| Entity Name: | PONCE DE LEON HEALTH, INC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 10 May 2017 (8 years ago) |
| Last Event: | AMENDMENT AND NAME CHANGE |
| Event Date Filed: | 16 Oct 2018 (6 years ago) |
| Document Number: | P17000042377 |
| FEI/EIN Number | 82-1515895 |
| Address: | 1941 CITRONA DRIVE, FERNANDINA BEACH, FL, 32034, US |
| Mail Address: | 1941 CITRONA DRIVE, FERNANDINA BEACH, FL, 32034, US |
| ZIP code: | 32034 |
| County: | Nassau |
| Place of Formation: | FLORIDA |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| PONCE DE LEON HEALTH INC 401(K) PROFIT SHARING PLAN & TRUST | 2023 | 821515895 | 2024-05-29 | PONCE DE LEON HEALTH INC | 7 | |||||||||||||||||||||||
|
||||||||||||||||||||||||||||
| Role | Plan administrator |
| Date | 2024-05-29 |
| Name of individual signing | R FINNEMORE |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2019-01-01 |
| Business code | 454110 |
| Sponsor’s telephone number | 9042772022 |
| Plan sponsor’s address | 1941 CITRONA DR, FERNANDINA BEACH, FL, 320344414 |
Signature of
| Role | Plan administrator |
| Date | 2023-03-29 |
| Name of individual signing | ROBB FINNEMORE |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2019-01-01 |
| Business code | 454110 |
| Sponsor’s telephone number | 9042772022 |
| Plan sponsor’s address | 1941 CITRONA DR, FERNANDINA BEACH, FL, 320344414 |
Signature of
| Role | Plan administrator |
| Date | 2022-05-10 |
| Name of individual signing | ROBB FINNEMORE |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2019-01-01 |
| Business code | 454110 |
| Sponsor’s telephone number | 9042772022 |
| Plan sponsor’s address | 1941 CITRONA DR, FERNANDINA BEACH, FL, 320344414 |
Signature of
| Role | Plan administrator |
| Date | 2021-04-07 |
| Name of individual signing | ROBB FINNEMORE |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2019-01-01 |
| Business code | 541990 |
| Sponsor’s telephone number | 9042772022 |
| Plan sponsor’s address | 1941 CITRONA DR, FERNANDINA BEACH, FL, 320344414 |
Signature of
| Role | Plan administrator |
| Date | 2020-04-22 |
| Name of individual signing | ROBB FINNEMORE |
| Valid signature | Filed with authorized/valid electronic signature |
| Name | Role | Address |
|---|---|---|
| JACOBS ARTHUR I | Agent | 961687 GATEWAY BLVD., FERNANDINA BEACH, FL, 32034 |
| Name | Role | Address |
|---|---|---|
| WELDON THOMAS D | President | 1941 CITRONA DRIVE, FERNANDINA BEACH, FL, 32034 |
| Name | Role | Address |
|---|---|---|
| WELDON THOMAS D | Treasurer | 1941 CITRONA DRIVE, FERNANDINA BEACH, FL, 32034 |
| Name | Role | Address |
|---|---|---|
| GAYDOS JOHN C | Vice President | 1941 CITRONA DRIVE, FERNANDINA BEACH, FL, 32034 |
| Name | Role | Address |
|---|---|---|
| GAYDOS JOHN C | Secretary | 1941 CITRONA DRIVE, FERNANDINA BEACH, FL, 32034 |
| Name | Role | Address |
|---|---|---|
| EDDY ROBERT D | Chief Financial Officer | 1941 CITRONA DRIVE, FERNANDINA BEACH, FL, 32034 |
| Name | Role | Address |
|---|---|---|
| MULDOON MICHAEL J | Chief Operating Officer | 1941 CITRONA DRIVE, FERNANDINA BEACH, FL, 32034 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2019-03-04 | 1941 CITRONA DRIVE, FERNANDINA BEACH, FL 32034 | No data |
| CHANGE OF MAILING ADDRESS | 2019-03-04 | 1941 CITRONA DRIVE, FERNANDINA BEACH, FL 32034 | No data |
| AMENDMENT AND NAME CHANGE | 2018-10-16 | PONCE DE LEON HEALTH, INC | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-17 |
| ANNUAL REPORT | 2023-04-10 |
| ANNUAL REPORT | 2022-04-12 |
| ANNUAL REPORT | 2021-04-22 |
| ANNUAL REPORT | 2020-04-02 |
| ANNUAL REPORT | 2019-03-04 |
| Amendment and Name Change | 2018-10-16 |
| ANNUAL REPORT | 2018-03-10 |
| Domestic Profit | 2017-05-10 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
