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  5. SURGERY CONSULTANTS OF AMERICA, INC.

SURGERY CONSULTANTS OF AMERICA, INC.

Company Details

Entity Name: SURGERY CONSULTANTS OF AMERICA, INC.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Inactive
Date Filed: 23 Apr 1999 (26 years ago)
Date of dissolution: 23 Sep 2011 (13 years ago)
Last Event: ADMIN DISSOLUTION FOR ANNUAL REPORT
Event Date Filed: 23 Sep 2011 (13 years ago)
Document Number: P99000038048
FEI/EIN Number 650908721
Address: 12670 CREEKSIDE LANE, SUITE 401, FORT MYERS, FL, 33919, US
Mail Address: 12670 CREEKSIDE LANE, SUITE 401, FORT MYERS, FL, 33919, US
ZIP code: 33919
County: Lee
Place of Formation: FLORIDA

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
SURGERY CONSULTANTS OF AMERICA, INC. 401(K) PROFIT SHARING PLAN 2011 650908721 2012-02-13 SURGERY CONSULTANTS OF AMERICA, INC. 45
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-06-02
Business code 541600
Sponsor’s telephone number 2394821777
Plan sponsor’s address 12670 CREEKSIDE LANE, SUITE 401, FORT MYERS, FL, 33919

Plan administrator’s name and address
Administrator’s EIN 650908721
Plan administrator’s name SURGERY CONSULTANTS OF AMERICA, INC.
Plan administrator’s address 12670 CREEKSIDE LANE, SUITE 401, FORT MYERS, FL, 33919
Administrator’s telephone number 2394821777

Signature of
Role Plan administrator
Date 2012-02-13
Name of individual signing CARYL A. SERBIN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2012-02-13
Name of individual signing CARYL A. SERBIN
Valid signature Filed with authorized/valid electronic signature
SURGERY CONSULTANTS OF AMERICA, INC. 401(K) PROFIT SHARING PLAN 2010 650908721 2011-05-24 SURGERY CONSULTANTS OF AMERICA, INC. 45
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-06-02
Business code 541600
Sponsor’s telephone number 2394821777
Plan sponsor’s address 12670 CREEKSIDE LANE, SUITE 401, FORT MYERS, FL, 33919

Plan administrator’s name and address
Administrator’s EIN 650908721
Plan administrator’s name SURGERY CONSULTANTS OF AMERICA, INC.
Plan administrator’s address 12670 CREEKSIDE LANE, SUITE 401, FORT MYERS, FL, 33919
Administrator’s telephone number 2394821777

Signature of
Role Plan administrator
Date 2011-05-24
Name of individual signing CARYL A. SERBIN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2011-05-24
Name of individual signing CARYL A. SERBIN
Valid signature Filed with authorized/valid electronic signature
SURGERY CONSULTANTS OF AMERICA, INC. 401K PROFIT SHARING PLAN 2009 650908721 2010-08-30 SURGERY CONSULTANTS OF AMERICA, INC. 44
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-06-02
Business code 541600
Sponsor’s telephone number 2394821777
Plan sponsor’s address 12670 CREEKSIDE LANE, SUITE 401, FORT MYERS, FL, 33919

Plan administrator’s name and address
Administrator’s EIN 650908721
Plan administrator’s name SURGERY CONSULTANTS OF AMERICA, INC.
Plan administrator’s address 12670 CREEKSIDE LANE, SUITE 401, FORT MYERS, FL, 33919
Administrator’s telephone number 2394821777

Signature of
Role Plan administrator
Date 2010-08-30
Name of individual signing CARYL A. SERBIN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2010-08-30
Name of individual signing CARYL A. SERBIN
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
WHITESMAN GUY E Agent 1715 MONROE STREET, FORT MYERS, FL, 33901

Director

Name Role Address
SERBIN CARYL Director 12670 CREEKSIDE LANE SUITE 401, FORT MYERS, FL, 33919

President

Name Role Address
SERBIN CARYL President 12670 CREEKSIDE LANE SUITE 401, FORT MYERS, FL, 33919

Secretary

Name Role Address
SERBIN CARYL Secretary 12670 CREEKSIDE LANE SUITE 401, FORT MYERS, FL, 33919

Events

Event Type Filed Date Value Description
ADMIN DISSOLUTION FOR ANNUAL REPORT 2011-09-23 No data No data
REGISTERED AGENT NAME CHANGED 2008-04-01 WHITESMAN, GUY E No data
REGISTERED AGENT ADDRESS CHANGED 2008-04-01 1715 MONROE STREET, FORT MYERS, FL 33901 No data
CHANGE OF PRINCIPAL ADDRESS 2007-04-09 12670 CREEKSIDE LANE, SUITE 401, FORT MYERS, FL 33919 No data
CHANGE OF MAILING ADDRESS 2007-04-09 12670 CREEKSIDE LANE, SUITE 401, FORT MYERS, FL 33919 No data

Documents

Name Date
ANNUAL REPORT 2010-02-17
ANNUAL REPORT 2009-03-11
ANNUAL REPORT 2008-04-01
ANNUAL REPORT 2007-04-09
ANNUAL REPORT 2006-01-12
ANNUAL REPORT 2005-03-18
ANNUAL REPORT 2004-02-23
Reg. Agent Change 2003-03-31
ANNUAL REPORT 2003-01-29
ANNUAL REPORT 2002-10-04

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WHITESMAN GUY E

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Related by address

No related companies by address

Date of last update: 02 Feb 2025

Sources: Florida Department of State

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