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  5. PREMIER HEART AND VASCULAR CENTER, P.A.

PREMIER HEART AND VASCULAR CENTER, P.A.

Company Details

Entity Name: PREMIER HEART AND VASCULAR CENTER, P.A.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Active
Date Filed: 26 May 2011 (14 years ago)
Last Event: REINSTATEMENT
Event Date Filed: 02 Oct 2020 (4 years ago)
Document Number: P11000050193
FEI/EIN Number 203842362
Mail Address: 38035 MEDICAL CENTER AVENUE, ZEPHYRHILLS, FL, 33540, US
Address: 38035 MEDICAL CENTER AVENUE, ZEPHYRHILLS, FL, 33540
ZIP code: 33540
County: Pasco
Place of Formation: FLORIDA

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
PREMIER HEART 401(K) PLAN 2023 203842362 2024-07-10 PREMIER HEART AND VASCULAR CENTER, P. A. 134
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2006-06-01
Business code 621111
Sponsor’s telephone number 8137881400
Plan sponsor’s address 38035 MEDICAL CENTER AVE, ZEPHYRHILLS, FL, 33540

Signature of
Role Plan administrator
Date 2024-07-10
Name of individual signing SUNIL GUPTA
Valid signature Filed with authorized/valid electronic signature
PREMIER HEART 401(K) PLAN 2022 203842362 2023-09-18 PREMIER HEART AND VASCULAR CENTER, P. A. 111
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2006-06-01
Business code 621111
Sponsor’s telephone number 8137881400
Plan sponsor’s address 38035 MEDICAL CENTER AVENUE, ZEPHYRHILLS, FL, 335401384

Signature of
Role Plan administrator
Date 2023-09-18
Name of individual signing AMANDA BRASWELL
Valid signature Filed with authorized/valid electronic signature
PREMIER HEART 401(K) PLAN 2021 203842362 2022-09-19 PREMIER HEART AND VASCULAR CENTER, P. A. 96
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2006-06-01
Business code 621111
Sponsor’s telephone number 8137881400
Plan sponsor’s address 38035 MEDICAL CENTER AVENUE, ZEPHYRHILLS, FL, 335401384

Signature of
Role Plan administrator
Date 2022-09-19
Name of individual signing AMANDA BRASWELL
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2022-09-19
Name of individual signing AMANDA BRASWELL
Valid signature Filed with authorized/valid electronic signature
PREMIER HEART 401(K) PLAN 2020 203842362 2021-09-30 PREMIER HEART AND VASCULAR CENTER, P. A. 73
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2006-06-01
Business code 621111
Sponsor’s telephone number 8137881400
Plan sponsor’s address 38035 MEDICAL CENTER AVENUE, ZEPHYRHILLS, FL, 335401384

Signature of
Role Plan administrator
Date 2021-09-30
Name of individual signing THAREN LEESCH
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2021-09-30
Name of individual signing THAREN LEESCH
Valid signature Filed with authorized/valid electronic signature
PREMIER HEART 401(K) PLAN 2019 203842362 2020-08-25 PREMIER HEART AND VASCULAR CENTER, P. A. 52
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2006-06-01
Business code 621111
Sponsor’s telephone number 8137881400
Plan sponsor’s address 38035 MEDICAL CENTER AVENUE, ZEPHYRHILLS, FL, 335401384

Signature of
Role Plan administrator
Date 2020-08-25
Name of individual signing THAREN LEESCH
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2020-08-25
Name of individual signing THAREN LEESCH
Valid signature Filed with authorized/valid electronic signature
PREMIER HEART 401(K) PLAN 2018 203842362 2019-07-15 PREMIER HEART AND VASCULAR CENTER, P. A. 45
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2006-06-01
Business code 621111
Sponsor’s telephone number 8137881400
Plan sponsor’s address 38035 MEDICAL CENTER AVENUE, ZEPHYRHILLS, FL, 335401384

Signature of
Role Plan administrator
Date 2019-07-15
Name of individual signing SUNIL GUPTA, MD
Valid signature Filed with authorized/valid electronic signature
PREMIER HEART PENSION PLAN 2017 203842362 2018-10-12 PREMIER HEART AND VASCULAR CENTER, P. A. 24
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-06-01
Business code 621111
Sponsor’s telephone number 8137881400
Plan sponsor’s address P.O. BOX 2709, ZEPHYRHILLS, FL, 335392709
PREMIER HEART 401(K) PLAN 2017 203842362 2018-07-02 PREMIER HEART AND VASCULAR CENTER, P. A. 35
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2006-06-01
Business code 621111
Sponsor’s telephone number 8137881400
Plan sponsor’s address 38035 MEDICAL CENTER AVENUE, ZEPHYRHILLS, FL, 335401384

Signature of
Role Plan administrator
Date 2018-07-02
Name of individual signing SUNIL GUPTA, MD
Valid signature Filed with authorized/valid electronic signature
PREMIER HEART PENSION PLAN (FINAL) 2017 203842362 2018-11-08 PREMIER HEART AND VASCULAR CENTER, P. A. 23
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-06-01
Business code 621111
Sponsor’s telephone number 8137881400
Plan sponsor’s address P.O. BOX 2709, ZEPHYRHILLS, FL, 335392709
PREMIER HEART 401(K) PLAN 2016 203842362 2017-08-31 PREMIER HEART AND VASCULAR CENTER, P. A. 25
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2006-06-01
Business code 621111
Sponsor’s telephone number 8137881400
Plan sponsor’s address P.O. BOX 2709, ZEPHYRHILLS, FL, 335392709

Signature of
Role Plan administrator
Date 2017-08-31
Name of individual signing SUNIL GUPTA, MD
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2017-08-31
Name of individual signing SUNIL GUPTA, MD
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role
AARON L. GORDON, PLLC Agent

President

Name Role Address
GUPTA SUNIL M.D. President 38035 MEDICAL CENTER AVENUE, ZEPHYRHILLS, FL, 33540

Director

Name Role Address
GUPTA SUNIL M.D. Director 38035 MEDICAL CENTER AVENUE, ZEPHYRHILLS, FL, 33540
CHAUHAN KETUL KM.D. Director 38035 MEDICAL CENTER AVENUE, ZEPHYRHILLS, FL, 33540
KHAMARE CHETAN Director 38035 MEDICAL CENTER AVENUE, ZEPHYRHILLS, FL, 33540

Vice President

Name Role Address
CHAUHAN KETUL KM.D. Vice President 38035 MEDICAL CENTER AVENUE, ZEPHYRHILLS, FL, 33540

Secretary

Name Role Address
KHAMARE CHETAN Secretary 38035 MEDICAL CENTER AVENUE, ZEPHYRHILLS, FL, 33540

Treasurer

Name Role Address
SOMA VIKAS M.D. Treasurer 38035 MEDICAL CENTER AVENUE, ZEPHYRHILLS, FL, 33540

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G16000040187 VEIN CENTER OF WESLEY CHAPEL EXPIRED 2016-04-20 2021-12-31 No data 27424 CASHFORD CIRCLE, WESLEY CHAPEL, FL, 33544
G14000010180 WESLEY CHAPEL VEIN CENTER EXPIRED 2014-01-29 2019-12-31 No data 26827 FOGGY CREEK ROAD, #103, WESLEY CHAPEL, FL, 33544

Events

Event Type Filed Date Value Description
REGISTERED AGENT ADDRESS CHANGED 2024-04-19 2904 W Bay to Bay Ave, TAMPA, FL 33629 No data
REGISTERED AGENT NAME CHANGED 2023-04-20 Aaron L Gordon PLLC No data
REINSTATEMENT 2020-10-02 No data No data
CHANGE OF MAILING ADDRESS 2020-10-02 38035 MEDICAL CENTER AVENUE, ZEPHYRHILLS, FL 33540 No data
ADMIN DISSOLUTION FOR ANNUAL REPORT 2020-09-25 No data No data
REINSTATEMENT 2014-10-07 No data No data
ADMIN DISSOLUTION FOR ANNUAL REPORT 2014-09-26 No data No data
AMENDMENT 2011-11-10 No data No data
CONVERSION 2011-05-26 No data CORPORATION WAS A CONVERSION RESULT. CONVERTING CORPORATION WAS L05000058778. CONVERSION NUMBER 900000114059

Documents

Name Date
ANNUAL REPORT 2024-04-19
ANNUAL REPORT 2023-04-20
ANNUAL REPORT 2022-04-10
ANNUAL REPORT 2021-07-27
REINSTATEMENT 2020-10-02
ANNUAL REPORT 2019-03-25
ANNUAL REPORT 2018-03-06
ANNUAL REPORT 2017-02-10
ANNUAL REPORT 2016-07-25
ANNUAL REPORT 2015-03-03

Related by officers

No related officers

Related by address

No related companies by address

Date of last update: 01 Jan 2025

Sources: Florida Department of State

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