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CAPE HEART GROUP, INC.

Company Details

Entity Name: CAPE HEART GROUP, INC.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Inactive
Date Filed: 27 Jul 2001 (24 years ago)
Date of dissolution: 23 Sep 2011 (13 years ago)
Last Event: ADMIN DISSOLUTION FOR ANNUAL REPORT
Event Date Filed: 23 Sep 2011 (13 years ago)
Document Number: P01000074405
FEI/EIN Number 651129737
Address: 255 BORMAN DRIVE, SUITE 202, MERRITT ISLAND, FL, 32953, US
Mail Address: 255 BORMAN DRIVE, SUITE 202, MERRITT ISLAND, FL, 32953, US
ZIP code: 32953
County: Brevard
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1154304657 2005-11-29 2007-10-02 255 BORMAN DR, SUITE 202, MERRITT ISLAND, FL, 329533486, US 255 BORMAN DR, SUITE 202, MERRITT ISLAND, FL, 329533486, US

Contacts

Phone +1 321-454-4461
Fax 3214544977

Authorized person

Name DR. VICTOR TEOFILO PEREZ
Role PRESIDENT
Phone 3214544461

Taxonomy

Taxonomy Code 207RC0000X - Cardiovascular Disease Physician
Is Primary Yes

Other Provider Identifiers

Issuer 38549
Number BC/BS OF FLORIDA
State FL

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
CAPE HEART GROUP 401(K) PLAN 2011 651129737 2012-10-12 CAPE HEART GROUP, INC. 20
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-01-01
Business code 621111
Sponsor’s telephone number 3214544461
Plan sponsor’s address 255 BORMAN DRIVE, SUITE 202, MERRITT ISLAND, FL, 32953

Plan administrator’s name and address

Administrator’s EIN 651129737
Plan administrator’s name CAPE HEART GROUP, INC.
Plan administrator’s address 255 BORMAN DRIVE, SUITE 202, MERRITT ISLAND, FL, 32953
Administrator’s telephone number 3214544461

Signature of

Role Plan administrator
Date 2012-10-12
Name of individual signing VICTOR PEREZ
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2012-10-12
Name of individual signing VICTOR PEREZ
Valid signature Filed with authorized/valid electronic signature
CAPE HEART GROUP 401(K) PLAN 2010 651129737 2011-10-06 CAPE HEART GROUP, INC. 20
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-01-01
Business code 621111
Sponsor’s telephone number 3214544461
Plan sponsor’s address 255 BORMAN DRIVE, SUITE 202, MERRITT ISLAND, FL, 32953

Plan administrator’s name and address

Administrator’s EIN 651129737
Plan administrator’s name CAPE HEART GROUP, INC.
Plan administrator’s address 255 BORMAN DRIVE, SUITE 202, MERRITT ISLAND, FL, 32953
Administrator’s telephone number 3214544461

Signature of

Role Plan administrator
Date 2011-10-06
Name of individual signing VICTOR PEREZ
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2011-10-06
Name of individual signing VICTOR PEREZ
Valid signature Filed with authorized/valid electronic signature
CAPE HEART GROUP 401(K) PLAN 2009 651129737 2010-07-29 CAPE HEART GROUP, INC. 18
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-01-01
Business code 621111
Sponsor’s telephone number 3214544461
Plan sponsor’s address 255 BORMAN DRIVE, SUITE 202, MERRITT ISLAND, FL, 32953

Plan administrator’s name and address

Administrator’s EIN 651129737
Plan administrator’s name CAPE HEART GROUP, INC.
Plan administrator’s address 255 BORMAN DRIVE, SUITE 202, MERRITT ISLAND, FL, 32953
Administrator’s telephone number 3214544461

Signature of

Role Plan administrator
Date 2010-07-29
Name of individual signing VICTOR PEREZ
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2010-07-29
Name of individual signing VICTOR PEREZ
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
PEREZ VICTOR T Agent 255 BORMAN DRIVE, MERRITT ISLAND, FL, 32953

President

Name Role Address
PEREZ VICTOR T President 255 BORMAN DRIVE, SUITE 202, MERRITT ISLAND, FL, 32953

Treasurer

Name Role Address
PEREZ VICTOR T Treasurer 255 BORMAN DRIVE, SUITE 202, MERRITT ISLAND, FL, 32953

Events

Event Type Filed Date Value Description
ADMIN DISSOLUTION FOR ANNUAL REPORT 2011-09-23 No data No data
REGISTERED AGENT NAME CHANGED 2007-04-02 PEREZ, VICTOR TMD No data
CHANGE OF PRINCIPAL ADDRESS 2002-01-11 255 BORMAN DRIVE, SUITE 202, MERRITT ISLAND, FL 32953 No data
CHANGE OF MAILING ADDRESS 2002-01-11 255 BORMAN DRIVE, SUITE 202, MERRITT ISLAND, FL 32953 No data
REGISTERED AGENT ADDRESS CHANGED 2002-01-11 255 BORMAN DRIVE, SUITE 202, MERRITT ISLAND, FL 32953 No data

Documents

Name Date
ANNUAL REPORT 2010-03-29
ANNUAL REPORT 2009-03-18
ANNUAL REPORT 2008-03-18
ANNUAL REPORT 2007-04-02
ANNUAL REPORT 2006-03-07
ANNUAL REPORT 2005-03-06
ANNUAL REPORT 2004-04-06
ANNUAL REPORT 2003-02-23
ANNUAL REPORT 2002-01-11
Domestic Profit 2001-07-27

Date of last update: 02 Feb 2025

Sources: Florida Department of State