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  5. HEALTH PARK PODIATRIC FOOT AND ANKLE CLINIC, INC.

HEALTH PARK PODIATRIC FOOT AND ANKLE CLINIC, INC.

Company Details

Entity Name: HEALTH PARK PODIATRIC FOOT AND ANKLE CLINIC, INC.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Inactive
Date Filed: 12 Jan 2010 (15 years ago)
Date of dissolution: 28 Sep 2018 (6 years ago)
Last Event: ADMIN DISSOLUTION FOR ANNUAL REPORT
Event Date Filed: 28 Sep 2018 (6 years ago)
Document Number: P10000003222
FEI/EIN Number 271648096
Address: 1975 OLD MOULTRIE ROAD, ST. AUGUSTINE, FL, 32086
Mail Address: 1975 OLD MOULTRIE ROAD, ST. AUGUSTINE, FL, 32086
ZIP code: 32086
County: St. Johns
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1932430667 2010-01-20 2010-08-13 1975 OLD MOULTRIE RD, ST AUGUSTINE, FL, 320865164, US 1975 OLD MOULTRIE RD, ST AUGUSTINE, FL, 320865164, US

Contacts
Phone +1 904-825-0046

Authorized person
Name MRS. LAURIE J LOVE
Role MANAGER
Phone 9048250046

Taxonomy
Taxonomy Code 213E00000X - Podiatrist
Is Primary Yes

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
HEALTH PARK PODIATRIC FOOT AND ANKLE CLINIC, INC. CASH BALANCE PLAN 2013 271648096 2014-10-14 HEALTH PARK PODIATRIC FOOT AND ANKLE CLINIC, INC. 9
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2012-01-01
Business code 621391
Sponsor’s telephone number 9048250046
Plan sponsor’s address 1975 OLD MOULTRIE RD, ST. AUGUSTINE, FL, 32086
HEALTH PARK PODIATRIC FOOT AND ANKLE CLINIC, INC. 401(K) PLAN 2013 271648096 2014-10-14 HEALTH PARK PODIATRIC FOOT AND ANKLE CLINIC, INC. 20
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2010-02-01
Business code 621391
Sponsor’s telephone number 9048250046
Plan sponsor’s address 1975 OLD MOULTRIE ROAD, ST. AUGUSTINE, FL, 32086
HEALTH PARK PODIATRIC FOOT AND ANKLE CLINIC, INC. 401(K) PLAN 2012 271648096 2013-10-15 HEALTH PARK PODIATRIC FOOT AND ANKLE CLINIC, INC. 13
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2010-02-01
Business code 621391
Sponsor’s telephone number 9048250046
Plan sponsor’s address 1975 OLD MOULTRIE ROAD, ST. AUGUSTINE, FL, 32086

Signature of
Role Plan administrator
Date 2013-10-15
Name of individual signing JAMES MILITELLO
Valid signature Filed with authorized/valid electronic signature
HEALTH PARK PODIATRIC FOOT AND ANKLE CLINIC, INC. CASH BALANCE PLAN 2012 271648096 2013-10-15 HEALTH PARK PODIATRIC FOOT AND ANKLE CLINIC, INC. 7
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2012-01-01
Business code 621391
Sponsor’s telephone number 9048250046
Plan sponsor’s address 1975 OLD MOULTRIE RD, ST. AUGUSTINE, FL, 32086

Signature of
Role Plan administrator
Date 2013-10-15
Name of individual signing JAMES MILITELLO
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role
HALL FINANCIAL CORPORATION Agent

Director

Name Role Address
MILITELLO JAMES S Director 260 Redfish Creek Drive, ST. AUGUSTINE, FL, 32095
MILITELLO ELAINE E Director 260 REDFISH CREEK DRIVE, ST. AUGUSTINE, FL, 32095

President

Name Role Address
MILITELLO JAMES S President 260 Redfish Creek Drive, ST. AUGUSTINE, FL, 32095
MILITELLO ELAINE E President 260 REDFISH CREEK DRIVE, ST. AUGUSTINE, FL, 32095

Treasurer

Name Role Address
MILITELLO JAMES S Treasurer 260 Redfish Creek Drive, ST. AUGUSTINE, FL, 32095

Vice President

Name Role Address
MILITELLO ELAINE E Vice President 260 REDFISH CREEK DRIVE, ST. AUGUSTINE, FL, 32095

Secretary

Name Role Address
MILITELLO ELAINE E Secretary 260 REDFISH CREEK DRIVE, ST. AUGUSTINE, FL, 32095

Events

Event Type Filed Date Value Description
ADMIN DISSOLUTION FOR ANNUAL REPORT 2018-09-28 No data No data

Debts

Document Number Status Case Number Name of Court Date of Entry Expiration Date Amount Due Plaintiff
J18000114678 LAPSED CC15-1866 COUNTY COURT-ST JOHNS COUNTY 2018-03-08 2023-03-21 $2471.64 JEFFREY L. JACKSON, 1677 EAGLE HARBOR PARKWAY, SUITE C, FLEMING ISLAND, FL 32003

Documents

Name Date
Reg. Agent Resignation 2020-12-28
ANNUAL REPORT 2017-04-27
ANNUAL REPORT 2016-06-30
ANNUAL REPORT 2015-04-28
ANNUAL REPORT 2014-04-25
ANNUAL REPORT 2013-04-11
ANNUAL REPORT 2012-04-26
ANNUAL REPORT 2011-04-29
Domestic Profit 2010-01-12

Related by officers

MILITELLO JAMES S

USINA ROAD EXTENSION, LLC 1975 OLD MOULTRIE ROAD, LLC PALM POINTE CONDO, LLC TUPELO INVESTMENTS INC MILITELLO PROPERTY MANAGEMENT INC. PODPRO CORPORATION COLD MOUNTAIN EQUESTRIAN FARMS, INC. JEMELLO CORPORATION MOLLI MILLI CORPORATION

MILITELLO ELAINE E

USINA ROAD EXTENSION, LLC 1975 OLD MOULTRIE ROAD, LLC PALM POINTE CONDO, LLC MILITELLO PROPERTY MANAGEMENT INC. PODPRO CORPORATION COLD MOUNTAIN EQUESTRIAN FARMS, INC. JEMELLO CORPORATION ELAINE E. MILITELLO, PA MOLLI MILLI CORPORATION

Related by address

No related companies by address

Date of last update: 01 Feb 2025

Sources: Florida Department of State

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