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  5. AMERICAN BOARD OF QUALITY ASSURANCE AND UTILIZATION REVIEW PHYSICIANS, INC.

AMERICAN BOARD OF QUALITY ASSURANCE AND UTILIZATION REVIEW PHYSICIANS, INC.

Company Details

Entity Name: AMERICAN BOARD OF QUALITY ASSURANCE AND UTILIZATION REVIEW PHYSICIANS, INC.
Jurisdiction: FLORIDA
Filing Type: Foreign Non-Profit
Status: Active
Date Filed: 06 May 1987 (38 years ago)
Document Number: P14341
FEI/EIN Number 232110723
Address: 6640 CONGRESS ST, Suite 102, NEW PORT RICHEY, FL, 34653, US
Mail Address: 6640 CONGRESS ST, Suite 102, NEW PORT RICHEY, FL, 34653, US
ZIP code: 34653
County: Pasco
Place of Formation: PENNSYLVANIA

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
ABQAURP 401(K) PROFIT SHARING PLAN 2021 232110723 2022-05-28 AMERICAN BOARD OF QUALITY ASSURANCE AND UTILIZATION REVIEW PHYSICIANS 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1986-07-01
Business code 813000
Sponsor’s telephone number 7274201804
Plan sponsor’s address 6640 CONGRESS ST SUITE 102, NEW PORT RICHEY, FL, 34653

Signature of
Role Plan administrator
Date 2022-05-28
Name of individual signing REGINA L. BREAULT
Valid signature Filed with authorized/valid electronic signature
ABQAURP 401(K) PROFIT SHARING PLAN 2020 232110723 2021-05-20 AMERICAN BOARD OF QUALITY ASSURANCE AND UTILIZATION REVIEW PHYSICIANS 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1986-07-01
Business code 813000
Sponsor’s telephone number 7275690190
Plan sponsor’s address 6640 CONGRESS ST., NEW PORT RICHEY, FL, 34653

Signature of
Role Plan administrator
Date 2021-05-20
Name of individual signing REGINA L. BREAULT
Valid signature Filed with authorized/valid electronic signature
ABQAURP 401(K) PROFIT SHARING PLAN 2019 232110723 2020-09-02 AMERICAN BOARD OF QUALITY ASSURANCE AND UTILIZATION REVIEW PHYSICIANS 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1986-07-01
Business code 813000
Sponsor’s telephone number 7275690190
Plan sponsor’s address 6640 CONGRESS ST., NEW PORT RICHEY, FL, 34653

Signature of
Role Plan administrator
Date 2020-09-02
Name of individual signing REGINA L. BREAULT
Valid signature Filed with authorized/valid electronic signature
ABQAURP 401(K) PROFIT SHARING PLAN 2018 232110723 2019-05-10 AMERICAN BOARD OF QUALITY ASSURANCE AND UTILIZATION REVIEW PHYSICIANS 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1986-07-01
Business code 813000
Sponsor’s telephone number 7274201804
Plan sponsor’s address 6640 CONGRESS ST., NEW PORT RICHEY, FL, 34653

Signature of
Role Plan administrator
Date 2019-05-10
Name of individual signing REGINA L. BREAULT
Valid signature Filed with authorized/valid electronic signature
ABQAURP 401(K) PROFIT SHARING PLAN 2017 232110723 2018-07-16 AMERICAN BOARD OF QUALITY ASSURANCE AND UTILIZATION REVIEW PHYSICIANS, 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1986-07-01
Business code 813000
Sponsor’s telephone number 7275690190
Plan sponsor’s address 6640 CONGRESS ST., NEW PORT RICHEY, FL, 34653

Signature of
Role Plan administrator
Date 2018-07-16
Name of individual signing REGINA L. BREAULT
Valid signature Filed with authorized/valid electronic signature
ABQAURP 401(K) PROFIT SHARING PLAN 2016 232110723 2017-10-09 AMERICAN BOARD OF QUALITY ASSURANCE AND UTILIZATION REVIEW PHYSICIANS, 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1986-07-01
Business code 813000
Sponsor’s telephone number 7275690190
Plan sponsor’s address 6640 CONGRESS ST., NEW PORT RICHEY, FL, 34653

Signature of
Role Plan administrator
Date 2017-10-09
Name of individual signing REGINA L. BREAULT
Valid signature Filed with authorized/valid electronic signature
ABQAURP 401(K) PROFIT SHARING PLAN 2015 232110723 2016-09-28 AMERICAN BOARD OF QUALITY ASSURANCE AND UTILIZATION REVIEW PHYSICIANS, 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1986-07-01
Business code 813000
Sponsor’s telephone number 7275690190
Plan sponsor’s address 6640 CONGRESS ST., NEW PORT RICHEY, FL, 34653

Signature of
Role Plan administrator
Date 2016-09-28
Name of individual signing REGINA L. BREAULT
Valid signature Filed with authorized/valid electronic signature
ABQAURP 401(K) PROFIT SHARING PLAN 2014 232110723 2015-07-15 AMERICAN BOARD OF QUALITY ASSURANCE AND UTILIZATION REVIEW PHYSICIANS, 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1986-07-01
Business code 813000
Sponsor’s telephone number 7275690190
Plan sponsor’s address 6640 CONGRESS ST., NEW PORT RICHEY, FL, 34653

Signature of
Role Plan administrator
Date 2015-07-15
Name of individual signing REGINA L. BREAULT
Valid signature Filed with authorized/valid electronic signature
ABQAURP 401(K) PROFIT SHARING PLAN 2013 232110723 2014-09-17 AMERICAN BOARD OF QUALITY ASSURANCE AND UTILIZATION REVIEW PHYSICIANS, 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1986-07-01
Business code 813000
Sponsor’s telephone number 7275690190
Plan sponsor’s address 6640 CONGRESS ST., NEW PORT RICHEY, FL, 34653

Signature of
Role Plan administrator
Date 2014-09-17
Name of individual signing REGINA L. BREAULT
Valid signature Filed with authorized/valid electronic signature
ABQAURP 401(K) PROFIT SHARING PLAN 2012 232110723 2013-05-22 AMERICAN BOARD OF QUALITY ASSURANCE AND UTILIZATION REVIEW PHYSICIANS, 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1986-07-01
Business code 813000
Sponsor’s telephone number 7275690190
Plan sponsor’s address 6640 CONGRESS ST., NEW PORT RICHEY, FL, 34653

Signature of
Role Plan administrator
Date 2013-05-22
Name of individual signing REGINA L. BREAULT
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role
TK REGISTERED AGENT, INC. Agent

Chairman

Name Role Address
Vitolo Joseph GDr. Chairman 27 Hillsborough Drive, Monroe, NJ, 08831

Secretary

Name Role Address
Slotky Barry MD Secretary 804 Ironwood Drive, Normal, IL, 61761

Vice Chairman

Name Role Address
Sinha Sunil MD Vice Chairman 12301 Haybrook Lane, Glen Allen, VA, 23059

Chie

Name Role Address
Breault Regina LDr. Chie 6640 Congress Street, New Port Richey, FL, 34653

Treasurer

Name Role Address
Fishman David LMD Treasurer 1225 S. Sumit Street, Barrington, IL, 60010

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G11000023414 THE AMERICAN INSTITUTE FOR HEALTHCARE QUALITY EXPIRED 2011-03-04 2016-12-31 No data 6640 CONGRESS ST, NEW PORT RICHEY, FL, 34653

Related by officers

No related officers

Related by address

No related companies by address

Date of last update: 01 Feb 2025

Sources: Florida Department of State

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