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GEORGE G. FEUSSNER, M.D., P.A.

Company Details

Entity Name: GEORGE G. FEUSSNER, M.D., P.A.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Active
Date Filed: 13 Jul 1977 (48 years ago)
Document Number: 539195
FEI/EIN Number 591747242
Address: 7106 NW 11TH PLACE, STE A, GAINESVILLE, FL, 32605, US
Mail Address: 133 Lake Serena Drive, Melrose, FL, 32666, US
ZIP code: 32605
County: Alachua
Place of Formation: FLORIDA

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
GEORGE G. FEUSSNER, M.D., P.A. PROFIT SHARING PLAN 2013 591747242 2014-07-30 GEORGE G. FEUSSNER, M.D., P.A. 9
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1977-07-01
Business code 621111
Sponsor’s telephone number 3523316430
Plan sponsor’s address 7106 NW 11TH PLACE SUITE A, SUITE A, GAINESVILLE, FL, 32605

Signature of

Role Plan administrator
Date 2014-07-30
Name of individual signing JAMES RALEY
Valid signature Filed with authorized/valid electronic signature
GEORGE G. FEUSSNER, M.D., P.A. PROFIT SHARING PLAN 2012 591747242 2013-06-21 GEORGE G. FEUSSNER, M.D., P.A. 10
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1977-07-01
Business code 621111
Sponsor’s telephone number 3523316430
Plan sponsor’s address 7106 NW 11TH PLACE SUITE A, SUITE A, GAINESVILLE, FL, 32605

Signature of

Role Plan administrator
Date 2013-06-21
Name of individual signing JAMES RALEY
Valid signature Filed with authorized/valid electronic signature
GEORGE G. FEUSSNER, M.D., P.A. PROFIT SHARING PLAN 2011 591747242 2012-10-11 GEORGE G. FEUSSNER, M.D., P.A. 10
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1977-07-01
Business code 621111
Sponsor’s telephone number 3523316430
Plan sponsor’s address 7106 NW 11TH PLACE SUITE A, SUITE A, GAINESVILLE, FL, 32605

Plan administrator’s name and address

Administrator’s EIN 591747242
Plan administrator’s name GEORGE G. FEUSSNER, M.D., P.A.
Plan administrator’s address 7106 NW 11TH PLACE SUITE A, SUITE A, GAINESVILLE, FL, 32605
Administrator’s telephone number 3523316430

Signature of

Role Plan administrator
Date 2012-10-11
Name of individual signing JAMES RALEY
Valid signature Filed with authorized/valid electronic signature
GEORGE G. FEUSSNER, M.D., P.A. PROFIT SHARING PLAN 2010 591747242 2011-10-10 GEORGE G. FEUSSNER, M.D., P.A. 8
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1977-07-01
Business code 621111
Sponsor’s telephone number 3523316430
Plan sponsor’s address 7106 NW 11TH PLACE SUITE A, SUITE A, GAINESVILLE, FL, 32605

Plan administrator’s name and address

Administrator’s EIN 591747242
Plan administrator’s name GEORGE G. FEUSSNER, M.D., P.A.
Plan administrator’s address 7106 NW 11TH PLACE SUITE A, SUITE A, GAINESVILLE, FL, 32605
Administrator’s telephone number 3523316430

Signature of

Role Plan administrator
Date 2011-10-10
Name of individual signing JAMES RALEY
Valid signature Filed with authorized/valid electronic signature
GEORGE G. FEUSSNER, M.D., P.A. PROFIT SHARING PLAN 2009 591747242 2010-10-12 GEORGE G. FEUSSNER, M.D., P.A. 9
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1977-07-01
Business code 621111
Sponsor’s telephone number 3523316430
Plan sponsor’s address 7106 NW 11TH PLACE SUITE A, SUITE A, GAINESVILLE, FL, 32605

Plan administrator’s name and address

Administrator’s EIN 591747242
Plan administrator’s name GEORGE G. FEUSSNER, M.D., P.A.
Plan administrator’s address 7106 NW 11TH PLACE SUITE A, SUITE A, GAINESVILLE, FL, 32605
Administrator’s telephone number 3523316430

Signature of

Role Plan administrator
Date 2010-10-12
Name of individual signing GEORGE FEUSSNER
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
FEUSSNER JUSTIN D Agent 133 Lake Serena Drive, Melrose, FL, 32666

Treasurer

Name Role Address
FEUSSNER JUSTIN D Treasurer 133 Lake Serena Drive, Melrose, FL, 32666

Authorized Member

Name Role Address
Feussner Justin D Authorized Member 7106 NW 11TH PLACE, GAINESVILLE, FL, 32605

President

Name Role Address
FEUSSNER JUSTIN D President 133 Lake Serena Drive, Melrose, FL, 32666

Secretary

Name Role Address
FEUSSNER JUSTIN D Secretary 133 Lake Serena Drive, Melrose, FL, 32666

Events

Event Type Filed Date Value Description
REINSTATEMENT 2024-06-25 No data No data
ADMIN DISSOLUTION FOR ANNUAL REPORT 2021-09-24 No data No data
REINSTATEMENT 2011-02-03 No data No data
ADMIN DISSOLUTION FOR ANNUAL REPORT 2010-09-24 No data No data
CANCEL ADM DISS/REV 2004-03-03 No data No data
ADMIN DISSOLUTION FOR ANNUAL REPORT 2001-09-21 No data No data

Date of last update: 02 Feb 2025

Sources: Florida Department of State