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  5. IDEAL MEDICAL SOURCE, INC.

IDEAL MEDICAL SOURCE, INC.

Company Details

Entity Name: IDEAL MEDICAL SOURCE, INC.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Inactive
Date Filed: 29 Jan 1998 (27 years ago)
Date of dissolution: 28 Sep 2012 (12 years ago)
Last Event: ADMIN DISSOLUTION FOR ANNUAL REPORT
Event Date Filed: 28 Sep 2012 (12 years ago)
Document Number: P98000010103
FEI/EIN Number 650811104
Address: 2805 E OAKLAND PARK BLVD, SUITE 352, FT. LAUDERDALE, FL, 33306
Mail Address: 2805 E OAKLAND PARK BLVD, SUITE 352, FT. LAUDERDALE, FL, 33306
ZIP code: 33306
County: Broward
Place of Formation: FLORIDA

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
IDEAL MEDICAL SOURCE INC 401 K PROFIT SHARING PLAN TRUST 2014 650811104 2015-03-11 IDEAL MEDICAL SOURCE INC 2
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-01-01
Business code 423400
Sponsor’s telephone number 9545637856
Plan sponsor’s address 2805 E OAKLAND PARK BLVD, FORT LAUDERDALE, FL, 333061813

Signature of
Role Plan administrator
Date 2015-03-11
Name of individual signing RICK HAYNES
Valid signature Filed with authorized/valid electronic signature
IDEAL MEDICAL SOURCE INC 401 K PROFIT SHARING PLAN TRUST 2013 650811104 2014-07-28 IDEAL MEDICAL SOURCE INC 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-01-01
Business code 423400
Sponsor’s telephone number 9545637856
Plan sponsor’s address 2805 E OAKLAND PARK BLVD, FORT LAUDERDALE, FL, 333061813

Signature of
Role Plan administrator
Date 2014-07-28
Name of individual signing RICK HAYNES
Valid signature Filed with authorized/valid electronic signature
IDEAL MEDICAL SOURCE INC 401 K PROFIT SHARING PLAN TRUST 2012 650811104 2013-07-25 IDEAL MEDICAL SOURCE INC 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-01-01
Business code 423400
Sponsor’s telephone number 9545637856
Plan sponsor’s address 2805 E OAKLAND PARK BLVD, FORT LAUDERDALE, FL, 333061813

Signature of
Role Plan administrator
Date 2013-07-25
Name of individual signing IDEAL MEDICAL SOURCE INC
Valid signature Filed with authorized/valid electronic signature
IDEAL MEDICAL SOURCE INC 401 K PROFIT SHARING PLAN TRUST 2011 650811104 2012-07-05 IDEAL MEDICAL SOURCE INC 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-01-01
Business code 423400
Sponsor’s telephone number 9545637856
Plan sponsor’s address 2805 E OAKLAND PARK BLVD, FORT LAUDERDALE, FL, 333061813

Plan administrator’s name and address
Administrator’s EIN 650811104
Plan administrator’s name IDEAL MEDICAL SOURCE INC
Plan administrator’s address 2805 E OAKLAND PARK BLVD, FORT LAUDERDALE, FL, 333061813
Administrator’s telephone number 9545637856

Signature of
Role Plan administrator
Date 2012-07-05
Name of individual signing IDEAL MEDICAL SOURCE INC
Valid signature Filed with authorized/valid electronic signature
IDEAL MEDICAL SOURCE INC 401 K PROFIT SHARING PLAN TRUST 2010 650811104 2011-07-29 IDEAL MEDICAL SOURCE INC 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-01-01
Business code 423450
Sponsor’s telephone number 9545637856
Plan sponsor’s address 2805 EAST OAKLAND PARK BLVD, FORT LAUDERDALE, FL, 333060000

Plan administrator’s name and address
Administrator’s EIN 650811104
Plan administrator’s name IDEAL MEDICAL SOURCE INC
Plan administrator’s address 2805 EAST OAKLAND PARK BLVD, FORT LAUDERDALE, FL, 333060000
Administrator’s telephone number 9545637856

Signature of
Role Plan administrator
Date 2011-07-29
Name of individual signing IDEAL MEDICAL SOURCE INC
Valid signature Filed with authorized/valid electronic signature
IDEAL MEDICAL SOURCE INC 2009 650811104 2010-08-11 IDEAL MEDICAL SOURCE INC 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-01-01
Business code 424990
Sponsor’s telephone number 9545637856
Plan sponsor’s address 2805 E OAKLAND PARK BLVD, STE 352, FORT LAUDERDALE, FL, 33306

Plan administrator’s name and address
Administrator’s EIN 650811104
Plan administrator’s name IDEAL MEDICAL SOURCE INC
Plan administrator’s address 2805 E OAKLAND PARK BLVD, STE 352, FORT LAUDERDALE, FL, 33306
Administrator’s telephone number 9545637856

Signature of
Role Plan administrator
Date 2010-08-11
Name of individual signing IDEAL MEDICAL SOURCE INC
Valid signature Filed with authorized/valid electronic signature
IDEAL MEDICAL SOURCE INC 2009 650811104 2010-08-10 IDEAL MEDICAL SOURCE INC 8
Three-digit plan number (PN) 001
Effective date of plan 2003-01-01
Business code 424990
Sponsor’s telephone number 9545637856
Plan sponsor’s address 2805 E OAKLAND PARK BLVD, STE 352, FORT LAUDERDALE, FL, 33306

Plan administrator’s name and address
Administrator’s EIN 650811104
Plan administrator’s name IDEAL MEDICAL SOURCE INC
Plan administrator’s address 2805 E OAKLAND PARK BLVD, STE 352, FORT LAUDERDALE, FL, 33306
Administrator’s telephone number 9545637856

Signature of
Role Plan administrator
Date 2010-08-10
Name of individual signing IDEAL MEDICAL SOURCE INC
Valid signature Filed with incorrect/unrecognized electronic signature
IDEAL MEDICAL SOURCE INC 2009 650811104 2010-06-22 IDEAL MEDICAL SOURCE INC 8
Three-digit plan number (PN) 001
Effective date of plan 2003-01-01
Business code 424990
Sponsor’s telephone number 9545637856
Plan sponsor’s address 2805 E OAKLAND PARK BLVD, STE 352, FORT LAUDERDALE, FL, 33306

Plan administrator’s name and address
Administrator’s EIN 650811104
Plan administrator’s name IDEAL MEDICAL SOURCE INC
Plan administrator’s address 2805 E OAKLAND PARK BLVD, STE 352, FORT LAUDERDALE, FL, 33306
Administrator’s telephone number 9545637856

Signature of
Role Plan administrator
Date 2010-06-22
Name of individual signing IDEAL MEDICAL SOURCE INC
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
ADORNO AND YOSS, LLP Agent 350 E LAS OLAS BLVD, FORT LAUDERDALE, FL, 33301

President

Name Role Address
HAYNES RICHARD D President 2801 CORAL SHORES DRIVE, FT. LAUDERDALE, FL, 33306

Director

Name Role Address
HAYNES RICHARD D Director 2801 CORAL SHORES DRIVE, FT. LAUDERDALE, FL, 33306
HAYNES DIANE Director 2801 CORAL SHORES DRIVE, FT. LAUDERDALE, FL, 33306

Vice President

Name Role Address
HAYNES DIANE Vice President 2801 CORAL SHORES DRIVE, FT. LAUDERDALE, FL, 33306

Events

Event Type Filed Date Value Description
ADMIN DISSOLUTION FOR ANNUAL REPORT 2012-09-28 No data No data
REGISTERED AGENT NAME CHANGED 2006-04-24 ADORNO AND YOSS, LLP No data
REGISTERED AGENT ADDRESS CHANGED 2006-04-24 350 E LAS OLAS BLVD, FORT LAUDERDALE, FL 33301 No data
CHANGE OF PRINCIPAL ADDRESS 1998-08-20 2805 E OAKLAND PARK BLVD, SUITE 352, FT. LAUDERDALE, FL 33306 No data
CHANGE OF MAILING ADDRESS 1998-08-20 2805 E OAKLAND PARK BLVD, SUITE 352, FT. LAUDERDALE, FL 33306 No data

Documents

Name Date
ANNUAL REPORT 2011-04-28
ANNUAL REPORT 2010-04-01
ANNUAL REPORT 2009-03-24
ANNUAL REPORT 2008-05-12
ANNUAL REPORT 2007-03-23
ANNUAL REPORT 2006-04-24
ANNUAL REPORT 2005-02-17
ANNUAL REPORT 2004-04-30
ANNUAL REPORT 2003-04-25
ANNUAL REPORT 2002-04-30

Related by officers

HAYNES RICHARD D

SPOONBILL CAPITAL, INC. IDEALMED.COM INC. RICK'S BIZ, LLC

HAYNES DIANE

SPOONBILL CAPITAL, INC.

Related by address

No related companies by address

Date of last update: 01 Feb 2025

Sources: Florida Department of State

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