| Entity Name: | MEL-BAY HEALTH CARE, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 21 May 2010 (15 years ago) |
| Document Number: | P10000043945 |
| FEI/EIN Number | 273190586 |
| Address: | 3207 CAPPIO DRIVE, MELBOURNE, FL, 32940, US |
| Mail Address: | 3207 CAPPIO DRIVE, MELBOURNE, FL, 32940, US |
| ZIP code: | 32940 |
| County: | Brevard |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1407162654 | 2010-08-25 | 2024-01-11 | P.O BOX 560010, ROCKLEDGE, FL, 32956, US | 950 S APOLLO BLVD, MELBOURNE, FL, 32901, US | |||||||||||||||
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| Phone | +1 321-473-8400 |
| Fax | 3219140888 |
Authorized person
| Name | KISHORE R PATSAMATLA |
| Role | OWNER |
| Phone | 3214738400 |
Taxonomy
| Taxonomy Code | 207R00000X - Internal Medicine Physician |
| Is Primary | Yes |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| MEL BAY HEALTH CARE INC 401K | 2023 | 273190586 | 2024-11-08 | MEL BAY HEALTH CARE INC | 6 | |||||||||||||||||||||||||||||||||||||||||||||||||
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| Role | Plan administrator |
| Date | 2024-11-08 |
| Name of individual signing | KISHORE PATSAMATLA |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2022-01-01 |
| Business code | 621111 |
| Sponsor’s telephone number | 3215378018 |
| Plan sponsor’s address | 3207 CAPPIO DR, MELBOURNE, FL, 32940 |
Signature of
| Role | Plan administrator |
| Date | 2024-10-04 |
| Name of individual signing | KISHORE PATSAMATLA |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2015-09-28 |
| Business code | 621111 |
| Sponsor’s telephone number | 3215378018 |
| Plan sponsor’s DBA name | MEL-BAY HEALTH CARE INC |
| Plan sponsor’s mailing address | 3207 CAPPIO DR, MELBOURNE, FL, 329401311 |
| Plan sponsor’s address | 3207 CAPPIO DR, MELBOURNE, FL, 329401311 |
Number of participants as of the end of the plan year
| Active participants | 0 |
| Retired or separated participants receiving benefits | 0 |
| Other retired or separated participants entitled to future benefits | 0 |
| Deceased participants whose beneficiaries are receiving or are entitled to receive benefits | 0 |
| Number of participants with account balances as of the end of the plan year | 0 |
| Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested | 0 |
Signature of
| Role | Plan administrator |
| Date | 2016-10-17 |
| Name of individual signing | KISHORE PATSAMATLA |
| Valid signature | Filed with authorized/valid electronic signature |
| Role | Employer/plan sponsor |
| Date | 2016-10-17 |
| Name of individual signing | KISHORE PATSAMATLA |
| Valid signature | Filed with authorized/valid electronic signature |
| Name | Role | Address |
|---|---|---|
| KISHORE PATSAMATLA | Agent | 3207 Cappio Drive, Melbourne, FL, 32940 |
| Name | Role | Address |
|---|---|---|
| PATSAMATLA KISHORE R | Director | 3207 Cappio Drive, Melbourne, FL, 32940 |
| PATSAMATLA SWAPNA P | Director | 3207 Cappio Drive, Melbourne, FL, 32940 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G11000043621 | SUNSHINE WALK-IN CLINIC | EXPIRED | 2011-05-05 | 2016-12-31 | No data | 3643 MIDDLEBURG LANE, APT. 111, ROCKLEDGE, FL, 32955 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT ADDRESS CHANGED | 2014-02-27 | 3207 Cappio Drive, Melbourne, FL 32940 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2014-02-10 | 3207 CAPPIO DRIVE, MELBOURNE, FL 32940 | No data |
| CHANGE OF MAILING ADDRESS | 2014-02-10 | 3207 CAPPIO DRIVE, MELBOURNE, FL 32940 | No data |
| REGISTERED AGENT NAME CHANGED | 2011-03-27 | KISHORE, PATSAMATLA | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-17 |
| ANNUAL REPORT | 2023-04-09 |
| ANNUAL REPORT | 2022-01-28 |
| ANNUAL REPORT | 2021-04-15 |
| ANNUAL REPORT | 2020-03-22 |
| ANNUAL REPORT | 2019-04-04 |
| ANNUAL REPORT | 2018-03-12 |
| ANNUAL REPORT | 2017-04-25 |
| ANNUAL REPORT | 2016-02-28 |
| ANNUAL REPORT | 2015-02-24 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
