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FIRST COAST HEART & VASCULAR CENTER, P.A. - Florida Company Profile

Company Details

Entity Name: FIRST COAST HEART & VASCULAR CENTER, P.A.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit

FIRST COAST HEART & VASCULAR CENTER, P.A. is structured as a Domestic Profit Corporation, which, in Florida signifies a Profit Corporation (also known as a C-Corporation). This business structure is recognized as a separate legal entity from its owners. This offers shareholders the benefit of limited liability protection, safeguarding their personal assets from the corporation's debts and obligations, and facilitates raising capital through the issuance of stock. In Florida, Domestic Profit Corporations are governed by Title XXXVI, Chapter 607, Florida Statutes – Florida Business Corporation Act.

Status: Active

The business entity is active. This status indicates that the business is currently operating and compliant with state regulations, suggesting a lower risk profile for lenders and potentially better creditworthiness.

Date Filed: 25 Jul 2012 (13 years ago)
Last Event: AMENDED AND RESTATED ARTICLES
Event Date Filed: 01 Sep 2021 (4 years ago)
Document Number: P12000065181
FEI/EIN Number 46-0692160

Federal Employer Identification (FEI) Number assigned by the IRS.

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

Key Officers & Management

Name Role Address
BLUMENTHAL DAN President 345 PARK AVE S 12TH FLOOR, NEW YORK, NY, 10010
BLUMENTHAL DAN Director 345 PARK AVE S 12TH FLOOR, NEW YORK, NY, 10010
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
CORPORATION SERVICE COMPANY Agent -

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 - 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 -
AMENDED AND RESTATEDARTICLES 2021-09-01 - -
REGISTERED AGENT ADDRESS CHANGED 2021-09-01 1201 HAYS STREET, TALLAHASSEE, FL 32301-2525 -
REGISTERED AGENT NAME CHANGED 2021-09-01 CORPORATION SERVICE COMPANY -
CHANGE OF PRINCIPAL ADDRESS 2021-09-01 3901 UNIVERSITY BLVD SOUTH, SUITE 221, JACKSONVILLE, FL 32216 -
AMENDMENT 2015-10-19 - -
AMENDMENT 2015-10-05 - -
AMENDMENT 2015-07-15 - -
AMENDMENT 2014-12-08 - -
AMENDMENT 2014-08-25 - -

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

Paycheck Protection Program

Loan Number Loan Funded Date SBA Origination Office Code Loan Delivery Method Borrower Street Address
1623827310 2020-04-28 0491 PPP 3901 University Blvd S Ste 227, JACKSONVILLE, FL, 32216-4390
Loan Status Date 2021-03-18
Loan Status Paid in Full
Loan Maturity in Months 24
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 1168500
Loan Approval Amount (current) 1168500
Undisbursed Amount 0
Franchise Name -
Lender Location ID 51009
Servicing Lender Name First-Citizens Bank & Trust Company
Servicing Lender Address 100 E. Tryon Rd DAC - 90, Raleigh, NC, 27603-3581
Rural or Urban Indicator U
Hubzone N
LMI N
Business Age Description New Business or 2 years or less
Project Address JACKSONVILLE, DUVAL, FL, 32216-4390
Project Congressional District FL-05
Number of Employees 87
NAICS code 621111
Borrower Race Unanswered
Borrower Ethnicity Not Hispanic or Latino
Business Type Corporation
Originating Lender ID 51009
Originating Lender Name First-Citizens Bank & Trust Company
Originating Lender Address Raleigh, NC
Gender Male Owned
Veteran Non-Veteran
Forgiveness Amount 831659.9
Forgiveness Paid Date 2021-02-19

Date of last update: 01 Apr 2025

Sources: Florida Department of State