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  5. NEPHROLOGY ASSOCIATES, P.A.

NEPHROLOGY ASSOCIATES, P.A.

Company Details

Entity Name: NEPHROLOGY ASSOCIATES, P.A.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Inactive
Date Filed: 07 Jan 2021 (4 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: P21000004502
Address: 5685 NORWOOD AVENUE, JACKSONVILLE, FL, 32208
Mail Address: 5685 NORWOOD AVENUE, JACKSONVILLE, FL, 32208
ZIP code: 32208
County: Duval
Place of Formation: FLORIDA

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
NEPHROLOGY ASSOCIATES, P.A. PROFIT SHARING PLAN 2017 650079259 2018-01-12 NEPHROLOGY ASSOCIATES, P.A. 14
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1995-01-01
Business code 621111
Sponsor’s telephone number 5616919142
Plan sponsor’s address 2543 BURNS RD, PALM BEACH GARDENS, FL, 334105204

Plan administrator’s name and address
Administrator’s EIN 462023154
Plan administrator’s name FIRST PARTY ADMINISTRATOR, LLC
Plan administrator’s address 5352 PEACHTREE RD, ATLANTA, GA, 30341
Administrator’s telephone number 6785009551

Signature of
Role Plan administrator
Date 2018-01-12
Name of individual signing JOHN A. STARR
Valid signature Filed with authorized/valid electronic signature
NEPHROLOGY ASSOCIATES, P.A. PROFIT SHARING PLAN 2016 650079259 2017-03-15 NEPHROLOGY ASSOCIATES, P.A. 14
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1995-01-01
Business code 621111
Sponsor’s telephone number 5616919142
Plan sponsor’s address 2543 BURNS ROAD, PALM BEACH GARDENS, FL, 33410

Plan administrator’s name and address
Administrator’s EIN 462023154
Plan administrator’s name FIRST PARTY ADMINISTRATOR, LLC
Plan administrator’s address 3532 PEACHTREE ROAD, ATLANTA, GA, 30341
Administrator’s telephone number 6785009551

Signature of
Role Plan administrator
Date 2017-03-15
Name of individual signing JOHN A. STARR
Valid signature Filed with authorized/valid electronic signature
NEPHROLOGY ASSOCIATES, P.A. PROFIT SHARING PLAN 2015 650079259 2016-10-07 NEPHROLOGY ASSOCIATES, P.A. 13
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1995-01-01
Business code 621111
Sponsor’s telephone number 5616919142
Plan sponsor’s address 2543 BURNS ROAD, PALM BEACH GARDENS, FL, 33410

Plan administrator’s name and address
Administrator’s EIN 462023154
Plan administrator’s name FIRST PARTY ADMINISTRATOR, LLC
Plan administrator’s address 3532 PEACHTREE ROAD, ATLANTA, GA, 30341
Administrator’s telephone number 6785009551

Signature of
Role Plan administrator
Date 2016-10-07
Name of individual signing JOHN A. STARR
Valid signature Filed with authorized/valid electronic signature
NEPHROLOGY ASSOCIATES, P.A. PROFIT SHARING PLAN 2014 650079259 2015-08-15 NEPHROLOGY ASSOCIATES, P.A. 13
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1995-01-01
Business code 621111
Sponsor’s telephone number 5616919142
Plan sponsor’s address 2543 BURNS ROAD, PALM BEACH GARDENS, FL, 33410

Plan administrator’s name and address
Administrator’s EIN 462023154
Plan administrator’s name FIRST PARTY ADMINISTRATOR, LLC
Plan administrator’s address 3532 PEACHTREE ROAD, ATLANTA, GA, 30341
Administrator’s telephone number 8004872040

Signature of
Role Plan administrator
Date 2015-08-12
Name of individual signing JOHN A. STARR
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2015-08-15
Name of individual signing JACK WATERMAN
Valid signature Filed with authorized/valid electronic signature
NEPHROLOGY ASSOCIATES, P.A. PROFIT SHARING PLAN 2013 650079259 2014-04-22 NEPHROLOGY ASSOCIATES, P.A. 20
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1995-01-01
Business code 621111
Sponsor’s telephone number 5616919142
Plan sponsor’s address 2543 BURNS ROAD, PALM BEACH GARDENS, FL, 33410

Plan administrator’s name and address
Administrator’s EIN 650079259
Plan administrator’s name NEPHROLOGY ASSOCIATES, P.A.
Plan administrator’s address 2543 BURNS ROAD, PALM BEACH GARDENS, FL, 33410
Administrator’s telephone number 5616919142

Signature of
Role Plan administrator
Date 2014-04-22
Name of individual signing JACK WATERMAN
Valid signature Filed with authorized/valid electronic signature
NEPHROLOGY ASSOCIATES, P.A. PROFIT SHARING PLAN 2012 650079259 2013-05-23 NEPHROLOGY ASSOCIATES, P.A. 15
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1995-01-01
Business code 621111
Sponsor’s telephone number 5616919142
Plan sponsor’s address 2543 BURNS ROAD, PALM BEACH GARDENS, FL, 33410

Plan administrator’s name and address
Administrator’s EIN 650079259
Plan administrator’s name NEPHROLOGY ASSOCIATES, P.A.
Plan administrator’s address 2543 BURNS ROAD, PALM BEACH GARDENS, FL, 33410
Administrator’s telephone number 5616919142

Signature of
Role Plan administrator
Date 2013-05-23
Name of individual signing JACK WATERMAN
Valid signature Filed with authorized/valid electronic signature
NEPHROLOGY ASSOCIATES, P.A. PROFIT SHARING PLAN 2011 650079259 2012-10-09 NEPHROLOGY ASSOCIATES, P.A. 21
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1995-01-01
Business code 621111
Sponsor’s telephone number 5616919142
Plan sponsor’s address 2543 BURNS ROAD, PALM BEACH GARDENS, FL, 33410

Plan administrator’s name and address
Administrator’s EIN 650079259
Plan administrator’s name NEPHROLOGY ASSOCIATES, P.A.
Plan administrator’s address 2543 BURNS ROAD, PALM BEACH GARDENS, FL, 33410
Administrator’s telephone number 5616919142

Signature of
Role Plan administrator
Date 2012-10-09
Name of individual signing JACK WATERMAN
Valid signature Filed with authorized/valid electronic signature
NEPHROLOGY ASSOCIATES, P.A. PROFIT SHARING PLAN 2010 650079259 2011-09-20 NEPHROLOGY ASSOCIATES, P.A. 21
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1995-01-01
Business code 621111
Sponsor’s telephone number 5616919142
Plan sponsor’s address 2543 BURNS ROAD, PALM BEACH GARDENS, FL, 33410

Plan administrator’s name and address
Administrator’s EIN 650079259
Plan administrator’s name NEPHROLOGY ASSOCIATES, P.A.
Plan administrator’s address 2543 BURNS ROAD, PALM BEACH GARDENS, FL, 33410
Administrator’s telephone number 5616919142

Signature of
Role Plan administrator
Date 2011-09-20
Name of individual signing JACK WATERMAN
Valid signature Filed with authorized/valid electronic signature
NEPHROLOGY ASSOCIATES, P.A. PROFIT SHARING PLAN 2009 650079259 2010-07-22 NEPHROLOGY ASSOCIATES, P.A. 23
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1995-01-01
Business code 621111
Sponsor’s telephone number 5614784655
Plan sponsor’s address 2543 BURNS ROAD, PALM BEACH GARDENS, FL, 33410

Plan administrator’s name and address
Administrator’s EIN 650079259
Plan administrator’s name NEPHROLOGY ASSOCIATES, P.A.
Plan administrator’s address 2543 BURNS ROAD, PALM BEACH GARDENS, FL, 33410
Administrator’s telephone number 5614784655

Signature of
Role Plan administrator
Date 2010-07-22
Name of individual signing JACK WATERMAN
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
KEITH H. JOHNSON, ATTORNEY Agent 8810 GOODBY'S EXECUTIVE DRIVE, STE A, JACKSONVILLE, FL, 32217

President

Name Role Address
HARMON IRA President 5685 NORWOOD AVENUE, JACKSONVILLE, FL, 32208

Secretary

Name Role Address
HARMON IRA Secretary 5685 NORWOOD AVENUE, JACKSONVILLE, FL, 32208

Treasurer

Name Role Address
HARMON IRA Treasurer 5685 NORWOOD AVENUE, JACKSONVILLE, FL, 32208

Director

Name Role Address
HARMON IRA Director 5685 NORWOOD AVENUE, JACKSONVILLE, FL, 32208

Events

Event Type Filed Date Value Description
ADMIN DISSOLUTION FOR ANNUAL REPORT 2022-09-23 No data No data

Documents

Name Date
Domestic Profit 2021-01-07

Related by officers

HARMON IRA

ACCUCARE OF NORTH FLORIDA, INC. NEPHROLOGY ASSOCIATES OF MACCLENNY, L.L.C.

Related by address

No related companies by address

Date of last update: 01 Feb 2025

Sources: Florida Department of State

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