| Entity Name: | PALM BEACH PAIN INSTITUTE, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: |
Domestic Profit
PALM BEACH PAIN INSTITUTE, INC. is structured as a Domestic Profit Corporation, which, in Florida signifies a Profit Corporation (also known as a C-Corporation). This business structure is recognized as a separate legal entity from its owners. This offers shareholders the benefit of limited liability protection, safeguarding their personal assets from the corporation's debts and obligations, and facilitates raising capital through the issuance of stock. In Florida, Domestic Profit Corporations are governed by Title XXXVI, Chapter 607, Florida Statutes – Florida Business Corporation Act. |
| Status: |
Active
The business entity is active. This status indicates that the business is currently operating and compliant with state regulations, suggesting a lower risk profile for lenders and potentially better creditworthiness. |
| Date Filed: | 28 Jan 2002 (23 years ago) |
| Last Event: | CANCEL ADM DISS/REV |
| Event Date Filed: | 11 Sep 2007 (18 years ago) |
| Document Number: | P02000009477 |
| FEI/EIN Number |
020539371
Federal Employer Identification (FEI) Number assigned by the IRS. |
| Address: | 5130 LINTON BLVD., SUITE C-2, DELRAY BEACH, FL, 33484 |
| Mail Address: | 5130 LINTON BLVD., SUITE C-2, DELRAY BEACH, FL, 33484 |
| ZIP code: | 33484 |
| County: | Palm Beach |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1538423157 | 2012-06-28 | 2012-07-17 | 5130 LINTON BLVD, SUITE C-2, DELRAY BEACH, FL, 334846596, US | 5130 LINTON BLVD, SUITE C-2, DELRAY BEACH, FL, 334846596, US | |||||||||||||||
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| Phone | +1 561-499-7020 |
| Fax | 5614997942 |
Authorized person
| Name | MARCIE A MERSON |
| Role | OWNER |
| Phone | 5614997020 |
Taxonomy
| Taxonomy Code | 208VP0014X - Interventional Pain Medicine Physician |
| Is Primary | Yes |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| PALM BEACH PAIN INSTITUTE, INC 401(K) PROFIT SHARING PLAN & TRUST | 2023 | 020539371 | 2024-05-21 | PALM BEACH PAIN INSTITUTE INC | 12 | |||||||||||||||||||||||
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| Role | Plan administrator |
| Date | 2024-05-21 |
| Name of individual signing | EDWARD ROJAS |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2012-01-01 |
| Business code | 621111 |
| Sponsor’s telephone number | 5614997020 |
| Plan sponsor’s address | 5130 LINTON BLVD - STE C2, DELRAY BEACH, FL, 33484 |
Signature of
| Role | Plan administrator |
| Date | 2023-04-27 |
| Name of individual signing | EDWARD ROJAS |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2012-01-01 |
| Business code | 621111 |
| Sponsor’s telephone number | 5614997020 |
| Plan sponsor’s address | 5130 LINTON BLVD - STE C2, DELRAY BEACH, FL, 33484 |
Signature of
| Role | Plan administrator |
| Date | 2022-05-31 |
| Name of individual signing | EDWARD ROJAS |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2012-01-01 |
| Business code | 621111 |
| Sponsor’s telephone number | 5614997020 |
| Plan sponsor’s address | 5130 LINTON BLVD - STE C2, DELRAY BEACH, FL, 33484 |
Signature of
| Role | Plan administrator |
| Date | 2021-06-04 |
| Name of individual signing | EDWARD ROJAS |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2012-01-01 |
| Business code | 621111 |
| Sponsor’s telephone number | 5614997020 |
| Plan sponsor’s address | 5130 LINTON BLVD - STE C2, DELRAY BEACH, FL, 33484 |
Signature of
| Role | Plan administrator |
| Date | 2020-06-23 |
| Name of individual signing | EDWARD ROJAS |
| Valid signature | Filed with authorized/valid electronic signature |
| Name | Role | Address |
|---|---|---|
| MERSON MARCIE | Director | 5130 LINTON BLVD, SUITE C-2, DELRAY BEACH, FL, 33484 |
| MERSON MARCIE | Agent | 5130 LINTON BLVD., SUITE C-2, DELRAY BEACH, FL, 33484 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CANCEL ADM DISS/REV | 2007-09-11 | - | - |
| CHANGE OF PRINCIPAL ADDRESS | 2007-09-11 | 5130 LINTON BLVD., SUITE C-2, DELRAY BEACH, FL 33484 | - |
| CHANGE OF MAILING ADDRESS | 2007-09-11 | 5130 LINTON BLVD., SUITE C-2, DELRAY BEACH, FL 33484 | - |
| REGISTERED AGENT ADDRESS CHANGED | 2007-09-11 | 5130 LINTON BLVD., SUITE C-2, DELRAY BEACH, FL 33484 | - |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2006-09-15 | - | - |
| REINSTATEMENT | 2004-12-28 | - | - |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2003-09-19 | - | - |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2025-01-05 |
| ANNUAL REPORT | 2024-01-07 |
| ANNUAL REPORT | 2023-01-03 |
| ANNUAL REPORT | 2022-01-02 |
| ANNUAL REPORT | 2021-01-13 |
| ANNUAL REPORT | 2020-03-06 |
| ANNUAL REPORT | 2019-01-16 |
| ANNUAL REPORT | 2018-01-15 |
| ANNUAL REPORT | 2017-01-23 |
| ANNUAL REPORT | 2016-01-28 |
| Loan Number | Loan Funded Date | SBA Origination Office Code | Loan Delivery Method | Borrower Street Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| 9808877306 | 2020-05-03 | 0455 | PPP | 5130 LINTON BLVD STE C2, DELRAY BEACH, FL, 33484-6595 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| 6166788608 | 2021-03-20 | 0455 | PPS | 2299 NW 30th Rd, Boca Raton, FL, 33431-6370 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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Date of last update: 02 Apr 2025
Sources: Florida Department of State
