| Name: | Brightline Medical Associates, P.A. |
| Jurisdiction: | Idaho |
| Legal type: | Foreign Business Corporation |
| Status: | Active-Good Standing |
| Date of registration: | 28 Jul 2021 (3 years ago) |
| Financial Date End: | 31 Jul 2025 |
| Branch of: | Brightline Medical Associates, P.A., FLORIDA (Company Number P20000096170) |
| Entity Number: | 4360165 |
| Place of Formation: | FLORIDA |
| File Number: | 774782 |
| Principal Address: | 400 CONCAR DR SAN MATEO, CA 94402-2681 |
| Name | Role | Address |
|---|---|---|
| CORPORATION SERVICE COMPANY | Agent | 1305 12TH AVE RD, NAMPA, ID 83686 |
| Name | Role | Address | Appointed On | Resigned On |
|---|---|---|---|---|
| David Grodberg | President | 400 CONCAR DR, SAN MATEO, CA 94402 | 2022-07-07 | 2023-07-17 |
| David M Grodberg MD | President | 400 CONCAR DR, SAN MATEO, CA 94402 | 2023-07-17 | No data |
| David M. Grodberg MD | President | 400 CONCAR DRIVE, SAN MATEO, CA 94402 | 2024-07-31 | No data |
| Name | Role | Address | Appointed On |
|---|---|---|---|
| DAVID M GRODBERG MD | Secretary | 400 CONCAR DR, SAN MATEO, CA 94402-2681 | 2023-07-17 |
| David M. Grodberg MD | Secretary | 400 CONCAR DRIVE, SAN MATEO, CA 94402 | 2024-07-31 |
| Name | Role | Address | Appointed On | Resigned On |
|---|---|---|---|---|
| David Grodberg M.D. | Governor | 400 CONCAR DR, SAN MATEO, CA 94402-2681 | 2022-08-03 | No data |
| Peter Antall MD | Governor | 175 FOREST AVENUE, PALO ALTO, CA 94301 | 2021-10-08 | 2022-08-03 |
| Name | Role | Address | Appointed On |
|---|---|---|---|
| David M. Grodberg MD | Director | 400 CONCAR DRIVE, SAN MATEO, CA 94402 | 2024-07-31 |
| Name | Role | Address | Appointed On |
|---|---|---|---|
| KEVIN MILLER | Treasurer | 400 CONCAR DR, SAN MATEO, CA 94402-2681 | 2023-07-17 |
| David M. Grodberg MD | Treasurer | 400 CONCAR DRIVE, SAN MATEO, CA 94402 | 2024-07-31 |
| Filing Name | Filing Number | Filing date |
|---|---|---|
| Annual Report | 0005833950 | 2024-07-31 |
| Annual Report | 0005323968 | 2023-07-17 |
| Amendment of Foreign Registration Statement | 0004842141 | 2022-08-03 |
| Annual Report | 0004808014 | 2022-07-07 |
| Registered Agent Name/Address Change (mass change) | 0004647087 | 2022-03-08 |
| Statement of Change of Business Mailing Address | 0004638459 | 2022-03-08 |
| Registered Agent Name/Address Change (mass change) | 0004472543 | 2021-10-29 |
| Amendment of Foreign Registration Statement | 0004442330 | 2021-10-08 |
| Initial Filing | 0004360165 | 2021-07-28 |
Date of last update: 05 Jan 2025
Sources: Idaho Secretary of State
