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  5. NEUROLOGY INSTITUTE OF MELBOURNE, P.A.

NEUROLOGY INSTITUTE OF MELBOURNE, P.A.

Company Details

Entity Name: NEUROLOGY INSTITUTE OF MELBOURNE, P.A.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Active
Date Filed: 06 Aug 2003 (22 years ago)
Last Event: CANCEL ADM DISS/REV
Event Date Filed: 27 Oct 2008 (16 years ago)
Document Number: P03000086548
FEI/EIN Number 050580723
Address: 116 SILVER PALM AVE, MELBOURNE, FL, 32901
Mail Address: PO Box 459, MELBOURNE, FL, 32902, US
ZIP code: 32901
County: Brevard
Place of Formation: FLORIDA

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
NEUROLOGY INSTITUTE OF MELBOURNE, P.A. 401(K) PLAN AND TRUST 2023 050580723 2024-07-09 NEUROLOGY INSTITUTE OF MELBOURNE, P.A. 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-01-01
Business code 621399
Sponsor’s telephone number 2122420892
Plan sponsor’s address 116 SILVER PALM AVENUE, MELBOURNE, FL, 32901

Signature of
Role Plan administrator
Date 2024-07-09
Name of individual signing JACQUELINE UNGER
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2024-07-09
Name of individual signing JACQUELINE UNGER
Valid signature Filed with authorized/valid electronic signature
NEUROLOGY INSTITUTE OF MELBOURNE, P.A. 401(K) PLAN AND TRUST 2022 050580723 2023-06-12 NEUROLOGY INSTITUTE OF MELBOURNE, P.A. 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-01-01
Business code 621399
Sponsor’s telephone number 2122420892
Plan sponsor’s address 116 SILVER PALM AVENUE, MELBOURNE, FL, 32901

Signature of
Role Plan administrator
Date 2023-06-12
Name of individual signing JACQUELINE UNGER
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2023-06-12
Name of individual signing JACQUELINE UNGER
Valid signature Filed with authorized/valid electronic signature
NEUROLOGY INSTITUTE OF MELBOURNE, P.A. 401(K) PLAN AND TRUST 2021 050580723 2022-04-27 NEUROLOGY INSTITUTE OF MELBOURNE, P.A. 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-01-01
Business code 621399
Sponsor’s telephone number 2122420892
Plan sponsor’s address 116 SILVER PALM AVENUE, MELBOURNE, FL, 32901

Signature of
Role Plan administrator
Date 2022-04-27
Name of individual signing JACQUELINE UNGER
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2022-04-27
Name of individual signing JACQUELINE UNGER
Valid signature Filed with authorized/valid electronic signature
NEUROLOGY INSTITUTE OF MELBOURNE, P.A. 401(K) PLAN AND TRUST 2020 050580723 2021-04-15 NEUROLOGY INSTITUTE OF MELBOURNE, P.A. 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-01-01
Business code 621399
Sponsor’s telephone number 2122420892
Plan sponsor’s address 116 SILVER PALM AVENUE, MELBOURNE, FL, 32901

Signature of
Role Plan administrator
Date 2021-04-15
Name of individual signing JACQUELINE UNGER
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2021-04-15
Name of individual signing JACQUELINE UNGER
Valid signature Filed with authorized/valid electronic signature
NEUROLOGY INSTITUTE OF MELBOURNE, P.A. 401(K) PLAN AND TRUST 2019 050580723 2020-04-07 NEUROLOGY INSTITUTE OF MELBOURNE, P.A. 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-01-01
Business code 621399
Sponsor’s telephone number 2122420892
Plan sponsor’s address 116 SILVER PALM AVENUE, MELBOURNE, FL, 32901

Signature of
Role Plan administrator
Date 2020-04-07
Name of individual signing JACQUELINE UNGER
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2020-04-07
Name of individual signing JACQUELINE UNGER
Valid signature Filed with authorized/valid electronic signature
NEUROLOGY INSTITUTE OF MELBOURNE, P.A. 401(K) PLAN AND TRUST 2018 050580723 2019-02-18 NEUROLOGY INSTITUTE OF MELBOURNE, P.A. 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-01-01
Business code 621399
Sponsor’s telephone number 2122420892
Plan sponsor’s address 116 SILVER PALM AVENUE, MELBOURNE, FL, 32901

Signature of
Role Plan administrator
Date 2019-02-18
Name of individual signing JACQUELINE UNGER
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2019-02-18
Name of individual signing JACQUELINE UNGER
Valid signature Filed with authorized/valid electronic signature
NEUROLOGY INSTITUTE OF MELBOURNE, P.A. 401(K) PLAN AND TRUST 2017 050580723 2018-04-11 NEUROLOGY INSTITUTE OF MELBOURNE, P.A. 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-01-01
Business code 621399
Sponsor’s telephone number 2122420892
Plan sponsor’s address 116 SILVER PALM AVENUE, MELBOURNE, FL, 32901

Signature of
Role Plan administrator
Date 2018-04-11
Name of individual signing JACQUELINE UNGER
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2018-04-11
Name of individual signing JACQUELINE UNGER
Valid signature Filed with authorized/valid electronic signature
NEUROLOGY INSTITUTE OF MELBOURNE, P.A. 401(K) PLAN AND TRUST 2016 050580723 2017-02-14 NEUROLOGY INSTITUTE OF MELBOURNE, P.A. 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-01-01
Business code 621399
Sponsor’s telephone number 2122420892
Plan sponsor’s address 116 SILVER PALM AVENUE, MELBOURNE, FL, 32901

Signature of
Role Plan administrator
Date 2017-02-14
Name of individual signing JACQUELINE UNGER
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2017-02-14
Name of individual signing JACQUELINE UNGER
Valid signature Filed with authorized/valid electronic signature
NEUROLOGY INSTITUTE OF MELBOURNE, P.A. 401(K) PLAN AND TRUST 2015 050580723 2016-04-04 NEUROLOGY INSTITUTE OF MELBOURNE, P.A. 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-01-01
Business code 621399
Sponsor’s telephone number 2122420892
Plan sponsor’s address 116 SILVER PALM AVENUE, MELBOURNE, FL, 32901

Signature of
Role Plan administrator
Date 2016-04-04
Name of individual signing JACQUELINE UNGER
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2016-04-04
Name of individual signing JACQUELINE UNGER
Valid signature Filed with authorized/valid electronic signature
NEUROLOGY INSTITUTE OF MELBOURNE, P.A. 401(K) PLAN AND TRUST 2014 050580723 2015-03-30 NEUROLOGY INSTITUTE OF MELBOURNE, P.A. 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-01-01
Business code 621399
Sponsor’s telephone number 3217256999
Plan sponsor’s address 116 SILVER PALM AVENUE, MELBOURNE, FL, 32901

Signature of
Role Plan administrator
Date 2015-03-30
Name of individual signing JACQUELINE UNGER
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2015-03-30
Name of individual signing JACQUELINE UNGER
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
UNGER RICHARD M Agent 116 SILVER PALM AVE, MELBOURNE, FL, 32901

Director

Name Role Address
UNGER RICHARD M Director 116 SILVER PALM AVE, MELBOURNE, FL, 32901

Events

Event Type Filed Date Value Description
CHANGE OF MAILING ADDRESS 2016-02-01 116 SILVER PALM AVE, MELBOURNE, FL 32901 No data
REGISTERED AGENT NAME CHANGED 2012-02-09 UNGER, RICHARD MJR MD No data
CANCEL ADM DISS/REV 2008-10-27 No data No data
ADMIN DISSOLUTION FOR ANNUAL REPORT 2008-09-26 No data No data
REINSTATEMENT 2004-10-19 No data No data
REGISTERED AGENT ADDRESS CHANGED 2004-10-19 116 SILVER PALM AVE, MELBOURNE, FL 32901 No data
ADMIN DISSOLUTION FOR ANNUAL REPORT 2004-10-01 No data No data

Documents

Name Date
ANNUAL REPORT 2024-01-30
ANNUAL REPORT 2023-03-01
ANNUAL REPORT 2022-04-03
ANNUAL REPORT 2021-02-01
ANNUAL REPORT 2020-01-21
ANNUAL REPORT 2019-02-18
ANNUAL REPORT 2018-01-14
ANNUAL REPORT 2017-01-27
ANNUAL REPORT 2016-02-01
ANNUAL REPORT 2015-01-29

Paycheck Protection Program

Loan Number Loan Funded Date SBA Origination Office Code Loan Delivery Method Borrower Street Address
7029997200 2020-04-28 0455 PPP 116 Silver Palm Avenue, MELBOURNE, FL, 32901
Loan Status Date 2021-08-18
Loan Status Paid in Full
Loan Maturity in Months 24
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 89000
Loan Approval Amount (current) 89000
Undisbursed Amount 0
Franchise Name -
Lender Location ID 94142
Servicing Lender Name Community CU of Florida
Servicing Lender Address 1030 S US Hwy 1, ROCKLEDGE, FL, 32955-2716
Rural or Urban Indicator U
Hubzone Y
LMI Y
Business Age Description Existing or more than 2 years old
Project Address MELBOURNE, BREVARD, FL, 32901-1200
Project Congressional District FL-08
Number of Employees 8
NAICS code 621399
Borrower Race Unanswered
Borrower Ethnicity Unknown/NotStated
Business Type Subchapter S Corporation
Originating Lender ID 94142
Originating Lender Name Community CU of Florida
Originating Lender Address ROCKLEDGE, FL
Gender Unanswered
Veteran Unanswered
Forgiveness Amount 90080.19
Forgiveness Paid Date 2021-07-22

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Date of last update: 02 Feb 2025

Sources: Florida Department of State

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