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  5. PINELLAS SURGICAL ASSOCIATES, INCORPORATED

PINELLAS SURGICAL ASSOCIATES, INCORPORATED

Company Details

Entity Name: PINELLAS SURGICAL ASSOCIATES, INCORPORATED
Jurisdiction: FLORIDA
Filing Type: Florida Profit Corporation
Status: Active
Date Filed: 28 Apr 1995 (30 years ago)
Last Event: AMENDMENT
Event Date Filed: 20 Sep 2013 (11 years ago)
Document Number: P95000033503
FEI/EIN Number 59-3312447
Address: 6449 38th Avenue North, Suite G4, St. Petersburg, FL 33710
Mail Address: 6449 38th Avenue North, Suite G4, St. Petersburg, FL 33710
ZIP code: 33710
County: Pinellas
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1851386098 2005-09-14 2022-07-21 4801 49TH ST N, ST PETERSBURG, FL, 337093859, US 4801 49TH ST N, ST PETERSBURG, FL, 337093859, US

Contacts
Phone +1 727-526-3468
Fax 7275258738

Authorized person
Name DR. NAGELLA RAVINDRA
Role PRESIDENT
Phone 7275263468

Taxonomy
Taxonomy Code 174400000X - Specialist
Is Primary Yes

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
PINELLAS SURGICAL ASSOCIATES 401(K) PROFIT SHARING PLAN & TRUST 2020 593312447 2021-07-12 PINELLAS SURGICAL ASSOCIATES 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1998-01-01
Business code 621111
Sponsor’s telephone number 7275263468
Plan sponsor’s address 4801 49TH ST N, SAINT PETERSBURG, FL, 337093859

Signature of
Role Plan administrator
Date 2021-07-12
Name of individual signing DEBORAH FORT
Valid signature Filed with authorized/valid electronic signature
PINELLAS SURGICAL ASSOCIATES 401(K) PROFIT SHARING PLAN & TRUST 2019 593312447 2020-04-24 PINELLAS SURGICAL ASSOCIATES 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1998-01-01
Business code 621111
Sponsor’s telephone number 7275263468
Plan sponsor’s address 4801 49TH ST N, SAINT PETERSBURG, FL, 337093859

Signature of
Role Plan administrator
Date 2020-04-24
Name of individual signing ALBERT LI
Valid signature Filed with authorized/valid electronic signature
PINELLAS SURGICAL ASSOCIATES 401 K PROFIT SHARING PLAN TRUST 2018 593312447 2019-04-03 PINELLAS SURGICAL ASSOCIATES 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1998-01-01
Business code 621111
Sponsor’s telephone number 7275263468
Plan sponsor’s address 4801 49TH ST N, SAINT PETERSBURG, FL, 337093859

Signature of
Role Plan administrator
Date 2019-04-03
Name of individual signing ALBERT H LI
Valid signature Filed with authorized/valid electronic signature
PINELLAS SURGICAL ASSOCIATES 401 K PROFIT SHARING PLAN TRUST 2017 593312447 2018-06-02 PINELLAS SURGICAL ASSOCIATES 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1998-01-01
Business code 621111
Sponsor’s telephone number 7275263468
Plan sponsor’s address 4801 49TH ST N, SAINT PETERSBURG, FL, 337093859

Signature of
Role Plan administrator
Date 2018-06-02
Name of individual signing ALBERT LI
Valid signature Filed with authorized/valid electronic signature
PINELLAS SURGICAL ASSOCIATES 401 K PROFIT SHARING PLAN TRUST 2016 593312447 2017-05-30 PINELLAS SURGICAL ASSOCIATES 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1998-01-01
Business code 621111
Sponsor’s telephone number 7275263468
Plan sponsor’s address 4801 49TH ST N, SAINT PETERSBURG, FL, 337093859

Signature of
Role Plan administrator
Date 2017-05-30
Name of individual signing NAGELLA RAVINDRA
Valid signature Filed with authorized/valid electronic signature
PINELLAS SURGICAL ASSOCIATES 401 K PROFIT SHARING PLAN TRUST 2015 593312447 2016-07-08 PINELLAS SURGICAL ASSOCIATES 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1998-01-01
Business code 621111
Sponsor’s telephone number 7275263468
Plan sponsor’s address 4801 49TH ST N, SAINT PETERSBURG, FL, 337093859

Signature of
Role Plan administrator
Date 2016-07-08
Name of individual signing NAGELLA RAVINDRA
Valid signature Filed with authorized/valid electronic signature
PINELLAS SURGICAL ASSOCIATES 401 K PROFIT SHARING PLAN TRUST 2014 593312447 2015-06-14 PINELLAS SURGICAL ASSOCIATES 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1998-01-01
Business code 621111
Sponsor’s telephone number 7275263468
Plan sponsor’s address 4801 49TH ST N, SAINT PETERSBURG, FL, 337093859

Signature of
Role Plan administrator
Date 2015-06-14
Name of individual signing ALBERT LI
Valid signature Filed with authorized/valid electronic signature
PINELLAS SURGICAL ASSOCIATES 401 K PROFIT SHARING PLAN TRUST 2013 593312447 2014-06-17 PINELLAS SURGICAL ASSOCIATES 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1998-01-01
Business code 621111
Sponsor’s telephone number 7275263468
Plan sponsor’s address 4801 49TH ST N, SAINT PETERSBURG, FL, 337093859

Signature of
Role Plan administrator
Date 2014-06-17
Name of individual signing ALBERT LI
Valid signature Filed with authorized/valid electronic signature
PINELLAS SURGICAL ASSOCIATES 401 K PROFIT SHARING PLAN TRUST 2012 593312447 2013-06-11 PINELLAS SURGICAL ASSOCIATES 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1998-01-01
Business code 621111
Sponsor’s telephone number 7275263468
Plan sponsor’s address 4801 49TH ST N, SAINT PETERSBURG, FL, 337093859

Signature of
Role Plan administrator
Date 2013-06-11
Name of individual signing PINELLAS SURGICAL ASSOCIATES
Valid signature Filed with authorized/valid electronic signature
PINELLAS SURGICAL ASSOCIATES 401 K PROFIT SHARING PLAN TRUST 2011 593312447 2012-05-22 PINELLAS SURGICAL ASSOCIATES 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1998-01-01
Business code 621111
Sponsor’s telephone number 7275263468
Plan sponsor’s address 4801 49TH ST N, SAINT PETERSBURG, FL, 337093859

Plan administrator’s name and address
Administrator’s EIN 593312447
Plan administrator’s name PINELLAS SURGICAL ASSOCIATES
Plan administrator’s address 4801 49TH ST N, SAINT PETERSBURG, FL, 337093859
Administrator’s telephone number 7275263468

Signature of
Role Plan administrator
Date 2012-05-22
Name of individual signing PINELLAS SURGICAL ASSOCIATES
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
Gozdanovic, Suzanne, M.D. Agent 6449 38th Avenue North, Suite G4, St. Petersburg, FL 33710

Partner

Name Role Address
Couch , Matthew , Dr. Partner 6449 38th Avenue North, Suite G4 St. Petersburg, FL 33710
Gozdanovic, Suzanne, Dr. Partner 6449 38th Avenue North, Suite G4 St. Petersburg, FL 33710
Ilie, Ramona, Dr. Partner 6449 38th Avenue North, Suite G4 St. Petersburg, FL 33710

shareholder

Name Role Address
Couch , Matthew , Dr. shareholder 6449 38th Avenue North, Suite G4 St. Petersburg, FL 33710
Gozdanovic, Suzanne, Dr. shareholder 6449 38th Avenue North, Suite G4 St. Petersburg, FL 33710
Ilie, Ramona, Dr. shareholder 6449 38th Avenue North, Suite G4 St. Petersburg, FL 33710

member

Name Role Address
Geada, Luis, Dr. member 6449 38th Avenue North, Suite G4 St. Petersburg, FL 33710

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2022-05-03 6449 38th Avenue North, Suite G4, St. Petersburg, FL 33710 No data
REGISTERED AGENT ADDRESS CHANGED 2022-05-03 6449 38th Avenue North, Suite G4, St. Petersburg, FL 33710 No data
CHANGE OF MAILING ADDRESS 2022-05-03 6449 38th Avenue North, Suite G4, St. Petersburg, FL 33710 No data
REGISTERED AGENT NAME CHANGED 2021-02-26 Gozdanovic, Suzanne, M.D. No data
AMENDMENT 2013-09-20 No data No data
PENDING REINSTATEMENT 2013-07-16 No data No data
REINSTATEMENT 2013-07-15 No data No data
ADMIN DISSOLUTION FOR ANNUAL REPORT 2011-09-23 No data No data
REINSTATEMENT 2010-09-16 No data No data
ADMIN DISSOLUTION FOR ANNUAL REPORT 2009-09-25 No data No data

Documents

Name Date
ANNUAL REPORT 2024-03-29
ANNUAL REPORT 2023-03-31
ANNUAL REPORT 2022-05-03
ANNUAL REPORT 2021-02-26
ANNUAL REPORT 2020-01-30
ANNUAL REPORT 2019-01-04
ANNUAL REPORT 2018-01-26
AMENDED ANNUAL REPORT 2017-04-27
ANNUAL REPORT 2017-03-06
AMENDED ANNUAL REPORT 2016-09-30

Related by officers

No related officers

Related by address

No related companies by address

Date of last update: 02 Feb 2025

Sources: Florida Department of State

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