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  5. SPORTS PAIN & SPINAL REHAB INC.

SPORTS PAIN & SPINAL REHAB INC.

Company Details

Entity Name: SPORTS PAIN & SPINAL REHAB INC.
Jurisdiction: FLORIDA
Filing Type: Florida Profit Corporation
Status: Active
Date Filed: 03 Sep 1996 (28 years ago)
Last Event: REINSTATEMENT
Event Date Filed: 15 Oct 2019 (5 years ago)
Document Number: P96000073744
FEI/EIN Number 65-0708365
Address: 2215 Nebraska Ave, Suite # 2 B, Fort Pierce, FL 34950
Mail Address: P.O. BOX 30277, PALM BEACH GARDENS, FL 33420
ZIP code: 34950
County: St. Lucie
Place of Formation: FLORIDA

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
SPORTS PAIN & SPINAL REHAB INC. 401(K) PROFIT SHARING PLAN 2014 650708365 2015-06-13 SPORTS PAIN & SPINAL REHAB INC. 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-01-01
Business code 621340
Sponsor’s telephone number 7724894001
Plan sponsor’s address 2500 RHODE ISLAND AVENUE, SUITE A, FT. PIERCE, FL, 34590

Signature of
Role Plan administrator
Date 2015-06-13
Name of individual signing MUKESH BHATT
Valid signature Filed with authorized/valid electronic signature
SPORTS PAIN & SPINAL REHAB INC. 401(K) PROFIT SHARING PLAN 2013 650708365 2014-10-06 SPORTS PAIN & SPINAL REHAB INC. 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-01-01
Business code 621340
Sponsor’s telephone number 7724894001
Plan sponsor’s address 2500 RHODE ISLAND AVENUE, SUITE A, FT. PIERCE, FL, 34590

Signature of
Role Plan administrator
Date 2014-10-06
Name of individual signing MUKESH BHATT
Valid signature Filed with authorized/valid electronic signature
SPORTS PAIN & SPINAL REHAB INC. 401(K) PROFIT SHARING PLAN 2012 650708365 2013-10-09 SPORTS PAIN & SPINAL REHAB INC. 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-01-01
Business code 621340
Sponsor’s telephone number 7724894001
Plan sponsor’s address 2500 RHODE ISLAND AVENUE, SUITE A, FT. PIERCE, FL, 34590

Signature of
Role Plan administrator
Date 2013-10-09
Name of individual signing MUKESH BHATT
Valid signature Filed with authorized/valid electronic signature
SPORTS PAIN & SPINAL REHAB INC. 401(K) PROFIT SHARING PLAN 2011 650708365 2012-10-15 SPORTS PAIN & SPINAL REHAB INC. 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-01-01
Business code 621340
Sponsor’s telephone number 7724894001
Plan sponsor’s address 2500 RHODE ISLAND AVENUE, SUITE A, FT. PIERCE, FL, 34590

Plan administrator’s name and address
Administrator’s EIN 650708365
Plan administrator’s name SPORTS PAIN & SPINAL REHAB INC.
Plan administrator’s address 2500 RHODE ISLAND AVENUE, SUITE A, FT. PIERCE, FL, 34590
Administrator’s telephone number 7724894001

Signature of
Role Plan administrator
Date 2012-10-15
Name of individual signing MUKESH BHATT
Valid signature Filed with authorized/valid electronic signature
SPORTS PAIN & SPINAL REHAB INC. 401(K) PROFIT SHARING PLAN 2010 650708365 2011-09-14 SPORTS PAIN & SPINAL REHAB INC. 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-01-01
Business code 621340
Sponsor’s telephone number 7724894001
Plan sponsor’s address 2500 RHODE ISLAND AVENUE, SUITE A, FT. PIERCE, FL, 34950

Plan administrator’s name and address
Administrator’s EIN 650708365
Plan administrator’s name SPORTS PAIN & SPINAL REHAB INC.
Plan administrator’s address 2500 RHODE ISLAND AVENUE, SUITE A, FT. PIERCE, FL, 34950
Administrator’s telephone number 7724894001

Signature of
Role Plan administrator
Date 2011-09-13
Name of individual signing MUKESH BHATT
Valid signature Filed with authorized/valid electronic signature
SPORTS PAIN & SPINAL REHAB INC. 401(K) PROFIT SHARING PLAN 2009 650708365 2010-10-15 SPORTS PAIN & SPINAL REHAB INC. 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-01-01
Business code 621340
Sponsor’s telephone number 7724894001
Plan sponsor’s address 2298 SW GOLDEN BEAR WAY, PALM CITY, FL, 349908803

Plan administrator’s name and address
Administrator’s EIN 650708365
Plan administrator’s name SPORTS PAIN & SPINAL REHAB INC.
Plan administrator’s address 2298 SW GOLDEN BEAR WAY, PALM CITY, FL, 349908803
Administrator’s telephone number 7724894001

Signature of
Role Plan administrator
Date 2010-10-15
Name of individual signing MUKESH BHATT
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
Bhatt, Samantha Agent 2298 SW Golden Bear Way, Palm City, FL 34990

President

Name Role Address
BHATT, MUKESH D President 2298 SW GOLDEN BEAR WAY, PALM CITY, FL 34990

Vice President

Name Role Address
BHATT, HEM M Vice President 2298 S.W. GOLDEN BEAR WAY, PALM CITY, FL 34990

Treasurer

Name Role Address
BHATT, HEM M Treasurer 2298 S.W. GOLDEN BEAR WAY, PALM CITY, FL 34990

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2024-05-01 2215 Nebraska Ave, Suite # 2 B, Fort Pierce, FL 34950 No data
REGISTERED AGENT ADDRESS CHANGED 2022-05-01 2298 SW Golden Bear Way, Palm City, FL 34990 No data
REGISTERED AGENT NAME CHANGED 2022-05-01 Bhatt, Samantha No data
REINSTATEMENT 2019-10-15 No data No data
ADMIN DISSOLUTION FOR ANNUAL REPORT 2019-09-27 No data No data
CHANGE OF MAILING ADDRESS 2008-02-04 2215 Nebraska Ave, Suite # 2 B, Fort Pierce, FL 34950 No data
NAME CHANGE AMENDMENT 2001-11-21 SPORTS PAIN & SPINAL REHAB INC. No data
REINSTATEMENT 1999-09-09 No data No data
ADMIN DISSOLUTION FOR ANNUAL REPORT 1998-10-16 No data No data

Documents

Name Date
ANNUAL REPORT 2024-05-01
ANNUAL REPORT 2023-05-01
ANNUAL REPORT 2022-05-01
ANNUAL REPORT 2021-01-13
ANNUAL REPORT 2020-06-10
REINSTATEMENT 2019-10-15
ANNUAL REPORT 2018-04-09
ANNUAL REPORT 2017-02-09
ANNUAL REPORT 2016-04-25
ANNUAL REPORT 2015-04-27

Related by officers

BHATT, MUKESH D

MEDI PLUS, INC.

Related by address

P.O. BOX 30277, PALM BEACH GARDENS, FL 33420

NEURO-THERMO DIAGNOSTICS CENTER INC.

Date of last update: 02 Feb 2025

Sources: Florida Department of State

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