| Entity Name: | GULF COAST MEDICAL AND GERIATRIC CLINIC, INC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 14 Nov 2006 (18 years ago) |
| Document Number: | P06000143107 |
| FEI/EIN Number | 562622702 |
| Address: | 237 East Baldwin Rd, SUITE 102, PANAMA CITY, FL, 32405, US |
| Mail Address: | P.O BOX 1317, LYNN HAVEN, FL, 32444, US |
| ZIP code: | 32405 |
| County: | Bay |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1831262229 | 2006-11-16 | 2023-12-11 | PO BOX 1317, LYNN HAVEN, FL, 324446117, US | 237 E BALDWIN RD STE 102, PANAMA CITY, FL, 324054463, US | |||||||||||||||||||
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| Phone | +1 850-522-0182 |
| Fax | 8505220184 |
Authorized person
| Name | LIAQAT HAYAT |
| Role | DIRECTOR |
| Phone | 8505220182 |
Taxonomy
| Taxonomy Code | 207R00000X - Internal Medicine Physician |
| License Number | ME83788 |
| State | FL |
| Is Primary | Yes |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| GULF COAST MEDICAL AND GERIATRIC CLINIC 401K PLAN | 2023 | 562622702 | 2024-04-28 | GULF COAST MEDICAL AND GERIATRIC CLINIC | 9 | |||||||||||||||||||||||
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| Role | Plan administrator |
| Date | 2024-04-28 |
| Name of individual signing | LIAQAT HAYAT |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2019-01-01 |
| Business code | 621111 |
| Sponsor’s telephone number | 8505220182 |
| Plan sponsor’s address | 237 E. BALDWIN ROAD, SUITE 102, PANAMA CITY, FL, 32405 |
Signature of
| Role | Plan administrator |
| Date | 2023-04-22 |
| Name of individual signing | LIAQAT HAYAT |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2019-01-01 |
| Business code | 621111 |
| Sponsor’s telephone number | 8505220182 |
| Plan sponsor’s address | 237 E. BALDWIN ROAD, SUITE 102, PANAMA CITY, FL, 32405 |
Signature of
| Role | Plan administrator |
| Date | 2022-05-04 |
| Name of individual signing | LIAQAT HAYAT |
| Valid signature | Filed with authorized/valid electronic signature |
| Name | Role | Address |
|---|---|---|
| HAYAT LIAQAT | Agent | 108 COTTONWOOD CIRCLE, LYNN HAVEN, FL, 32444 |
| Name | Role | Address |
|---|---|---|
| HAYAT LIAQAT | Director | 237 East Baldwin RD, PANAMA CITY, FL, 32405 |
| Name | Role | Address |
|---|---|---|
| Hayat Muhsina | Officer | 108 COTTONWOOD CIRCLE, LYNN HAVEN, FL, 32444 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2014-01-11 | 237 East Baldwin Rd, SUITE 102, PANAMA CITY, FL 32405 | No data |
| REGISTERED AGENT NAME CHANGED | 2009-04-03 | HAYAT, LIAQAT | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-06 |
| ANNUAL REPORT | 2023-01-21 |
| ANNUAL REPORT | 2022-01-29 |
| ANNUAL REPORT | 2021-05-23 |
| ANNUAL REPORT | 2020-03-29 |
| ANNUAL REPORT | 2019-03-16 |
| ANNUAL REPORT | 2018-02-10 |
| ANNUAL REPORT | 2017-01-11 |
| ANNUAL REPORT | 2016-01-22 |
| ANNUAL REPORT | 2015-01-12 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
