Menu
Search icon
  1. Home Page
    2. ›
  2. Counties
    3. ›
  3. Clay
    4. ›
  4. 32073
    5. ›
  5. CLAY PULMONARY SERVICES, P.A.

CLAY PULMONARY SERVICES, P.A.

Company Details

Entity Name: CLAY PULMONARY SERVICES, P.A.
Jurisdiction: FLORIDA
Filing Type: Florida Profit Corporation
Status: Active
Date Filed: 03 Apr 2015 (10 years ago)
Last Event: REINSTATEMENT
Event Date Filed: 14 Oct 2019 (5 years ago)
Document Number: P15000030599
FEI/EIN Number 47-3633266
Address: 1665 KINGSLEY AVE suite 107, ORANGE PARK, FL 32073
Mail Address: 1665 KINGSLEY AVE suite 107, ORANGE PARK, FL 32073
ZIP code: 32073
County: Clay
Place of Formation: FLORIDA

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
CLAY PULMONARY SERVICES 401(K) PROFIT SHARING PLAN 2023 473633266 2024-09-30 CLAY PULMONARY SERVICES, P.A. 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-01-01
Business code 621111
Sponsor’s telephone number 9048660404
Plan sponsor’s address 1665 KINGSLEY AVE. STE 107, ORANGE PARK, FL, 32073

Signature of
Role Plan administrator
Date 2024-09-30
Name of individual signing ROBERTO MIRANDA
Valid signature Filed with authorized/valid electronic signature
CLAY PULMONARY SERVICES 401(K) PROFIT SHARING PLAN 2022 473633266 2023-10-11 CLAY PULMONARY SERVICES, P.A. 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-01-01
Business code 621111
Sponsor’s telephone number 9042699200
Plan sponsor’s address 1665 KINGSLEY AVE, SUITE 107, ORANGE PARK, FL, 32073

Signature of
Role Plan administrator
Date 2023-10-11
Name of individual signing ROBERTO MIRANDA
Valid signature Filed with authorized/valid electronic signature
CLAY PULMONARY SERVICES 401(K) PROFIT SHARING PLAN 2021 473633266 2022-10-12 CLAY PULMONARY SERVICES, P.A. 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-01-01
Business code 621111
Sponsor’s telephone number 9042699200
Plan sponsor’s address 1665 KINGSLEY AVENUE, SUITE 107, ORANGE PARK, FL, 32073

Signature of
Role Plan administrator
Date 2022-10-12
Name of individual signing ROBERTO MIRANDA
Valid signature Filed with authorized/valid electronic signature
CLAY PULMONARY SERVICES 401(K) PROFIT SHARING PLAN 2020 473633266 2021-09-27 CLAY PULMONARY SERVICES, P.A. 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-01-01
Business code 621111
Sponsor’s telephone number 9048660404
Plan sponsor’s address 1409 KINGSLEY AVENUE, BUILDING 3B, ORANGE PARK, FL, 32073
CLAY PULMONARY SERVICES 401(K) PROFIT SHARING PLAN 2019 473633266 2020-09-08 CLAY PULMONARY SERVICES, P.A. 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-01-01
Business code 621111
Sponsor’s telephone number 9048660404
Plan sponsor’s address 1409 KINGSLEY AVENUE, BUILDING 3B, ORANGE PARK, FL, 32073
CLAY PULMONARY SERVICES 401(K) PROFIT SHARING PLAN 2018 473633266 2019-09-19 CLAY PULMONARY SERVICES, P.A. 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-01-01
Business code 621111
Sponsor’s telephone number 9048660404
Plan sponsor’s address 1409 KINGSLEY AVENUE, BUILDING 3B, ORANGE PARK, FL, 32073
CLAY PULMONARY SERVICES 401(K) PROFIT SHARING PLAN 2017 473633266 2018-06-27 CLAY PULMONARY SERVICES, P.A. 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-01-01
Business code 621111
Sponsor’s telephone number 9048660404
Plan sponsor’s address 1409 KINGSLEY AVENUE, BUILDING 3B, ORANGE PARK, FL, 32073
CLAY PULMONARY SERVICES 401(K) PROFIT SHARING PLAN 2016 473633266 2017-05-08 CLAY PULMONARY SERVICES, P.A. 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-01-01
Business code 621111
Sponsor’s telephone number 9048660404
Plan sponsor’s address 1409 KINGSLEY AVENUE, BUILDING 3B, ORANGE PARK, FL, 32073

Agent

Name Role Address
ANTONIO-MIRANDA, MARIA B, MD Agent 1665 KINGSLEY AVE SUITE 107, ORANGE PARK, FL 32073

Director

Name Role Address
ANTONIO-MIRANDA, MARIA, MD Director 1665 KINGSLEY AVE suite 107, ORANGE PARK, FL 32073

Events

Event Type Filed Date Value Description
REGISTERED AGENT ADDRESS CHANGED 2023-07-12 1665 KINGSLEY AVE SUITE 107, ORANGE PARK, FL 32073 No data
CHANGE OF PRINCIPAL ADDRESS 2023-07-12 1665 KINGSLEY AVE suite 107, ORANGE PARK, FL 32073 No data
CHANGE OF MAILING ADDRESS 2023-07-12 1665 KINGSLEY AVE suite 107, ORANGE PARK, FL 32073 No data
REINSTATEMENT 2019-10-14 No data No data
ADMIN DISSOLUTION FOR ANNUAL REPORT 2019-09-27 No data No data
REGISTERED AGENT NAME CHANGED 2017-01-09 ANTONIO-MIRANDA, MARIA B, MD No data
REINSTATEMENT 2017-01-09 No data No data
ADMIN DISSOLUTION FOR ANNUAL REPORT 2016-09-23 No data No data

Documents

Name Date
ANNUAL REPORT 2024-03-21
ANNUAL REPORT 2023-07-12
ANNUAL REPORT 2022-07-19
ANNUAL REPORT 2021-04-06
ANNUAL REPORT 2020-07-19
REINSTATEMENT 2019-10-14
ANNUAL REPORT 2018-01-22
REINSTATEMENT 2017-01-09
Domestic Profit 2015-04-03

Related by officers

No related officers

Related by address

No related companies by address

Date of last update: 20 Feb 2025

Sources: Florida Department of State

Privacy policy Policy
About us About us
Contacts Contact us

© 2025 flprofile.com, Part of Big Data Integrated