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MERRITT ISLAND FOOT & ANKLE, INC.

Company Details

Entity Name: MERRITT ISLAND FOOT & ANKLE, INC.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Active
Date Filed: 28 May 1999 (26 years ago)
Last Event: AMENDED AND RESTATED ARTICLES
Event Date Filed: 19 Dec 2012 (12 years ago)
Document Number: P99000048696
FEI/EIN Number 593578763
Address: 2404 N. COURTENAY PKWY., MERRITT ISLAND, FL, 32953
Mail Address: 2404 N. COURTENAY PKWY., MERRITT ISLAND, FL, 32953
ZIP code: 32953
County: Brevard
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1427236199 2008-02-05 2016-02-24 2404 N COURTENAY PKWY, MERRITT ISLAND, FL, 329534191, US 2404 N COURTENAY PKWY, MERRITT ISLAND, FL, 329534191, US

Contacts

Phone +1 321-452-1327
Fax 3214549208

Authorized person

Name DR. MARK BEYLIN
Role OWNER
Phone 3214521327

Taxonomy

Taxonomy Code 213ES0103X - Foot & Ankle Surgery Podiatrist
License Number PO1928
State FL
Is Primary Yes

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
MERRITT ISLAND FOOT & ANKLE, INC. 401(K) PLAN 2023 593578763 2024-09-06 MERRITT ISLAND FOOT & ANKLE, INC. 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-01-01
Business code 621391
Sponsor’s telephone number 3214521327
Plan sponsor’s address 2404 N. COURTENAY PKWY, MERRITT ISLAND, FL, 32953

Signature of

Role Plan administrator
Date 2024-09-06
Name of individual signing DR. MARK BEYLIN
Valid signature Filed with authorized/valid electronic signature
MERRITT ISLAND FOOT & ANKLE, INC. 401(K) PLAN 2022 593578763 2023-10-03 MERRITT ISLAND FOOT & ANKLE, INC. 13
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-01-01
Business code 621391
Sponsor’s telephone number 3214521327
Plan sponsor’s address 2404 N. COURTENAY PKWY, MERRITT ISLAND, FL, 32953

Signature of

Role Plan administrator
Date 2023-10-03
Name of individual signing DR. MARK BEYLIN
Valid signature Filed with authorized/valid electronic signature
MERRITT ISLAND FOOT & ANKLE, INC. 401(K) PLAN 2021 593578763 2023-06-14 MERRITT ISLAND FOOT & ANKLE, INC. 26
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-01-01
Business code 621111
Sponsor’s telephone number 3214521327
Plan sponsor’s address 2404 N. COURTENAY PKWY, MERRITT ISLAND, FL, 32953

Signature of

Role Plan administrator
Date 2023-06-14
Name of individual signing DR. MARK BEYLIN
Valid signature Filed with authorized/valid electronic signature
MERRITT ISLAND FOOT & ANKLE, INC. 401K PLAN 2020 593578763 2021-08-12 MERRITT ISLAND FOOT & ANKLE, INC. 14
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-01-01
Business code 621111
Sponsor’s telephone number 3214521327
Plan sponsor’s address 2404 N. COURTENAY PKWY, MERRITT ISLAND, FL, 32953

Signature of

Role Plan administrator
Date 2021-08-12
Name of individual signing MARK BEYLIN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2021-08-12
Name of individual signing MARK BEYLIN
Valid signature Filed with authorized/valid electronic signature
MERRITT ISLAND FOOT & ANKLE, INC. 401K PLAN 2019 593578763 2020-08-26 MERRITT ISLAND FOOT & ANKLE, INC. 13
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-01-01
Business code 621111
Sponsor’s telephone number 3214521327
Plan sponsor’s address 2404 N. COURTENAY PKWY, MERRITT ISLAND, FL, 32953

Signature of

Role Plan administrator
Date 2020-08-26
Name of individual signing MARK BEYLIN
Valid signature Filed with authorized/valid electronic signature
MERRITT ISLAND FOOT & ANKLE, INC. 401K PLAN 2018 593578763 2019-09-24 MERRITT ISLAND FOOT & ANKLE, INC. 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-01-01
Business code 621111
Sponsor’s telephone number 3214521327
Plan sponsor’s address 2404 N. COURTENAY PKWY, MERRITT ISLAND, FL, 32953

Signature of

Role Plan administrator
Date 2019-09-24
Name of individual signing MARK BEYLIN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2019-09-24
Name of individual signing MARK BEYLIN
Valid signature Filed with authorized/valid electronic signature
MERRITT ISLAND FOOT & ANKLE, INC. 401K PLAN 2017 593578763 2018-06-04 MERRITT ISLAND FOOT & ANKLE, INC. 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-01-01
Business code 621111
Sponsor’s telephone number 3214521327
Plan sponsor’s address 2404 N. COURTENAY PKWY, MERRITT ISLAND, FL, 32953

Signature of

Role Plan administrator
Date 2018-06-04
Name of individual signing MARK BEYLIN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2018-06-04
Name of individual signing MERRITT ISLAND FOOT AND ANKLE
Valid signature Filed with authorized/valid electronic signature
MERRITT ISLAND FOOT & ANKLE, INC. 401K PLAN 2016 593578763 2017-06-22 MERRITT ISLAND FOOT & ANKLE, INC. 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-01-01
Business code 621111
Sponsor’s telephone number 3214521327
Plan sponsor’s address 2404 N. COURTENAY PKWY, MERRITT ISLAND, FL, 32953

Signature of

Role Plan administrator
Date 2017-06-22
Name of individual signing MARK BEYLIN
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
Beylin Mark Agent 2404 N. Courtenay Pkwy, MERRITT ISLAND, FL, 32953

President

Name Role Address
Beylin Mark President 2404 N. COURTENAY PKWY., MERRITT ISLAND, FL, 32953

Events

Event Type Filed Date Value Description
REGISTERED AGENT NAME CHANGED 2015-09-15 Beylin, Mark No data
REGISTERED AGENT ADDRESS CHANGED 2015-09-15 2404 N. Courtenay Pkwy, MERRITT ISLAND, FL 32953 No data
AMENDED AND RESTATEDARTICLES 2012-12-19 No data No data

Documents

Name Date
ANNUAL REPORT 2024-02-29
ANNUAL REPORT 2023-04-10
ANNUAL REPORT 2022-03-23
ANNUAL REPORT 2021-01-30
ANNUAL REPORT 2020-03-23
ANNUAL REPORT 2019-02-11
ANNUAL REPORT 2018-01-23
ANNUAL REPORT 2017-01-11
ANNUAL REPORT 2016-03-09
AMENDED ANNUAL REPORT 2015-09-15

Date of last update: 02 Feb 2025

Sources: Florida Department of State