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  5. GULF COAST NEPHROLOGY ASSOCIATES, P.A.

GULF COAST NEPHROLOGY ASSOCIATES, P.A.

Company Details

Entity Name: GULF COAST NEPHROLOGY ASSOCIATES, P.A.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Active
Date Filed: 09 Sep 1996 (28 years ago)
Last Event: CANCEL ADM DISS/REV
Event Date Filed: 29 Oct 2008 (16 years ago)
Document Number: P96000074685
FEI/EIN Number 593399423
Address: 4738 GRAND BOULEVARD, SUITE D, NEW PORT RICHEY, FL, 34652
Mail Address: 4738 GRAND BOULEVARD, SUITE D, NEW PORT RICHEY, FL, 34652
ZIP code: 34652
County: Pasco
Place of Formation: FLORIDA

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
GULF COAST NEPHROLOGY ASSOCIATES 401(K) PLAN 2014 593399423 2015-04-09 GULF COAST NEPHROLOGY ASSOCIATES, P.A. 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-01-01
Business code 621111
Sponsor’s telephone number 7278481274
Plan sponsor’s address 4738 GRAND BLVD., SUITE D, NEW PORT RICHEY, FL, 346525170

Signature of
Role Plan administrator
Date 2015-04-08
Name of individual signing VISAL NUMRUNGROAD
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2015-04-08
Name of individual signing VISAL NUMRUNGROAD
Valid signature Filed with authorized/valid electronic signature
GULF COAST NEPHROLOGY ASSOCIATES 401(K) PLAN 2013 593399423 2014-05-30 GULF COAST NEPHROLOGY ASSOCIATES, P.A. 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-01-01
Business code 621111
Sponsor’s telephone number 7278481274
Plan sponsor’s address 4738 GRAND BLVD., SUITE D, NEW PORT RICHEY, FL, 346525170

Signature of
Role Plan administrator
Date 2014-05-30
Name of individual signing MING WU
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2014-05-30
Name of individual signing MING WU
Valid signature Filed with authorized/valid electronic signature
GULF COAST NEPHROLOGY ASSOCIATES 401(K) PLAN 2012 593399423 2013-09-30 GULF COAST NEPHROLOGY ASSOCIATES, P.A. 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-01-01
Business code 621111
Sponsor’s telephone number 7278481274
Plan sponsor’s address 4738 GRAND BLVD., SUITE D, NEW PORT RICHEY, FL, 346525170

Signature of
Role Plan administrator
Date 2013-09-30
Name of individual signing MING WU
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2013-09-30
Name of individual signing MING WU
Valid signature Filed with authorized/valid electronic signature
GULF COAST NEPHROLOGY ASSOCIATES 401(K) PLAN 2011 593399423 2012-10-03 GULF COAST NEPHROLOGY ASSOCIATES, P.A. 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-01-01
Business code 621111
Sponsor’s telephone number 7278481274
Plan sponsor’s address 4738 GRAND BLVD., SUITE D, NEW PORT RICHEY, FL, 346525170

Plan administrator’s name and address
Administrator’s EIN 593399423
Plan administrator’s name GULF COAST NEPHROLOGY ASSOCIATES, P.A.
Plan administrator’s address 4738 GRAND BLVD., SUITE D, NEW PORT RICHEY, FL, 346525170
Administrator’s telephone number 7278481274

Signature of
Role Plan administrator
Date 2012-10-03
Name of individual signing MING WU
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2012-10-03
Name of individual signing MING WU
Valid signature Filed with authorized/valid electronic signature
GULF COAST NEPHROLOGY ASSOCIATES 401(K) PLAN 2010 593399423 2011-08-17 GULF COAST NEPHROLOGY ASSOCIATES, P.A. 7
Three-digit plan number (PN) 001
Effective date of plan 2005-01-01
Business code 621111
Sponsor’s telephone number 7278481274
Plan sponsor’s address 4738 GRAND BLVD., SUITE D, NEW PORT RICHEY, FL, 346525170

Plan administrator’s name and address
Administrator’s EIN 593399423
Plan administrator’s name GULF COAST NEPHROLOGY ASSOCIATES, P.A.
Plan administrator’s address 4738 GRAND BLVD., SUITE D, NEW PORT RICHEY, FL, 346525170
Administrator’s telephone number 7278481274

Signature of
Role Plan administrator
Date 2011-08-16
Name of individual signing MING WU
Valid signature Filed with incorrect/unrecognized electronic signature
Role Employer/plan sponsor
Date 2011-08-16
Name of individual signing MING WU
Valid signature Filed with incorrect/unrecognized electronic signature
GULF COAST NEPHROLOGY ASSOCIATES 401(K) PLAN 2010 593399423 2011-08-16 GULF COAST NEPHROLOGY ASSOCIATES, P.A. 7
Three-digit plan number (PN) 001
Effective date of plan 2005-01-01
Business code 621111
Sponsor’s telephone number 7278481274
Plan sponsor’s address 4738 GRAND BLVD., SUITE D, NEW PORT RICHEY, FL, 346525170

Plan administrator’s name and address
Administrator’s EIN 593399423
Plan administrator’s name GULF COAST NEPHROLOGY ASSOCIATES, P.A.
Plan administrator’s address 4738 GRAND BLVD., SUITE D, NEW PORT RICHEY, FL, 346525170
Administrator’s telephone number 7278481274

Signature of
Role Plan administrator
Date 2011-08-16
Name of individual signing MING WU
Valid signature Filed with incorrect/unrecognized electronic signature
Role Employer/plan sponsor
Date 2011-08-16
Name of individual signing MING WU
Valid signature Filed with incorrect/unrecognized electronic signature
GULF COAST NEPHROLOGY ASSOCIATES 401(K) PLAN 2010 593399423 2011-08-23 GULF COAST NEPHROLOGY ASSOCIATES, P.A. 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-01-01
Business code 621111
Sponsor’s telephone number 7278481274
Plan sponsor’s address 4738 GRAND BLVD., SUITE D, NEW PORT RICHEY, FL, 346525170

Plan administrator’s name and address
Administrator’s EIN 593399423
Plan administrator’s name GULF COAST NEPHROLOGY ASSOCIATES, P.A.
Plan administrator’s address 4738 GRAND BLVD., SUITE D, NEW PORT RICHEY, FL, 346525170
Administrator’s telephone number 7278481274

Signature of
Role Plan administrator
Date 2011-08-22
Name of individual signing MING WU
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2011-08-22
Name of individual signing MING WU
Valid signature Filed with authorized/valid electronic signature
GULF COAST NEPHROLOGY ASSOCIATES 401(K) PLAN 2009 593399423 2010-09-10 GULF COAST NEPHROLOGY ASSOCIATES, P.A. 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-01-01
Business code 621111
Sponsor’s telephone number 7278481274
Plan sponsor’s address 4738 GRAND BLVD., SUITE D, NEW PORT RICHEY, FL, 346525170

Plan administrator’s name and address
Administrator’s EIN 593399423
Plan administrator’s name GULF COAST NEPHROLOGY ASSOCIATES, P.A.
Plan administrator’s address 4738 GRAND BLVD., SUITE D, NEW PORT RICHEY, FL, 346525170
Administrator’s telephone number 7278481274

Signature of
Role Plan administrator
Date 2010-09-10
Name of individual signing MING WU
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2010-09-10
Name of individual signing MING WU
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
NUMRUNGROAD VISAL Dr. Agent 4738 GRAND BOULEVARD, NEW PORT RICHEY, FL, 34652

President

Name Role Address
NUMRUNGROAD VISAL Dr. President 4738 GRAND BLVD, STE D, NEW PORT RICHEY, FL, 34652

Director

Name Role Address
NUMRUNGROAD VISAL Dr. Director 4738 GRAND BLVD, STE D, NEW PORT RICHEY, FL, 34652

Vice President

Name Role Address
QI QUANLE M Vice President 4738 GRAND BLVD, SUITE D, NEW PORT RICHEY, FL, 34652

Events

Event Type Filed Date Value Description
REGISTERED AGENT NAME CHANGED 2014-04-29 NUMRUNGROAD, VISAL, Dr. No data
CANCEL ADM DISS/REV 2008-10-29 No data No data
ADMIN DISSOLUTION FOR ANNUAL REPORT 2008-09-26 No data No data
CHANGE OF PRINCIPAL ADDRESS 2001-01-19 4738 GRAND BOULEVARD, SUITE D, NEW PORT RICHEY, FL 34652 No data
CHANGE OF MAILING ADDRESS 2001-01-19 4738 GRAND BOULEVARD, SUITE D, NEW PORT RICHEY, FL 34652 No data
REGISTERED AGENT ADDRESS CHANGED 2001-01-19 4738 GRAND BOULEVARD, SUITE D, NEW PORT RICHEY, FL 34652 No data

Documents

Name Date
ANNUAL REPORT 2024-03-22
ANNUAL REPORT 2023-01-28
ANNUAL REPORT 2022-03-07
ANNUAL REPORT 2021-01-30
ANNUAL REPORT 2020-01-27
ANNUAL REPORT 2019-02-13
ANNUAL REPORT 2018-03-27
ANNUAL REPORT 2017-03-14
ANNUAL REPORT 2016-03-02
ANNUAL REPORT 2015-03-12

Related by officers

No related officers

Related by address

No related companies by address

Date of last update: 02 Feb 2025

Sources: Florida Department of State

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