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  5. PAIN MANAGEMENT CONSULTANTS OF SOUTHWEST FLORIDA, P.A.

PAIN MANAGEMENT CONSULTANTS OF SOUTHWEST FLORIDA, P.A.

Company Details

Entity Name: PAIN MANAGEMENT CONSULTANTS OF SOUTHWEST FLORIDA, P.A.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Inactive
Date Filed: 29 Mar 2005 (20 years ago)
Date of dissolution: 18 Sep 2012 (12 years ago)
Last Event: CONVERSION
Event Date Filed: 18 Sep 2012 (12 years ago)
Document Number: P05000046769
FEI/EIN Number 202587269
Address: 23 BARKLEY CIRCLE, FT MYERS, FL, 33907, US
Mail Address: 23 BARKLEY CIRCLE, FT MYERS, FL, 33907, US
ZIP code: 33907
County: Lee
Place of Formation: FLORIDA

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
PAIN MANAGEMENT CONSULTANTS OF SOUTHWEST FLORIDA, P.A. 401(K) PROFIT SHARING PLAN & TRUST 2012 202587269 2013-05-29 PAIN MANAGEMENT CONSULTANTS OF SOUTHWEST FLORIDA, P.A. 17
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-01-01
Business code 621111
Sponsor’s telephone number 2393331177
Plan sponsor’s address 23 BARKLEY CIRCLE, FORT MYERS, FL, 33907

Signature of
Role Plan administrator
Date 2013-05-29
Name of individual signing VELIMIR A. MICOVIC, M.D.
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2013-05-29
Name of individual signing VELIMIR A. MICOVIC, M.D.
Valid signature Filed with authorized/valid electronic signature
PAIN MANAGEMENT CONSULTANTS OF SOUTHWEST FLORIDA, P.A. 401(K) PROFIT SHARING PLAN & TRUST 2011 202587269 2012-07-23 PAIN MANAGEMENT CONSULTANTS OF SOUTHWEST FLORIDA, P.A. 16
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-01-01
Business code 621111
Sponsor’s telephone number 2393331177
Plan sponsor’s address 23 BARKLEY CIRCLE, FORT MYERS, FL, 33907

Plan administrator’s name and address
Administrator’s EIN 202587269
Plan administrator’s name PAIN MANAGEMENT CONSULTANTS OF SOUTHWEST FLORIDA, P.A.
Plan administrator’s address 23 BARKLEY CIRCLE, FORT MYERS, FL, 33907
Administrator’s telephone number 2393331177

Signature of
Role Plan administrator
Date 2012-07-23
Name of individual signing VELIMIR A. MICOVIC, M.D.
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2012-07-23
Name of individual signing VELIMIR A. MICOVIC, M.D.
Valid signature Filed with authorized/valid electronic signature
PAIN MANAGEMENT CONSULTANTS OF SOUTHWEST FLORIDA, P.A. 401(K) PROFIT SHARING PLAN & TRUST 2010 202587269 2011-03-30 PAIN MANAGEMENT CONSULTANTS OF SOUTHWEST FLORIDA, P.A. 13
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-01-01
Business code 621111
Sponsor’s telephone number 2393331177
Plan sponsor’s address 23 BARKLEY CIRCLE, FORT MYERS, FL, 33907

Plan administrator’s name and address
Administrator’s EIN 202587269
Plan administrator’s name PAIN MANAGEMENT CONSULTANTS OF SOUTHWEST FLORIDA, P.A.
Plan administrator’s address 23 BARKLEY CIRCLE, FORT MYERS, FL, 33907
Administrator’s telephone number 2393331177

Signature of
Role Plan administrator
Date 2011-03-30
Name of individual signing EUGENE D. MAHANEY, M.D.
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2011-03-30
Name of individual signing EUGENE D. MAHANEY, M.D.
Valid signature Filed with authorized/valid electronic signature
PAIN MANAGEMENT CONSULTANTS OF SOUTHWEST FLORIDA, P.A. 401K PROFIT SHARING PLAN & TRUST 2009 202587269 2010-07-13 PAIN MANAGEMENT CONSULTANTS OF SOUTHWEST FLORIDA, P.A. 12
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-01-01
Business code 621111
Sponsor’s telephone number 2393331177
Plan sponsor’s address 23 BARKLEY CIRCLE, FORT MYERS, FL, 33907

Plan administrator’s name and address
Administrator’s EIN 202587269
Plan administrator’s name PAIN MANAGEMENT CONSULTANTS OF SOUTHWEST FLORIDA, P.A.
Plan administrator’s address 23 BARKLEY CIRCLE, FORT MYERS, FL, 33907
Administrator’s telephone number 2393331177

Signature of
Role Plan administrator
Date 2010-07-13
Name of individual signing EUGENE D. MAHANEY, M.D.
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2010-07-13
Name of individual signing EUGENE D. MAHANEY, M.D.
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
MAHANEY, MD EUGENE D Agent 23 BARKLEY CIRCLE, FORT MYERS, FL, 33907

Director

Name Role Address
MAHANEY, MD EUGENE D Director 23 BARKLEY CIRCLE, FORT MYERS, FL, 33907
ACOSTA GILBERTO M Director 23 BARKLEY CIRCLE, FORT MYERS, FL, 33907
MICOVIC VELIMIR M Director 23 BARKLEY CIRCLE, FORT MYERS, FL, 33907

President

Name Role Address
MAHANEY, MD EUGENE D President 23 BARKLEY CIRCLE, FORT MYERS, FL, 33907

Vice President

Name Role Address
ACOSTA GILBERTO M Vice President 23 BARKLEY CIRCLE, FORT MYERS, FL, 33907
MICOVIC VELIMIR M Vice President 23 BARKLEY CIRCLE, FORT MYERS, FL, 33907

Secretary

Name Role Address
ACOSTA GILBERTO M Secretary 23 BARKLEY CIRCLE, FORT MYERS, FL, 33907

Treasurer

Name Role Address
MICOVIC VELIMIR M Treasurer 23 BARKLEY CIRCLE, FORT MYERS, FL, 33907

Events

Event Type Filed Date Value Description
CONVERSION 2012-09-18 No data CONVERSION MEMBER. RESULTING CORPORATION WAS L12000119931. CONVERSION NUMBER 100000125431
CHANGE OF MAILING ADDRESS 2012-03-23 23 BARKLEY CIRCLE, FT MYERS, FL 33907 No data
REGISTERED AGENT NAME CHANGED 2012-03-23 MAHANEY, MD, EUGENE DJR No data
REGISTERED AGENT ADDRESS CHANGED 2012-03-23 23 BARKLEY CIRCLE, FORT MYERS, FL 33907 No data
CHANGE OF PRINCIPAL ADDRESS 2006-04-17 23 BARKLEY CIRCLE, FT MYERS, FL 33907 No data
NAME CHANGE AMENDMENT 2005-09-12 PAIN MANAGEMENT CONSULTANTS OF SOUTHWEST FLORIDA, P.A. No data

Documents

Name Date
ANNUAL REPORT 2012-03-23
ANNUAL REPORT 2011-06-14
ANNUAL REPORT 2010-04-27
ANNUAL REPORT 2009-03-24
ANNUAL REPORT 2008-01-28
ANNUAL REPORT 2007-04-19
ANNUAL REPORT 2006-04-17
Name Change 2005-09-12
Domestic Profit 2005-03-29

Related by officers

No related officers

Related by address

23 BARKLEY CIRCLE, FT MYERS, FL, 33907, US

CYNAXIS HOLDINGS, LLC

23 BARKLEY CIRCLE, FT MYERS, FL, 33907, US

CYNAXIS HOLDINGS, LLC

Date of last update: 03 Feb 2025

Sources: Florida Department of State

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