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  5. GAINESVILLE EMERGENCY MEDICAL ASSOCIATES, PA

GAINESVILLE EMERGENCY MEDICAL ASSOCIATES, PA

Company Details

Entity Name: GAINESVILLE EMERGENCY MEDICAL ASSOCIATES, PA
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Active
Date Filed: 10 Nov 2009 (15 years ago)
Last Event: AMENDED AND RESTATED ARTICLES
Event Date Filed: 25 Sep 2023 (a year ago)
Document Number: P09000092693
FEI/EIN Number 271269714
Address: 6500 Newberry Road, Gainesville, FL, 32605, US
Mail Address: P.O. Box 1529, Newberry, FL, 32669, US
ZIP code: 32605
County: Alachua
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1710558069 2021-07-08 2021-12-15 5565 CENTERVIEW DR STE 107, RALEIGH, NC, 276063563, US 4388 NW 53RD AVE, GAINESVILLE, FL, 326534332, US

Contacts
Phone +1 973-251-1132

Authorized person
Name KATHY KONDAS
Role OFFICER
Phone 9732511132

Taxonomy
Taxonomy Code 207P00000X - Emergency Medicine Physician
Is Primary Yes
Taxonomy Code 363A00000X - Physician Assistant
Is Primary No
Taxonomy Code 363L00000X - Nurse Practitioner
Is Primary No

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
GAINESVILLE EMERGENCY MEDICAL ASSOCIATES, P.A. 401(K) PLAN 2022 271269714 2023-05-22 GAINESVILLE EMERGENCY MEDICAL ASSOCIATES, PA 76
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2010-02-01
Business code 621111
Sponsor’s telephone number 4072674912
Plan sponsor’s address 726 SW 137TH WAY, NEWBERRY, FL, 32669

Signature of
Role Plan administrator
Date 2023-05-22
Name of individual signing THOMAS A BENTLEY
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2023-05-22
Name of individual signing THOMAS A BENTLEY
Valid signature Filed with authorized/valid electronic signature
GAINESVILLE EMERGENCY MEDICAL ASSOCIATES, P.A. 401(K) PLAN 2021 271269714 2022-04-28 GAINESVILLE EMERGENCY MEDICAL ASSOCIATES, PA 68
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2010-02-01
Business code 621111
Sponsor’s telephone number 4072674912
Plan sponsor’s address 726 SW 137TH WAY, NEWBERRY, FL, 32669

Signature of
Role Plan administrator
Date 2022-04-28
Name of individual signing THOMAS A. BENTLEY
Valid signature Filed with authorized/valid electronic signature
GAINESVILLE EMERGENCY MEDICAL ASSOCIATES, P.A. 401(K) PLAN 2020 271269714 2021-10-03 GAINESVILLE EMERGENCY MEDICAL ASSOCIATES, PA 71
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2010-02-01
Business code 621111
Sponsor’s telephone number 4072674912
Plan sponsor’s address 726 SW 137TH WAY, NEWBERRY, FL, 32669

Signature of
Role Plan administrator
Date 2021-10-03
Name of individual signing THOMAS A. BENTLEY
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2021-10-03
Name of individual signing THOMAS P. BENTLEY
Valid signature Filed with authorized/valid electronic signature
GAINESVILLE EMERGENCY MEDICAL ASSOCIATES, P.A. 401(K) PLAN 2019 271269714 2020-10-13 GAINESVILLE EMERGENCY MEDICAL ASSOCIATES, PA 63
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2010-02-01
Business code 621111
Sponsor’s telephone number 4072674912
Plan sponsor’s address 726 SW 137TH WAY, NEWBERRY, FL, 32669

Signature of
Role Plan administrator
Date 2020-10-13
Name of individual signing THOMAS BENTLEY
Valid signature Filed with authorized/valid electronic signature
GAINESVILLE EMERGENCY MEDICAL ASSOCIATES, P.A. 401(K) PLAN 2018 271269714 2019-05-11 GAINESVILLE EMERGENCY MEDICAL ASSOCIATES, PA 56
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2010-02-01
Business code 621111
Sponsor’s telephone number 4072674912
Plan sponsor’s address 726 SW 137TH WAY, NEWBERRY, FL, 32669

Signature of
Role Plan administrator
Date 2019-05-11
Name of individual signing THOMAS P. BENTLEY, M.D.
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2019-05-11
Name of individual signing THOMAS P. BENTLEY, M.D.
Valid signature Filed with authorized/valid electronic signature
GAINESVILLE EMERGENCY MEDICAL ASSOCIATES, P.A. 401(K) PLAN 2017 271269714 2018-05-14 GAINESVILLE EMERGENCY MEDICAL ASSOCIATES, PA 49
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2010-02-01
Business code 621111
Sponsor’s telephone number 4072674912
Plan sponsor’s address 726 SW 137TH WAY, NEWBERRY, FL, 32669

Signature of
Role Plan administrator
Date 2018-05-08
Name of individual signing THOMAS A. BENTLEY
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2018-05-08
Name of individual signing THOMAS A. BENTLEY
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
CT CORPORATION SYSTEM Agent 1200 SOUTH PINE ISLAND ROAD, PLANTATION, FL, 33324

Vice President

Name Role Address
GILLETTE GARY Vice President 6500 Newberry Road, Gainesville, FL, 32605

Treasurer

Name Role Address
BENTLEY THOMAS Treasurer 6500 NEWBERRY ROAD, GAINESVILLE, FL, 32605

Secretary

Name Role Address
BENTLEY THOMAS Secretary 6500 NEWBERRY ROAD, GAINESVILLE, FL, 32605

President

Name Role Address
MARTIN DAVID LJR. President 6500 Newberry Road, Gainesville, FL, 32605

Events

Event Type Filed Date Value Description
AMENDED AND RESTATEDARTICLES 2023-09-25 No data No data
REGISTERED AGENT NAME CHANGED 2023-09-25 CT CORPORATION SYSTEM No data
REGISTERED AGENT ADDRESS CHANGED 2023-09-25 1200 SOUTH PINE ISLAND ROAD, PLANTATION, FL 33324 No data
CHANGE OF PRINCIPAL ADDRESS 2016-01-11 6500 Newberry Road, Gainesville, FL 32605 No data
CHANGE OF MAILING ADDRESS 2016-01-11 6500 Newberry Road, Gainesville, FL 32605 No data

Documents

Name Date
ANNUAL REPORT 2025-01-12
ANNUAL REPORT 2024-02-07
Amended and Restated Articles 2023-09-25
ANNUAL REPORT 2023-02-02
ANNUAL REPORT 2022-02-07
ANNUAL REPORT 2021-01-13
ANNUAL REPORT 2020-01-24
ANNUAL REPORT 2019-02-06
ANNUAL REPORT 2018-01-16
ANNUAL REPORT 2017-01-09

Related by officers

GILLETTE GARY

NORTH CENTRAL FLORIDA TRAUMA AGENCY, INC. FLORIDA BLADE 24 LLC ASSOCIATION OF FLORIDA TRAUMA AGENCIES, INC.

BENTLEY THOMAS

PLANIT MEDIA LLC BENCO CONSTRUCTION SERVICE'S, LLC JUICY PURPLE LLC BENTLEYS CARPET CARE, INC. HARVEST TIME PENTECOSTAL ASSEMBLY INC.

CT CORPORATION SYSTEM

TMB PANAMA, LLC NAPLES FLORIDA II, LIMITED PARTNERSHIP EXTRA SPACE OF COCONUT POINT LLC MORAN SHIPPING AGENCIES INC. CS KEY WEST I, LLC. MARINA MANAGER, INC. DALLAS NATIONAL INSURANCE COMPANY MAYARAINBOW II, LLC PRESTON STABLES, LLC NW FLORIDA EMERGENCY PHYSICIANS, LLC

Related by address

No related companies by address

Date of last update: 01 Feb 2025

Sources: Florida Department of State

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