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  5. JACKSONVILLE HEART CENTER, P.A.

JACKSONVILLE HEART CENTER, P.A.

Company Details

Entity Name: JACKSONVILLE HEART CENTER, P.A.
Jurisdiction: FLORIDA
Filing Type: Florida Profit Corporation
Status: Inactive
Date Filed: 23 Feb 1994 (31 years ago)
Date of dissolution: 23 Sep 2016 (8 years ago)
Last Event: ADMIN DISSOLUTION FOR ANNUAL REPORT
Event Date Filed: 23 Sep 2016 (8 years ago)
Document Number: P94000014710
FEI/EIN Number 59-3221727
Address: 1905 CORPORATE SQ BLVD, JACKSONVILLE, FL 32216
Mail Address: 1905 CORPORATE SQ BLVD, JACKSONVILLE, FL 32216
ZIP code: 32216
County: Duval
Place of Formation: FLORIDA

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
JACKSONVILLE HEART CENTER, P.A. PROFIT SHARING PLAN 2015 593221727 2016-10-11 JACKSONVILLE HEART CENTER, P.A. 26
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1994-03-01
Business code 621111
Sponsor’s telephone number 9047200599
Plan sponsor’s address 1905 CORPORATE SQUARE BLVD, JACKSONVILLE, FL, 32216
JACKSONVILLE HEART CENTER, P.A. PROFIT SHARING PLAN 2014 593221727 2015-09-25 JACKSONVILLE HEART CENTER, P.A. 23
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1994-03-01
Business code 621111
Sponsor’s telephone number 9047200599
Plan sponsor’s address 1905 CORPORATE SQUARE BLVD, JACKSONVILLE, FL, 32216
JACKSONVILLE HEART CENTER, P.A. PROFIT SHARING PLAN 2013 593221727 2014-10-03 JACKSONVILLE HEART CENTER, P.A. 20
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1994-03-01
Business code 621111
Sponsor’s telephone number 9047200599
Plan sponsor’s address 1905 CORPORATE SQUARE BLVD, JACKSONVILLE, FL, 32216
JACKSONVILLE HEART CENTER, P.A. 401(K) PROFIT SHARING PLAN 2012 593221727 2013-10-11 JACKSONVILLE HEART CENTER, P.A. 117
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1994-03-01
Business code 621111
Sponsor’s telephone number 9047200599
Plan sponsor’s address 1905 CORPORATE SQUARE BLVD., JACKSONVILLE, FL, 322161940

Plan administrator’s name and address
Administrator’s EIN 593221727
Plan administrator’s name JACKSONVILLE HEART CENTER, P.A.
Plan administrator’s address 1905 CORPORATE SQUARE BLVD., JACKSONVILLE, FL, 322161940
Administrator’s telephone number 9047200599

Signature of
Role Plan administrator
Date 2013-10-11
Name of individual signing MARK A MASTERS
Valid signature Filed with authorized/valid electronic signature
JACKSONVILLE HEART CENTER, P.A. 401(K) PROFIT SHARING PLAN 2011 593221727 2012-10-15 JACKSONVILLE HEART CENTER, P.A. 114
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1994-03-01
Business code 621111
Sponsor’s telephone number 9047200599
Plan sponsor’s address 1905 CORPORATE SQUARE BLVD., JACKSONVILLE, FL, 322161940

Plan administrator’s name and address
Administrator’s EIN 593221727
Plan administrator’s name JACKSONVILLE HEART CENTER, P.A.
Plan administrator’s address 1905 CORPORATE SQUARE BLVD., JACKSONVILLE, FL, 322161940
Administrator’s telephone number 9047200599

Signature of
Role Plan administrator
Date 2012-10-15
Name of individual signing MARK A MASTERS
Valid signature Filed with authorized/valid electronic signature
JACKSONVILLE HEART CENTER, P.A. 401(K) PROFIT SHARING PLAN 2010 593221727 2011-06-13 JACKSONVILLE HEART CENTER, P.A. 115
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1994-03-01
Business code 621111
Sponsor’s telephone number 9047200599
Plan sponsor’s address 1905 CORPORATE SQUARE BLVD., JACKSONVILLE, FL, 322161940

Plan administrator’s name and address
Administrator’s EIN 593221727
Plan administrator’s name JACKSONVILLE HEART CENTER, P.A.
Plan administrator’s address 1905 CORPORATE SQUARE BLVD., JACKSONVILLE, FL, 322161940
Administrator’s telephone number 9047200599

Signature of
Role Plan administrator
Date 2011-06-13
Name of individual signing MARK MASTERS
Valid signature Filed with authorized/valid electronic signature
JACKSONVILLE HEART CENTER, P.A. 401(K) PROFIT SHARING PLAN 2009 593221727 2010-08-12 JACKSONVILLE HEART CENTER, P.A. 111
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1994-03-01
Business code 621111
Sponsor’s telephone number 9047200599
Plan sponsor’s address 1905 CORPORATE SQUARE BLVD., JACKSONVILLE, FL, 322161940

Plan administrator’s name and address
Administrator’s EIN 593221727
Plan administrator’s name JACKSONVILLE HEART CENTER, P.A.
Plan administrator’s address 1905 CORPORATE SQUARE BLVD., JACKSONVILLE, FL, 322161940
Administrator’s telephone number 9047200599

Signature of
Role Plan administrator
Date 2010-08-12
Name of individual signing MARK A MASTERS
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2010-08-06
Name of individual signing MARK A MASTERS
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
MASTERS, MARK A, Phd Agent 1905 CORPORATE SQ BLVD, JACKSONVILLE, FL 32216

Director

Name Role Address
UTSET, BERNARDO M, MD Director 1905 CORPORATE SQ BLVD, JACKSONVILLE, FL 32216
HILTON, THOMAS C, MD Director 1905 CORPORATE SQ BLVD, JACKSONVILLE, FL 32216
DePadua, PAMELA R, MD Director 1905 CORPORATE SQ BLVD, JACKSONVILLE, FL 32216
BANSAL, MANISH M.D. Director 1905 CORPORATE SQUARE BLVD, JACKSONVILLE, FL 32216
GOEL, SATISH M.D. Director 1905 CORPORATE SQUARE BLVD, JACKSONVILLE, FL 32216
SCHRANK, JOEL P, MD Director 1905 CORPORATE SQ BLVD, JACKSONVILLE, FL 32216
Farrell, Paul W, MD Director 1905 CORPORATE SQ BLVD, JACKSONVILLE, FL 32216
Hassell, C. David, MD Director 1905 CORPORATE SQ BLVD, JACKSONVILLE, FL 32216
Litt, Marc R, MD Director 1905 CORPORATE SQ BLVD, JACKSONVILLE, FL 32216
Adams, Kenneth V, MD Director 1905 CORPORATE SQ BLVD, JACKSONVILLE, FL 32216

Vice President

Name Role Address
UTSET, BERNARDO M, MD Vice President 1905 CORPORATE SQ BLVD, JACKSONVILLE, FL 32216
HILTON, THOMAS C, MD Vice President 1905 CORPORATE SQ BLVD, JACKSONVILLE, FL 32216
DePadua, PAMELA R, MD Vice President 1905 CORPORATE SQ BLVD, JACKSONVILLE, FL 32216
BANSAL, MANISH M.D. Vice President 1905 CORPORATE SQUARE BLVD, JACKSONVILLE, FL 32216
GOEL, SATISH M.D. Vice President 1905 CORPORATE SQUARE BLVD, JACKSONVILLE, FL 32216
Farrell, Paul W, MD Vice President 1905 CORPORATE SQ BLVD, JACKSONVILLE, FL 32216
Hassell, C. David, MD Vice President 1905 CORPORATE SQ BLVD, JACKSONVILLE, FL 32216
Litt, Marc R, MD Vice President 1905 CORPORATE SQ BLVD, JACKSONVILLE, FL 32216
Adams, Kenneth V, MD Vice President 1905 CORPORATE SQ BLVD, JACKSONVILLE, FL 32216
Leu, Shannon, MD Vice President 1905 CORPORATE SQ BLVD, JACKSONVILLE, FL 32216

Chief Executive Officer

Name Role Address
SCHRANK, JOEL P, MD Chief Executive Officer 1905 CORPORATE SQ BLVD, JACKSONVILLE, FL 32216

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G10000044264 JACKSONVILLE HEART SLEEP CENTER EXPIRED 2010-05-20 2015-12-31 No data 6930 BONNEVAL ROAD, SUITE #2, JACKSONVILLE, FL, 32216

Events

Event Type Filed Date Value Description
ADMIN DISSOLUTION FOR ANNUAL REPORT 2016-09-23 No data No data
REGISTERED AGENT NAME CHANGED 2013-01-16 MASTERS, MARK A, Phd No data
CHANGE OF PRINCIPAL ADDRESS 2006-03-23 1905 CORPORATE SQ BLVD, JACKSONVILLE, FL 32216 No data
CHANGE OF MAILING ADDRESS 2006-03-23 1905 CORPORATE SQ BLVD, JACKSONVILLE, FL 32216 No data
REGISTERED AGENT ADDRESS CHANGED 2006-03-23 1905 CORPORATE SQ BLVD, JACKSONVILLE, FL 32216 No data

Documents

Name Date
ANNUAL REPORT 2015-01-12
ANNUAL REPORT 2014-05-13
ANNUAL REPORT 2013-01-16
ANNUAL REPORT 2012-02-16
ANNUAL REPORT 2011-01-31
ANNUAL REPORT 2010-02-01
ANNUAL REPORT 2009-07-09
ANNUAL REPORT 2009-01-21
ANNUAL REPORT 2008-07-18
ANNUAL REPORT 2008-02-04

Related by officers

No related officers

Related by address

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Date of last update: 02 Feb 2025

Sources: Florida Department of State

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