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COASTAL RADIOLOGY ASSOCIATES, P.A.

Company Details

Entity Name: COASTAL RADIOLOGY ASSOCIATES, P.A.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Inactive
Date Filed: 09 Apr 2009 (16 years ago)
Date of dissolution: 02 Sep 2014 (10 years ago)
Last Event: CONVERSION
Event Date Filed: 02 Sep 2014 (10 years ago)
Document Number: P09000032025
FEI/EIN Number 264653361
Address: ATTN: RADIOLOGY DEPARTMENT, 1000 MAR-WALT DRIVE, FORT WALTON BEACH, FL, 32547-6708
Mail Address: C/O ADVOCATE, INC., 10567 SAWMILL PARKWAY SUITE 100, POWELL, OH, 43065
Place of Formation: FLORIDA

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
COASTAL RADIOLOGY ASSOCIATES, P.A. 401K PLAN 2020 264653361 2021-03-11 COASTAL RADIOLOGY ASSOCIATES, P.A. 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-09-01
Business code 621111
Sponsor’s telephone number 8503157911
Plan sponsor’s address 6 BLUE WATER ROAD, NICEVILLE, FL, 325784503
COASTAL RADIOLOGY ASSOCIATES, P.A. 401K PLAN 2019 264653361 2021-01-15 COASTAL RADIOLOGY ASSOCIATES, P.A. 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-09-01
Business code 621111
Sponsor’s telephone number 8503157911
Plan sponsor’s address 6 BLUE WATER ROAD, NICEVILLE, FL, 325784503
COASTAL RADIOLOGY ASSOCIATES, P.A. 401K PLAN 2018 264653361 2019-10-09 COASTAL RADIOLOGY ASSOCIATES, P.A. 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-09-01
Business code 621111
Sponsor’s telephone number 8503157911
Plan sponsor’s address 6 BLUE WATER ROAD, NICEVILLE, FL, 325784503
COASTAL RADIOLOGY ASSOCIATES, P.A. 401K PLAN 2017 264653361 2019-02-27 COASTAL RADIOLOGY ASSOCIATES, P.A. 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-09-01
Business code 621111
Sponsor’s telephone number 8503157911
Plan sponsor’s address 1000 MAR WALT DRIVE, FT. WALTON BEACH, FL, 32547
COASTAL RADIOLOGY ASSOCIATES, P.A. 401K PLAN 2016 264653361 2017-10-16 COASTAL RADIOLOGY ASSOCIATES, P.A. 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-09-01
Business code 621111
Sponsor’s telephone number 8503157911
Plan sponsor’s address 1000 MAR WALT DRIVE, FT. WALTON BEACH, FL, 32547
COASTAL RADIOLOGY ASSOCIATES, P.A. 401K PLAN 2015 264653361 2016-10-07 COASTAL RADIOLOGY ASSOCIATES, P.A. 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-09-01
Business code 621111
Sponsor’s telephone number 8503157911
Plan sponsor’s address 1000 MAR WALT DRIVE, FT. WALTON BEACH, FL, 32547
COASTAL RADIOLOGY ASSOCIATES, P.A. 401K PLAN 2014 264653361 2015-06-09 COASTAL RADIOLOGY ASSOCIATES, P.A. 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-09-01
Business code 621111
Sponsor’s telephone number 8503157911
Plan sponsor’s address 1000 MAR WALT DRIVE, FT. WALTON BEACH, FL, 32547
COASTAL RADIOLOGY ASSOCIATES, P.A. 401K PLAN 2013 264653361 2014-06-18 COASTAL RADIOLOGY ASSOCIATES, P.A. 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-09-01
Business code 621111
Sponsor’s telephone number 8503157911
Plan sponsor’s address 1000 MAR WALT DRIVE, FT. WALTON BEACH, FL, 32547
COASTAL RADIOLOGY ASSOCIATES, P.A. 401K PLAN 2012 264653361 2013-03-18 COASTAL RADIOLOGY ASSOCIATES, P.A. 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-09-01
Business code 621111
Sponsor’s telephone number 8503157911
Plan sponsor’s address 1000 MAR WALT DRIVE, FT. WALTON BEACH, FL, 32547

Signature of
Role Plan administrator
Date 2013-03-18
Name of individual signing CRAIG R. CAZENAVE
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2013-03-18
Name of individual signing CRAIG R. CAZENAVE
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
PIERCE ROBERT A Agent 123 SOUTH CALHOUN STREET, TALLAHASSEE, FL, 323011517

President

Name Role Address
BROBECK BRADLEY R President 1000 MAR-WALT DRIVE, FORT WALTON BEACH, FL, 325476708

Secretary

Name Role Address
BROBECK BRADLEY R Secretary 1000 MAR-WALT DRIVE, FORT WALTON BEACH, FL, 325476708

Director

Name Role Address
BROBECK BRADLEY R Director 1000 MAR-WALT DRIVE, FORT WALTON BEACH, FL, 325476708
CAZENAVE CRAIG R Director 1000 MAR-WALT DRIVE, FORT WALTON BEACH, FL, 325476708

Vice President

Name Role Address
CAZENAVE CRAIG R Vice President 1000 MAR-WALT DRIVE, FORT WALTON BEACH, FL, 325476708

Treasurer

Name Role Address
CAZENAVE CRAIG R Treasurer 1000 MAR-WALT DRIVE, FORT WALTON BEACH, FL, 325476708

Events

Event Type Filed Date Value Description
CONVERSION 2014-09-02 No data CONVERSION MEMBER. NON-QUALIFIED CORPORATION WAS COASTAL RADIOLOGY ASSOCIATES, LLC. CONVERSION NUMBER 700000143827
REGISTERED AGENT NAME CHANGED 2010-08-04 PIERCE, ROBERT A No data
REGISTERED AGENT ADDRESS CHANGED 2010-08-04 123 SOUTH CALHOUN STREET, TALLAHASSEE, FL 32301-1517 No data
CHANGE OF MAILING ADDRESS 2010-04-27 ATTN: RADIOLOGY DEPARTMENT, 1000 MAR-WALT DRIVE, FORT WALTON BEACH, FL 32547-6708 No data

Documents

Name Date
Conversion 2014-09-02
ANNUAL REPORT 2014-04-14
ANNUAL REPORT 2013-03-25
ANNUAL REPORT 2012-03-02
ANNUAL REPORT 2011-03-16
ANNUAL REPORT 2010-04-27
Domestic Profit 2009-04-09

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Date of last update: 02 Feb 2025

Sources: Florida Department of State

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