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CARDIOTHORACIC & VASCULAR SURGICAL ASSOCIATES, P.A.

Company Details

Entity Name: CARDIOTHORACIC & VASCULAR SURGICAL ASSOCIATES, P.A.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Active
Date Filed: 18 Oct 1995 (29 years ago)
Last Event: AMENDMENT
Event Date Filed: 17 Mar 2016 (9 years ago)
Document Number: P95000080909
FEI/EIN Number 593338654
Address: 1901 S. Meyers Road, Suite 158, Oakbrook Terrace, IL, 60181, US
Mail Address: 1901 S. Meyers Road, Suite 158, Oakbrook Terrace, IL, 60181, US
Place of Formation: FLORIDA

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
CARDIOTHORACIC & VASCULAR SURGICAL ASSOC., P.A. CASH BALANCE PLAN 2013 593338654 2014-10-01 CARDIOTHORACIC & VASCULAR SURGICAL ASSOCIATES, P.A. 68
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2008-01-01
Business code 621111
Sponsor’s telephone number 9043843343
Plan sponsor’s address 1824 KING STREET SUITE 200, JACKSONVILLE, FL, 32204
CARDIOTHORACIC & VASCULAR SURGICAL ASSOCIATES, P.A. CASH BALANCE PLAN 2012 593338654 2013-10-03 CARDIOTHORACIC & VASCULAR SURGICAL ASSOCIATES, P.A. 69
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2008-01-01
Business code 621111
Sponsor’s telephone number 9043843343
Plan sponsor’s address 1824 KING ST. SUITE 200, JACKSONVILLE, FL, 322044735

Signature of
Role Plan administrator
Date 2013-10-03
Name of individual signing RAYMOND LEE
Valid signature Filed with authorized/valid electronic signature
CARDIOTHORACIC & VASCULAR SURGICAL ASSOCIATES, P.A. 401K PLAN 2012 593338654 2013-10-03 CARDIOTHORACIC & VASCULAR SURGICAL ASSOCIATES, P.A. 84
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1996-01-01
Business code 621111
Sponsor’s telephone number 9044215580
Plan sponsor’s address 1824 KING STREET SUITE 200, JACKSONVILLE, FL, 322044736

Plan administrator’s name and address
Administrator’s EIN 593338654
Plan administrator’s name CARDIOTHORACIC & VASCULAR SURGICAL ASSOCIATES, P.A.
Plan administrator’s address 1824 KING STREET SUITE 200, JACKSONVILLE, FL, 322044736
Administrator’s telephone number 9044215580

Signature of
Role Plan administrator
Date 2013-10-03
Name of individual signing RAYMOND LEE
Valid signature Filed with authorized/valid electronic signature
CARDIOTHORACIC & VASCULAR SURGICAL ASSOCIATES, P.A 401K PLAN 2011 593338654 2012-10-08 CARDIOTHORACIC & VASCULAR SURGICAL ASSOCIATES, P.A. 77
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1996-01-01
Business code 621111
Sponsor’s telephone number 9044215580
Plan sponsor’s address 1824 KING STREET SUITE 200, JACKSONVILLE, FL, 322044736

Plan administrator’s name and address
Administrator’s EIN 593338654
Plan administrator’s name CARDIOTHORACIC & VASCULAR SURGICAL ASSOCIATES, P.A.
Plan administrator’s address 1824 KING STREET SUITE 200, JACKSONVILLE, FL, 322044736
Administrator’s telephone number 9044215580

Signature of
Role Plan administrator
Date 2012-10-08
Name of individual signing RAYMOND LEE
Valid signature Filed with authorized/valid electronic signature
CARDIOTHORACIC & VASCULAR SURGERY, P.A. CASH BALANCE PLAN 2011 593338654 2012-04-23 CARDIOTHORACIC & VASCULAR SURGICAL ASSOCIATES, P.A. 63
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2008-01-01
Business code 621111
Sponsor’s telephone number 9043843343
Plan sponsor’s DBA name R SURGERY, P.A.
Plan sponsor’s address 1824 KING ST., JACKSONVILLE, FL, 322044735

Plan administrator’s name and address
Administrator’s EIN 593338654
Plan administrator’s name CARDIOTHORACIC & VASCULAR SURGICAL ASSOCIATES, P.A.
Plan administrator’s address 1824 KING ST., JACKSONVILLE, FL, 322044735
Administrator’s telephone number 9043843343

Signature of
Role Plan administrator
Date 2012-04-23
Name of individual signing RAYMOND LEE
Valid signature Filed with authorized/valid electronic signature
CARDIOTHORACIC & VASCULAR SURGERY, P.A. CASH BALANCE PLAN 2010 593338654 2011-05-31 CARDIOTHORACIC & VASCULAR SURGICAL ASSOCIATES, P.A. 66
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2008-01-01
Business code 621111
Sponsor’s telephone number 9043843343
Plan sponsor’s DBA name R SURGERY, P.A.
Plan sponsor’s address 1824 KING ST., JACKSONVILLE, FL, 322044735

Plan administrator’s name and address
Administrator’s EIN 593338654
Plan administrator’s name CARDIOTHORACIC & VASCULAR SURGICAL ASSOCIATES, P.A.
Plan administrator’s address 1824 KING ST., JACKSONVILLE, FL, 322044735
Administrator’s telephone number 9043843343

Signature of
Role Plan administrator
Date 2011-05-31
Name of individual signing RAYMOND LEE
Valid signature Filed with authorized/valid electronic signature
CARDIOTHORACIC & VASCULAR SURGICAL ASSOCIATES, P.A 401K PLAN 2010 593338654 2011-09-29 CARDIOTHORACIC & VASCULAR SURGICAL ASSOCIATES, P.A. 79
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1996-01-01
Business code 621111
Sponsor’s telephone number 9044215580
Plan sponsor’s address 1824 KING STREET SUITE 200, JACKSONVILLE, FL, 322044736

Plan administrator’s name and address
Administrator’s EIN 593338654
Plan administrator’s name CARDIOTHORACIC & VASCULAR SURGICAL ASSOCIATES, P.A.
Plan administrator’s address 1824 KING STREET SUITE 200, JACKSONVILLE, FL, 322044736
Administrator’s telephone number 9044215580

Signature of
Role Plan administrator
Date 2011-09-29
Name of individual signing RAYMOND LEE
Valid signature Filed with authorized/valid electronic signature
CARDIOTHORACIC & VASCULAR SURGERY, P.A. CASH BALANCE PLAN 2009 593338654 2010-08-06 CARDIOTHORACIC & VASCULAR SURGICAL ASSOCIATES, P.A. 66
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2008-01-01
Business code 621111
Sponsor’s telephone number 9043843343
Plan sponsor’s DBA name R SURGERY, P.A.
Plan sponsor’s address 1824 KING ST., JACKSONVILLE, FL, 322044735

Plan administrator’s name and address
Administrator’s EIN 593338654
Plan administrator’s name CARDIOTHORACIC & VASCULAR SURGERY, P.A.
Plan administrator’s address 1824 KING ST., JACKSONVILLE, FL, 32204
Administrator’s telephone number 9043843343

Signature of
Role Plan administrator
Date 2010-08-06
Name of individual signing RAYMOND LEE
Valid signature Filed with authorized/valid electronic signature
CARDIOTHORACIC & VASCULAR SURGICAL ASSOCIATES, P.A 401K PROFIT SHARING PLAN AND TRUST 2009 593338654 2010-09-20 CARDIOTHORACIC & VASCULAR SURGICAL ASSOCIATES, P.A. 77
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1996-01-01
Business code 621111
Sponsor’s telephone number 9044215580
Plan sponsor’s address 1824 KING STREET SUITE 200, JACKSONVILLE, FL, 322044736

Plan administrator’s name and address
Administrator’s EIN 593338654
Plan administrator’s name CARDIOTHORACIC & VASCULAR SURGICAL ASSOCIATES, P.A.
Plan administrator’s address 1824 KING STREET SUITE 200, JACKSONVILLE, FL, 322044736
Administrator’s telephone number 9044215580

Signature of
Role Plan administrator
Date 2010-09-20
Name of individual signing RAYMOND LEE
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
BARNES SHELIA Agent 1824 KING STREET, JACKSONVILLE, FL, 32204

Manager

Name Role
CTVSA MANAGEMENT, LLC Manager

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G23000021883 ST. JOHNS VEIN CENTER ACTIVE 2023-02-15 2028-12-31 No data 1677 EAGLE HARBOR PARKWAY, SUITE A, FLEMING ISLAND, FL, 32003
G22000159752 CARDIAC SPECIALTY INSTITUTE LLC ACTIVE 2022-12-27 2027-12-31 No data 803 EAST DIXIE AVE., LEESBURG, FL, 34748
G22000156777 ST. JOHNS INTERVENTIONAL & VASCULAR ACTIVE 2022-12-20 2027-12-31 No data 8767 PERIMETER PARK BLVD., JACKSONVILLE, FL, 32216
G22000156790 COASTAL VASCULAR & INTERVENTIONAL CENTER - NICEVILLE ACTIVE 2022-12-20 2027-12-31 No data 4585 HIGHWAY 20 EAST, NICEVILLE, FL, 32578
G22000156782 COASTAL VASCULAR & INTERVENTIONAL CENTER - PENSACOLA ACTIVE 2022-12-20 2027-12-31 No data 1851 NORTH 9TH AVENUE, SUITE B, PENSACOLA, FL, 32503
G22000053924 COASTAL VEIN INSTITUTE & AESTHETIC CENTER ACTIVE 2022-04-28 2027-12-31 No data 5149 N 9TH AVENUE, SUITE 120, PENSACOLA, FL, 32504
G22000053915 COASTAL VASCULAR & INTERVENTIONAL ACTIVE 2022-04-28 2027-12-31 No data 5149 NORTH 9TH AVENUE SUITE 120, PENSACOLA, FL, 32504
G22000053919 COASTAL VEIN INSTITUTE ACTIVE 2022-04-28 2027-12-31 No data 5149 NORTH 9TH AVENUE SUITE 120, PENSACOLA, FL, 32504
G21000004869 VASCULAR SURGERY ASSOCIATES ACTIVE 2021-01-10 2026-12-31 No data 1824 KING STREET, SUITE 200, JACKSONVILLE, FL, 32082
G21000004855 THE VEIN INSTITUTE ACTIVE 2021-01-10 2026-12-31 No data 1824 KING STREET, SUITE 200, JACKSONVILLE, FL, 32204

Events

Event Type Filed Date Value Description
CHANGE OF MAILING ADDRESS 2025-01-13 1824 King Street, Suite 200, Jacksonville, FL 32204 No data
CHANGE OF PRINCIPAL ADDRESS 2025-01-13 1824 King Street, Suite 200, Jacksonville, FL 32204 No data
AMENDMENT 2016-03-17 No data No data
REGISTERED AGENT NAME CHANGED 2009-03-04 BARNES, SHELIA No data
REGISTERED AGENT ADDRESS CHANGED 2007-08-27 1824 KING STREET, SUITE 200, JACKSONVILLE, FL 32204 No data
ARTICLES OF CORRECT-ION/NAME CHANGE 2001-01-05 CARDIOTHORACIC & VASCULAR SURGICAL ASSOCIATES, P.A. No data
MERGER 2000-12-29 No data CORPORATION WAS A MERGER RESULT. TOTAL NUMBER OF QUALIFIED CORPORATION(S) INVOLVED WAS 1. MERGER NUMBER 100000034041
NAME CHANGE AMENDMENT 2000-12-29 CARDIOTHORACIC AND VASCULAR SURGERY ASSOCIATES, P.A. No data
NAME CHANGE AMENDMENT 1999-06-09 SOUTHEAST CARDIOVASCULAR GROUP, P.A. No data

Documents

Name Date
ANNUAL REPORT 2024-05-02
ANNUAL REPORT 2023-02-13
ANNUAL REPORT 2022-02-16
ANNUAL REPORT 2021-03-18
ANNUAL REPORT 2020-05-14
ANNUAL REPORT 2019-04-16
ANNUAL REPORT 2018-03-05
ANNUAL REPORT 2017-04-17
AMENDED ANNUAL REPORT 2016-07-13
ANNUAL REPORT 2016-04-07

Related by officers

BARNES SHELIA

CTVSA MANAGEMENT, LLC TEACHING DELIVERANCE THROUGH THE WORD OF GOD MINISTRIES, INC.

Related by address

No related companies by address

Date of last update: 03 Feb 2025

Sources: Florida Department of State

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