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  5. ST. JOHNS RADIOLOGY ASSOCIATES, P.A.

ST. JOHNS RADIOLOGY ASSOCIATES, P.A.

Company Details

Entity Name: ST. JOHNS RADIOLOGY ASSOCIATES, P.A.
Jurisdiction: FLORIDA
Filing Type: Florida Profit Corporation
Status: Inactive
Date Filed: 30 Dec 1991 (33 years ago)
Date of dissolution: 05 Jun 2024 (8 months ago)
Last Event: VOLUNTARY DISSOLUTION
Event Date Filed: 05 Jun 2024 (8 months ago)
Document Number: V02932
FEI/EIN Number 59-3100838
Address: 400 HEALTH PARK BLVD, ST. AUGUSTINE, FL 32086
Mail Address: 101 Marketside Ave, STE 404 PMB 360, PONTE VEDRA, FL 32081
ZIP code: 32086
County: St. Johns
Place of Formation: FLORIDA

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
ST. JOHNS RADIOLOGY ASSOCIATES, P.A. RETIREMENT PLAN AND TRUST 2016 593100868 2017-12-15 ST. JOHNS RADIOLOGY ASSOCIATES, P.A. 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1992-01-01
Business code 621111
Sponsor’s telephone number 9048194398
Plan sponsor’s address PO BOX 860088, ST. AUGUSTINE, FL, 320860088
ST. JOHNS RADIOLOGY ASSOCIATES, P.A. RETIREMENT PLAN AND TRUST 2015 593100868 2016-10-14 ST. JOHNS RADIOLOGY ASSOCIATES, P.A. 9
Three-digit plan number (PN) 001
Effective date of plan 1992-01-01
Business code 621111
Sponsor’s telephone number 9048194398
Plan sponsor’s address PO BOX 860088, ST. AUGUSTINE, FL, 320860088
ST. JOHNS RADIOLOGY ASSOCIATES, P.A. RETIREMENT PLAN AND TRUST 2015 593100868 2017-12-15 ST. JOHNS RADIOLOGY ASSOCIATES, P.A. 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1992-01-01
Business code 621111
Sponsor’s telephone number 9048194398
Plan sponsor’s address PO BOX 860088, ST. AUGUSTINE, FL, 320860088
ST. JOHNS RADIOLOGY ASSOCIATES, P.A. RETIREMENT PLAN AND TRUST 2014 593100868 2015-03-09 ST. JOHNS RADIOLOGY ASSOCIATES, P.A. 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1992-01-01
Business code 621111
Sponsor’s telephone number 9048194398
Plan sponsor’s address PO BOX 860088, ST. AUGUSTINE, FL, 320860088

Signature of
Role Plan administrator
Date 2015-03-09
Name of individual signing RAFAEL APONTE-LOPEZ, M.D.
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2015-03-09
Name of individual signing RAFAEL APONTE-LOPEZ, M.D.
Valid signature Filed with authorized/valid electronic signature
ST. JOHNS RADIOLOGY ASSOCIATES, P.A. RETIREMENT PLAN AND TRUST 2013 593100868 2014-10-14 ST. JOHNS RADIOLOGY ASSOCIATES, P.A. 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1992-01-01
Business code 621111
Sponsor’s telephone number 9048194398
Plan sponsor’s address PO BOX 860088, ST. AUGUSTINE, FL, 320860088

Signature of
Role Plan administrator
Date 2014-10-14
Name of individual signing RAFAEL APONTE-LOPEZ, M.D.
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2014-10-14
Name of individual signing RAFAEL APONTE-LOPEZ, M.D.
Valid signature Filed with authorized/valid electronic signature
ST. JOHNS RADIOLOGY ASSOCIATES, P.A. RETIREMENT PLAN AND TRUST 2012 593100868 2013-07-08 ST. JOHNS RADIOLOGY ASSOCIATES, P.A. 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1992-01-01
Business code 621111
Sponsor’s telephone number 9048194398
Plan sponsor’s address PO BOX 860088, ST. AUGUSTINE, FL, 320860088

Signature of
Role Plan administrator
Date 2013-07-08
Name of individual signing RAFAEL APONTE-LOPEZ
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2013-07-08
Name of individual signing RAFAEL APONTE-LOPEZ
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
Kidwai, Arif S Agent 400 HEALTH PARK BLVD, ST. AUGUSTINE, FL 32086

Vice President

Name Role Address
DAVANI, MANDANA MD Vice President 400 HEALTH PARK BLVD, SAINT AUGUSTINE, FL 32086
APONTE-LOPEZ, RAFAEL MD Vice President 400 HEALTH PARK BLVD., SAINT AUGUSTINE, FL 32086
Edelstein, Travis, DO Vice President 400 HEALTH PARK BLVD, ST. AUGUSTINE, FL 32086
Loper, Todd, MD Vice President 400 HEALTH PARK BLVD, ST. AUGUSTINE, FL 32086

President

Name Role Address
KIDWAI, ARIF MD President 400 HEALTH PARK BLVD., SAINT AUGUSTINE, FL 32086

Events

Event Type Filed Date Value Description
VOLUNTARY DISSOLUTION 2024-06-05 No data WITH NOTICE
CHANGE OF MAILING ADDRESS 2023-07-18 400 HEALTH PARK BLVD, ST. AUGUSTINE, FL 32086 No data
REGISTERED AGENT ADDRESS CHANGED 2021-02-01 400 HEALTH PARK BLVD, ST. AUGUSTINE, FL 32086 No data
REGISTERED AGENT NAME CHANGED 2021-02-01 Kidwai, Arif S No data
CHANGE OF PRINCIPAL ADDRESS 2008-08-28 400 HEALTH PARK BLVD, ST. AUGUSTINE, FL 32086 No data
REINSTATEMENT 1996-09-26 No data No data
ADMIN DISSOLUTION FOR ANNUAL REPORT 1996-08-23 No data No data
REINSTATEMENT 1995-10-10 No data No data
ADMIN DISSOLUTION FOR ANNUAL REPORT 1995-08-25 No data No data

Documents

Name Date
Voluntary Dissolution 2024-06-05
ANNUAL REPORT 2024-01-04
ANNUAL REPORT 2023-01-03
ANNUAL REPORT 2022-01-04
ANNUAL REPORT 2021-02-01
ANNUAL REPORT 2020-01-09
ANNUAL REPORT 2019-01-05
ANNUAL REPORT 2018-01-18
ANNUAL REPORT 2017-01-10
ANNUAL REPORT 2016-01-25

Related by officers

No related officers

Related by address

400 HEALTH PARK BLVD, ST. AUGUSTINE, FL 32086

ST. JOHN'S COUNTY MEDICAL SOCIETY AUXILIARY FOUNDATION, INC. FLAGLER HEALTH CARE FOUNDATION, INC. FLAGLER HEALTH CARE SYSTEM, INC.

Date of last update: 03 Feb 2025

Sources: Florida Department of State

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