| Entity Name: | PALM BEACH RADIOLOGY PROFESSIONALS, P.A. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Profit Corporation |
| Status: | Inactive |
| Date Filed: | 03 Mar 2004 (21 years ago) |
| Date of dissolution: | 12 Jun 2015 (10 years ago) |
| Last Event: | VOLUNTARY DISS W/ NOTICE |
| Event Date Filed: | 12 Jun 2015 (10 years ago) |
| Document Number: | P04000040546 |
| FEI/EIN Number | 20-0876068 |
| Address: | 5301 S CONGRESS AVE, ATLANTIS, FL 33462 |
| Mail Address: | %McGladrey LLP, 100 NE 3rd Ave, Suite 300, Fort Lauderdale, FL 33301 |
| ZIP code: | 33462 |
| County: | Palm Beach |
| Place of Formation: | FLORIDA |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| PALM BEACH RADIOLOGY PROFESSIONALS 401(K) PROFIT SHARING PLAN | 2012 | 200876068 | 2013-10-04 | PALM BEACH RADIOLOGY PROFESSIONALS, P.A. | 17 | |||||||||||||||||||||||||||||||
|
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| Role | Plan administrator |
| Date | 2013-10-04 |
| Name of individual signing | LORNA S. WILLIAMS |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2005-01-01 |
| Business code | 621111 |
| Sponsor’s telephone number | 5615483727 |
| Plan sponsor’s address | 5301 S CONGRESS AVE, ATLANTIS, FL, 334621149 |
Plan administrator’s name and address
| Administrator’s EIN | 200876068 |
| Plan administrator’s name | PALM BEACH RADIOLOGY PROFESSIONALS, P.A. |
| Plan administrator’s address | 5301 S CONGRESS AVE, ATLANTIS, FL, 334621149 |
| Administrator’s telephone number | 5615483727 |
Signature of
| Role | Plan administrator |
| Date | 2011-07-12 |
| Name of individual signing | SANTIAGO HERNANDEZ |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2005-01-01 |
| Business code | 621111 |
| Sponsor’s telephone number | 5615483727 |
| Plan sponsor’s address | 5301 S CONGRESS AVE, ATLANTIS, FL, 334621149 |
Plan administrator’s name and address
| Administrator’s EIN | 200876068 |
| Plan administrator’s name | PALM BEACH RADIOLOGY PROFESSIONALS, P.A. |
| Plan administrator’s address | 5301 S CONGRESS AVE, ATLANTIS, FL, 334621149 |
| Administrator’s telephone number | 5615483727 |
Signature of
| Role | Plan administrator |
| Date | 2010-09-17 |
| Name of individual signing | SANTIAGO HERNANDEZ |
| Valid signature | Filed with authorized/valid electronic signature |
| Name | Role |
|---|---|
| NRAI SERVICES, INC. | Agent |
| Name | Role | Address |
|---|---|---|
| Dascal, David M.D. | Secretary | 5301 S CONGRESS AVE, ATLANTIS, FL 33462 |
| Name | Role | Address |
|---|---|---|
| GITTLEMAN, ADAM M.D. | Treasurer | 5301 S CONGRESS AVE, ATLANTIS, FL 33462 |
| Name | Role | Address |
|---|---|---|
| WILLIAMS, LORNA M.D. | President | 5301 S CONGRESS AVE, ATLANTIS, FL 33462 |
| Name | Role | Address |
|---|---|---|
| HERNANDEZ, SANTIAGO M.D. | Vice President | 5301 S CONGRESS AVE, ATLANTIS, FL 33462 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| VOLUNTARY DISS W/ NOTICE | 2015-06-12 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2015-04-22 | NRAI SERVICES, INC. | No data |
| CHANGE OF MAILING ADDRESS | 2013-02-25 | 5301 S CONGRESS AVE, ATLANTIS, FL 33462 | No data |
| AMENDMENT | 2012-10-15 | No data | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2007-12-28 | 1200 South Pine Island Road, Plantation, FL 33324 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2007-04-02 | 5301 S CONGRESS AVE, ATLANTIS, FL 33462 | No data |
| Name | Date |
|---|---|
| CORAPVDWN | 2015-06-12 |
| ANNUAL REPORT | 2015-04-22 |
| ANNUAL REPORT | 2014-02-27 |
| ANNUAL REPORT | 2013-02-25 |
| Amendment | 2012-10-15 |
| ANNUAL REPORT | 2012-01-25 |
| ANNUAL REPORT | 2011-01-19 |
| ANNUAL REPORT | 2010-01-13 |
| ANNUAL REPORT | 2009-03-17 |
| ANNUAL REPORT | 2008-02-14 |
Date of last update: 05 Jan 2025
Sources: Florida Department of State
