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  5. CENTRAL BREVARD ANESTHESIOLOGISTS, P.A.

CENTRAL BREVARD ANESTHESIOLOGISTS, P.A.

Company Details

Entity Name: CENTRAL BREVARD ANESTHESIOLOGISTS, P.A.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Active
Date Filed: 02 Jun 1994 (31 years ago)
Last Event: REINSTATEMENT
Event Date Filed: 10 Nov 2003 (21 years ago)
Document Number: P94000042607
FEI/EIN Number 593245868
Address: 110 LONGWOOD AVE, ROCKLEDGE, FL, 32955, US
Mail Address: P.O. BOX 561420, ROCKLEDGE, FL, 32956, US
ZIP code: 32955
County: Brevard
Place of Formation: FLORIDA

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
CENTRAL BREVARD ANESTHESIOLOGISTS, P.A. PROFIT SHARING PLAN & TRUST 2023 593245868 2024-10-09 CENTRAL BREVARD ANESTHESIOLOGISTS, P.A. 24
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1994-06-07
Business code 621111
Sponsor’s telephone number 3216372616
Plan sponsor’s address 110 LONGWOOD AVE., ROCKLEDGE, FL, 32956

Signature of
Role Plan administrator
Date 2024-10-10
Name of individual signing DONALD MCMILLAN
Valid signature Filed with authorized/valid electronic signature
CENTRAL BREVARD ANESTHESIOLOGISTS, P.A. CASH BALANCE PENSION PLAN 2023 593245868 2024-07-09 CENTRAL BREVARD ANESTHESIOLOGISTS, P.A. 9
File View Page
Three-digit plan number (PN) 003
Effective date of plan 2022-01-01
Business code 621111
Sponsor’s telephone number 3216372616
Plan sponsor’s address 110 LONGWOOD AVE., ROCKLEDGE, FL, 32956

Signature of
Role Plan administrator
Date 2024-07-10
Name of individual signing DONALD W. MCMILLAN, II, MD
Valid signature Filed with authorized/valid electronic signature
CENTRAL BREVARD ANESTHESIOLOGISTS, P.A. PROFIT SHARING PLAN & TRUST 2022 593245868 2023-10-11 CENTRAL BREVARD ANESTHESIOLOGISTS, P.A. 23
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1994-06-07
Business code 621111
Sponsor’s telephone number 3216372616
Plan sponsor’s address 110 LONGWOOD AVE., ROCKLEDGE, FL, 32956

Signature of
Role Plan administrator
Date 2023-10-11
Name of individual signing DONALD MCMILLAN
Valid signature Filed with authorized/valid electronic signature
CENTRAL BREVARD ANESTHESIOLOGISTS, P.A. CASH BALANCE PENSION PLAN 2022 593245868 2023-10-02 CENTRAL BREVARD ANESTHESIOLOGISTS, P.A. 9
File View Page
Three-digit plan number (PN) 003
Effective date of plan 2022-01-01
Business code 621111
Sponsor’s telephone number 3216372616
Plan sponsor’s address 110 LONGWOOD AVE., ROCKLEDGE, FL, 32956

Signature of
Role Plan administrator
Date 2023-10-02
Name of individual signing DONALD W. MCMILLAN, II, MD
Valid signature Filed with authorized/valid electronic signature
CENTRAL BREVARD ANESTHESIOLOGISTS, P.A. PROFIT SHARING PLAN & TRUST 2021 593245868 2023-01-24 CENTRAL BREVARD ANESTHESIOLOGISTS, P.A. 21
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1994-06-07
Business code 621111
Sponsor’s telephone number 3216372616
Plan sponsor’s address 110 LONGWOOD AVE., PO BOX 561420, ROCKLEDGE, FL, 329561420
CENTRAL BREVARD ANESTHESIOLOGISTS, P. A. CASH BALANCE PLAN 2020 593245868 2021-01-14 CENTRAL BREVARD ANESTHESIOLOGISTS, P.A. 8
Three-digit plan number (PN) 002
Effective date of plan 2013-01-01
Business code 621111
Sponsor’s telephone number 3216372616
Plan sponsor’s address 110 LONGWOOD AVE., ROCKLEDGE, FL, 32956
CENTRAL BREVARD ANESTHESIOLOGISTS, P.A. PROFIT SHARING PLAN & TRUST 2020 593245868 2021-10-15 CENTRAL BREVARD ANESTHESIOLOGISTS, P.A. 18
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1994-06-07
Business code 621111
Sponsor’s telephone number 3216372616
Plan sponsor’s address 110 LONGWOOD AVE., PO BOX 561420, ROCKLEDGE, FL, 329561420
CENTRAL BREVARD ANESTHESIOLOGISTS, P. A. CASH BALANCE PLAN 2020 593245868 2021-01-14 CENTRAL BREVARD ANESTHESIOLOGISTS, P.A. 8
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2013-01-01
Business code 621111
Sponsor’s telephone number 3216372616
Plan sponsor’s address 110 LONGWOOD AVE., ROCKLEDGE, FL, 32956
CENTRAL BREVARD ANESTHESIOLOGISTS, P. A. CASH BALANCE PLAN 2020 593245868 2021-01-14 CENTRAL BREVARD ANESTHESIOLOGISTS, P.A. 8
Three-digit plan number (PN) 002
Effective date of plan 2013-01-01
Business code 621111
Sponsor’s telephone number 3216372616
Plan sponsor’s address 110 LONGWOOD AVE., ROCKLEDGE, FL, 32956
CENTRAL BREVARD ANESTHESIOLOGISTS, P.A. CASH BALANCE PLAN 2019 593245868 2020-10-12 CENTRAL BREVARD ANESTHESIOLOGISTS, P.A. 9
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2013-01-01
Business code 621111
Sponsor’s telephone number 3216372616
Plan sponsor’s address 110 LONGWOOD AVE., ROCKLEDGE, FL, 32956

Agent

Name Role Address
SHAW THOMAS C Agent 2200 LUCIEN WAY - STE. 405, MAITLAND, FL, 32751

President

Name Role Address
FOSTER ORVILLE MD President 3557 CAPPIO DRIVE, MELBOURNE, FL, 32940

Director

Name Role Address
FOSTER ORVILLE MD Director 3557 CAPPIO DRIVE, MELBOURNE, FL, 32940
SCHURLKNIGHT STEPHEN MD Director 3628 IMPERATA DRIVE, ROCKLEDGE, FL, 32955
CUETO JUSTIN DO Director 1125 SAMAR ROAD, COCOA BEACH, FL, 32931

Secretary

Name Role Address
SCHURLKNIGHT STEPHEN MD Secretary 3628 IMPERATA DRIVE, ROCKLEDGE, FL, 32955

Treasurer

Name Role Address
CUETO JUSTIN DO Treasurer 1125 SAMAR ROAD, COCOA BEACH, FL, 32931

Vice President

Name Role Address
HAUGHIE PETER MD Vice President 796 OAK PARK DRIVE, MELBOURNE, FL, 32940

Events

Event Type Filed Date Value Description
REGISTERED AGENT NAME CHANGED 2018-05-03 SHAW, THOMAS C No data
REGISTERED AGENT ADDRESS CHANGED 2018-05-03 2200 LUCIEN WAY - STE. 405, MAITLAND, FL 32751 No data
REINSTATEMENT 2003-11-10 No data No data
ADMIN DISSOLUTION FOR ANNUAL REPORT 2003-09-19 No data No data
CHANGE OF PRINCIPAL ADDRESS 2002-07-25 110 LONGWOOD AVE, ROCKLEDGE, FL 32955 No data
CHANGE OF MAILING ADDRESS 2002-07-25 110 LONGWOOD AVE, ROCKLEDGE, FL 32955 No data
AMENDMENT 1999-01-06 No data No data
CORPORATE MERGER 1996-12-24 No data CORPORATION WAS A MERGER RESULT. TOTAL NUMBER OF QUALIFIED CORPORATION(S) INVOLVED WAS 1. CORPORATE MERGER NUMBER 900000012569

Documents

Name Date
ANNUAL REPORT 2024-07-18
ANNUAL REPORT 2023-04-13
ANNUAL REPORT 2022-03-09
ANNUAL REPORT 2021-04-08
ANNUAL REPORT 2020-05-12
ANNUAL REPORT 2019-04-25
Reg. Agent Change 2018-05-03
ANNUAL REPORT 2018-01-18
ANNUAL REPORT 2017-02-13
ANNUAL REPORT 2016-04-14

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SHAW THOMAS C

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Related by address

No related companies by address

Date of last update: 02 Feb 2025

Sources: Florida Department of State

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