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  5. EAGLE-EYE ANESTHESIA, INC.

EAGLE-EYE ANESTHESIA, INC.

Company Details

Entity Name: EAGLE-EYE ANESTHESIA, INC.
Jurisdiction: FLORIDA
Filing Type: Florida Profit Corporation
Status: Active
Date Filed: 06 Mar 1991 (34 years ago)
Last Event: REINSTATEMENT
Event Date Filed: 17 Oct 2022 (2 years ago)
Document Number: S36696
FEI/EIN Number 59-3058938
Address: 11233 ST. JOHNS INDUSTRIAL PARKWAY S, SUITE 1, JACKSONVILLE, FL 32246
Mail Address: 11233 ST. JOHNS INDUSTRIAL PARKWAY S, SUITE 1, JACKSONVILLE, FL 32246
ZIP code: 32246
County: Duval
Place of Formation: FLORIDA

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
EAGLE EYE ANESTHESIA, INC 401(K) 2014 593058938 2017-01-31 EAGLE EYE ANESTHESIA, INC. 1
Three-digit plan number (PN) 001
Effective date of plan 2009-01-01
Business code 423800
Sponsor’s telephone number 9047394721
Plan sponsor’s address 6005 POWERS AVENUE, SUITE 104, JACKSONVILLE, FL, 32217

Signature of
Role Plan administrator
Date 2017-01-31
Name of individual signing NANCY DECRAY
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2017-01-31
Name of individual signing NANCY DECRAY
Valid signature Filed with authorized/valid electronic signature
EAGLE EYE ANESTHESIA, INC 401(K) 2013 593058938 2014-06-09 EAGLE EYE ANESTHESIA, INC. 1
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-01-01
Business code 423800
Sponsor’s telephone number 9047394721
Plan sponsor’s address 6005 POWERS AVENUE, SUITE 104, JACKSONVILLE, FL, 32217

Signature of
Role Plan administrator
Date 2014-06-09
Name of individual signing NANCY DECRAY
Valid signature Filed with authorized/valid electronic signature
EAGLE EYE ANESTHESIA, INC 401(K) 2013 593058938 2017-04-21 EAGLE EYE ANESTHESIA, INC. 1
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-01-01
Business code 423800
Sponsor’s telephone number 9047394721
Plan sponsor’s address 6005 POWERS AVENUE, SUITE 104, JACKSONVILLE, FL, 32217

Signature of
Role Plan administrator
Date 2017-01-31
Name of individual signing NANCY DECRAY
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2017-01-31
Name of individual signing NANCY DECRAY
Valid signature Filed with authorized/valid electronic signature
EAGLE EYE ANESTHESIA, INC 401(K) 2012 593058938 2014-06-09 EAGLE EYE ANESTHESIA, INC. 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-01-01
Business code 423800
Sponsor’s telephone number 9047394721
Plan sponsor’s address 6005 POWERS AVENUE, SUITE 104, JACKSONVILLE, FL, 32217

Signature of
Role Plan administrator
Date 2014-06-09
Name of individual signing NANCY DECRAY
Valid signature Filed with authorized/valid electronic signature
EAGLE EYE ANESTHESIA, INC 401(K) 2011 593058938 2014-06-09 EAGLE EYE ANESTHESIA, INC. 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-01-01
Business code 423800
Sponsor’s telephone number 9047394721
Plan sponsor’s address 6005 POWERS AVENUE, SUITE 104, JACKSONVILLE, FL, 32217

Plan administrator’s name and address
Administrator’s EIN 593058938
Plan administrator’s name EAGLE EYE ANESTHESIA, INC.
Plan administrator’s address 6005 POWERS AVENUE, SUITE 104, JACKSONVILLE, FL, 32217
Administrator’s telephone number 9047394721

Signature of
Role Plan administrator
Date 2014-06-09
Name of individual signing NANCY DECRAY
Valid signature Filed with authorized/valid electronic signature
EAGLE EYE ANESTHESIA, INC 401(K) 2010 593058938 2011-09-01 EAGLE EYE ANESTHESIA, INC. 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-01-01
Business code 423800
Sponsor’s telephone number 9047394721
Plan sponsor’s address 6005 POWERS AVENUE, SUITE 104, JACKSONVILLE, FL, 32217

Plan administrator’s name and address
Administrator’s EIN 593058938
Plan administrator’s name EAGLE EYE ANESTHESIA, INC.
Plan administrator’s address 6005 POWERS AVENUE, SUITE 104, JACKSONVILLE, FL, 32217
Administrator’s telephone number 9047394721

Signature of
Role Plan administrator
Date 2011-09-01
Name of individual signing NANCY DECRAY
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
Decray, Nancy Agent 11233 St. Johns Industrial Parkway S, Suite 1, JACKSONVILLE, FL 32246

Secretary

Name Role Address
DECRAY, KENNETH J. Secretary 11233 ST. JOHNS INDUSTRIAL PARKWAY, ST.1, JACKSONVILLE, FL 32246

President

Name Role Address
DECRAY, KENNETH J. President 11233 ST. JOHNS INDUSTRIAL PARKWAY, ST.1, JACKSONVILLE, FL 32246

Vice President

Name Role Address
DECRAY, NANCY Vice President 11233 ST. JOHNS INDUSTRIAL PARKWAY STE 1, JACKSONVILLE, FL 32246

Treasurer

Name Role Address
DeCray, William Kenneth Treasurer 11233 ST. JOHNS INDUSTRIAL PARKWAY S, SUITE 1 JACKSONVILLE, FL 32246

Director

Name Role Address
DECRAY, KENNETH J. Director 11233 ST. JOHNS INDUSTRIAL PARKWAY, ST.1, JACKSONVILLE, FL 32246

Events

Event Type Filed Date Value Description
REINSTATEMENT 2022-10-17 No data No data
ADMIN DISSOLUTION FOR ANNUAL REPORT 2022-09-23 No data No data
CHANGE OF PRINCIPAL ADDRESS 2017-01-14 11233 ST. JOHNS INDUSTRIAL PARKWAY S, SUITE 1, JACKSONVILLE, FL 32246 No data
REGISTERED AGENT ADDRESS CHANGED 2017-01-14 11233 St. Johns Industrial Parkway S, Suite 1, JACKSONVILLE, FL 32246 No data
CHANGE OF MAILING ADDRESS 2017-01-14 11233 ST. JOHNS INDUSTRIAL PARKWAY S, SUITE 1, JACKSONVILLE, FL 32246 No data
REGISTERED AGENT NAME CHANGED 2017-01-14 Decray, Nancy No data
NAME CHANGE AMENDMENT 2004-07-29 EAGLE-EYE ANESTHESIA, INC. No data

Documents

Name Date
ANNUAL REPORT 2024-03-14
ANNUAL REPORT 2023-04-03
REINSTATEMENT 2022-10-17
ANNUAL REPORT 2021-04-09
ANNUAL REPORT 2020-01-19
ANNUAL REPORT 2019-07-05
ANNUAL REPORT 2018-03-08
ANNUAL REPORT 2017-01-14
ANNUAL REPORT 2016-03-10
ANNUAL REPORT 2015-02-23

Related by officers

DECRAY, KENNETH J.

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Related by address

No related companies by address

Date of last update: 03 Feb 2025

Sources: Florida Department of State

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