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  5. BRH-SSH, P.A.

BRH-SSH, P.A.

Company Details

Entity Name: BRH-SSH, P.A.
Jurisdiction: FLORIDA
Filing Type: Florida Profit Corporation
Status: Inactive
Date Filed: 22 Jun 1993 (32 years ago)
Date of dissolution: 21 Jan 2025 (24 days ago)
Last Event: VOLUNTARY DISSOLUTION
Event Date Filed: 21 Jan 2025 (24 days ago)
Document Number: P93000043895
FEI/EIN Number 59-3186736
Address: 2804 COUNTRY CLUB DR, LYNN HAVEN, FL 32444
Mail Address: 2804 COUNTRY CLUB DR, LYNN HAVEN, FL 32444
ZIP code: 32444
County: Bay
Place of Formation: FLORIDA

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
ADVANCED EYE CARE OF BAY COUNTY, P.A. 401(K) PROFIT SHARING PLAN 2022 593186736 2023-05-18 ADVANCED EYE CARE OF BAY COUNTY, P.A. 17
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1994-01-01
Business code 621111
Sponsor’s telephone number 8507843936
Plan sponsor’s address P.O. BOX 1493, LYNN HAVEN, FL, 32444
ADVANCED EYE CARE OF BAY COUNTY, P.A. 401(K) PROFIT SHARING PLAN 2021 593186736 2022-07-26 ADVANCED EYE CARE OF BAY COUNTY, P.A. 16
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1994-01-01
Business code 621111
Sponsor’s telephone number 8507843936
Plan sponsor’s address P.O. BOX 1493, LYNN HAVEN, FL, 32444
ADVANCED EYE CARE OF BAY COUNTY, P.A. 401(K) PROFIT SHARING PLAN 2020 593186736 2021-07-30 ADVANCED EYE CARE OF BAY COUNTY, P.A. 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1994-01-01
Business code 621111
Sponsor’s telephone number 8507843936
Plan sponsor’s address P.O. BOX 1493, LYNN HAVEN, FL, 32444
ADVANCED EYE CARE OF BAY COUNTY, P.A. CASH BALANCE PLAN 2020 593186736 2021-06-16 ADVANCED EYE CARE OF BAY COUNTY, P.A. 11
File View Page
Three-digit plan number (PN) 003
Effective date of plan 2004-01-01
Business code 621111
Sponsor’s telephone number 8507843936
Plan sponsor’s address P.O. BOX 1493, LYNN HAVEN, FL, 32444
ADVANCED EYE CARE OF BAY COUNTY, P.A. CASH BALANCE PLAN 2020 593186736 2021-11-11 ADVANCED EYE CARE OF BAY COUNTY, P.A. 9
File View Page
Three-digit plan number (PN) 003
Effective date of plan 2004-01-01
Business code 621111
Sponsor’s telephone number 8507843936
Plan sponsor’s address P.O. BOX 1493, LYNN HAVEN, FL, 32444
ADVANCED EYE CARE OF BAY COUNTY, P.A. CASH BALANCE PLAN 2019 593186736 2020-07-30 ADVANCED EYE CARE OF BAY COUNTY, P.A. 13
File View Page
Three-digit plan number (PN) 003
Effective date of plan 2004-01-01
Business code 621111
Sponsor’s telephone number 8507843936
Plan sponsor’s address P.O. BOX 1493, LYNN HAVEN, FL, 32444
ADVANCED EYE CARE OF BAY COUNTY, P.A. 401(K) PROFIT SHARING PLAN 2019 593186736 2020-07-27 ADVANCED EYE CARE OF BAY COUNTY, P.A. 20
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1994-01-01
Business code 621111
Sponsor’s telephone number 8507843936
Plan sponsor’s address P.O. BOX 1493, LYNN HAVEN, FL, 32444
ADVANCED EYE CARE OF BAY COUNTY, P.A. 401(K) PROFIT SHARING PLAN 2018 593186736 2019-08-05 ADVANCED EYE CARE OF BAY COUNTY, P.A. 18
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1994-01-01
Business code 621111
Sponsor’s telephone number 8507843936
Plan sponsor’s address P.O. BOX 1493, LYNN HAVEN, FL, 32444

Plan administrator’s name and address
Administrator’s EIN 593186736
Plan administrator’s name ADVANCED EYE CARE OF BAY COUNTY, P.A.
Plan administrator’s address P.O. BOX 1493, LYNN HAVEN, FL, 32444
Administrator’s telephone number 8507843936

Signature of
Role Plan administrator
Date 2019-08-05
Name of individual signing BENJAMIN R. HASTY, M.D.
Valid signature Filed with authorized/valid electronic signature
ADVANCED EYE CARE OF BAY COUNTY, P.A. 401(K) PROFIT SHARING PLAN 2017 593186736 2018-06-28 ADVANCED EYE CARE OF BAY COUNTY, P.A. 12
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1994-01-01
Business code 621111
Sponsor’s telephone number 8507843936
Plan sponsor’s address P.O. BOX 1493, LYNN HAVEN, FL, 32444

Plan administrator’s name and address
Administrator’s EIN 593186736
Plan administrator’s name ADVANCED EYE CARE OF BAY COUNTY, P.A.
Plan administrator’s address P.O. BOX 1493, LYNN HAVEN, FL, 32444
Administrator’s telephone number 8507843936

Signature of
Role Plan administrator
Date 2018-06-28
Name of individual signing BENJAMIN R. HASTY, M.D.
Valid signature Filed with authorized/valid electronic signature
ADVANCED EYE CARE OF BAY COUNTY, P.A. 401(K) PROFIT SHARING PLAN 2016 593186736 2017-08-01 ADVANCED EYE CARE OF BAY COUNTY, P.A. 16
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1994-01-01
Business code 621111
Sponsor’s telephone number 8507843936
Plan sponsor’s address P.O. BOX 1493, LYNN HAVEN, FL, 32444

Plan administrator’s name and address
Administrator’s EIN 593186736
Plan administrator’s name ADVANCED EYE CARE OF BAY COUNTY, P.A.
Plan administrator’s address P.O. BOX 1493, LYNN HAVEN, FL, 32444
Administrator’s telephone number 8507843936

Signature of
Role Plan administrator
Date 2017-08-01
Name of individual signing BENJAMIN R. HASTY, M.D.
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
HASTY, BENJAMIN RMD Agent 2804 COUNTRY CLUB DR, LYNN HAVEN, FL 32444

President

Name Role Address
HASTY, BENJAMIN RMD President 2500 W 23RD ST, PANAMA CITY, FL

Treasurer

Name Role Address
HASTY, BENJAMIN RM.D. Treasurer 2500 W. 23RD ST., PANAMA CITY, FL 32405

Events

Event Type Filed Date Value Description
VOLUNTARY DISSOLUTION 2025-01-21 No data No data
AMENDMENT AND NAME CHANGE 2023-02-01 BRH-SSH, P.A. No data
CHANGE OF PRINCIPAL ADDRESS 2023-02-01 2804 COUNTRY CLUB DR, LYNN HAVEN, FL 32444 No data
CHANGE OF MAILING ADDRESS 2023-02-01 2804 COUNTRY CLUB DR, LYNN HAVEN, FL 32444 No data

Documents

Name Date
VOLUNTARY DISSOLUTION 2025-01-21
ANNUAL REPORT 2024-02-08
Amendment and Name Change 2023-02-01
ANNUAL REPORT 2023-01-18
ANNUAL REPORT 2022-04-11
ANNUAL REPORT 2021-04-22
ANNUAL REPORT 2020-04-21
ANNUAL REPORT 2019-04-23
ANNUAL REPORT 2018-03-29
ANNUAL REPORT 2017-03-28

Related by officers

No related officers

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Date of last update: 02 Feb 2025

Sources: Florida Department of State

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