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  5. CLINICAL CARE NETWORK, INC.

CLINICAL CARE NETWORK, INC.

Company Details

Entity Name: CLINICAL CARE NETWORK, INC.
Jurisdiction: FLORIDA
Filing Type: Florida Profit Corporation
Status: Active
Date Filed: 09 Jan 2024 (a year ago)
Document Number: P24000003136
Address: 1400 NW 107TH AVE., 500, MIAMI, FL 33172
Mail Address: 1400 NW 107TH AVE., 500, MIAMI, FL 33172
ZIP code: 33172
County: Miami-Dade
Place of Formation: FLORIDA

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
CLINICAL CARE NETWORK INC 401(K) PROFIT SHARING PLAN & TRUST 2017 223970440 2019-07-23 CLINICAL CARE NETWORK, INC. 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2011-01-01
Business code 621111
Sponsor’s telephone number 7866314336
Plan sponsor’s address 2121 SW 3RD AVE STE 500, MIAMI, FL, 331291470

Signature of
Role Plan administrator
Date 2019-07-23
Name of individual signing ANTONIO DIAZ
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2019-07-23
Name of individual signing ANTONIO DIAZ
Valid signature Filed with authorized/valid electronic signature
CLINICAL CARE NETWORK INC 401(K) PROFIT SHARING PLAN & TRUST 2016 223970440 2017-06-06 CLINICAL CARE NETWORK INC 22
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2011-01-01
Business code 621111
Sponsor’s telephone number 7866314336
Plan sponsor’s address 2121 SW 3RD AVE STE 500, MIAMI, FL, 331291470

Signature of
Role Plan administrator
Date 2017-06-06
Name of individual signing ANTONIO DIAZ
Valid signature Filed with authorized/valid electronic signature
CLINICAL CARE NETWORK INC 401 K PROFIT SHARING PLAN TRUST 2016 223970440 2017-06-06 CLINICAL CARE NETWORK INC 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2011-01-01
Business code 621111
Sponsor’s telephone number 7866314336
Plan sponsor’s address 2121 SW 3RD AVE, SUITE 500, MIAMI, FL, 33129

Signature of
Role Plan administrator
Date 2017-06-06
Name of individual signing ANTONIO DIAZ
Valid signature Filed with authorized/valid electronic signature
CLINICAL CARE NETWORK INC 401 K PROFIT SHARING PLAN TRUST 2015 223970440 2017-06-06 CLINICAL CARE NETWORK INC 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2011-01-01
Business code 621111
Sponsor’s telephone number 7866314336
Plan sponsor’s address 2121 SW 3RD AVE, SUITE 500, MIAMI, FL, 33129

Signature of
Role Plan administrator
Date 2017-06-06
Name of individual signing ANTONIO DIAZ
Valid signature Filed with authorized/valid electronic signature
CLINICAL CARE NETWORK INC 401 K PROFIT SHARING PLAN TRUST 2014 223970440 2015-06-19 CLINICAL CARE NETWORK INC 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2011-01-01
Business code 621111
Sponsor’s telephone number 7864549850
Plan sponsor’s address 4765 W 8TH AVE FL 2, HIALEAH, FL, 330123557

Signature of
Role Plan administrator
Date 2015-06-19
Name of individual signing ANTONIO DIAZ
Valid signature Filed with authorized/valid electronic signature
CLINICAL CARE NETWORK INC 401 K PROFIT SHARING PLAN TRUST 2013 223970440 2014-06-09 CLINICAL CARE NETWORK INC 23
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2011-01-01
Business code 621111
Sponsor’s telephone number 7864549850
Plan sponsor’s address 4765 W 8TH AVE FL 2, HIALEAH, FL, 330123557

Signature of
Role Plan administrator
Date 2014-06-09
Name of individual signing ANTONIO DIAZ
Valid signature Filed with authorized/valid electronic signature
CLINICAL CARE NETWORK INC 401 K PROFIT SHARING PLAN TRUST 2011 223970440 2012-07-26 CLINICAL CARE NETWORK INC 26
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2011-01-01
Business code 621111
Sponsor’s telephone number 7864549850
Plan sponsor’s address 4765 W 8TH AVE FL 2, HIALEAH, FL, 330123557

Plan administrator’s name and address
Administrator’s EIN 223970440
Plan administrator’s name CLINICAL CARE NETWORK INC
Plan administrator’s address 4765 W 8TH AVE FL 2, HIALEAH, FL, 330123557
Administrator’s telephone number 7864549850

Signature of
Role Plan administrator
Date 2012-07-26
Name of individual signing CLINICAL CARE NETWORK INC
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role
MB MEDICAL OPERATIONS, LLC Agent

President

Name Role Address
MCBRIDE, PAUL President 1400 NW 107TH AVE., MIAMI, FL 33172

Vice President

Name Role Address
KAPUSTA, CLAUDIO Vice President 1400 NW 107TH AVE., MIAMI, FL 33172

Documents

Name Date
Domestic Profit 2024-01-09

Related by officers

MCBRIDE, PAUL

FFPCC WIND DOWN, LLC FFPCCT WIND DOWN, LLC FFPCCPN WIND DOWN, LLC FFPCCO WIND DOWN, LLC MMWC WIND DOWN, LLC MBMC WIND DOWN, LLC FFPCCP WIND DOWN, LLC MB MEDICAL OPERATIONS, LLC MBMT WIND DOWN, LLC CCMC WIND DOWN, INC.

KAPUSTA, CLAUDIO

SENIOR DENTAL, L.L.C. MMWC WIND DOWN, LLC MBMC WIND DOWN, LLC MB MEDICAL OPERATIONS, LLC MBMT WIND DOWN, LLC CLINICAL CARE SERVICES, INC.

Related by address

1400 NW 107TH AVE., 500, MIAMI, FL 33172

CLINICAL CARE SERVICES, INC.

1400 NW 107TH AVE., 500, MIAMI, FL 33172

CLINICAL CARE SERVICES, INC.

Date of last update: 08 Jan 2025

Sources: Florida Department of State

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