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  5. HARBORSIDE INTERNAL MEDICINE, P.A.

HARBORSIDE INTERNAL MEDICINE, P.A.

Company Details

Entity Name: HARBORSIDE INTERNAL MEDICINE, P.A.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Active
Date Filed: 02 Mar 1992 (33 years ago)
Document Number: V17851
FEI/EIN Number 593110731
Address: 522 EAST MARION AVE, 201, PUNTA GORDA, FL, 33950, US
Mail Address: 522 EAST MARION AVE, SUITE 201, PUNTA GORDA, FL, 33950, US
ZIP code: 33950
County: Charlotte
Place of Formation: FLORIDA

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
HARBORSIDE INTERNAL MEDICINE, P.A. 401(K) PROFIT SHARING PLAN 2011 593110731 2012-05-26 HARBORSIDE INTERNAL MEDICINE, P.A. 14
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1995-01-01
Business code 621111
Sponsor’s telephone number 9416371119
Plan sponsor’s address 522 EAST MARION AVENUE, PUNTA GORDA, FL, 33950

Plan administrator’s name and address
Administrator’s EIN 593110731
Plan administrator’s name HARBORSIDE INTERNAL MEDICINE, P.A.
Plan administrator’s address 522 EAST MARION AVENUE, PUNTA GORDA, FL, 33950
Administrator’s telephone number 9416371119

Signature of
Role Plan administrator
Date 2012-05-26
Name of individual signing TIMOTHY A. JANZ
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2012-05-26
Name of individual signing TIMOTHY A JANZ
Valid signature Filed with authorized/valid electronic signature
HARBORSIDE INTERNAL MEDICINE, P.A. 401(K) PROFIT SHARING PLAN 2011 593110731 2012-10-08 HARBORSIDE INTERNAL MEDICINE, P.A. 14
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1995-01-01
Business code 621111
Sponsor’s telephone number 9416371119
Plan sponsor’s address 522 EAST MARION AVENUE, PUNTA GORDA, FL, 33950

Plan administrator’s name and address
Administrator’s EIN 593110731
Plan administrator’s name HARBORSIDE INTERNAL MEDICINE, P.A.
Plan administrator’s address 522 EAST MARION AVENUE, PUNTA GORDA, FL, 33950
Administrator’s telephone number 9416371119

Signature of
Role Plan administrator
Date 2012-10-08
Name of individual signing TIMOTHY A. JANZ
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2012-10-08
Name of individual signing TIMOTHY A. JANZ
Valid signature Filed with authorized/valid electronic signature
HARBORSIDE INTERNAL MEDICINE, P.A. 401(K) PROFIT SHARING PLAN 2010 593110731 2011-03-18 HARBORSIDE INTERNAL MEDICINE, P.A. 18
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1995-01-01
Business code 621111
Sponsor’s telephone number 9416371119
Plan sponsor’s address 522 EAST MARION AVENUE, PUNTA GORDA, FL, 33950

Plan administrator’s name and address
Administrator’s EIN 593110731
Plan administrator’s name HARBORSIDE INTERNAL MEDICINE, P.A.
Plan administrator’s address 522 EAST MARION AVENUE, PUNTA GORDA, FL, 33950
Administrator’s telephone number 9416371119

Signature of
Role Plan administrator
Date 2011-03-18
Name of individual signing TIMOTHY A. JANZ
Valid signature Filed with authorized/valid electronic signature
HARBORSIDE INTERNAL MEDICINE, P.A. 401(K) PROFIT SHARING PLAN 2010 593110731 2011-03-18 HARBORSIDE INTERNAL MEDICINE, P.A. 18
Three-digit plan number (PN) 001
Effective date of plan 1995-01-01
Business code 621111
Sponsor’s telephone number 9416371119
Plan sponsor’s address 522 EAST MARION AVENUE, PUNTA GORDA, FL, 33950

Plan administrator’s name and address
Administrator’s EIN 593110731
Plan administrator’s name HARBORSIDE INTERNAL MEDICINE, P.A.
Plan administrator’s address 522 EAST MARION AVENUE, PUNTA GORDA, FL, 33950
Administrator’s telephone number 9416371119

Signature of
Role Plan administrator
Date 2011-03-18
Name of individual signing TIMOTHY A. JANZ
Valid signature Filed with authorized/valid electronic signature
HARBORSIDE INTERNAL MEDICINE, P.A. 401(K) PROFIT SHARING PLAN 2010 593110731 2011-03-18 HARBORSIDE INTERNAL MEDICINE, P.A. 18
Three-digit plan number (PN) 001
Effective date of plan 1995-01-01
Business code 621111
Sponsor’s telephone number 9416371119
Plan sponsor’s address 522 EAST MARION AVENUE, PUNTA GORDA, FL, 33950

Plan administrator’s name and address
Administrator’s EIN 593110731
Plan administrator’s name HARBORSIDE INTERNAL MEDICINE, P.A.
Plan administrator’s address 522 EAST MARION AVENUE, PUNTA GORDA, FL, 33950
Administrator’s telephone number 9416371119

Signature of
Role Plan administrator
Date 2011-03-18
Name of individual signing TIMOTHY A. JANZ
Valid signature Filed with authorized/valid electronic signature
HARBORSIDE INTERNAL MEDICINE, P.A. PROFIT SHARING PLAN 2009 593110731 2010-07-12 HARBORSIDE INTERNAL MEDICINE, P.A. 15
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1995-01-01
Business code 621111
Sponsor’s telephone number 9416371119
Plan sponsor’s address 522 EAST MARION AVENUE, PUNTA GORDA, FL, 33950

Plan administrator’s name and address
Administrator’s EIN 593110731
Plan administrator’s name HARBORSIDE INTERNAL MEDICINE, P.A.
Plan administrator’s address 522 EAST MARION AVENUE, PUNTA GORDA, FL, 33950
Administrator’s telephone number 9416371119

Signature of
Role Plan administrator
Date 2010-07-12
Name of individual signing TIMOTHY A. JANZ
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
HOLMES DAVID AEsq. Agent FARR LAW FIRM P.A., PUNTA GORDA, FL, 33950

Director

Name Role Address
JANZ TIMOTHY A Director 522 EAST MARION AVE, PUNTA GORDA, FL, 33950

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G95170000079 HARBORSIDE INTERNAL MEDICINE ACTIVE 1995-06-19 2026-12-31 No data 522 E MARION AVE, PUNTA GORDA, FL, 33950

Events

Event Type Filed Date Value Description
NAME CHANGE AMENDMENT 1994-02-16 HARBORSIDE INTERNAL MEDICINE, P.A. No data

Related by officers

JANZ TIMOTHY A

HOOSIER HOLDINGS, INC. HOOSIER HOLDINGS, L.L.C.

HOLMES DAVID AEsq.

CASANOVA & CASANOVA, M.D.'S, P.A. PEACE RIVER ANESTHESIOLOGY ASSOCIATES, P.A. LUENCA, LLC ACORN RANCH ROAD PROPERTY OWNERS' ASSOCIATION, INC. GRANDE AIRE SERVICES, INC. SOUTHWEST RESTORATION, INC. SEBASTIAN RIVER ANESTHESIOLOGY ASSOCIATES, P.A. BURNT STORE FAMILY MEDICINE, P.L. SCOTT FAMILY INVESTMENTS, LLC HOOSIER HOLDINGS, L.L.C.

Related by address

No related companies by address

Date of last update: 01 Jan 2025

Sources: Florida Department of State

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