| Entity Name: | FORMOSO PAIN SPECIALISTS, PA |
| Jurisdiction: | FLORIDA |
| Filing Type: |
Domestic Profit
FORMOSO PAIN SPECIALISTS, PA is structured as a Domestic Profit Corporation, which, in Florida signifies a Profit Corporation (also known as a C-Corporation). This business structure is recognized as a separate legal entity from its owners. This offers shareholders the benefit of limited liability protection, safeguarding their personal assets from the corporation's debts and obligations, and facilitates raising capital through the issuance of stock. In Florida, Domestic Profit Corporations are governed by Title XXXVI, Chapter 607, Florida Statutes – Florida Business Corporation Act. |
| Status: |
Active
The business entity is active. This status indicates that the business is currently operating and compliant with state regulations, suggesting a lower risk profile for lenders and potentially better creditworthiness. |
| Date Filed: | 13 May 2020 (5 years ago) |
| Document Number: | P20000036314 |
| FEI/EIN Number |
851148402
Federal Employer Identification (FEI) Number assigned by the IRS. |
| Address: | 4472 GLEN KERNAN PKWY E, JACKSONVILLE, FL, 32224, US |
| Mail Address: | 4472 GLEN KERNAN PKWY E, JACKSONVILLE, FL, 32224, US |
| ZIP code: | 32224 |
| County: | Duval |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1578224135 | 2022-01-06 | 2022-01-06 | 11555 CENTRAL PKWY STE 304, JACKSONVILLE, FL, 322242694, US | 11555 CENTRAL PKWY STE 304, JACKSONVILLE, FL, 322242694, US | |||||||||||||
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| Phone | +1 904-650-2963 |
Authorized person
| Name | FERDINAND JOSEPH FORMOSO |
| Role | OWNER |
| Phone | 9045882393 |
Taxonomy
| Taxonomy Code | 261QP3300X - Pain Clinic/Center |
| Is Primary | Yes |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| FORMOSO PAIN SPECIALISTS PA 401(K) PROFIT SHARING PLAN & TRUST | 2023 | 851148402 | 2024-05-03 | FORMOSO PAIN SPECIALISTS PA | 16 | |||||||||||||||||||||||||||||||
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| Administrator’s EIN | 471637791 |
| Plan administrator’s name | ERISA FIDUCIARY SERVICES, INC. |
| Plan administrator’s address | 1373 VETERANS HIGHWAY, SUITE 10, HAUPPAUGE, NY, 11788 |
| Administrator’s telephone number | 6312490500 |
Signature of
| Role | Plan administrator |
| Date | 2024-05-03 |
| Name of individual signing | ERISA FIDUCIARY SERVICES |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2022-01-01 |
| Business code | 621111 |
| Sponsor’s telephone number | 9049237897 |
| Plan sponsor’s address | 11555 CENTRAL PARKWAY SUITE 304, JACKSONVILLE, FL, 32224 |
Plan administrator’s name and address
| Administrator’s EIN | 471637791 |
| Plan administrator’s name | ERISA FIDUCIARY SERVICES, INC. |
| Plan administrator’s address | 1373 VETERANS HIGHWAY, SUITE 10, HAUPPAUGE, NY, 11788 |
| Administrator’s telephone number | 6312490500 |
Signature of
| Role | Plan administrator |
| Date | 2023-04-08 |
| Name of individual signing | ERISA FIDUCIARY SERVICES |
| Valid signature | Filed with authorized/valid electronic signature |
| Name | Role | Address |
|---|---|---|
| DuVal Fields CPA Group, PA | Agent | 428 WALNUT STREET, GREEN COVE SPRINGS, FL, 32043 |
| FORMOSO FERDINAND | President | 4472 GLEN KERNAN PKWY E, JACKSONVILLE, FL, 32224 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G24000086134 | BOLD CITY CLINICAL RESEARCH | ACTIVE | 2024-07-18 | 2029-12-31 | - | 11555 CENTRAL PARKWAY, SUITE 304, JACKSONVILLE, FL, 32224 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT NAME CHANGED | 2024-04-02 | DuVal Fields CPA Group, PA | - |
| REGISTERED AGENT ADDRESS CHANGED | 2021-04-14 | 428 WALNUT STREET, GREEN COVE SPRINGS, FL 32043 | - |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-02 |
| ANNUAL REPORT | 2023-02-15 |
| ANNUAL REPORT | 2022-04-12 |
| AMENDED ANNUAL REPORT | 2021-04-14 |
| ANNUAL REPORT | 2021-03-17 |
| Domestic Profit | 2020-05-13 |
Date of last update: 02 Apr 2025
Sources: Florida Department of State
