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  5. DERMATOLOGY BILLING ASSOCIATES, INC.

DERMATOLOGY BILLING ASSOCIATES, INC.

Company Details

Entity Name: DERMATOLOGY BILLING ASSOCIATES, INC.
Jurisdiction: FLORIDA
Filing Type: Florida Profit Corporation
Status: Active
Date Filed: 22 Apr 1996 (29 years ago)
Document Number: P96000035651
FEI/EIN Number 59-3406361
Address: 125 OXFORD ROAD, CASSELBERRY, FL 32730
Mail Address: 125 OXFORD ROAD, CASSELBERRY, FL 32730
ZIP code: 32730
County: Seminole
Place of Formation: FLORIDA

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
DERMATOLOGY BILLING ASSOCIATES 401K PROFIT SHARING PLAN & TRUST 2023 593406361 2024-06-21 DERMATOLOGY BILLING ASSOCIATES 117
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1992-01-01
Business code 541990
Sponsor’s telephone number 4075715536
Plan sponsor’s address 125 OXFORD ROAD, CASSELBERRY, FL, 32730

Signature of
Role Plan administrator
Date 2024-06-21
Name of individual signing NICK RICE
Valid signature Filed with authorized/valid electronic signature
DERMATOLOGY BILLING ASSOCIATES 401K PROFIT SHARING PLAN & TRUST 2022 593406361 2023-06-24 DERMATOLOGY BILLING ASSOCIATES 109
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1992-01-01
Business code 541990
Sponsor’s telephone number 4075715549
Plan sponsor’s address 125 OXFORD ROAD, CASSELBERRY, FL, 32730

Signature of
Role Plan administrator
Date 2023-06-24
Name of individual signing SHIRLEY HORNER
Valid signature Filed with authorized/valid electronic signature
DERMATOLOGY BILLING ASSOCIATES 401K PROFIT SHARING PLAN & TRUST 2021 593406361 2022-07-04 DERMATOLOGY BILLING ASSOCIATES 119
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1992-01-01
Business code 541990
Sponsor’s telephone number 4075715536
Plan sponsor’s address 125 OXFORD ROAD, CASSELBERRY, FL, 32730

Signature of
Role Plan administrator
Date 2022-07-04
Name of individual signing SHIRLEY HORNER
Valid signature Filed with authorized/valid electronic signature
DERMATOLOGY BILLING ASSOCIATES 401K PROFIT SHARING PLAN & TRUST 2020 593406361 2021-06-29 DERMATOLOGY BILLING ASSOCIATES 96
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1992-01-01
Business code 541990
Sponsor’s telephone number 4075715549
Plan sponsor’s address 125 OXFORD ROAD, CASSELBERRY, FL, 32730

Signature of
Role Plan administrator
Date 2021-06-29
Name of individual signing JOANNA JOHNSON
Valid signature Filed with authorized/valid electronic signature
DERMATOLOGY BILLING ASSOCIATES 401K PROFIT SHARING PLAN & TRUST 2019 593406361 2020-07-07 DERMATOLOGY BILLING ASSOCIATES 117
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1992-01-01
Business code 541990
Sponsor’s telephone number 4075715536
Plan sponsor’s address 125 OXFORD ROAD, CASSELBERRY, FL, 32730

Signature of
Role Plan administrator
Date 2020-07-07
Name of individual signing JOANNA JOHNSON
Valid signature Filed with authorized/valid electronic signature
DERMATOLOGY BILLING ASSOCIATES 401K PROFIT SHARING PLAN & TRUST 2018 593406361 2019-05-29 DERMATOLOGY BILLING ASSOCIATES 108
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1992-01-01
Business code 541990
Sponsor’s telephone number 4075715536
Plan sponsor’s address 125 OXFORD ROAD, CASSELBERRY, FL, 32730

Signature of
Role Plan administrator
Date 2019-05-29
Name of individual signing JOANNA JOHNSON
Valid signature Filed with authorized/valid electronic signature
DERMATOLOGY BILLING ASSOCIATES 401K PROFIT SHARING PLAN & TRUST 2017 593406361 2018-06-13 DERMATOLOGY BILLING ASSOCIATES 106
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1992-01-01
Business code 541990
Sponsor’s telephone number 4075715536
Plan sponsor’s address 125 OXFORD ROAD, CASSELBERRY, FL, 32730

Signature of
Role Plan administrator
Date 2018-06-13
Name of individual signing JOANNA JOHNSON
Valid signature Filed with authorized/valid electronic signature
DERMATOLOGY BILLING ASSOCIATES 401K PROFIT SHARING PLAN & TRUST 2016 593406361 2017-06-08 DERMATOLOGY BILLING ASSOCIATES 101
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1992-01-01
Business code 541990
Sponsor’s telephone number 4075715536
Plan sponsor’s address 125 OXFORD ROAD, CASSELBERRY, FL, 32730

Signature of
Role Plan administrator
Date 2017-06-08
Name of individual signing DENISE DRISCOLL
Valid signature Filed with authorized/valid electronic signature
DERMATOLOGY BILLING ASSOCIATES 401K PROFIT SHARING PLAN & TRUST 2015 593406361 2016-06-07 DERMATOLOGY BILLING ASSOCIATES 101
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1992-01-01
Business code 541990
Sponsor’s telephone number 4075715536
Plan sponsor’s address 125 OXFORD ROAD, CASSELBERRY, FL, 32730

Signature of
Role Plan administrator
Date 2016-06-07
Name of individual signing DENISE DRISCOLL
Valid signature Filed with authorized/valid electronic signature
DERMATOLOGY BILLING ASSOCIATES 401K PROFIT SHARING PLAN & TRUST 2014 593406361 2015-07-15 DERMATOLOGY BILLING ASSOCIATES 100
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1992-01-01
Business code 541990
Sponsor’s telephone number 4075715536
Plan sponsor’s address 125 OXFORD ROAD, CASSELBERRY, FL, 32730

Signature of
Role Plan administrator
Date 2015-07-15
Name of individual signing DENISE DRISCOLL
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
ELLZEY, INGEBORG C Agent 1340 GROVE TERRACE, WINTER PARK, FL 32789

President

Name Role Address
ELLZEY, INGEBORG C President 1340 GROVE TERRACE, WINTER PARK, FL 32789

Vice President

Name Role Address
Manjura-Boody, Robert Vice President 125 OXFORD ROAD, CASSELBERRY, FL 32730

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2006-04-11 125 OXFORD ROAD, CASSELBERRY, FL 32730 No data
CHANGE OF MAILING ADDRESS 2006-04-11 125 OXFORD ROAD, CASSELBERRY, FL 32730 No data
REGISTERED AGENT NAME CHANGED 2005-04-18 ELLZEY, INGEBORG C No data
REGISTERED AGENT ADDRESS CHANGED 2005-04-18 1340 GROVE TERRACE, WINTER PARK, FL 32789 No data

Documents

Name Date
ANNUAL REPORT 2025-01-08
ANNUAL REPORT 2024-01-15
ANNUAL REPORT 2023-01-19
ANNUAL REPORT 2022-01-10
ANNUAL REPORT 2021-01-20
ANNUAL REPORT 2020-01-15
ANNUAL REPORT 2019-01-17
ANNUAL REPORT 2018-01-22
ANNUAL REPORT 2017-02-08
ANNUAL REPORT 2016-03-04

Related by officers

ELLZEY, INGEBORG C

PPA BILLING, INC. THE INGA ELLZEY PRACTICE GROUP, INC.

Manjura-Boody, Robert

THE INGA ELLZEY PRACTICE GROUP, INC.

Related by address

No related companies by address

Date of last update: 02 Feb 2025

Sources: Florida Department of State

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