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  5. COASTAL EAR, NOSE AND THROAT, P.A.

COASTAL EAR, NOSE AND THROAT, P.A.

Company Details

Entity Name: COASTAL EAR, NOSE AND THROAT, P.A.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Active
Date Filed: 21 Jul 1997 (28 years ago)
Last Event: AMENDMENT
Event Date Filed: 03 Aug 2017 (8 years ago)
Document Number: P97000063358
FEI/EIN Number 593457199
Address: 1050 W. GRANADA BLVD., SUITE 4, ORMOND BEACH, FL, 32174, US
Mail Address: 1050 W. GRANADA BLVD., SUITE 4, ORMOND BEACH, FL, 32174, US
ZIP code: 32174
County: Volusia
Place of Formation: FLORIDA

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
COASTAL EAR, NOSE AND THROAT, P. A. 401(K) RETIREMENT PLAN 2012 593457199 2013-07-11 COASTAL EAR, NOSE AND THROAT, P. A. 18
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1998-03-01
Business code 621111
Sponsor’s telephone number 3866778808
Plan sponsor’s address 1050 WEST GRANADA BLVD., SUITE 4, ORMOND BEACH, FL, 32174

Signature of
Role Plan administrator
Date 2013-07-11
Name of individual signing MICHAEL A MUNIER, M.D.
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2013-07-11
Name of individual signing MICHAEL A MUNIER, M.D.
Valid signature Filed with authorized/valid electronic signature
COASTAL EAR, NOSE AND THROAT, P. A. 401(K) RETIREMENT PLAN 2011 593457199 2012-08-31 COASTAL EAR, NOSE AND THROAT, P. A. 21
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1998-03-01
Business code 621111
Sponsor’s telephone number 3866778808
Plan sponsor’s address 1050 WEST GRANADA BLVD., SUITE 4, ORMOND BEACH, FL, 32174

Plan administrator’s name and address
Administrator’s EIN 593457199
Plan administrator’s name COASTAL EAR, NOSE AND THROAT, P. A.
Plan administrator’s address 1050 WEST GRANADA BLVD., SUITE 4, ORMOND BEACH, FL, 32174
Administrator’s telephone number 3866778808

Signature of
Role Plan administrator
Date 2012-08-31
Name of individual signing MICHAEL A MUNIER, M.D.
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2012-08-31
Name of individual signing MICHAEL A MUNIER, M.D.
Valid signature Filed with authorized/valid electronic signature
COASTAL EAR, NOSE AND THROAT, P. A. 401(K) RETIREMENT PLAN 2010 593457199 2011-10-15 COASTAL EAR, NOSE AND THROAT, P. A. 21
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1998-03-01
Business code 621111
Sponsor’s telephone number 3866778808
Plan sponsor’s address 1050 WEST GRANADA BLVD., SUITE 4, ORMOND BEACH, FL, 32174

Plan administrator’s name and address
Administrator’s EIN 593457199
Plan administrator’s name COASTAL EAR, NOSE AND THROAT, P. A.
Plan administrator’s address 1050 WEST GRANADA BLVD., SUITE 4, ORMOND BEACH, FL, 32174
Administrator’s telephone number 3866778808

Signature of
Role Plan administrator
Date 2011-10-15
Name of individual signing JOYCE BATES
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2011-10-15
Name of individual signing JOYCE BATES
Valid signature Filed with authorized/valid electronic signature
COASTAL EAR, NOSE AND THROAT, P. A. 401(K) RETIREMENT PLAN 2010 593457199 2011-10-15 COASTAL EAR, NOSE AND THROAT, P. A. 21
Three-digit plan number (PN) 001
Effective date of plan 1998-03-01
Business code 621111
Sponsor’s telephone number 3866778808
Plan sponsor’s address 1050 WEST GRANADA BLVD., SUITE 4, ORMOND BEACH, FL, 32174

Plan administrator’s name and address
Administrator’s EIN 593457199
Plan administrator’s name COASTAL EAR, NOSE AND THROAT, P. A.
Plan administrator’s address 1050 WEST GRANADA BLVD., SUITE 4, ORMOND BEACH, FL, 32174
Administrator’s telephone number 3866778808

Signature of
Role Plan administrator
Date 2011-10-15
Name of individual signing JOYCE BATES
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2011-10-15
Name of individual signing JOYCE BATES
Valid signature Filed with authorized/valid electronic signature
COASTAL EAR, NOSE AND THROAT, P. A. 401(K) RETIREMENT PLAN 2009 593457199 2010-10-13 COASTAL EAR, NOSE AND THROAT, P. A. 25
Three-digit plan number (PN) 001
Effective date of plan 1998-03-01
Business code 621111
Sponsor’s telephone number 3866778808
Plan sponsor’s address 1050 WEST GRANADA BLVD., SUITE 4, ORMOND BEACH, FL, 32174

Plan administrator’s name and address
Administrator’s EIN 593457199
Plan administrator’s name COASTAL EAR, NOSE AND THROAT, P. A.
Plan administrator’s address 1050 WEST GRANADA BLVD., SUITE 4, ORMOND BEACH, FL, 32174
Administrator’s telephone number 3866778808

Signature of
Role Plan administrator
Date 2010-10-13
Name of individual signing TAMMIE CLAYTON
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2010-10-13
Name of individual signing TAMMIE CLAYTON
Valid signature Filed with authorized/valid electronic signature
COASTAL EAR, NOSE AND THROAT, P. A. 401(K) RETIREMENT PLAN 2009 593457199 2011-10-14 COASTAL EAR, NOSE AND THROAT, P. A. 25
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1998-03-01
Business code 621111
Sponsor’s telephone number 3866778808
Plan sponsor’s address 1050 WEST GRANADA BLVD., SUITE 4, ORMOND BEACH, FL, 32174

Plan administrator’s name and address
Administrator’s EIN 593457199
Plan administrator’s name COASTAL EAR, NOSE AND THROAT, P. A.
Plan administrator’s address 1050 WEST GRANADA BLVD., SUITE 4, ORMOND BEACH, FL, 32174
Administrator’s telephone number 3866778808

Signature of
Role Plan administrator
Date 2011-10-14
Name of individual signing JOYCE BATES
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2011-10-14
Name of individual signing JOYCE BATES
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
Munier Michael L Agent 1050 W. GRANADA BLVD., ORMOND BEACH, FL, 32174

Director

Name Role Address
MUNIER MICHAEL A Director 45 SHADOW CREEK WAY, ORMOND BEACH, FL, 32174
MIRANTE JOSEPH P Director 202 RIVERSIDE DR., ORMOND BEACH, FL, 32176

Vice President

Name Role Address
TUCKER ANTHONY T Vice President 1939 S. CENTER AVE., FLAGLER BEACH, FL, 32136

SERG

Name Role Address
CLARK PERRIN C SERG 1050 W. GRANADA BLVD., ORMOND BEACH, FL, 32174

Secretary

Name Role Address
Dillon Jane Secretary 2515 s atlantic, Daytona beach shores, FL, 32118

Events

Event Type Filed Date Value Description
REGISTERED AGENT NAME CHANGED 2018-04-05 Munier, Michael L No data
REGISTERED AGENT ADDRESS CHANGED 2018-04-05 1050 W. GRANADA BLVD., SUITE 4, ORMOND BEACH, FL 32174 No data
AMENDMENT 2017-08-03 No data No data
AMENDMENT 2015-08-21 No data No data
AMENDMENT 2011-06-08 No data No data
CHANGE OF PRINCIPAL ADDRESS 2008-11-06 1050 W. GRANADA BLVD., SUITE 4, ORMOND BEACH, FL 32174 No data
CHANGE OF MAILING ADDRESS 2008-11-06 1050 W. GRANADA BLVD., SUITE 4, ORMOND BEACH, FL 32174 No data
REINSTATEMENT 2008-11-06 No data No data
ADMIN DISSOLUTION FOR ANNUAL REPORT 2008-09-26 No data No data

Documents

Name Date
ANNUAL REPORT 2024-04-25
ANNUAL REPORT 2023-05-01
ANNUAL REPORT 2022-04-08
ANNUAL REPORT 2021-05-01
ANNUAL REPORT 2020-06-15
ANNUAL REPORT 2019-06-27
ANNUAL REPORT 2018-04-05
Amendment 2017-08-03
ANNUAL REPORT 2017-04-30
ANNUAL REPORT 2016-04-21

Related by officers

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Munier Michael L

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Related by address

No related companies by address

Date of last update: 03 Feb 2025

Sources: Florida Department of State

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