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EMERGENCY PEDIATRIC SERVICES, P.A.

Company Details

Entity Name: EMERGENCY PEDIATRIC SERVICES, P.A.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Active
Date Filed: 22 Mar 1996 (29 years ago)
Last Event: NAME CHANGE AMENDMENT
Event Date Filed: 01 Jun 1998 (27 years ago)
Document Number: P96000025988
FEI/EIN Number 650651301
Address: 5955 PONCE DE LEON BLVD, CORAL GABLES, FL, 33146-2423
Mail Address: 5955 PONCE DE LEON BLVD, CORAL GABLES, FL, 33146-2423
Place of Formation: FLORIDA

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
EMERGENCY PEDIATRIC SERVICES, P.A. 401(K) PLAN 2021 650651301 2022-06-22 EMERGENCY PEDIATRIC SERVICES, P.A. 39
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2000-01-01
Business code 621111
Sponsor’s telephone number 3056611515
Plan sponsor’s address 5955 PONCE DE LEON BLVD, CORAL GABLES, FL, 33146

Signature of

Role Plan administrator
Date 2022-06-22
Name of individual signing LINDSAY MENDIOLA
Valid signature Filed with authorized/valid electronic signature
EMERGENCY PEDIATRIC SERVICES, P.A. 401(K) PLAN 2021 650651301 2022-06-22 EMERGENCY PEDIATRIC SERVICES, P.A. 44
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2000-01-01
Business code 621111
Sponsor’s telephone number 3056611515
Plan sponsor’s address 5955 PONCE DE LEON BOULEVARD, CORAL GABLES, FL, 33146

Signature of

Role Plan administrator
Date 2022-06-22
Name of individual signing LINDSAY MENDIOLA
Valid signature Filed with authorized/valid electronic signature
EMERGENCY PEDIATRIC SERVICES, P.A. 401(K) PLAN 2020 650651301 2021-09-28 EMERGENCY PEDIATRIC SERVICES, P.A. 39
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2000-01-01
Business code 621111
Sponsor’s telephone number 3056611515
Plan sponsor’s address 5955 PONCE DE LEON BOULEVARD, CORAL GABLES, FL, 33146

Signature of

Role Plan administrator
Date 2021-09-28
Name of individual signing LINDSAY MENDIOLA
Valid signature Filed with authorized/valid electronic signature
EMERGENCY PEDIATRIC SERVICES, P.A. 401(K) PLAN 2019 650651301 2020-10-14 EMERGENCY PEDIATRIC SERVICES, P.A. 43
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2000-01-01
Business code 621111
Sponsor’s telephone number 3056611515
Plan sponsor’s address 5955 PONCE DE LEON BOULEVARD, CORAL GABLES, FL, 33146

Signature of

Role Plan administrator
Date 2020-10-14
Name of individual signing GEORGE MACCONNELL
Valid signature Filed with authorized/valid electronic signature
EMERGENCY PEDIATRIC SERVICES, P.A. 401(K) PLAN 2018 650651301 2019-10-07 EMERGENCY PEDIATRIC SERVICES, P.A. 42
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2000-01-01
Business code 621111
Sponsor’s telephone number 3056611515
Plan sponsor’s address 5955 PONCE DE LEON BOULEVARD, CORAL GABLES, FL, 33146

Signature of

Role Plan administrator
Date 2019-10-07
Name of individual signing GEORGE MACCONNELL
Valid signature Filed with authorized/valid electronic signature
EMERGENCY PEDIATRIC SERVICES, P.A. 401(K) PLAN 2017 650651301 2018-10-15 EMERGENCY PEDIATRIC SERVICES, P.A. 41
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2000-01-01
Business code 621111
Sponsor’s telephone number 3056611515
Plan sponsor’s address 5955 PONCE DE LEON BOULEVARD, CORAL GABLES, FL, 33146

Signature of

Role Plan administrator
Date 2018-10-15
Name of individual signing GEORGE MACCONNELL
Valid signature Filed with authorized/valid electronic signature
EMERGENCY PEDIATRIC SERVICES, P.A. 401(K) PLAN 2016 650651301 2017-12-13 EMERGENCY PEDIATRIC SERVICES, P.A. 38
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2000-01-01
Business code 621111
Sponsor’s telephone number 3056611515
Plan sponsor’s address 5955 PONCE DE LEON BOULEVARD, CORAL GABLES, FL, 33146

Signature of

Role Plan administrator
Date 2017-12-13
Name of individual signing GEORGE MACCONNELL
Valid signature Filed with authorized/valid electronic signature
EMERGENCY PEDIATRIC SERVICES, P.A. 401(K) PLAN 2015 650651301 2016-10-11 EMERGENCY PEDIATRIC SERVICES, P.A. 39
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2000-01-01
Business code 621111
Sponsor’s telephone number 3056611515
Plan sponsor’s address 5955 PONCE DE LEON BOULEVARD, CORAL GABLES, FL, 33146

Signature of

Role Plan administrator
Date 2016-10-11
Name of individual signing GEORGE MACCONNELL
Valid signature Filed with authorized/valid electronic signature
EMERGENCY PEDIATRIC SERVICES, P.A. 401(K) PLAN 2014 650651301 2015-10-09 EMERGENCY PEDIATRIC SERVICES, P.A. 40
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2000-01-01
Business code 621111
Sponsor’s telephone number 3056611515
Plan sponsor’s address 5955 PONCE DE LEON BOULEVARD, CORAL GABLES, FL, 33146

Signature of

Role Plan administrator
Date 2015-10-09
Name of individual signing GEORGE MACCONNELL
Valid signature Filed with authorized/valid electronic signature
EMERGENCY PEDIATRIC SERVICES, P.A. 401(K) PLAN 2013 650651301 2014-09-03 EMERGENCY PEDIATRIC SERVICES, P.A. 37
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2000-01-01
Business code 621111
Sponsor’s telephone number 3056611515
Plan sponsor’s address 5955 PONCE DE LEON BOULEVARD, CORAL GABLES, FL, 33146

Signature of

Role Plan administrator
Date 2014-09-03
Name of individual signing GEORGE MACCONNELL
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
Chen Vincent Agent 5955 PONCE DE LEON BLVD., CORAL GABLES, FL, 33146

Director

Name Role Address
PEREZ JORGE EM.D. Director 5955 PONCE DE LEON BLVD, CORAL GABLES, FL, 331462423
TANO ALBERT M.D. Director 5955 PONCE DE LEON BLVD, CORAL GABLES, FL, 331462423

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G98153900024 EMERGENCY PEDIATRIC SERVICES ACTIVE 1998-06-02 2028-12-31 No data 5955 PONCE DE LEON BLVD., CORAL GABLES, FL, 33146

Events

Event Type Filed Date Value Description
REGISTERED AGENT NAME CHANGED 2019-04-03 Chen, Vincent No data
CHANGE OF PRINCIPAL ADDRESS 1999-05-07 5955 PONCE DE LEON BLVD, CORAL GABLES, FL 33146-2423 No data
CHANGE OF MAILING ADDRESS 1999-05-07 5955 PONCE DE LEON BLVD, CORAL GABLES, FL 33146-2423 No data
REGISTERED AGENT ADDRESS CHANGED 1999-05-07 5955 PONCE DE LEON BLVD., CORAL GABLES, FL 33146 No data
NAME CHANGE AMENDMENT 1998-06-01 EMERGENCY PEDIATRIC SERVICES, P.A. No data
CORPORATE MERGER 1998-04-01 No data CORPORATION WAS A MERGER RESULT. TOTAL NUMBER OF QUALIFIED CORPORATION(S) INVOLVED WAS 1. CORPORATE MERGER NUMBER 700000017707

Documents

Name Date
ANNUAL REPORT 2024-04-29
ANNUAL REPORT 2023-04-20
ANNUAL REPORT 2022-04-08
ANNUAL REPORT 2021-04-23
ANNUAL REPORT 2020-04-17
ANNUAL REPORT 2019-04-03
ANNUAL REPORT 2018-03-12
ANNUAL REPORT 2017-03-16
ANNUAL REPORT 2016-04-15
ANNUAL REPORT 2015-03-04

Date of last update: 03 Feb 2025

Sources: Florida Department of State