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  5. BREVARD PATHOLOGY SERVICES, P.A.

BREVARD PATHOLOGY SERVICES, P.A.

Company Details

Entity Name: BREVARD PATHOLOGY SERVICES, P.A.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Inactive
Date Filed: 11 Dec 2014 (10 years ago)
Date of dissolution: 23 Sep 2022 (2 years ago)
Last Event: ADMIN DISSOLUTION FOR ANNUAL REPORT
Event Date Filed: 23 Sep 2022 (2 years ago)
Document Number: P14000099341
FEI/EIN Number 47-2534028
Address: 1350 S. Hickory Street, MELBOURNE, FL, 32901, US
Mail Address: 2080 SOUTH RIVER ROAD, MELBOURNE BEACH, FL, 32951
ZIP code: 32901
County: Brevard
Place of Formation: FLORIDA

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
BREVARD PATHOLOGY SERVICES, P.A. 401(K) PLAN 2021 472534028 2022-02-11 BREVARD PATHOLOGY SERVICES, P.A. 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-01-01
Business code 621510
Sponsor’s telephone number 3214347191
Plan sponsor’s address 2080 S. RIVER ROAD, MELBOURNE BEACH, FL, 32951
BREVARD PATHOLOGY SERVICES, P.A. 401(K) PLAN 2021 472534028 2022-02-11 BREVARD PATHOLOGY SERVICES, P.A. 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-01-01
Business code 621510
Sponsor’s telephone number 3214347191
Plan sponsor’s address 2080 S. RIVER ROAD, MELBOURNE BEACH, FL, 32951
BREVARD PATHOLOGY SERVICES, P.A 401(K) PLAN 2020 472534028 2021-12-21 BREVARD PATHOLOGY SERVICES, P.A 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-01-01
Business code 621510
Sponsor’s telephone number 3214347191
Plan sponsor’s address 2080 S. RIVER RD, MELBOURNE, FL, 32951
BREVARD PATHOLOGY SERVICES, P.A 401(K) PLAN 2020 472534028 2021-05-14 BREVARD PATHOLOGY SERVICES, P.A 10
Three-digit plan number (PN) 001
Effective date of plan 2016-01-01
Business code 621510
Sponsor’s telephone number 3214347191
Plan sponsor’s address 2080 S. RIVER RD, MELBOURNE, FL, 32951

Signature of
Role Plan administrator
Date 2021-05-14
Name of individual signing CHARLIE CHODOROW
Valid signature Filed with authorized/valid electronic signature
BREVARD PATHOLOGY SERVICES, P.A 401(K) PLAN 2019 472534028 2020-06-25 BREVARD PATHOLOGY SERVICES, P.A 11
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-01-01
Business code 621510
Sponsor’s telephone number 3214347191
Plan sponsor’s address 2080 S. RIVER RD, MELBOURNE, FL, 32951
BREVARD PATHOLOGY SERVICES, P.A 401(K) PLAN 2018 472534028 2019-06-21 BREVARD PATHOLOGY SERVICES, P.A 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-01-01
Business code 621510
Sponsor’s telephone number 3214347191
Plan sponsor’s address 2080 S. RIVER RD, MELBOURNE, FL, 32951
BREVARD PATHOLOGY SERVICES, P.A 401(K) PLAN 2017 472534028 2018-05-22 BREVARD PATHOLOGY SERVICES, P.A 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-01-01
Business code 621510
Sponsor’s telephone number 3214347191
Plan sponsor’s address 2080 S. RIVER ROAD, MELBOURNE BEACH, FL, 32951
BREVARD PATHOLOGY SERVICES, P.A 401(K) PLAN 2016 472534028 2017-06-09 BREVARD PATHOLOGY SERVICES, P.A 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-01-01
Business code 621510
Sponsor’s telephone number 3214347191
Plan sponsor’s address 2080 S. RIVER RD, MELBOURNE, FL, 32951

Agent

Name Role Address
CHODOROW CHARLES HDO Agent 2080 SOUTH RIVER ROAD, MELBOURNE BEACH, FL, 32951

President

Name Role Address
Chodorow Charles President 1350 S. Hickory Street, MELBOURNE, FL, 32901

Vice President

Name Role Address
Burenko Marco Vice President 699 West Cocoa Beach Causeway, Cocoa Beach, FL, 32931

Director

Name Role Address
Reilova Jose Director 1350 S. Hickory Street, MELBOURNE, FL, 32901
Huberman Robert Director 1350 S. Hickory Street, MELBOURNE, FL, 32901
Masih Aneal Director 1350 S. Hickory Street, MELBOURNE, FL, 32901
Smedberg Carl Director 1350 S. Hickory Street, MELBOURNE, FL, 32901

Events

Event Type Filed Date Value Description
ADMIN DISSOLUTION FOR ANNUAL REPORT 2022-09-23 No data No data
CHANGE OF PRINCIPAL ADDRESS 2015-04-27 1350 S. Hickory Street, MELBOURNE, FL 32901 No data
REGISTERED AGENT ADDRESS CHANGED 2015-04-27 2080 SOUTH RIVER ROAD, MELBOURNE BEACH, FL 32951 No data

Documents

Name Date
ANNUAL REPORT 2021-03-11
ANNUAL REPORT 2020-03-25
ANNUAL REPORT 2019-04-01
ANNUAL REPORT 2018-02-12
ANNUAL REPORT 2017-02-14
ANNUAL REPORT 2016-03-24
AMENDED ANNUAL REPORT 2015-05-29
ANNUAL REPORT 2015-04-27
Domestic Profit 2014-12-11

Paycheck Protection Program

Loan Number Loan Funded Date SBA Origination Office Code Loan Delivery Method Borrower Street Address
4943217710 2020-05-01 0455 PPP 1350 SOUTH HICKORY ST DEPARTMENT OF PATHOLOGY, MELBOURNE, FL, 32901
Loan Status Date 2021-05-08
Loan Status Paid in Full
Loan Maturity in Months 24
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 47469
Loan Approval Amount (current) 47469
Undisbursed Amount 0
Franchise Name -
Lender Location ID 12096
Servicing Lender Name Wells Fargo Bank, National Association
Servicing Lender Address 101 N Philips Ave, SIOUX FALLS, SD, 57104-6738
Rural or Urban Indicator U
Hubzone N
LMI Y
Business Age Description Existing or more than 2 years old
Project Address MELBOURNE, BREVARD, FL, 32901-1200
Project Congressional District FL-08
Number of Employees 2
NAICS code 621111
Borrower Race Unanswered
Borrower Ethnicity Unknown/NotStated
Business Type Corporation
Originating Lender ID 12096
Originating Lender Name Wells Fargo Bank, National Association
Originating Lender Address SIOUX FALLS, SD
Gender Unanswered
Veteran Unanswered
Forgiveness Amount 47896.87
Forgiveness Paid Date 2021-04-01

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Date of last update: 01 Feb 2025

Sources: Florida Department of State

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