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MEDICAL SPECIALISTS OF THE PALM BEACHES, INC.

Company Details

Entity Name: MEDICAL SPECIALISTS OF THE PALM BEACHES, INC.
Jurisdiction: FLORIDA
Filing Type: Florida Profit Corporation
Status: Active
Date Filed: 15 May 1995 (30 years ago)
Last Event: AMENDED AND RESTATED ARTICLES
Event Date Filed: 01 Aug 2022 (3 years ago)
Document Number: P95000038395
FEI/EIN Number 65-0580501
Address: 7593 W. Boynton Beach Blvd., SUITE 220, Boynton Beach, FL 33437
Mail Address: 7593 W. Boynton Beach Blvd., SUITE 220, Boynton Beach, FL 33437
ZIP code: 33437
County: Palm Beach
Place of Formation: FLORIDA

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
MEDICAL SPECIALISTS OF THE PALM BEACHES, INC. 401(K) SAVINGS PLAN 2012 650580501 2013-10-14 MEDICAL SPECIALISTS OF THE PALM BEACHES, INC. 493
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1996-01-01
Business code 621111
Sponsor’s telephone number 5619687968
Plan sponsor’s mailing address 5700 LAKE WORTH ROAD, SUITE 204, LAKE WORTH, FL, 33463
Plan sponsor’s address ANGELA MANCUSI, 5700 LAKE WORTH ROAD, SUITE 204, LAKE WORTH, FL, 33463

Number of participants as of the end of the plan year

Active participants 341
Retired or separated participants receiving benefits 0
Other retired or separated participants entitled to future benefits 70
Deceased participants whose beneficiaries are receiving or are entitled to receive benefits 0
Number of participants with account balances as of the end of the plan year 408
Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 7

Signature of

Role Plan administrator
Date 2013-10-14
Name of individual signing JOHN BROWN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2013-10-14
Name of individual signing JOHN BROWN
Valid signature Filed with authorized/valid electronic signature
MEDICAL SPECIALISTS OF THE PALM BEACHES, INC. 401(K) SAVINGS PLAN 2011 650580501 2012-10-12 MEDICAL SPECIALISTS OF THE PALM BEACHES, INC. 482
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1996-01-01
Business code 621111
Sponsor’s telephone number 5619687968
Plan sponsor’s mailing address 5700 LAKE WORTH ROAD, SUITE 204, LAKE WORTH, FL, 33463
Plan sponsor’s address ANGELA MANCUSI, 5700 LAKE WORTH ROAD, SUITE 204, LAKE WORTH, FL, 33463

Plan administrator’s name and address

Administrator’s EIN 650580501
Plan administrator’s name MEDICAL SPECIALISTS OF THE PALM BEACHES, INC.
Plan administrator’s address 5700 LAKE WORTH ROAD, SUITE 204, LAKE WORTH, FL, 33463
Administrator’s telephone number 5619687968

Number of participants as of the end of the plan year

Active participants 329
Retired or separated participants receiving benefits 0
Other retired or separated participants entitled to future benefits 132
Deceased participants whose beneficiaries are receiving or are entitled to receive benefits 0
Number of participants with account balances as of the end of the plan year 459
Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 4

Signature of

Role Plan administrator
Date 2012-10-12
Name of individual signing ANGELA MANCUSI
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2012-10-12
Name of individual signing ANGELA MANCUSI
Valid signature Filed with authorized/valid electronic signature
MEDICAL SPECIALISTS OF THE PALM BEACHES, INC. 401(K) SAVINGS PLAN 2010 650580501 2011-10-17 MEDICAL SPECIALISTS OF THE PALM BEACHES, INC. 476
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1996-01-01
Business code 621111
Sponsor’s telephone number 5619687968
Plan sponsor’s mailing address 5700 LAKE WORTH ROAD, SUITE 204, LAKE WORTH, FL, 33463
Plan sponsor’s address MANUEL FERNANDEZ, 5700 LAKE WORTH ROAD, SUITE 204, LAKE WORTH, FL, 33463

Plan administrator’s name and address

Administrator’s EIN 650580501
Plan administrator’s name MEDICAL SPECIALISTS OF THE PALM BEACHES, INC.
Plan administrator’s address 5700 LAKE WORTH ROAD, SUITE 204, LAKE WORTH, FL, 33463
Administrator’s telephone number 5619687968

Number of participants as of the end of the plan year

Active participants 344
Retired or separated participants receiving benefits 0
Other retired or separated participants entitled to future benefits 116
Deceased participants whose beneficiaries are receiving or are entitled to receive benefits 0
Number of participants with account balances as of the end of the plan year 456
Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 12

Signature of

Role Plan administrator
Date 2011-10-17
Name of individual signing MANUEL FERNANDEZ
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role
UNITED CORPORATE SERVICES, INC. Agent

Director

Name Role Address
Lira, Carlos, MD Director 7593 W. Boynton Beach Blvd., SUITE 220 Boynton Beach, FL 33437
Oriente, Gabriel Director 7593 W. Boynton Beach Blvd., SUITE 220 Boynton Beach, FL 33437
Shami, Nedal, MD Director 7593 W. Boynton Beach Blvd., SUITE 220 Boynton Beach, FL 33437

President

Name Role Address
Lira, Carlos, MD President 7593 W. Boynton Beach Blvd., SUITE 220 Boynton Beach, FL 33437

Chief Executive Officer

Name Role Address
Waters, Casey, CEO Chief Executive Officer 7593 W. Boynton Beach Blvd., SUITE 220 Boynton Beach, FL 33437

Secretary

Name Role Address
Parsons, Keith Secretary 7593 W. Boynton Beach Blvd., SUITE 220 Boynton Beach, FL 33437

Treasurer

Name Role Address
Parsons, Keith Treasurer 7593 W. Boynton Beach Blvd., SUITE 220 Boynton Beach, FL 33437

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G17000120832 V BOUTIQUE AESTHETICS LASER & VEIN CENTER OF MSPB EXPIRED 2017-11-02 2022-12-31 No data 101 JFK DRIVE, ATLANTIS, FL, 33462
G16000079418 V BOUTIQUE EXPIRED 2016-08-03 2021-12-31 No data 5700 LAKE WORTH ROAD, SUITE #204, LAKE WORTH, FL, 33463
G16000079422 V BOUTIQUE VEIN & AESTHETIC CENTER EXPIRED 2016-08-03 2021-12-31 No data 5700 LAKE WORTH ROAD, SUITE #204, LAKE WORTH, FL, 33463

Events

Event Type Filed Date Value Description
REGISTERED AGENT ADDRESS CHANGED 2025-01-03 3458 LAKESHORE DRIVE, TALLAHASSEE, FL 32312 No data
REGISTERED AGENT NAME CHANGED 2025-01-03 UNITED CORPORATE SERVICES, INC. No data
AMENDED AND RESTATEDARTICLES 2022-08-02 No data No data
AMENDED AND RESTATEDARTICLES 2022-08-01 No data No data
CHANGE OF MAILING ADDRESS 2022-02-04 7593 W. Boynton Beach Blvd., SUITE 220, Boynton Beach, FL 33437 No data
CHANGE OF PRINCIPAL ADDRESS 2022-02-04 7593 W. Boynton Beach Blvd., SUITE 220, Boynton Beach, FL 33437 No data
AMENDED AND RESTATEDARTICLES 2014-04-21 No data No data
AMENDMENT 2002-05-23 No data No data
AMENDMENT 1998-09-02 No data No data
AMENDMENT 1996-03-11 No data No data

Documents

Name Date
Reg. Agent Change 2025-01-03
ANNUAL REPORT 2024-04-18
AMENDED ANNUAL REPORT 2023-08-28
ANNUAL REPORT 2023-03-09
Amended and Restated Articles 2022-08-01
ANNUAL REPORT 2022-01-18
ANNUAL REPORT 2021-04-13
AMENDED ANNUAL REPORT 2020-10-05
ANNUAL REPORT 2020-03-24
ANNUAL REPORT 2019-02-28

Date of last update: 02 Feb 2025

Sources: Florida Department of State