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  5. ST JOHNS VEIN CENTER, INC.

ST JOHNS VEIN CENTER, INC.

Company Details

Entity Name: ST JOHNS VEIN CENTER, INC.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Inactive
Date Filed: 28 Jan 2010 (15 years ago)
Date of dissolution: 21 Apr 2024 (10 months ago)
Last Event: VOLUNTARY DISSOLUTION
Event Date Filed: 21 Apr 2024 (10 months ago)
Document Number: P10000008362
FEI/EIN Number 271827719
Address: 46 Weeden St, St Augustine, FL, 32084, US
Mail Address: 46 Weeden St, St Augustine, FL, 32084, US
ZIP code: 32084
County: St. Johns
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1376863977 2010-06-04 2020-09-09 8767 PERIMETER PARK BLVD, JACKSONVILLE, FL, 322165479, US 8767 PERIMETER PARK BLVD, JACKSONVILLE, FL, 322165479, US

Contacts
Phone +1 904-402-8346
Fax 9044028347

Authorized person
Name DR. JAMES ST. GEORGE
Role CEO
Phone 9044028346

Taxonomy
Taxonomy Code 202K00000X - Phlebology Physician
License Number ME88184
State FL
Is Primary No
Taxonomy Code 2085R0204X - Vascular & Interventional Radiology Physician
Is Primary Yes

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
ST. JOHNS VEIN CENTER, INC. CASH BALANCE PLAN 2023 271827719 2024-10-14 ST JOHNS VEIN CENTER, INC. 30
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2013-01-01
Business code 621111
Sponsor’s telephone number 9044028346
Plan sponsor’s address 8767 PERIMETER PARK BLVD, JACKSONVILLE, FL, 32216

Signature of
Role Plan administrator
Date 2024-10-14
Name of individual signing JAMES ST GEORGE
Valid signature Filed with authorized/valid electronic signature
ST. JOHNS VEIN CENTER, INC. CASH BALANCE PLAN 2022 271827719 2023-10-12 ST JOHNS VEIN CENTER, INC. 32
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2013-01-01
Business code 621399
Sponsor’s telephone number 9044028346
Plan sponsor’s address 8767 PERIMETER PARK BLVD, JACKSONVILLE, FL, 32216

Signature of
Role Plan administrator
Date 2023-10-12
Name of individual signing JAMES ST GEORGE
Valid signature Filed with authorized/valid electronic signature
ST. JOHNS VEIN CENTER, INC. CASH BALANCE PLAN 2021 271827719 2022-10-04 ST JOHNS VEIN CENTER, INC. 31
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2013-01-01
Business code 621399
Sponsor’s telephone number 9044028346
Plan sponsor’s address 8767 PERIMETER PARK BLVD, JACKSONVILLE, FL, 32216

Signature of
Role Plan administrator
Date 2022-10-04
Name of individual signing JAMES ST GEORGE
Valid signature Filed with authorized/valid electronic signature
ST. JOHNS VEIN CENTER, INC. CASH BALANCE PLAN 2020 271827719 2021-09-15 ST JOHNS VEIN CENTER, INC. 22
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2013-01-01
Business code 621399
Sponsor’s telephone number 3214324329
Plan sponsor’s address 8767 PERIMETER PARK BLVD, JACKSONVILLE, FL, 32216

Signature of
Role Plan administrator
Date 2021-09-15
Name of individual signing JAMES ST GEORGE
Valid signature Filed with authorized/valid electronic signature
ST. JOHNS VEIN CENTER, INC. CASH BALANCE PLAN 2019 271827719 2020-10-13 ST JOHNS VEIN CENTER, INC. 23
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2013-01-01
Business code 621399
Sponsor’s telephone number 3214324329
Plan sponsor’s address 8767 PERIMETER PARK BLVD, JACKSONVILLE, FL, 32216

Signature of
Role Plan administrator
Date 2020-10-13
Name of individual signing JAMES ST GEORGE
Valid signature Filed with authorized/valid electronic signature
ST. JOHNS VEIN CENTER, INC. CASH BALANCE PLAN 2018 271827719 2019-10-08 ST JOHNS VEIN CENTER, INC. 24
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2013-01-01
Business code 621399
Sponsor’s telephone number 3214324329
Plan sponsor’s address 8767 PERIMETER PARK BLVD, JACKSONVILLE, FL, 32216

Signature of
Role Plan administrator
Date 2019-10-08
Name of individual signing JAMES ST GEORGE
Valid signature Filed with authorized/valid electronic signature
ST. JOHNS VEIN CENTER, INC. CASH BALANCE PLAN 2017 271827719 2018-10-09 ST JOHNS VEIN CENTER, INC. 15
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2013-01-01
Business code 621399
Sponsor’s telephone number 3214324329
Plan sponsor’s address 111512 LAKE MEAD AVENUE, SUITE 513, JACKSONVILLE, FL, 32256

Signature of
Role Plan administrator
Date 2018-10-09
Name of individual signing JAMES ST GEORGE
Valid signature Filed with authorized/valid electronic signature
ST. JOHNS VEIN CENTER, INC. CASH BALANCE PLAN 2016 271827719 2018-01-25 ST JOHNS VEIN CENTER, INC. 14
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2013-01-01
Business code 621399
Sponsor’s telephone number 3214324329
Plan sponsor’s address 111512 LAKE MEAD AVENUE, SUITE 513, JACKSONVILLE, FL, 32256

Signature of
Role Plan administrator
Date 2018-01-25
Name of individual signing JAMES ST GEORGE
Valid signature Filed with authorized/valid electronic signature
ST. JOHNS VEIN CENTER, INC. CASH BALANCE PLAN 2015 271827719 2016-09-21 ST JOHNS VEIN CENTER, INC. 11
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2013-01-01
Business code 621399
Sponsor’s telephone number 3214324329
Plan sponsor’s address 111512 LAKE MEAD AVENUE, SUITE 513, JACKSONVILLE, FL, 32256

Signature of
Role Plan administrator
Date 2016-09-21
Name of individual signing JAMES ST GEORGE
Valid signature Filed with authorized/valid electronic signature
ST. JOHNS VEIN CENTER, INC. CASH BALANCE PLAN 2014 271827719 2015-10-12 ST JOHNS VEIN CENTER, INC. 6
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2013-01-01
Business code 621399
Sponsor’s telephone number 3214324329
Plan sponsor’s address 111512 LAKE MEAD AVENUE, SUITE 513, JACKSONVILLE, FL, 32256

Signature of
Role Plan administrator
Date 2015-10-12
Name of individual signing JAMES ST GEORGE
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
ST GEORGE JAMES Agent 46 Weeden St, St Augustine, FL, 32084

Chief Executive Officer

Name Role Address
ST GEORGE JAMES Chief Executive Officer 46 Weeden St, St Augustine, FL, 32084

Chief Operating Officer

Name Role Address
CASEY SONYA M Chief Operating Officer 46 Weeden St, St Augustine, FL, 32084

Treasurer

Name Role Address
St George James Treasurer 46 Weeden St, St Augustine, FL, 32084

Secretary

Name Role Address
Casey Sonya M Secretary 46 Weeden St, St Augustine, FL, 32084

Events

Event Type Filed Date Value Description
VOLUNTARY DISSOLUTION 2024-04-21 No data No data
CHANGE OF PRINCIPAL ADDRESS 2023-01-26 46 Weeden St, St Augustine, FL 32084 No data
REGISTERED AGENT NAME CHANGED 2023-01-26 ST GEORGE, JAMES No data
REGISTERED AGENT ADDRESS CHANGED 2023-01-26 46 Weeden St, St Augustine, FL 32084 No data
CHANGE OF MAILING ADDRESS 2023-01-26 46 Weeden St, St Augustine, FL 32084 No data
AMENDMENT 2010-08-04 No data No data
NAME CHANGE AMENDMENT 2010-07-06 ST JOHNS VEIN CENTER, INC. No data

Documents

Name Date
VOLUNTARY DISSOLUTION 2024-04-21
ANNUAL REPORT 2023-01-26
ANNUAL REPORT 2022-01-28
ANNUAL REPORT 2021-02-15
ANNUAL REPORT 2020-02-26
ANNUAL REPORT 2019-02-22
ANNUAL REPORT 2018-01-24
ANNUAL REPORT 2017-04-02
ANNUAL REPORT 2016-01-18
ANNUAL REPORT 2015-01-09

Paycheck Protection Program

Loan Number Loan Funded Date SBA Origination Office Code Loan Delivery Method Borrower Street Address
8580717008 2020-04-08 0491 PPP 8767 Perimeter Park Blvd, JACKSONVILLE, FL, 32216-5479
Loan Status Date 2022-01-31
Loan Status Paid in Full
Loan Maturity in Months 24
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 563300
Loan Approval Amount (current) 428845
Undisbursed Amount 0
Franchise Name -
Lender Location ID 225134
Servicing Lender Name Truist Bank
Servicing Lender Address 214 N Tryon St, CHARLOTTE, NC, 28202-1078
Rural or Urban Indicator U
Hubzone N
LMI N
Business Age Description Existing or more than 2 years old
Project Address JACKSONVILLE, DUVAL, FL, 32216-5479
Project Congressional District FL-05
Number of Employees 35
NAICS code 621111
Borrower Race Unanswered
Borrower Ethnicity Unknown/NotStated
Business Type Corporation
Originating Lender ID 225134
Originating Lender Name Truist Bank
Originating Lender Address CHARLOTTE, NC
Gender Unanswered
Veteran Unanswered
Forgiveness Amount 433371.7
Forgiveness Paid Date 2021-05-06
1230608810 2021-04-09 0491 PPS 8767 Perimeter Park Blvd, Jacksonville, FL, 32216-5479
Loan Status Date 2022-05-18
Loan Status Paid in Full
Loan Maturity in Months 60
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 356472
Loan Approval Amount (current) 356472
Undisbursed Amount 0
Franchise Name -
Lender Location ID 225134
Servicing Lender Name Truist Bank
Servicing Lender Address 214 N Tryon St, CHARLOTTE, NC, 28202-1078
Rural or Urban Indicator U
Hubzone N
LMI N
Business Age Description Existing or more than 2 years old
Project Address Jacksonville, DUVAL, FL, 32216-5479
Project Congressional District FL-05
Number of Employees 30
NAICS code 621111
Borrower Race Unanswered
Borrower Ethnicity Unknown/NotStated
Business Type Corporation
Originating Lender ID 225134
Originating Lender Name Truist Bank
Originating Lender Address CHARLOTTE, NC
Gender Unanswered
Veteran Unanswered
Forgiveness Amount 360224.86
Forgiveness Paid Date 2022-04-28

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Related by address

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Date of last update: 01 Feb 2025

Sources: Florida Department of State

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