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PHYSICIANS AMBULATORY SURGERY CENTER, INC.

Company Details

Entity Name: PHYSICIANS AMBULATORY SURGERY CENTER, INC.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Inactive
Date Filed: 17 Nov 1993 (31 years ago)
Date of dissolution: 28 Apr 2022 (3 years ago)
Last Event: CONVERSION
Event Date Filed: 28 Apr 2022 (3 years ago)
Document Number: P93000079168
FEI/EIN Number 593216499
Address: 300 CLYDE MORRIS BLVD., SUITE B, ORMOND BEACH, FL, 32174
Mail Address: 300 CLYDE MORRIS BLVD., SUITE B, ORMOND BEACH, FL, 32174
ZIP code: 32174
County: Volusia
Place of Formation: FLORIDA

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
PHYSICIANS AMBULATORY SURGERY CENTER, INC. 401K RETIREMENT PLAN 2023 593216499 2024-08-27 PHYSICIANS AMBULATORY SURGERY CENTER, INC. 27
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2008-01-01
Business code 621493
Sponsor’s telephone number 3866721080
Plan sponsor’s address 300 CLYDE MORRIS BLVD, ORMOND BEACH, FL, 321745956

Signature of

Role Plan administrator
Date 2024-08-27
Name of individual signing MARY OSAILE
Valid signature Filed with authorized/valid electronic signature
PHYSICIANS AMBULATORY SURGERY CENTER, INC. 401K RETIREMENT PLAN 2023 593216499 2024-08-27 PHYSICIANS AMBULATORY SURGERY CENTER, INC. 13
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2008-01-01
Business code 621493
Sponsor’s telephone number 3866721080
Plan sponsor’s address 300 CLYDE MORRIS BLVD, ORMOND BEACH, FL, 321745956

Signature of

Role Plan administrator
Date 2024-08-27
Name of individual signing MARY OSAILE
Valid signature Filed with authorized/valid electronic signature
PHYSICIANS AMBULATORY SURGERY CENTER, INC. 401K RETIREMENT PLAN 2022 593216499 2023-10-03 PHYSICIANS AMBULATORY SURGERY CENTER, INC. 25
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2008-01-01
Business code 621493
Sponsor’s telephone number 3866721080
Plan sponsor’s address 300 CLYDE MORRIS BLVD, ORMOND BEACH, FL, 321745956

Signature of

Role Plan administrator
Date 2023-10-03
Name of individual signing BERT MORROW
Valid signature Filed with authorized/valid electronic signature
PHYSICIANS AMBULATORY SURGERY CENTER, INC. 401K RETIREMENT PLAN 2021 593216499 2022-10-06 PHYSICIANS AMBULATORY SURGERY CENTER, INC. 26
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2008-01-01
Business code 621493
Sponsor’s telephone number 3866721080
Plan sponsor’s address 300 CLYDE MORRIS BLVD, ORMOND BEACH, FL, 321745956

Signature of

Role Plan administrator
Date 2022-10-06
Name of individual signing BERT MORROW
Valid signature Filed with authorized/valid electronic signature
PHYSICIANS AMBULATORY SURGERY CENTER, INC. 401K RETIREMENT PLAN 2020 593216499 2021-09-02 PHYSICIANS AMBULATORY SURGERY CENTER, INC. 26
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2008-01-01
Business code 621493
Sponsor’s telephone number 3866721080
Plan sponsor’s address 300 CLYDE MORRIS BLVD, ORMOND BEACH, FL, 321745956

Signature of

Role Plan administrator
Date 2021-09-02
Name of individual signing BERT MORROW
Valid signature Filed with authorized/valid electronic signature
PHYSICIANS AMBULATORY SURGERY CENTER, INC. 401K RETIREMENT PLAN 2019 593216499 2020-09-11 PHYSICIANS AMBULATORY SURGERY CENTER, INC. 28
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2008-01-01
Business code 621493
Sponsor’s telephone number 3866721080
Plan sponsor’s address 300 CLYDE MORRIS BLVD, ORMOND BEACH, FL, 321745956

Signature of

Role Plan administrator
Date 2020-09-11
Name of individual signing BERT MORROW
Valid signature Filed with authorized/valid electronic signature
PHYSICIANS AMBULATORY SURGERY CENTER, INC. 401K RETIREMENT PLAN 2018 593216499 2019-09-19 PHYSICIANS AMBULATORY SURGERY CENTER, INC. 33
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2008-01-01
Business code 621493
Sponsor’s telephone number 3866721080
Plan sponsor’s address 300 CLYDE MORRIS BLVD, ORMOND BEACH, FL, 321745956

Signature of

Role Plan administrator
Date 2019-09-19
Name of individual signing BERT MORROW
Valid signature Filed with authorized/valid electronic signature
PHYSICIANS AMBULATORY SURGERY CENTER, INC. 401K RETIREMENT PLAN 2017 593216499 2018-09-25 PHYSICIANS AMBULATORY SURGERY CENTER, INC. 33
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2008-01-01
Business code 621493
Sponsor’s telephone number 3866721080
Plan sponsor’s address 300 CLYDE MORRIS BLVD, ORMOND BEACH, FL, 321745956

Signature of

Role Plan administrator
Date 2018-09-25
Name of individual signing BERT MORROW
Valid signature Filed with authorized/valid electronic signature
PHYSICIANS AMBULATORY SURGERY CENTER, INC. 401K RETIREMENT PLAN 2016 593216499 2017-10-13 PHYSICIANS AMBULATORY SURGERY CENTER, INC. 32
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2008-01-01
Business code 621493
Sponsor’s telephone number 3866721080
Plan sponsor’s address 300 CLYDE MORRIS BLVD, ORMOND BEACH, FL, 321745956

Signature of

Role Plan administrator
Date 2017-10-13
Name of individual signing BERT MORROW
Valid signature Filed with authorized/valid electronic signature
PHYSICIANS AMBULATORY SURGERY CENTER, INC. 401K RETIREMENT PLAN 2015 593216499 2016-10-11 PHYSICIANS AMBULATORY SURGERY CENTER, INC. 30
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2008-01-01
Business code 621493
Sponsor’s telephone number 3866721080
Plan sponsor’s address 300 CLYDE MORRIS BLVD, ORMOND BEACH, FL, 321745956

Signature of

Role Plan administrator
Date 2016-10-11
Name of individual signing BERT MORROW
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
MORROW BERT M Agent 300 CLYDE MORRIS BLVD SUITE C, ORMOND BEACH, FL, 32174

Treasurer

Name Role Address
DHAND ARUN K Treasurer 300 CLYDE MORRIS BLVD STE A, ORMOND BEACH, FL, 32174

Director

Name Role Address
DHAND ARUN K Director 300 CLYDE MORRIS BLVD STE A, ORMOND BEACH, FL, 32174
MORROW BERT M Director 300 CLYDE MORRIS BLVD SUITE C, ORMOND BEACH, FL, 32174
PARR GREGORY A Director 300 CLYDE MORRIS BLVD STE C, ORMOND BEACH, FL, 32174

Secretary

Name Role Address
MORROW BERT M Secretary 300 CLYDE MORRIS BLVD SUITE C, ORMOND BEACH, FL, 32174

President

Name Role Address
PARR GREGORY A President 300 CLYDE MORRIS BLVD STE C, ORMOND BEACH, FL, 32174

Events

Event Type Filed Date Value Description
CONVERSION 2022-04-28 No data CONVERSION MEMBER. RESULTING CORPORATION WAS L22000176355. CONVERSION NUMBER 300000226013
AMENDMENT 2010-05-03 No data No data
REGISTERED AGENT ADDRESS CHANGED 1994-05-17 300 CLYDE MORRIS BLVD SUITE C, ORMOND BEACH, FL 32174 No data

Documents

Name Date
ANNUAL REPORT 2022-02-08
ANNUAL REPORT 2021-02-04
ANNUAL REPORT 2020-01-23
ANNUAL REPORT 2019-03-11
ANNUAL REPORT 2018-01-19
ANNUAL REPORT 2017-01-23
ANNUAL REPORT 2016-04-15
ANNUAL REPORT 2015-03-06
ANNUAL REPORT 2014-02-27
ANNUAL REPORT 2013-02-01

Date of last update: 02 Feb 2025

Sources: Florida Department of State