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  5. PAIN DIAGNOSTIC & MANAGEMENT CENTER, P,A.

PAIN DIAGNOSTIC & MANAGEMENT CENTER, P,A.

Company Details

Entity Name: PAIN DIAGNOSTIC & MANAGEMENT CENTER, P,A.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Inactive
Date Filed: 12 Sep 1997 (27 years ago)
Date of dissolution: 23 Mar 2006 (19 years ago)
Last Event: CONVERSION
Event Date Filed: 23 Mar 2006 (19 years ago)
Document Number: P97000079028
FEI/EIN Number 593467482
Address: 537 E. CENTRAL AVE., STE. B, WINTER HAVEN, FL, 33880
Mail Address: 537 E. CENTRAL AVE., STE.B, WINTER HAVEN, FL, 33880
ZIP code: 33880
County: Polk
Place of Formation: FLORIDA

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
PAIN DIAGNOSTIC & MANAGEMENT CENTER, P.A. PROFIT SHARING PLAN 2012 593467482 2013-05-01 PAIN DIAGNOSTIC & MANAGEMENT CENTER, P.A. 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2000-01-01
Business code 621111
Sponsor’s telephone number 8636799494
Plan sponsor’s address 425 SOUTH 11TH STREET, SUITE 1, LAKE WALES, FL, 33853

Signature of
Role Plan administrator
Date 2013-05-01
Name of individual signing CAROLINE HONCULADA
Valid signature Filed with authorized/valid electronic signature
PAIN DIAGNOSTIC & MANAGEMENT CENTER, P.A. PROFIT SHARING PLAN 2011 593467482 2012-06-04 PAIN DIAGNOSTIC & MANAGEMENT CENTER, P.A. 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2000-01-01
Business code 621111
Sponsor’s telephone number 8636799494
Plan sponsor’s address 425 SOUTH 11TH STREET, SUITE 1, LAKE WALES, FL, 33853

Plan administrator’s name and address
Administrator’s EIN 593467482
Plan administrator’s name PAIN DIAGNOSTIC & MANAGEMENT CENTER, P.A.
Plan administrator’s address 425 SOUTH 11TH STREET, SUITE 1, LAKE WALES, FL, 33853
Administrator’s telephone number 8636799494

Signature of
Role Plan administrator
Date 2012-06-04
Name of individual signing CAROLINE HONCULADA
Valid signature Filed with authorized/valid electronic signature
PAIN DIAGNOSTIC & MANAGEMENT CENTER, P.A. PROFIT SHARING PLAN 2010 593467482 2011-06-08 PAIN DIAGNOSTIC & MANAGEMENT CENTER, P.A. 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2000-01-01
Business code 621111
Sponsor’s telephone number 8636799494
Plan sponsor’s address 425 SOUTH 11TH STREET, SUITE 1, LAKE WALES, FL, 33853

Plan administrator’s name and address
Administrator’s EIN 593467482
Plan administrator’s name PAIN DIAGNOSTIC & MANAGEMENT CENTER, P.A.
Plan administrator’s address 425 SOUTH 11TH STREET, SUITE 1, LAKE WALES, FL, 33853
Administrator’s telephone number 8636799494

Signature of
Role Plan administrator
Date 2011-06-08
Name of individual signing CAROLINE HONCULADA
Valid signature Filed with authorized/valid electronic signature
PAIN DIAGNOSTIC & MANAGEMENT CENTER, P.A. PROFIT SHARING PLAN 2009 593467482 2010-09-13 PAIN DIAGNOSTIC & MANAGEMENT CENTER, P.A. 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2000-01-01
Business code 621111
Sponsor’s telephone number 8636799494
Plan sponsor’s address 421 LINDEN LANE, LAKE WALES, FL, 33853

Plan administrator’s name and address
Administrator’s EIN 593467482
Plan administrator’s name PAIN DIAGNOSTIC & MANAGEMENT CENTER, P.A.
Plan administrator’s address 421 LINDEN LANE, LAKE WALES, FL, 33853
Administrator’s telephone number 8636799494

Signature of
Role Plan administrator
Date 2010-09-13
Name of individual signing CAROLINE HONCULADA
Valid signature Filed with authorized/valid electronic signature
PAIN DIAGNOSTIC & MANAGEMENT CENTER, P.A. PROFIT SHARING PLAN 2009 593467482 2010-09-13 PAIN DIAGNOSTIC & MANAGEMENT CENTER, P.A. 8
Three-digit plan number (PN) 001
Effective date of plan 2000-01-01
Business code 621111
Sponsor’s telephone number 8636799494
Plan sponsor’s address 421 LINDEN LANE, LAKE WALES, FL, 33853

Plan administrator’s name and address
Administrator’s EIN 593467482
Plan administrator’s name PAIN DIAGNOSTIC & MANAGEMENT CENTER, P.A.
Plan administrator’s address 421 LINDEN LANE, LAKE WALES, FL, 33853
Administrator’s telephone number 8636799494

Signature of
Role Plan administrator
Date 2010-09-13
Name of individual signing CAROLINE HONCULADA
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
HONCULADA ALLAN C Agent 537 E. CENTRAL AVE., WINTER HAVEN, FL, 33880

Manager

Name Role Address
HONCULADA ALLAN C Manager 537 E. CENTRAL AVE. STE. B, WINTER HAVEN, FL, 33880

Director

Name Role Address
HONCULADA ALLAN C Director 537 E. CENTRAL AVE. STE. B, WINTER HAVEN, FL, 33880

Events

Event Type Filed Date Value Description
CONVERSION 2006-03-23 No data CONVERSION MEMBER. RESULTING CORPORATION WAS L06000030721. CONVERSION NUMBER 500000056175
CHANGE OF PRINCIPAL ADDRESS 2004-07-02 537 E. CENTRAL AVE., STE. B, WINTER HAVEN, FL 33880 No data
CHANGE OF MAILING ADDRESS 2004-07-02 537 E. CENTRAL AVE., STE. B, WINTER HAVEN, FL 33880 No data
REGISTERED AGENT ADDRESS CHANGED 2004-07-02 537 E. CENTRAL AVE., SUITE B, WINTER HAVEN, FL 33880 No data
REGISTERED AGENT NAME CHANGED 1999-03-08 HONCULADA, ALLAN CDR No data
AMENDMENT 1998-08-06 No data No data

Documents

Name Date
ANNUAL REPORT 2006-01-24
ANNUAL REPORT 2005-01-25
ANNUAL REPORT 2004-07-02
ANNUAL REPORT 2003-02-13
ANNUAL REPORT 2002-01-24
ANNUAL REPORT 2001-02-01
ANNUAL REPORT 2000-03-20
ANNUAL REPORT 1999-03-08
Amendment 1998-08-06
ANNUAL REPORT 1998-06-03

Related by officers

HONCULADA ALLAN C

PAIN DIAGNOSTIC & MANAGEMENT CENTER, LLC

Related by address

No related companies by address

Date of last update: 02 Feb 2025

Sources: Florida Department of State

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