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  5. FIRST COAST HEART & VASCULAR CENTER, P.A.

FIRST COAST HEART & VASCULAR CENTER, P.A.

Company Details

Entity Name: FIRST COAST HEART & VASCULAR CENTER, P.A.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Active
Date Filed: 25 Jul 2012 (13 years ago)
Last Event: AMENDED AND RESTATED ARTICLES
Event Date Filed: 01 Sep 2021 (3 years ago)
Document Number: P12000065181
FEI/EIN Number 46-0692160
Address: 3901 UNIVERSITY BLVD SOUTH, SUITE 221, JACKSONVILLE, FL, 32216, US
Mail Address: 200 5th Ave., Suite 4020, WALTHAM, MA, 02451, US
ZIP code: 32216
County: Duval
Place of Formation: FLORIDA

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
FIRST COAST HEART & VASCULAR CENTER, P.A. RETIREMENT PLAN 2022 460692160 2023-10-11 FIRST COAST HEART & VASCULAR CENTER, P.A. 106
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-03-01
Business code 621111
Sponsor’s telephone number 9044230010
Plan sponsor’s address 3901 UNIVERSITY BOULEVARD SOUTH, SUITE 227, JACKSONVILLE, FL, 32216

Signature of
Role Plan administrator
Date 2023-10-11
Name of individual signing MICHELLE SORRELL
Valid signature Filed with authorized/valid electronic signature
FIRST COAST HEART & VASCULAR CENTER, P.A. RETIREMENT PLAN 2021 460692160 2023-02-15 FIRST COAST HEART & VASCULAR CENTER, P.A. 119
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-03-01
Business code 621111
Sponsor’s telephone number 9044230010
Plan sponsor’s address SUITE 227, JACKSONVILLE, FL, 32216

Signature of
Role Plan administrator
Date 2023-02-15
Name of individual signing VICTORIA PEARCE
Valid signature Filed with authorized/valid electronic signature
FIRST COAST HEART & VASCULAR CENTER, P.A. RETIREMENT PLAN 2020 460692160 2021-10-15 FIRST COAST HEART & VASCULAR CENTER, P.A. 109
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-03-01
Business code 621111
Sponsor’s telephone number 9044231850
Plan sponsor’s address 3901 UNIVERSITY BOULEVARD SOUTH, SUITE 227, JACKSONVILLE, FL, 32216

Signature of
Role Plan administrator
Date 2021-10-15
Name of individual signing JIM NEEDHAM
Valid signature Filed with authorized/valid electronic signature
FIRST COAST HEART & VASCULAR CENTER, P.A. RETIREMENT PLAN 2019 460692160 2020-10-09 FIRST COAST HEART & VASCULAR CENTER, P.A. 111
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-03-01
Business code 621111
Sponsor’s telephone number 9044231850
Plan sponsor’s address 3901 UNIVERSITY BOULEVARD SOUTH, SUITE 227, JACKSONVILLE, FL, 32216

Signature of
Role Plan administrator
Date 2020-10-09
Name of individual signing JIM NEEDHAM
Valid signature Filed with authorized/valid electronic signature
FIRST COAST HEART & VASCULAR CENTER, P.A. RETIREMENT PLAN 2018 460692160 2019-06-19 FIRST COAST HEART & VASCULAR CENTER, P.A. 89
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-03-01
Business code 621111
Sponsor’s telephone number 9044231850
Plan sponsor’s address 3901 UNIVERSITY BOULEVARD SOUTH, SUITE 227, JACKSONVILLE, FL, 32216

Signature of
Role Plan administrator
Date 2019-06-19
Name of individual signing JAMES NEEDHAM
Valid signature Filed with authorized/valid electronic signature
FIRST COAST HEART & VASCULAR CENTER, P.A. RETIREMENT PLAN 2017 460692160 2018-08-29 FIRST COAST HEART & VASCULAR CENTER, P.A. 46
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-03-01
Business code 621111
Sponsor’s telephone number 9044231850
Plan sponsor’s address 3901 UNIVERSITY BOULEVARD SOUTH, SUITE 227, JACKSONVILLE, FL, 32216

Signature of
Role Plan administrator
Date 2018-08-29
Name of individual signing JAMES NEEDHAM
Valid signature Filed with authorized/valid electronic signature
FIRST COAST HEART & VASCULAR CENTER, P.A. RETIREMENT PLAN 2016 460692160 2017-06-29 FIRST COAST HEART & VASCULAR CENTER, P.A. 49
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-03-01
Business code 621111
Sponsor’s telephone number 9044231850
Plan sponsor’s address 3901 UNIVERSITY BOULEVARD SOUTH, SUITE 227, JACKSONVILLE, FL, 32216

Signature of
Role Plan administrator
Date 2017-06-29
Name of individual signing JAMES NEEDHAM
Valid signature Filed with authorized/valid electronic signature
FIRST COAST HEART & VASCULAR CENTER, P.A. RETIREMENT PLAN 2015 460692160 2016-09-20 FIRST COAST HEART & VASCULAR CENTER, P.A. 44
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-03-01
Business code 621111
Sponsor’s telephone number 9044231850
Plan sponsor’s address 3901 UNIVERSITY BOULEVARD SOUTH, SUITE 227, JACKSONVILLE, FL, 32216

Signature of
Role Plan administrator
Date 2016-09-20
Name of individual signing JAMES NEEDHAM
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role
CORPORATION SERVICE COMPANY Agent

President

Name Role Address
BLUMENTHAL DAN President 345 PARK AVE S 12TH FLOOR, NEW YORK, NY, 10010

Director

Name Role Address
BLUMENTHAL DAN Director 345 PARK AVE S 12TH FLOOR, NEW YORK, NY, 10010

Officer

Name Role Address
CARACCIOLO VINCENT Officer 3901 University Blvd South, Jacksonville, FL, 32216
Pubbi Dinesh Officer 3901 University Blvd South, Jacksonville, FL, 32216
Sanghvi Neil Officer 3901 University Blvd South, Jacksonville, FL, 32216

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G15000025818 FIRST COAST HEART & VASCULAR CENTER CATH LAB ACTIVE 2015-03-11 2025-12-31 No data 14810 OLD ST. AUGUSTINE ROAD, SUITE 210, JACKSONVILLE, FL, 32258

Events

Event Type Filed Date Value Description
CHANGE OF MAILING ADDRESS 2023-01-12 3901 UNIVERSITY BLVD SOUTH, SUITE 221, JACKSONVILLE, FL 32216 No data
AMENDED AND RESTATEDARTICLES 2021-09-01 No data No data
REGISTERED AGENT ADDRESS CHANGED 2021-09-01 1201 HAYS STREET, TALLAHASSEE, FL 32301-2525 No data
REGISTERED AGENT NAME CHANGED 2021-09-01 CORPORATION SERVICE COMPANY No data
CHANGE OF PRINCIPAL ADDRESS 2021-09-01 3901 UNIVERSITY BLVD SOUTH, SUITE 221, JACKSONVILLE, FL 32216 No data
AMENDMENT 2015-10-19 No data No data
AMENDMENT 2015-10-05 No data No data
AMENDMENT 2015-07-15 No data No data
AMENDMENT 2014-12-08 No data No data
AMENDMENT 2014-08-25 No data No data

Documents

Name Date
ANNUAL REPORT 2024-04-10
ANNUAL REPORT 2023-05-01
ANNUAL REPORT 2022-01-17
Amended and Restated Articles 2021-09-01
AMENDED ANNUAL REPORT 2021-06-11
ANNUAL REPORT 2021-01-14
ANNUAL REPORT 2020-01-16
ANNUAL REPORT 2019-03-05
ANNUAL REPORT 2018-01-15
ANNUAL REPORT 2017-01-06

Related by officers

CARACCIOLO VINCENT

FCH ST. AUGUSTINE REAL ESTATE COMPANY, LLC

Pubbi Dinesh

DIVINE CHOICE 1, LLC FIRST COAST INDEPENDENT PRACTICE ASSOCIATION, INC.

Related by address

No related companies by address

Date of last update: 01 Feb 2025

Sources: Florida Department of State

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