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  5. ASSOCIATED RADIOLOGISTS OF INVERNESS, P.A.

ASSOCIATED RADIOLOGISTS OF INVERNESS, P.A.

Company Details

Entity Name: ASSOCIATED RADIOLOGISTS OF INVERNESS, P.A.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Inactive
Date Filed: 28 Feb 2007 (18 years ago)
Date of dissolution: 29 Dec 2015 (9 years ago)
Last Event: VOLUNTARY DISS W/ NOTICE
Event Date Filed: 29 Dec 2015 (9 years ago)
Document Number: P07000026816
FEI/EIN Number 208558999
Address: 501 RIVERSIDE AVE STE 800, JACKSONVILLE, FL, 32202
Mail Address: C/O THE LBA GROUP, 501 RIVERSIDE AVE STE 800, JACKSONVILLE, FL, 32202
ZIP code: 32202
County: Duval
Place of Formation: FLORIDA

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
ASSOCIATED RADIOLOGISTS OF INVERNESS, P.A. 401(K) SAVINGS PLAN 2015 208558999 2016-03-31 ASSOCIATED RADIOLOGISTS OF INVERNESS, P.A. 1
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Business code 621399
Sponsor’s telephone number 3523416188
Plan sponsor’s address 501 RIVERSIDE AVE., SUITE 800, JACKSONVILLE, FL, 322024939
ASSOCIATED RADIOLOGISTS OF INVERNESS, P.A. 401(K) SAVINGS PLAN 2015 208558999 2016-03-31 ASSOCIATED RADIOLOGISTS OF INVERNESS, P.A. 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Business code 621399
Sponsor’s telephone number 9042249918
Plan sponsor’s address 501 RIVERSIDE AVE., SUITE 800, JACKSONVILLE, FL, 322024939
ASSOCIATED RADIOLOGISTS OF INVERNESS, P.A. 401(K) SAVINGS PLAN 2014 208558999 2015-05-01 ASSOCIATED RADIOLOGISTS OF INVERNESS, P.A. 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Business code 621399
Sponsor’s telephone number 3523416188
Plan sponsor’s address 502 W. HIGHLAND BLVD., INVERNESS, FL, 344524720

Signature of
Role Plan administrator
Date 2015-05-01
Name of individual signing THOMAS CEBALLOS
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2015-05-01
Name of individual signing THOMAS CEBALLOS
Valid signature Filed with authorized/valid electronic signature
ASSOCIATED RADIOLOGISTS OF INVERNESS, P.A. 401(K) SAVINGS PLAN 2013 208558999 2014-05-01 ASSOCIATED RADIOLOGISTS OF INVERNESS, P.A. 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Business code 621399
Sponsor’s telephone number 3523416188
Plan sponsor’s address 502 W. HIGHLAND BLVD., INVERNESS, FL, 344524720

Signature of
Role Plan administrator
Date 2014-05-01
Name of individual signing THOMAS CEBALLOS
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2014-05-01
Name of individual signing THOMAS CEBALLOS
Valid signature Filed with authorized/valid electronic signature
ASSOCIATED RADIOLOGISTS OF INVERNESS, P.A. 401(K) SAVINGS PLAN 2012 208558999 2013-03-15 ASSOCIATED RADIOLOGISTS OF INVERNESS, P.A. 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Business code 621399
Sponsor’s telephone number 3523416188
Plan sponsor’s address 502 W. HIGHLAND BLVD., INVERNESS, FL, 344524720

Signature of
Role Plan administrator
Date 2013-03-15
Name of individual signing THOMAS CEBALLOS
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2013-03-15
Name of individual signing THOMAS CEBALLOS
Valid signature Filed with authorized/valid electronic signature
ASSOCIATED RADIOLOGISTS OF INVERNESS, P.A. 401(K) SAVINGS PLAN 2011 208558999 2012-03-30 ASSOCIATED RADIOLOGISTS OF INVERNESS, P.A. 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Business code 621399
Sponsor’s telephone number 3523416188
Plan sponsor’s address 502 W. HIGHLAND BLVD., INVERNESS, FL, 344524720

Plan administrator’s name and address
Administrator’s EIN 208558999
Plan administrator’s name ASSOCIATED RADIOLOGISTS OF INVERNESS, P.A.
Plan administrator’s address 502 W. HIGHLAND BLVD., INVERNESS, FL, 344524720
Administrator’s telephone number 3523416188

Signature of
Role Plan administrator
Date 2012-03-30
Name of individual signing THOMAS CEBALLOS MD
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2012-03-30
Name of individual signing THOMAS CEBALLOS MD
Valid signature Filed with authorized/valid electronic signature
ASSOCIATED RADIOLOGISTS OF INVERNESS, P.A. 401(K) SAVINGS PLAN 2010 208558999 2011-04-06 ASSOCIATED RADIOLOGISTS OF INVERNESS, P.A. 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Business code 621399
Sponsor’s telephone number 3523416188
Plan sponsor’s address 502 W. HIGHLAND BLVD., INVERNESS, FL, 344524720

Plan administrator’s name and address
Administrator’s EIN 208558999
Plan administrator’s name ASSOCIATED RADIOLOGISTS OF INVERNESS, P.A.
Plan administrator’s address 502 W. HIGHLAND BLVD., INVERNESS, FL, 344524720
Administrator’s telephone number 3523416188

Signature of
Role Plan administrator
Date 2011-04-04
Name of individual signing THOMAS CEBALLOS
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2011-04-04
Name of individual signing THOMAS CEBALLOS
Valid signature Filed with authorized/valid electronic signature
ASSOCIATED RADIOLOGISTS OF INVERNESS, P.A. 401(K) SAVINGS PLAN 2009 208558999 2010-07-01 ASSOCIATED RADIOLOGISTS OF INVERNESS, P.A. 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Business code 621399
Sponsor’s telephone number 3523416188
Plan sponsor’s address 502 W. HIGHLAND BLVD., INVERNESS, FL, 344524720

Plan administrator’s name and address
Administrator’s EIN 208558999
Plan administrator’s name ASSOCIATED RADIOLOGISTS OF INVERNESS, P.A.
Plan administrator’s address 502 W. HIGHLAND BLVD., INVERNESS, FL, 344524720
Administrator’s telephone number 3523416188

Signature of
Role Plan administrator
Date 2010-07-01
Name of individual signing THOMAS CEBALLOS, MD
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2010-07-01
Name of individual signing THOMAS CEBALLOS, MD
Valid signature Filed with authorized/valid electronic signature

President

Name Role Address
CEBALLOS THOMAS M President 2412 BOULDER SPRINGS DRIVE, COLUMBIA, MO, 65201

Secretary

Name Role Address
Ceballos Thomas M Secretary 2412 BOULDER SPRINGS DRIVE, COLUMBIA, MO, 65201

Treasurer

Name Role Address
Watt Angela Treasurer 2350 Forest Drive, Inverness, FL, 34453

Vice President

Name Role Address
Zamos David Vice President 2875 N. Rivers Edge Blvd., Crystal River, FL, 34429

Events

Event Type Filed Date Value Description
VOLUNTARY DISS W/ NOTICE 2015-12-29 No data No data
CHANGE OF PRINCIPAL ADDRESS 2015-07-22 501 RIVERSIDE AVE STE 800, JACKSONVILLE, FL 32202 No data
CHANGE OF MAILING ADDRESS 2015-07-22 501 RIVERSIDE AVE STE 800, JACKSONVILLE, FL 32202 No data
AMENDMENT 2009-08-11 No data No data

Documents

Name Date
Reg. Agent Resignation 2021-05-03
CORAPVDWN 2015-12-29
Reg. Agent Change 2015-07-22
Reg. Agent Change 2015-06-23
ANNUAL REPORT 2015-03-02
AMENDED ANNUAL REPORT 2014-08-05
ANNUAL REPORT 2014-02-20
ANNUAL REPORT 2013-04-26
ANNUAL REPORT 2012-01-30
ANNUAL REPORT 2011-01-28

Related by officers

No related officers

Related by address

501 RIVERSIDE AVE STE 800, JACKSONVILLE, FL, 32202

LBA WEALTH MANAGEMENT, LLC

Date of last update: 02 Feb 2025

Sources: Florida Department of State

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