| Entity Name: | PANHANDLE ANESTHESIOLOGY ASSOCIATES, P.A. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Profit Corporation |
| Status: | Active |
| Date Filed: | 07 Jan 1992 (33 years ago) |
| Last Event: | AMENDMENT |
| Event Date Filed: | 15 Oct 2012 (12 years ago) |
| Document Number: | V05162 |
| FEI/EIN Number | 59-3099224 |
| Address: | 4400 Bayou Blvd, Suite 16-C, Pensacola, FL 32503 |
| Mail Address: | 4400 Bayou Blvd, Suite 16-C, Pensacola, FL 32503 |
| ZIP code: | 32503 |
| County: | Escambia |
| Place of Formation: | FLORIDA |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| PANHANDLE ANESTHESIOLOGY ASSOCIATES 401(K) PROFIT SHARING PLAN | 2010 | 593099224 | 2011-10-10 | PANHANDLE ANESTHESIOLOGY ASSOCIATES, P.A. | 120 | |||||||||||||||||||||||||||||||||||||||||||||
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| Administrator’s EIN | 593099224 |
| Plan administrator’s name | PANHANDLE ANESTHESIOLOGY ASSOCIATES, P.A. |
| Plan administrator’s address | 4901 GRANDE DRIVE, PENSACOLA, FL, 32504 |
| Administrator’s telephone number | 8504777042 |
Signature of
| Role | Plan administrator |
| Date | 2011-10-10 |
| Name of individual signing | MANNY SIVERIO |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 1994-01-01 |
| Business code | 621111 |
| Sponsor’s telephone number | 8504777042 |
| Plan sponsor’s mailing address | 4901 GRANDE DRIVE, PENSACOLA, FL, 32504 |
| Plan sponsor’s address | 4901 GRANDE DRIVE, PENSACOLA, FL, 32504 |
Plan administrator’s name and address
| Administrator’s EIN | 593099224 |
| Plan administrator’s name | PANHANDLE ANESTHESIOLOGY ASSOCIATES, P.A. |
| Plan administrator’s address | 4901 GRANDE DRIVE, PENSACOLA, FL, 32504 |
| Administrator’s telephone number | 8504777042 |
Number of participants as of the end of the plan year
| Active participants | 74 |
| Retired or separated participants receiving benefits | 0 |
| Other retired or separated participants entitled to future benefits | 7 |
| Deceased participants whose beneficiaries are receiving or are entitled to receive benefits | 0 |
| Number of participants with account balances as of the end of the plan year | 76 |
| Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested | 1 |
Signature of
| Role | Plan administrator |
| Date | 2010-06-25 |
| Name of individual signing | MANNY SIVERIO |
| Valid signature | Filed with authorized/valid electronic signature |
| Name | Role | Address |
|---|---|---|
| HERREN, MATTHEW, Dr. | Agent | 4400 Bayou Blvd, Suite 16-C, Pensacola, FL 32503 |
| Name | Role | Address |
|---|---|---|
| HERREN, MATTHEW, Dr. | President | 4400 Bayou Blvd, Suite 16-C Pensacola, FL 32503 |
| Name | Role | Address |
|---|---|---|
| HERREN, MATTHEW, Dr. | Director | 4400 Bayou Blvd, Suite 16-C Pensacola, FL 32503 |
| KRYS, ALAN D, Dr. | Director | 4400 Bayou Blvd, Suite 16-C Pensacola, FL 32503 |
| ROSS, JR., MORRIS J , Dr. | Director | 4400 Bayou Blvd, Suite 16-C Pensacola, FL 32503 |
| MANCAO, MIGUEL Y. M, Dr. | Director | 4400 Bayou Blvd, Suite 16-C Pensacola, FL 32503 |
| Alleyne, Quaison N, Dr. | Director | 4400 Bayou Blvd, Suite 16-C Pensacola, FL 32503 |
| Booth, Ashley A, Dr. | Director | 4400 Bayou Blvd, Suite 16-C Pensacola, FL 32503 |
| Croley, Chris W, Dr. | Director | 4400 Bayou Blvd, Suite 16-C Pensacola, FL 32503 |
| Fahringer, David L, Dr. | Director | 4400 Bayou Blvd, Suite 16-C Pensacola, FL 32503 |
| Fish, Thomas T, Dr. | Director | 4400 Bayou Blvd, Suite 16-C Pensacola, FL 32503 |
| Galinis, Andrius j, Dr. | Director | 4400 Bayou Blvd, Suite 16-C Pensacola, FL 32503 |
| Name | Role | Address |
|---|---|---|
| KRYS, ALAN D, Dr. | Vice President | 4400 Bayou Blvd, Suite 16-C Pensacola, FL 32503 |
| Name | Role | Address |
|---|---|---|
| ROSS, JR., MORRIS J , Dr. | Secretary | 4400 Bayou Blvd, Suite 16-C Pensacola, FL 32503 |
| Name | Role | Address |
|---|---|---|
| ROSS, JR., MORRIS J , Dr. | Treasurer | 4400 Bayou Blvd, Suite 16-C Pensacola, FL 32503 |
| Name | Role | Address |
|---|---|---|
| Matyi, Mary K | Officer | 4400 Bayou Blvd, Suite 16-C Pensacola, FL 32503 |
| HOOVER, NANCY G, Dr. | Officer | 4400 Bayou Blvd, Suite 16-C Pensacola, FL 32503 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2018-03-13 | 4400 Bayou Blvd, Suite 16-C, Pensacola, FL 32503 | No data |
| CHANGE OF MAILING ADDRESS | 2018-03-13 | 4400 Bayou Blvd, Suite 16-C, Pensacola, FL 32503 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2018-03-13 | 4400 Bayou Blvd, Suite 16-C, Pensacola, FL 32503 | No data |
| REGISTERED AGENT NAME CHANGED | 2013-06-11 | HERREN, MATTHEW, Dr. | No data |
| AMENDMENT | 2012-10-15 | No data | No data |
| Name | Date |
|---|---|
| AMENDED ANNUAL REPORT | 2024-04-22 |
| ANNUAL REPORT | 2024-02-28 |
| ANNUAL REPORT | 2023-01-17 |
| ANNUAL REPORT | 2022-03-23 |
| ANNUAL REPORT | 2021-01-12 |
| AMENDED ANNUAL REPORT | 2020-04-09 |
| ANNUAL REPORT | 2020-01-31 |
| AMENDED ANNUAL REPORT | 2019-11-21 |
| ANNUAL REPORT | 2019-02-19 |
| ANNUAL REPORT | 2018-03-13 |
Date of last update: 03 Feb 2025
Sources: Florida Department of State
