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  5. GMS FLORIDA WEST COAST, INC.

GMS FLORIDA WEST COAST, INC.

Company Details

Entity Name: GMS FLORIDA WEST COAST, INC.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Inactive
Date Filed: 17 May 1996 (29 years ago)
Date of dissolution: 08 Mar 2021 (4 years ago)
Last Event: NOTICE OF DIS CORP
Event Date Filed: 08 Mar 2021 (4 years ago)
Document Number: P96000042698
FEI/EIN Number 593377939
Address: 15320 AMBERLY DR., TAMPA, FL, 33647, US
Mail Address: 15320 AMBERLY DR, SUITE B, TAMPA, FL, 33647, US
ZIP code: 33647
County: Hillsborough
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1184681355 2006-04-29 2014-08-28 15320 AMBERLY DR, SUITE B, TAMPA, FL, 336471647, US 15320 AMBERLY DR, SUITE B, TAMPA, FL, 336471647, US

Contacts
Phone +1 813-977-0733
Fax 8139712230

Authorized person
Name MS. CYNDY EDKINS
Role CONTRACT MANAGER
Phone 8139770733

Taxonomy
Taxonomy Code 207Q00000X - Family Medicine Physician
State FL
Is Primary Yes
Taxonomy Code 207R00000X - Internal Medicine Physician
State FL
Is Primary No

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
GMS FLORIDA WEST COAST, INC. SAVINGS AND PROFIT SHARING PLAN 2020 593377939 2023-10-24 GMS FLORIDA WEST COAST, INC. 1
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1997-10-01
Business code 621111
Sponsor’s telephone number 8139770733
Plan sponsor’s mailing address 15320 AMBERLY DRIVE, SUITE B, TAMPA, FL, 33647
Plan sponsor’s address 15320 AMBERLY DRIVE, SUITE B, TAMPA, FL, 33647

Number of participants as of the end of the plan year
Active participants 0
Retired or separated participants receiving benefits 0
Other retired or separated participants entitled to future benefits 0
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 0
Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 0

Signature of
Role Plan administrator
Date 2023-10-24
Name of individual signing MARK WEISSMAN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2023-10-24
Name of individual signing MARK WEISSMAN
Valid signature Filed with authorized/valid electronic signature
GMS EMPLOYEE BENEFITS PLAN 2015 593377939 2016-07-27 GMS FLORIDA WEST COAST 91
File View Page
Three-digit plan number (PN) 501
Effective date of plan 1998-01-01
Business code 621399
Sponsor’s telephone number 8139770733
Plan sponsor’s mailing address 15320 AMBERLY DR., SUITE B, TAMPA, FL, 33647
Plan sponsor’s address GMS FLORIDA WEST COAST, 15320 AMBERLY DR., TAMPA, FL, 33647

Number of participants as of the end of the plan year
Active participants 94
GMS EMPLOYEE BENEFITS PLAN 2014 593377939 2015-07-27 GMS FLORIDA WEST COAST 95
File View Page
Three-digit plan number (PN) 501
Effective date of plan 1998-01-01
Business code 621399
Sponsor’s telephone number 8139770733
Plan sponsor’s mailing address 15320 AMBERLY DR., SUITE B, TAMPA, FL, 33647
Plan sponsor’s address GMS FLORIDA WEST COAST, 15320 AMBERLY DR., TAMPA, FL, 33647

Number of participants as of the end of the plan year
Active participants 91
Retired or separated participants receiving benefits 0
Other retired or separated participants entitled to future benefits 0
GMS EMPLOYEE BENEFITS PLAN 2013 216297814 2014-08-12 GMS FLORIDA WEST COAST 93
File View Page
Three-digit plan number (PN) 501
Effective date of plan 1998-01-01
Business code 621399
Sponsor’s telephone number 8139770733
Plan sponsor’s mailing address 15320 AMBERLY DR., SUITE B, TAMPA, FL, 33647
Plan sponsor’s address GMS FLORIDA WEST COAST, 15320 AMBERLY DR., TAMPA, FL, 33647

Number of participants as of the end of the plan year
Active participants 95
GMS EMPLOYEE BENEFITS PLAN 2013 216297814 2014-07-30 GMS FLORIDA WEST COAST 93
Three-digit plan number (PN) 501
Effective date of plan 1998-01-01
Business code 621399
Sponsor’s telephone number 8139770733
Plan sponsor’s mailing address 15320 AMBERLY DR., SUITE B, TAMPA, FL, 33647
Plan sponsor’s address GMS FLORIDA WEST COAST, 15320 AMBERLY DR., TAMPA, FL, 33647

Number of participants as of the end of the plan year
Active participants 95
GMS EMPLOYEE BENEFITS PLAN 2012 216297814 2013-08-20 GMS FLORIDA WEST COAST 101
File View Page
Three-digit plan number (PN) 501
Effective date of plan 1998-01-01
Business code 621399
Sponsor’s telephone number 8139770733
Plan sponsor’s mailing address 15320 AMBERLY DR., SUITE B, TAMPA, FL, 33647
Plan sponsor’s address GMS FLORIDA WEST COAST, 15320 AMBERLY DR., TAMPA, FL, 33647

Number of participants as of the end of the plan year
Active participants 93

Signature of
Role Plan administrator
Date 2013-08-20
Name of individual signing CATHY LARKIN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2013-08-20
Name of individual signing CATHY LARKIN
Valid signature Filed with authorized/valid electronic signature
GMS EMPLOYEE BENEFITS PLAN 2011 216297814 2012-08-22 GMS FLORIDA WEST COAST 101
File View Page
Three-digit plan number (PN) 501
Effective date of plan 1998-01-01
Business code 621399
Sponsor’s telephone number 8139770733
Plan sponsor’s mailing address 15320 AMBERLY DR., SUITE B, TAMPA, FL, 33647
Plan sponsor’s address GMS FLORIDA WEST COAST, 15320 AMBERLY DR., TAMPA, FL, 33647

Plan administrator’s name and address
Administrator’s EIN 216297814
Plan administrator’s name GMS FLORIDA WEST COAST
Plan administrator’s address 15320 AMBERLY DR., SUITE B, TAMPA, FL, 33647
Administrator’s telephone number 8139770733

Number of participants as of the end of the plan year
Active participants 103

Signature of
Role Plan administrator
Date 2012-08-22
Name of individual signing MARGIE VRABEC
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2012-08-22
Name of individual signing MARGIE VRABEC
Valid signature Filed with authorized/valid electronic signature
GMS EMPLOYEE BENEFITS PLAN 2010 216297814 2011-07-26 GMS FLORIDA WEST COAST 124
Three-digit plan number (PN) 501
Effective date of plan 1998-01-01
Business code 621399
Sponsor’s telephone number 8139770733
Plan sponsor’s mailing address 15320 AMBERLY DR., SUITE B, TAMPA, FL, 33647
Plan sponsor’s address GMS FLORIDA WEST COAST, 15320 AMBERLY DR., TAMPA, FL, 33647

Plan administrator’s name and address
Administrator’s EIN 216297814
Plan administrator’s name GMS FLORIDA WEST COAST
Plan administrator’s address 15320 AMBERLY DR., SUITE B, TAMPA, FL, 33647
Administrator’s telephone number 8139770733

Number of participants as of the end of the plan year
Other retired or separated participants entitled to future benefits 101

Signature of
Role Plan administrator
Date 2011-07-26
Name of individual signing KIMBERLY THORNTON
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2011-07-26
Name of individual signing KIMBERLY THORNTON
Valid signature Filed with authorized/valid electronic signature
GMS EMPLOYEE BENEFITS PLAN 2010 216297814 2011-07-26 GMS FLORIDA WEST COAST 124
File View Page
Three-digit plan number (PN) 501
Effective date of plan 1998-01-01
Business code 621399
Sponsor’s telephone number 8139770733
Plan sponsor’s mailing address 15320 AMBERLY DR., SUITE B, TAMPA, FL, 33647
Plan sponsor’s address GMS FLORIDA WEST COAST, 15320 AMBERLY DR., TAMPA, FL, 33647

Plan administrator’s name and address
Administrator’s EIN 216297814
Plan administrator’s name GMS FLORIDA WEST COAST
Plan administrator’s address 15320 AMBERLY DR., SUITE B, TAMPA, FL, 33647
Administrator’s telephone number 8139770733

Number of participants as of the end of the plan year
Other retired or separated participants entitled to future benefits 101

Signature of
Role Plan administrator
Date 2011-07-26
Name of individual signing KIMBERLY THORNTON
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2011-07-26
Name of individual signing KIMBERLY THORNTON
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
WEISSMAN MARK SM.D. Agent 15320 AMBERLY DR, TAMPA, FL, 33647

President

Name Role Address
WEISSMAN MARK M President 15320 AMBERLY DRIVE, TAMPA, FL, 33647

Secretary

Name Role Address
PILA KALMAN M Secretary 15320 AMBERLY DR, TAMPA, FL, 33647

Vice President

Name Role Address
JACOBSON PETER A Vice President 15320 AMBERLY DR, TAMPA, FL, 33647

Treasurer

Name Role Address
BLAZEJOWSKI CHRISTOPHER M Treasurer 15320 AMBERLY DR, TAMPA, FL, 33647

Assistant Treasurer

Name Role Address
CROMER MICHEAL M Assistant Treasurer 15320 AMBERLY DR, TAMPA, FL, 33647

Asst

Name Role Address
Springle Joseph MMD Asst 15320 AMBERLY DR, TAMPA, FL, 33647

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G17000025145 NORTH TAMPA PRIMARY CARE EXPIRED 2017-03-10 2022-12-31 No data 15320 AMBERLY DRIVE, STE B, TAMPA, FL, 33647
G17000015913 NORTH TAMPA PRIMARY CARE EXPIRED 2017-02-13 2022-12-31 No data 15320 AMBERLY DRIVE, SUITE B, TAMPA, FL, 33647

Events

Event Type Filed Date Value Description
NOTICE OF CORP DISS 2021-03-08 No data No data
VOLUNTARY DISSOLUTION 2021-02-16 No data No data
CHANGE OF PRINCIPAL ADDRESS 2017-05-10 15320 AMBERLY DR., SUITE B, TAMPA, FL 33647 No data
REGISTERED AGENT NAME CHANGED 2017-03-09 WEISSMAN, MARK S, M.D. No data
CHANGE OF MAILING ADDRESS 2004-01-12 15320 AMBERLY DR., SUITE B, TAMPA, FL 33647 No data
REGISTERED AGENT ADDRESS CHANGED 2004-01-12 15320 AMBERLY DR, SUITE B, TAMPA, FL 33647 No data
AMENDMENT 1997-09-16 No data No data

Documents

Name Date
Notice of Corp. Dissolution 2021-03-08
VOLUNTARY DISSOLUTION 2021-02-16
ANNUAL REPORT 2020-04-03
ANNUAL REPORT 2019-02-08
ANNUAL REPORT 2018-01-12
ANNUAL REPORT 2017-03-09
ANNUAL REPORT 2016-01-12
ANNUAL REPORT 2015-01-05
ANNUAL REPORT 2014-02-27
ANNUAL REPORT 2013-01-28

Related by officers

WEISSMAN MARK M

FLORIDA AFFILIATED PHYSICIANS, INC.

JACOBSON PETER A

AESTHETIC RENEWAL CENTER OF BRANDON, LLC PETER A. JACOBSON, INC.

BLAZEJOWSKI CHRISTOPHER M

BLAZEJOWSKI & TORRES, INC.

WEISSMAN MARK SM.D.

CAMBRIDGE, LLC

Related by address

No related companies by address

Date of last update: 03 Feb 2025

Sources: Florida Department of State

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