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  5. PHYSICIANS DAY SURGERY CENTER, INC.

PHYSICIANS DAY SURGERY CENTER, INC.

Company Details

Entity Name: PHYSICIANS DAY SURGERY CENTER, INC.
Jurisdiction: FLORIDA
Filing Type: Florida Profit Corporation
Status: Inactive
Date Filed: 08 Apr 1997 (28 years ago)
Date of dissolution: 28 Nov 2017 (7 years ago)
Last Event: CONVERSION
Event Date Filed: 28 Nov 2017 (7 years ago)
Document Number: P97000031621
FEI/EIN Number 59-3438026
Address: 850 111TH AVE NORTH, COVENTRY SQUARE, NAPLES, FL 34108
Mail Address: 850 111TH AVE NORTH, COVENTRY SQUARE, NAPLES, FL 34108
ZIP code: 34108
County: Collier
Place of Formation: FLORIDA

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
PHYSICIANS DAY SURGERY CENTER, INC. 401(K) PLAN 2017 593438026 2018-07-02 PHYSICIANS DAY SURGERY CENTER, INC. 32
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1998-01-01
Business code 621111
Sponsor’s telephone number 2395962557
Plan sponsor’s address 850 111TH AVENUE NORTH, NAPLES, FL, 34108

Signature of
Role Plan administrator
Date 2018-07-02
Name of individual signing KAREN CANNIZZARO
Valid signature Filed with authorized/valid electronic signature
PHYSICIANS DAY SURGERY CENTER, INC. 401(K) PLAN 2017 593438026 2018-06-05 PHYSICIANS DAY SURGERY CENTER, INC. 28
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1998-01-01
Business code 621111
Sponsor’s telephone number 2395962557
Plan sponsor’s address 850 111TH AVENUE NORTH, NAPLES, FL, 34108

Signature of
Role Plan administrator
Date 2018-06-04
Name of individual signing KAREN CANNIZZARO
Valid signature Filed with authorized/valid electronic signature
PHYSICIANS DAY SURGERY CENTER, INC. 401(K) PLAN 2016 593438026 2017-07-26 PHYSICIANS DAY SURGERY CENTER, INC. 29
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1998-01-01
Business code 621111
Sponsor’s telephone number 2395962557
Plan sponsor’s address 850 111TH AVENUE NORTH, NAPLES, FL, 34108

Signature of
Role Plan administrator
Date 2017-07-26
Name of individual signing KAREN CANNIZZARO
Valid signature Filed with authorized/valid electronic signature
PHYSICIANS DAY SURGERY CENTER, INC. 401(K) PLAN 2015 593438026 2016-07-07 PHYSICIANS DAY SURGERY CENTER, INC. 29
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1998-01-01
Business code 621111
Sponsor’s telephone number 2395962557
Plan sponsor’s address 850 111TH AVENUE NORTH, NAPLES, FL, 34108

Signature of
Role Plan administrator
Date 2016-07-07
Name of individual signing KAREN CANNIZZARO
Valid signature Filed with authorized/valid electronic signature
PHYSICIANS DAY SURGERY CENTER, INC. 401(K) PLAN 2014 593438026 2015-09-11 PHYSICIANS DAY SURGERY CENTER, INC. 29
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1998-01-01
Business code 621111
Sponsor’s telephone number 2395962557
Plan sponsor’s address 850 111TH AVENUE NORTH, NAPLES, FL, 34108

Signature of
Role Plan administrator
Date 2015-09-11
Name of individual signing KAREN CANNIZZARO
Valid signature Filed with authorized/valid electronic signature
PHYSICIANS DAY SURGERY CENTER, INC. 401(K) PLAN 2013 593438026 2014-03-25 PHYSICIANS DAY SURGERY CENTER, INC. 26
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1998-01-01
Business code 621111
Sponsor’s telephone number 2395962557
Plan sponsor’s address 850 111TH AVENUE NORTH, NAPLES, FL, 34108

Signature of
Role Plan administrator
Date 2014-03-25
Name of individual signing KAREN CANNIZZARO
Valid signature Filed with authorized/valid electronic signature
PHYSICIANS DAY SURGERY CENTER, INC. 401(K) PLAN 2012 593438026 2013-02-12 PHYSICIANS DAY SURGERY CENTER, INC. 23
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1998-01-01
Business code 621111
Sponsor’s telephone number 2395962557
Plan sponsor’s address 850 111TH AVENUE NORTH, NAPLES, FL, 34108

Signature of
Role Plan administrator
Date 2013-02-12
Name of individual signing KAREN CANNIZZARO
Valid signature Filed with authorized/valid electronic signature
PHYSICIANS DAY SURGERY CENTER, INC. 401(K) PLAN 2011 593438026 2012-04-19 PHYSICIANS DAY SURGERY CENTER, INC. 22
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1998-01-01
Business code 621111
Sponsor’s telephone number 2395962557
Plan sponsor’s address 850 111TH AVENUE NORTH, NAPLES, FL, 34108

Plan administrator’s name and address
Administrator’s EIN 593438026
Plan administrator’s name PHYSICIANS DAY SURGERY CENTER, INC.
Plan administrator’s address 850 111TH AVENUE NORTH, NAPLES, FL, 34108
Administrator’s telephone number 2395962557

Signature of
Role Plan administrator
Date 2012-04-19
Name of individual signing KAREN CANNIZZARO
Valid signature Filed with authorized/valid electronic signature
PHYSICIANS DAY SURGERY CENTER, INC. 401(K) PLAN 2010 593438026 2011-04-05 PHYSICIANS DAY SURGERY CENTER, INC. 23
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1998-01-01
Business code 621111
Sponsor’s telephone number 2395962557
Plan sponsor’s address 850 111TH AVENUE NORTH, NAPLES, FL, 34108

Plan administrator’s name and address
Administrator’s EIN 593438026
Plan administrator’s name PHYSICIANS DAY SURGERY CENTER, INC.
Plan administrator’s address 850 111TH AVENUE NORTH, NAPLES, FL, 34108
Administrator’s telephone number 2395962557

Signature of
Role Plan administrator
Date 2011-04-05
Name of individual signing KAREN CANNIZZARO
Valid signature Filed with authorized/valid electronic signature
PHYSICIANS DAY SURGERY CENTER, INC. 401(K) PLAN 2009 593438026 2010-05-25 PHYSICIANS DAY SURGERY CENTER, INC. 27
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1998-01-01
Business code 621111
Sponsor’s telephone number 2395962557
Plan sponsor’s address 850 111TH AVENUE NORTH, NAPLES, FL, 34108

Plan administrator’s name and address
Administrator’s EIN 593438026
Plan administrator’s name PHYSICIANS DAY SURGERY CENTER, INC.
Plan administrator’s address 850 111TH AVENUE NORTH, NAPLES, FL, 34108
Administrator’s telephone number 2395962557

Signature of
Role Plan administrator
Date 2010-05-25
Name of individual signing KAREN CANNIZZARO
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
cohen, jeffrey Agent 909 S.E. 5TH AVENUE, SUITE 200, DELRAY BEACH, FL 33483

Vice President

Name Role Address
JORDAN, JACOB H Vice President 2335 TAMIAMI TRAIL NORTH SUITE 501, NAPLES, FL 34103

Director

Name Role Address
JORDAN, JACOB H Director 2335 TAMIAMI TRAIL NORTH SUITE 501, NAPLES, FL 34103
BELLO, STEVEN L Director 1879 VETERANS PARK DRIVE, NAPLES, FL 34109
WARNER, JUSTIN M.D. Director 2335 TAMIAMI TRAIL NORTH SUITE 501, NAPLES, FL 34103
SALM, RICHARD JD.P.M. Director 681 GOODLETTE ROAD NORTH SUITE 160, NAPLES, FL 34102
MEAD, LEON PM.D. Director 730 GOODLETTE ROAD NORTH, SUITE 201, NAPLES, FL 34102

President

Name Role Address
BELLO, STEVEN L President 1879 VETERANS PARK DRIVE, NAPLES, FL 34109

Secretary

Name Role Address
WARNER, JUSTIN M.D. Secretary 2335 TAMIAMI TRAIL NORTH SUITE 501, NAPLES, FL 34103

Treasurer

Name Role Address
WARNER, JUSTIN M.D. Treasurer 2335 TAMIAMI TRAIL NORTH SUITE 501, NAPLES, FL 34103

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G17000117110 PHYSICIANS DAY SURGERY CENTER EXPIRED 2017-10-24 2022-12-31 No data 850 111TH AVE NORTH, COVENTRY NORTH, NAPLES, FL, 34108

Events

Event Type Filed Date Value Description
CONVERSION 2017-11-28 No data CONVERSION MEMBER. RESULTING CORPORATION WAS L17000243601. CONVERSION NUMBER 300000176153
REGISTERED AGENT NAME CHANGED 2013-02-01 cohen, jeffrey No data
REGISTERED AGENT ADDRESS CHANGED 2012-01-27 909 S.E. 5TH AVENUE, SUITE 200, DELRAY BEACH, FL 33483 No data
CHANGE OF PRINCIPAL ADDRESS 1998-02-06 850 111TH AVE NORTH, COVENTRY SQUARE, NAPLES, FL 34108 No data
CHANGE OF MAILING ADDRESS 1998-02-06 850 111TH AVE NORTH, COVENTRY SQUARE, NAPLES, FL 34108 No data

Documents

Name Date
ANNUAL REPORT 2017-01-10
ANNUAL REPORT 2016-03-02
ANNUAL REPORT 2015-01-12
ANNUAL REPORT 2014-01-13
ANNUAL REPORT 2013-02-01
Reg. Agent Change 2013-01-31
ANNUAL REPORT 2012-01-27
ANNUAL REPORT 2011-01-11
ANNUAL REPORT 2010-02-23
ANNUAL REPORT 2009-03-24

Related by officers

JORDAN, JACOB H

COLLIER SURGICAL ASSOCIATES, P.A.

Related by address

No related companies by address

Date of last update: 01 Feb 2025

Sources: Florida Department of State

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