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  5. UNITED SPECIALISTS OUTREACH NETWORK P.A.

UNITED SPECIALISTS OUTREACH NETWORK P.A.

Company Details

Entity Name: UNITED SPECIALISTS OUTREACH NETWORK P.A.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Inactive
Date Filed: 02 Dec 2014 (10 years ago)
Date of dissolution: 22 Sep 2023 (a year ago)
Last Event: ADMIN DISSOLUTION FOR ANNUAL REPORT
Event Date Filed: 22 Sep 2023 (a year ago)
Document Number: P14000096830
FEI/EIN Number 47-2485940
Address: 3292 GREEN DOLPHIN LANE, NAPLES, FL, 34102, US
Mail Address: 3292 GREEN DOLPHIN LANE, NAPLES, FL, 34102, US
ZIP code: 34102
County: Collier
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1831597525 2014-12-11 2015-05-11 1860 SENEGAL DATE DR, NAPLES, FL, 341193386, US 2180 IMMOKALEE RD, SUITE 201, NAPLES, FL, 341101421, US

Contacts
Phone +1 718-382-7909

Authorized person
Name PAULA VISHNEVSKIY
Role BILLING DEPARTMENT MANAGER
Phone 7183827909

Taxonomy
Taxonomy Code 261QP3300X - Pain Clinic/Center
Is Primary Yes

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
UNITED SPECIALISTS OUTREACH NETWORK PA INCENTIVE SAVINGS PLAN 2022 472485940 2023-10-09 UNITED SPECIALISTS OUTREACH NETWORK P.A. 15
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2020-01-01
Business code 541990
Sponsor’s telephone number 9179124986
Plan sponsor’s address 3292 GREEN DOLPHIN LANE, NAPLES, FL, 34102

Signature of
Role Plan administrator
Date 2023-10-09
Name of individual signing MARK GLADSTEIN
Valid signature Filed with authorized/valid electronic signature
UNITED SPECIALISTS OUTREACH NETWORK PA CASH BALANCE PENSION PLAN 2022 472485940 2023-10-09 UNITED SPECIALISTS OUTREACH NETWORK P.A. 15
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2020-01-01
Business code 621111
Sponsor’s telephone number 9179124986
Plan sponsor’s address 3292 GREEN DOLPHIN LANE, NAPLES, FL, 34102

Signature of
Role Plan administrator
Date 2023-10-09
Name of individual signing MARK GLADSTEIN
Valid signature Filed with authorized/valid electronic signature
UNITED SPECIALISTS OUTREACH NETWORK PA INCENTIVE SAVINGS PLAN 2021 472485940 2022-10-13 UNITED SPECIALISTS OUTREACH NETWORK P.A. 15
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2020-01-01
Business code 541990
Sponsor’s telephone number 9179124986
Plan sponsor’s address 3292 GREEN DOLPHIN LANE, NAPLES, FL, 34102

Signature of
Role Plan administrator
Date 2022-10-13
Name of individual signing MARK GLADSTEIN
Valid signature Filed with authorized/valid electronic signature
UNITED SPECIALISTS OUTREACH NETWORK PA CASH BALANCE PENSION PLAN 2021 472485940 2022-10-17 UNITED SPECIALISTS OUTREACH NETWORK P.A. 15
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2020-01-01
Business code 621111
Sponsor’s telephone number 9179124986
Plan sponsor’s address 3292 GREEN DOLPHIN LANE, NAPLES, FL, 34102

Signature of
Role Plan administrator
Date 2022-10-17
Name of individual signing MARK GLADSTEIN
Valid signature Filed with authorized/valid electronic signature
UNITED SPECIALISTS OUTREACH NETWORK PA CASH BALANCE PENSION PLAN 2020 472485940 2021-10-12 UNITED SPECIALISTS OUTREACH NETWORK P.A. 19
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2020-01-01
Business code 621111
Sponsor’s telephone number 9179124986
Plan sponsor’s address 3292 GREEN DOLPHIN LANE, NAPLES, FL, 34102

Signature of
Role Plan administrator
Date 2021-10-12
Name of individual signing MARK GLADSTEIN
Valid signature Filed with authorized/valid electronic signature
UNITED SPECIALISTS OUTREACH NETWORK PA INCENTIVE SAVINGS PLAN 2020 472485940 2021-09-23 UNITED SPECIALISTS OUTREACH NETWORK P.A. 19
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2020-01-01
Business code 541990
Sponsor’s telephone number 9179124986
Plan sponsor’s address 3292 GREEN DOLPHIN LANE, NAPLES, FL, 34102

Signature of
Role Plan administrator
Date 2021-09-23
Name of individual signing MARK GLADSTEIN
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
GLADSTEIN MARK Agent 3292 GREEN DOLPHIN LANE, NAPLES, FL, 34102

Director

Name Role Address
GLADSTEIN MARK M.D. Director 3292 GREEN DOLPHIN LANE, NAPLES, FL, 34102
GLADSTEIN MARK Director 3292 GREEN DOLPHIN LANE, NAPLES, FL, 34102

Events

Event Type Filed Date Value Description
ADMIN DISSOLUTION FOR ANNUAL REPORT 2023-09-22 No data No data
REGISTERED AGENT ADDRESS CHANGED 2022-06-24 3292 GREEN DOLPHIN LANE, NAPLES, FL 34102 No data
REINSTATEMENT 2022-06-24 No data No data
CHANGE OF PRINCIPAL ADDRESS 2022-06-24 3292 GREEN DOLPHIN LANE, NAPLES, FL 34102 No data
CHANGE OF MAILING ADDRESS 2022-06-24 3292 GREEN DOLPHIN LANE, NAPLES, FL 34102 No data
ADMIN DISSOLUTION FOR ANNUAL REPORT 2021-09-24 No data No data
REGISTERED AGENT NAME CHANGED 2016-10-19 GLADSTEIN, MARK No data
REINSTATEMENT 2016-10-19 No data No data
ADMIN DISSOLUTION FOR ANNUAL REPORT 2016-09-23 No data No data
AMENDMENT 2015-12-22 No data No data

Documents

Name Date
REINSTATEMENT 2022-06-24
ANNUAL REPORT 2020-01-20
ANNUAL REPORT 2019-02-08
ANNUAL REPORT 2018-01-15
ANNUAL REPORT 2017-02-10
REINSTATEMENT 2016-10-19
Amendment 2015-12-22
Name Change 2015-04-27
ANNUAL REPORT 2015-04-20
Domestic Profit 2014-12-02

Related by officers

GLADSTEIN MARK

GLAD HOLDINGS LLC PGX HOLDINGS LLC PROJECT GLAMMERS EXCEL LLC

Related by address

No related companies by address

Date of last update: 01 Feb 2025

Sources: Florida Department of State

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