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  5. PLASTIC EYE SURGERY ASSOCIATES, P.A.

PLASTIC EYE SURGERY ASSOCIATES, P.A.

Company Details

Entity Name: PLASTIC EYE SURGERY ASSOCIATES, P.A.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Active
Date Filed: 13 Feb 1998 (27 years ago)
Document Number: P98000014949
FEI/EIN Number 593491401
Address: 17 EAST MAIN STREET, SUITE 100, PENSACOLA, FL, 32502, US
Mail Address: 17 EAST MAIN STREET, SUITE 100, PENSACOLA, FL, 32502, US
ZIP code: 32502
County: Escambia
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1629161633 2006-10-02 2014-09-19 17 E MAIN ST, STE 100, PENSACOLA, FL, 325025998, US 17 E MAIN ST, STE 100, PENSACOLA, FL, 325025998, US

Contacts
Phone +1 850-473-0990
Fax 8504730790

Authorized person
Name DR. JAMES RANDALL PATRINELY
Role PRESIDENT
Phone 8504730990

Taxonomy
Taxonomy Code 173000000X - Legal Medicine
License Number ME49837
State FL
Is Primary Yes

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
PLASTIC EYE SURGERY ASSOCIATES 401(K) PROFIT SHARING PLAN 2023 593491401 2024-09-27 PLASTIC EYE SURGERY ASSOCIATES, P.A. 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2011-01-01
Business code 621399
Sponsor’s telephone number 8504730990
Plan sponsor’s address 17 E MAIN STREET, STE 100, PENSACOLA, FL, 32502

Signature of
Role Plan administrator
Date 2024-09-27
Name of individual signing JAMES PATRINELY
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2024-09-27
Name of individual signing JAMES PATRINELY
Valid signature Filed with authorized/valid electronic signature
PLASTIC EYE SURGERY ASSOCIATES 401(K) PROFIT SHARING PLAN 2022 593491401 2023-07-28 PLASTIC EYE SURGERY ASSOCIATES, P.A. 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2011-01-01
Business code 621399
Sponsor’s telephone number 8504730990
Plan sponsor’s address 17 E MAIN STREET, STE 100, PENSACOLA, FL, 32502

Signature of
Role Plan administrator
Date 2023-07-28
Name of individual signing JAMES PATRIENLY
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2023-07-28
Name of individual signing JAMES PATRIENLY
Valid signature Filed with authorized/valid electronic signature
PLASTIC EYE SURGERY ASSOCIATES 401(K) PROFIT SHARING PLAN 2021 593491401 2022-04-19 PLASTIC EYE SURGERY ASSOCIATES, P.A. 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2011-01-01
Business code 621399
Sponsor’s telephone number 8504730990
Plan sponsor’s address 17 E MAIN STREET, STE 100, PENSACOLA, FL, 32502

Signature of
Role Plan administrator
Date 2022-04-18
Name of individual signing JAMES PATRINELY
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2022-04-18
Name of individual signing JAMES PATRINELY
PLASTIC EYE SURGERY ASSOCIATES 401(K) PROFIT SHARING PLAN 2020 593491401 2021-04-14 PLASTIC EYE SURGERY ASSOCIATES, P.A. 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2011-01-01
Business code 621399
Sponsor’s telephone number 8504730990
Plan sponsor’s address 17 E MAIN STREET, STE 100, PENSACOLA, FL, 32502

Signature of
Role Plan administrator
Date 2021-04-13
Name of individual signing JAMES PATRINELY
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2021-04-13
Name of individual signing JAMES PATRINELY
Valid signature Filed with authorized/valid electronic signature
PLASTIC EYE SURGERY ASSOCIATES 401(K) PROFIT SHARING PLAN 2019 593491401 2020-05-29 PLASTIC EYE SURGERY ASSOCIATES, P.A. 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2011-01-01
Business code 621399
Sponsor’s telephone number 8504730990
Plan sponsor’s address 17 E MAIN STREET, STE 100, PENSACOLA, FL, 32502

Signature of
Role Plan administrator
Date 2020-05-29
Name of individual signing JAMES PATRINELY
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2020-05-29
Name of individual signing JAMES PATRINELY
Valid signature Filed with authorized/valid electronic signature
PLASTIC EYE SURGERY ASSOCIATES 401(K) PROFIT SHARING PLAN 2018 593491401 2019-06-12 PLASTIC EYE SURGERY ASSOCIATES, P.A. 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2011-01-01
Business code 621399
Sponsor’s telephone number 8504730990
Plan sponsor’s address 17 E MAIN STREET, STE 100, PENSACOLA, FL, 32502

Signature of
Role Plan administrator
Date 2019-06-12
Name of individual signing JAMES PATRINELY
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2019-06-12
Name of individual signing JAMES PATRINELY
Valid signature Filed with authorized/valid electronic signature
PLASTIC EYE SURGERY ASSOCIATES 401(K) PROFIT SHARING PLAN 2017 593491401 2018-05-09 PLASTIC EYE SURGERY ASSOCIATES, P.A. 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2011-01-01
Business code 621399
Sponsor’s telephone number 8504730990
Plan sponsor’s address 17 E MAIN STREET, STE 100, PENSACOLA, FL, 32502

Signature of
Role Plan administrator
Date 2018-05-09
Name of individual signing JAMES PATRINELY
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2018-05-09
Name of individual signing JAMES PATRINELY
Valid signature Filed with authorized/valid electronic signature
PLASTIC EYE SURGERY ASSOCIATES 401(K) PROFIT SHARING PLAN 2016 593491401 2017-06-12 PLASTIC EYE SURGERY ASSOCIATES, P.A. 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2011-01-01
Business code 621399
Sponsor’s telephone number 8504730990
Plan sponsor’s address 17 E MAIN STREET, STE 100, PENSACOLA, FL, 32502

Signature of
Role Plan administrator
Date 2017-06-09
Name of individual signing JAMES PATRINELY
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2017-06-09
Name of individual signing JAMES PATRINELY
Valid signature Filed with authorized/valid electronic signature
PLASTIC EYE SURGERY ASSOCIATES 401(K) PROFIT SHARING PLAN 2015 593491401 2016-02-24 PLASTIC EYE SURGERY ASSOCIATES, P.A. 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2011-01-01
Business code 621399
Sponsor’s telephone number 8504730990
Plan sponsor’s address 17 E MAIN STREET, STE 100, PENSACOLA, FL, 32502

Signature of
Role Plan administrator
Date 2016-02-23
Name of individual signing JAMES PATRINELY
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2016-02-23
Name of individual signing JAMES PATRINELY
Valid signature Filed with authorized/valid electronic signature
PLASTIC EYE SURGERY ASSOCIATES 401(K) PROFIT SHARING PLAN 2014 593491401 2015-07-10 PLASTIC EYE SURGERY ASSOCIATES, P.A. 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2011-01-01
Business code 621399
Sponsor’s telephone number 8504730990
Plan sponsor’s address 17 E MAIN STREET, STE 100, PENSACOLA, FL, 32502

Signature of
Role Plan administrator
Date 2015-07-10
Name of individual signing JAMES PATRINELY
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2015-07-10
Name of individual signing JAMES PATRINELY
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
PATRINELY JAMES RMD Agent 17 E. MAIN STREET, PENSACOLA, FL, 32502

Manager

Name Role Address
PATRINELY JAMES R Manager 17 EAST MAIN STREET, PENSACOLA, FL, 32502

Director

Name Role Address
PATRINELY JAMES R Director 17 EAST MAIN STREET, PENSACOLA, FL, 32502

Events

Event Type Filed Date Value Description
REGISTERED AGENT NAME CHANGED 2015-01-07 PATRINELY, JAMES R, MD No data
CHANGE OF PRINCIPAL ADDRESS 2010-05-13 17 EAST MAIN STREET, SUITE 100, PENSACOLA, FL 32502 No data
CHANGE OF MAILING ADDRESS 2010-05-13 17 EAST MAIN STREET, SUITE 100, PENSACOLA, FL 32502 No data
REGISTERED AGENT ADDRESS CHANGED 2010-02-04 17 E. MAIN STREET, SUITE 100, PENSACOLA, FL 32502 No data

Documents

Name Date
ANNUAL REPORT 2024-01-22
ANNUAL REPORT 2023-01-09
ANNUAL REPORT 2022-01-03
ANNUAL REPORT 2021-01-20
ANNUAL REPORT 2020-01-23
ANNUAL REPORT 2019-01-24
ANNUAL REPORT 2018-01-08
ANNUAL REPORT 2017-01-11
ANNUAL REPORT 2016-01-20
ANNUAL REPORT 2015-01-07

Related by officers

No related officers

Related by address

No related companies by address

Date of last update: 03 Feb 2025

Sources: Florida Department of State

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