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INDIAN RIVER PRIMARY CARE, P.A.

Company Details

Entity Name: INDIAN RIVER PRIMARY CARE, P.A.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Active
Date Filed: 09 Mar 1998 (27 years ago)
Document Number: P98000022235
FEI/EIN Number 650816054
Address: 1715 37TH PLACE, SECOND FLOOR, VERO BEACH, FL, 32960, US
Mail Address: 1715 37TH PLACE, SECOND FLOOR, VERO BEACH, FL, 32960, US
ZIP code: 32960
County: Indian River
Place of Formation: FLORIDA

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
INDIAN RIVER PRIMARY CARE 401(K) PLAN 2023 650816054 2024-07-03 INDIAN RIVER PRIMARY CARE, P.A. 44
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-01-01
Business code 621111
Sponsor’s telephone number 7727940045
Plan sponsor’s address 1715 37TH PLACE 2ND FL, VERO BEACH, FL, 32960

Signature of

Role Plan administrator
Date 2024-07-03
Name of individual signing CURTIS DALILI
Valid signature Filed with authorized/valid electronic signature
INDIAN RIVER PRIMARY CARE 401(K) PLAN 2022 650816054 2023-10-09 INDIAN RIVER PRIMARY CARE, P.A. 42
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-01-01
Business code 621111
Sponsor’s telephone number 7727940045
Plan sponsor’s address 1715 37TH PLACE, 2ND FLOOR, VERO BEACH, FL, 32960

Signature of

Role Plan administrator
Date 2023-10-09
Name of individual signing CURTIS DALILI
Valid signature Filed with authorized/valid electronic signature
INDIAN RIVER PRIMARY CARE, P.A. CASH BALANCE PLAN 2022 650816054 2023-10-09 INDIAN RIVER PRIMARY CARE, P.A. 32
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2013-01-01
Business code 621111
Sponsor’s telephone number 7727942222
Plan sponsor’s address 1715 37TH PLACE, 2ND FLOOR, VERO BEACH, FL, 32960

Signature of

Role Plan administrator
Date 2023-10-09
Name of individual signing CURTIS DALILI
Valid signature Filed with authorized/valid electronic signature
INDIAN RIVER PRIMARY CARE 401(K) PLAN 2021 650816054 2022-10-17 INDIAN RIVER PRIMARY CARE, P.A. 38
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-01-01
Business code 621111
Sponsor’s telephone number 7727940045
Plan sponsor’s address 1715 37TH PLACE, 2ND FLOOR, VERO BEACH, FL, 32960

Signature of

Role Plan administrator
Date 2022-10-17
Name of individual signing CURTIS DALILI
Valid signature Filed with authorized/valid electronic signature
INDIAN RIVER PRIMARY CARE, P.A. CASH BALANCE PLAN 2021 650816054 2022-10-17 INDIAN RIVER PRIMARY CARE, P.A. 31
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2013-01-01
Business code 621111
Sponsor’s telephone number 7727942222
Plan sponsor’s address 1715 37TH PLACE, 2ND FLOOR, VERO BEACH, FL, 32960

Signature of

Role Plan administrator
Date 2022-10-17
Name of individual signing CURTIS DALILI
Valid signature Filed with authorized/valid electronic signature
INDIAN RIVER PRIMARY CARE 401(K) PLAN 2020 650816054 2021-10-14 INDIAN RIVER PRIMARY CARE, P.A. 38
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-01-01
Business code 621111
Sponsor’s telephone number 7727942222
Plan sponsor’s address 1715 37TH PLACE, 2ND FLOOR, VERO BEACH, FL, 32960
INDIAN RIVER PRIMARY CARE, P.A. CASH BALANCE PLAN 2020 650816054 2021-10-15 INDIAN RIVER PRIMARY CARE, P.A. 26
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2013-01-01
Business code 621111
Sponsor’s telephone number 7727942222
Plan sponsor’s address 1715 37TH PLACE, 2ND FLOOR, VERO BEACH, FL, 32960
INDIAN RIVER PRIMARY CARE 401(K) PLAN 2019 650816054 2020-10-06 INDIAN RIVER PRIMARY CARE, P.A. 36
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-01-01
Business code 621111
Sponsor’s telephone number 7727942222
Plan sponsor’s address 1715 37TH PLACE, 2ND FLOOR, VERO BEACH, FL, 32960
INDIAN RIVER PRIMARY CARE, P.A. CASH BALANCE PLAN 2019 650816054 2020-10-14 INDIAN RIVER PRIMARY CARE, P.A. 27
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2013-01-01
Business code 621111
Sponsor’s telephone number 7727942222
Plan sponsor’s address 1715 37TH PLACE, 2ND FLOOR, VERO BEACH, FL, 32960
INDIAN RIVER PRIMARY CARE, P.A. CASH BALANCE PLAN 2018 650816054 2019-10-15 INDIAN RIVER PRIMARY CARE, P.A. 23
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2013-01-01
Business code 621111
Sponsor’s telephone number 7727942222
Plan sponsor’s address 1715 37TH PLACE, 2ND FLOOR, VERO BEACH, FL, 32960

Agent

Name Role Address
DALILI, CURTIS Agent 1715 37TH PLACE, VERO BEACH, FL, 32960

PTST

Name Role Address
DALILI CURTIS PTST 1715 37TH PLACE, 2ND FLOOR, VERO BEACH, FL, 32960

Vice President

Name Role Address
LEWIS THOMAS W Vice President 1715 37TH PLACE, 2ND FLOOR, VERO BEACH, FL, 32960

Date of last update: 02 Jan 2025

Sources: Florida Department of State