephone number 3217598640
Plan sponsor’s address 40 FORTENBERRY ROAD, MERRITT ISLAND, FL, 32952

Signature of
Role Plan administrator
Date 2016-11-30
Name of individual signing RODERICK SALACH
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2016-11-30
Name of individual signing RODERICK SALACH
Valid signature Filed with authorized/valid electronic signature
SPACE COAST RHEUMATOLOGY & ARTHRITIS CENTER, P.A. PROFIT SHARING PLAN 2015 593720851 2016-08-01 SPACE COAST RHEUMATOLOGY & ARTHRITIS CENTER, P.A 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-01-01
Business code 621111
Sponsor’s telephone number 3217598640
Plan sponsor’s address 40 FORTENBERRY ROAD, MERRITT ISLAND, FL, 32952

Signature of
Role Plan administrator
Date 2016-08-01
Name of individual signing RODERICK SALACH
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2016-08-01
Name of individual signing RODERICK SALACH
Valid signature Filed with authorized/valid electronic signature
SPACE COAST RHEUMATOLOGY & ARTHRITIS CENTER, P.A. PROFIT SHARING PLAN 2014 593720851 2015-04-21 SPACE COAST RHEUMATOLOGY & ARTHRITIS CENTER, P.A 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-01-01
Business code 621111
Sponsor’s telephone number 3217598640
Plan sponsor’s address 40 FORTENBERRY ROAD, MERRITT ISLAND, FL, 32952

Signature of
Role Plan administrator
Date 2015-04-21
Name of individual signing LINDA SALACH
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2015-04-21
Name of individual signing LINDA SALACH
Valid signature Filed with authorized/valid electronic signature
SPACE COAST RHEUMATOLOGY & ARTHRITIS CENTER, P.A. PROFIT SHARING PLAN 2013 593720851 2014-02-14 SPACE COAST RHEUMATOLOGY & ARTHRITIS CENTER, P.A 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-01-01
Business code 621111
Sponsor’s telephone number 3217598640
Plan sponsor’s address 40 FORTENBERRY ROAD, MERRITT ISLAND, FL, 32952

Signature of
Role Plan administrator
Date 2014-02-14
Name of individual signing RODERICK SALACH
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2014-02-14
Name of individual signing RODERICK SALACH
Valid signature Filed with authorized/valid electronic signature
SPACE COAST RHEUMATOLOGY & ARTHRITIS CENTER, P.A. PROFIT SHARING PLAN 2012 593720851 2013-02-18 SPACE COAST RHEUMATOLOGY & ARTHRITIS CENTER, P.A 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-01-01
Business code 621111
Sponsor’s telephone number 3217598640
Plan sponsor’s address 40 FORTENBERRY ROAD, MERRITT ISLAND, FL, 32952

Signature of
Role Plan administrator
Date 2013-02-18
Name of individual signing RODERICK H. SALACH, D.O.
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2013-02-18
Name of individual signing RODERICK H. SALACH, D.O.
Valid signature Filed with authorized/valid electronic signature
SPACE COAST RHEUMATOLOGY & ARTHRITIS CENTER, P.A. PROFIT SHARING PLAN 2011 593720851 2012-05-18 SPACE COAST RHEUMATOLOGY & ARTHRITIS CENTER, P.A 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-01-01
Business code 621111
Sponsor’s telephone number 3217598640
Plan sponsor’s address 40 FORTENBERRY ROAD, MERRITT ISLAND, FL, 32952

Plan administrator’s name and address
Administrator’s EIN 593720851
Plan administrator’s name SPACE COAST RHEUMATOLOGY & ARTHRITIS CENTER, P.A
Plan administrator’s address 40 FORTENBERRY ROAD, MERRITT ISLAND, FL, 32952
Administrator’s telephone number 3217598640

Signature of
Role Plan administrator
Date 2012-05-17
Name of individual signing RODERICK SALACH
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2012-05-17
Name of individual signing RODERICK SALACH
Valid signature Filed with authorized/valid electronic signature
SPACE COAST RHEUMATOLOGY & ARTHRITIS CENTER, P.A. PROFIT SHARING PLAN 2010 593720851 2011-04-05 SPACE COAST RHEUMATOLOGY & ARTHRITIS CENTER, P.A 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-01-01
Business code 621111
Sponsor’s telephone number 3217598640
Plan sponsor’s address 40 FORTENBERRY ROAD, MERRITT ISLAND, FL, 32952

Plan administrator’s name and address
Administrator’s EIN 593720851
Plan administrator’s name SPACE COAST RHEUMATOLOGY & ARTHRITIS CENTER, P.A
Plan administrator’s address 40 FORTENBERRY ROAD, MERRITT ISLAND, FL, 32952
Administrator’s telephone number 3217598640

Signature of
Role Plan administrator
Date 2011-04-04
Name of individual signing RODERICK H. SALACH, D.O.
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2011-04-04
Name of individual signing RODERICK H. SALACH, D.O.
Valid signature Filed with authorized/valid electronic signature
SPACE COAST RHEUMATOLOGY & ARTHRITIS CENTER, P.A. PROFIT SHARING PLAN 2009 593720851 2010-07-15 SPACE COAST RHEUMATOLOGY & ARTHRITIS CENTER, P.A 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-01-01
Business code 621111
Sponsor’s telephone number 3214530779
Plan sponsor’s address 40 FORTENBERRY ROAD, MERRITT ISLAND, FL, 32952

Plan administrator’s name and address
Administrator’s EIN 593720851
Plan administrator’s name SPACE COAST RHEUMATOLOGY & ARTHRITIS CENTER, P.A
Plan administrator’s address 40 FORTENBERRY ROAD, MERRITT ISLAND, FL, 32952
Administrator’s telephone number 3214530779

Signature of
Role Plan administrator
Date 2010-07-15
Name of individual signing RODERICK SALACH
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2010-07-15
Name of individual signing RODERICK SALACH
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
SALACH RODERICK H Agent 40 Fortenberry Road, MERRITT ISLAND, FL, 32952

President

Name Role Address
SALACH RODERICK H President 40 Fortenberry Road, MERRITT ISLAND, FL, 32952

Director

Name Role Address
SALACH RODERICK H Director 40 Fortenberry Road, MERRITT ISLAND, FL, 32952

Vice President

Name Role Address
SALACH LINDA Vice President 40 Fortenberry Road, MERRITT ISLAND, FL, 32952

Events

Event Type Filed Date Value Description
CHANGE OF MAILING ADDRESS 2024-01-31 40 FORTENBERRY ROAD, MERRITT ISLAND, FL 32952 No data
REGISTERED AGENT ADDRESS CHANGED 2015-01-27 40 Fortenberry Road, MERRITT ISLAND, FL 32952 No data
CHANGE OF PRINCIPAL ADDRESS 2004-02-12 40 FORTENBERRY ROAD, MERRITT ISLAND, FL 32952 No data

Documents

Name Date
ANNUAL REPORT 2025-01-14
ANNUAL REPORT 2024-01-31
ANNUAL REPORT 2023-01-24
ANNUAL REPORT 2022-02-09
ANNUAL REPORT 2021-01-31
ANNUAL REPORT 2020-01-11
ANNUAL REPORT 2019-01-06
ANNUAL REPORT 2018-01-14
ANNUAL REPORT 2017-01-12
ANNUAL REPORT 2016-01-29

Related by officers

SALACH LINDA

SALACH PROPERTIES, 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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