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  5. ADVANCED PAIN CLINIC, P.A.

ADVANCED PAIN CLINIC, P.A.

Company Details

Entity Name: ADVANCED PAIN CLINIC, P.A.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Active
Date Filed: 05 Oct 1995 (29 years ago)
Document Number: P95000076178
FEI/EIN Number 593339956
Address: 505 W VINE STREET, #301, STE # 301, KISSIMMEE, FL, 34741, US
Mail Address: 505 W VINE STREET, #301, SUITE # 301, KISSIMMEE, FL, 34741, US
ZIP code: 34741
County: Osceola
Place of Formation: FLORIDA

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
ADVANCED PAIN CLINIC, P. A. DEFINED BENEFIT PLAN 2015 593339956 2016-12-20 ADVANCED PAIN CLINIC, P.A. 1
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-01-01
Business code 621111
Sponsor’s telephone number 4079359404
Plan sponsor’s address 505 W VINE STREET, STE 301, KISSIMMEE, FL, 347414123

Signature of
Role Plan administrator
Date 2016-12-20
Name of individual signing VRAJLAL RAJYAGURU
Valid signature Filed with authorized/valid electronic signature
ADVANCED PAIN CLINIC, P.A. DEFINED BENEFIT PLAN 2015 593339956 2016-07-29 ADVANCED PAIN CLINIC, P.A. 1
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-01-01
Business code 621111
Sponsor’s telephone number 4079359404
Plan sponsor’s address 505 W VINE STREET, STE 301, KISSIMMEE, FL, 347414123

Signature of
Role Plan administrator
Date 2016-07-29
Name of individual signing VRAJLAL RAJYAGURU
Valid signature Filed with authorized/valid electronic signature
ADVANCED PAIN CLINIC, P.A. DEFINED BENEFIT PLAN 2014 593339956 2015-07-28 ADVANCED PAIN CLINIC, P.A. 1
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-01-01
Business code 621111
Sponsor’s telephone number 4079359404
Plan sponsor’s address 505 W VINE STREET, STE 301, KISSIMMEE, FL, 347414123

Signature of
Role Plan administrator
Date 2015-07-28
Name of individual signing VRAJLAL RAJYAGURU
Valid signature Filed with authorized/valid electronic signature
ADVANCED PAIN CLINIC, P.A. DEFINED BENEFIT PLAN 2013 593339956 2014-10-09 ADVANCED PAIN CLINIC, P.A. 2
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-01-01
Business code 621111
Sponsor’s telephone number 4079359404
Plan sponsor’s address 505 W VINE STREET, STE 301, KISSIMMEE, FL, 347414123

Signature of
Role Plan administrator
Date 2014-10-09
Name of individual signing VRAJLAL RAJYAGURU
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2014-10-09
Name of individual signing VRAJLAL RAJYAGURU
Valid signature Filed with authorized/valid electronic signature
ADVANCED PAIN CLINIC, P.A. DEFINED BENEFIT PLAN 2012 593339956 2013-07-23 ADVANCED PAIN CLINIC, P.A. 2
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-01-01
Business code 621111
Sponsor’s telephone number 4079359404
Plan sponsor’s address 505 W VINE STREET, STE 301, KISSIMMEE, FL, 347414123

Signature of
Role Plan administrator
Date 2013-07-23
Name of individual signing VRAJLAL RAJYAGURU
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2013-07-23
Name of individual signing VRAJLAL RAJYAGURU
Valid signature Filed with authorized/valid electronic signature
ADVANCED PAIN CLINIC, P.A. DEFINED BENEFIT PLAN 2011 593339956 2012-07-30 ADVANCED PAIN CLINIC, P.A. 2
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-01-01
Business code 621111
Sponsor’s telephone number 4079359404
Plan sponsor’s address 505 W VINE STREET, STE 301, KISSIMMEE, FL, 347414123

Plan administrator’s name and address
Administrator’s EIN 593339956
Plan administrator’s name ADVANCED PAIN CLINIC, P.A.
Plan administrator’s address 505 W VINE STREET, STE 301, KISSIMMEE, FL, 347414123
Administrator’s telephone number 4079359404

Signature of
Role Plan administrator
Date 2012-07-30
Name of individual signing VRAJLAL RAJYAGURU
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2012-07-30
Name of individual signing VRAJLAL RAJYAGURU
Valid signature Filed with authorized/valid electronic signature
ADVANCED PAIN CLINIC, P.A. DEFINED BENEFIT PLAN 2010 593339956 2011-07-06 ADVANCED PAIN CLINIC, P.A. 2
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-01-01
Business code 621111
Sponsor’s telephone number 4079359404
Plan sponsor’s address 505 W VINE STREET, STE 301, KISSIMMEE, FL, 347414123

Plan administrator’s name and address
Administrator’s EIN 593339956
Plan administrator’s name ADVANCED PAIN CLINIC, P.A.
Plan administrator’s address 505 W VINE STREET, STE 301, KISSIMMEE, FL, 347414123
Administrator’s telephone number 4079359404

Signature of
Role Plan administrator
Date 2011-07-06
Name of individual signing VRAJLAL RAJYAGURU
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2011-07-06
Name of individual signing VRAJLAL RAJYAGURU
Valid signature Filed with authorized/valid electronic signature
ADVANCED PAIN CLINIC, P.A. DEFINED BENEFIT PLAN 2009 593339956 2010-09-03 ADVANCED PAIN CLINIC, P.A. 2
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-01-01
Business code 621111
Sponsor’s telephone number 4079359404
Plan sponsor’s address 505 W VINE STREET, STE 301, KISSIMMEE, FL, 347414123

Plan administrator’s name and address
Administrator’s EIN 593339956
Plan administrator’s name ADVANCED PAIN CLINIC, P.A.
Plan administrator’s address 505 W VINE STREET, STE 301, KISSIMMEE, FL, 347414123
Administrator’s telephone number 4079359404

Signature of
Role Plan administrator
Date 2010-09-03
Name of individual signing VRAJLAL RAJYAGURU
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2010-09-03
Name of individual signing VRAJLAL RAJYAGURU
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
RAJYAGURU VRAJLAL Agent 505 W VINE STREET, #301, KISSIMMEE, FL, 34741

President

Name Role Address
RAJYAGURU VRAJLAL L President 505 W VINE STREET, #301, KISSIMMEE, FL, 34741

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2007-04-18 505 W VINE STREET, #301, STE # 301, KISSIMMEE, FL 34741 No data
CHANGE OF MAILING ADDRESS 2007-04-18 505 W VINE STREET, #301, STE # 301, KISSIMMEE, FL 34741 No data
REGISTERED AGENT NAME CHANGED 2007-04-18 RAJYAGURU, VRAJLAL No data
REGISTERED AGENT ADDRESS CHANGED 2007-04-18 505 W VINE STREET, #301, SUITE # 301, KISSIMMEE, FL 34741 No data

Documents

Name Date
ANNUAL REPORT 2024-03-13
ANNUAL REPORT 2023-03-18
ANNUAL REPORT 2022-03-23
ANNUAL REPORT 2021-04-10
ANNUAL REPORT 2020-04-08
ANNUAL REPORT 2019-04-24
ANNUAL REPORT 2018-03-11
ANNUAL REPORT 2017-04-05
ANNUAL REPORT 2016-04-23
ANNUAL REPORT 2015-03-15

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Date of last update: 03 Feb 2025

Sources: Florida Department of State

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