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  5. LARRY R. WILLIAMS, M.D., P.A.

LARRY R. WILLIAMS, M.D., P.A.

Company Details

Entity Name: LARRY R. WILLIAMS, M.D., P.A.
Jurisdiction: FLORIDA
Filing Type: Florida Profit Corporation
Status: Inactive
Date Filed: 30 Jan 1969 (56 years ago)
Date of dissolution: 04 May 2016 (9 years ago)
Last Event: VOLUNTARY DISSOLUTION
Event Date Filed: 04 May 2016 (9 years ago)
Document Number: 600816
FEI/EIN Number 59-1231347
Address: 995 16TH STREET NORTH, SAINT PETERSBURG, FL 33705
Mail Address: 995 16TH STREET NORTH, SAINT PETERSBURG, FL 33705
ZIP code: 33705
County: Pinellas
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1134256217 2007-02-27 2015-12-28 995 16TH STREET N, ST PETERSBURG, FL, 337051210, US 1201 7TH AVE N, ST PETERSBURG, FL, 337051210, US

Contacts
Phone +1 727-894-4738
Fax 7278236710

Authorized person
Name DR. LARRY ROSS WILLIAMS
Role PRESIDENT
Phone 7278944738

Taxonomy
Taxonomy Code 174400000X - Specialist
Is Primary Yes

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
LARRY R. WILLIAMS, M.D., P.A. PROFIT SHARING PLAN 2016 591231347 2017-04-12 LARRY R. WILLIAMS M.D., P.A. 7
File View Page
Three-digit plan number (PN) 005
Effective date of plan 1987-02-01
Business code 621111
Sponsor’s telephone number 7278944738
Plan sponsor’s address 995 16TH STREET NORTH, ST. PETERSBURG, FL, 33705

Signature of
Role Plan administrator
Date 2017-04-12
Name of individual signing LARRY R. WILLIAMS, MD
Valid signature Filed with authorized/valid electronic signature
LARRY R. WILLIAMS, M.D., P.A. 401(K) PROFIT SHARING PLAN 2015 591231347 2016-03-30 LARRY R. WILLIAMS, M.D., P.A. 7
File View Page
Three-digit plan number (PN) 005
Effective date of plan 1987-02-01
Business code 621111
Sponsor’s telephone number 7278944738
Plan sponsor’s address 995 16TH STREET NORTH, ST. PETERSBURG, FL, 33705
LARRY R. WILLIAMS, M.D., P.A. 401(K) PROFIT SHARING PLAN 2014 591231347 2015-05-01 LARRY R. WILLIAMS, M.D., P.A. 6
File View Page
Three-digit plan number (PN) 005
Effective date of plan 1987-02-01
Business code 621111
Sponsor’s telephone number 7278944738
Plan sponsor’s address 995 16TH STREET NORTH, ST. PETERSBURG, FL, 33705
LARRY R. WILLIAMS, M.D., P.A. 401(K) PROFIT SHARING PLAN 2014 591231347 2015-05-01 LARRY R. WILLIAMS, M.D., P.A. 6
Three-digit plan number (PN) 005
Effective date of plan 1987-02-01
Business code 621111
Sponsor’s telephone number 7278944738
Plan sponsor’s address 995 16TH STREET NORTH, ST. PETERSBURG, FL, 33705
LARRY R. WILLIAMS, M.D., P.A. 401(K) PROFIT SHARING PLAN 2013 591231347 2014-06-09 LARRY R. WILLIAMS, M.D., P.A. 5
File View Page
Three-digit plan number (PN) 005
Effective date of plan 1987-02-01
Business code 621111
Sponsor’s telephone number 7278944738
Plan sponsor’s address 995 16TH STREET NORTH, ST. PETERSBURG, FL, 33705
LARRY R. WILLIAMS, M.D., P.A. 401(K) PROFIT SHARING PLAN 2012 591231347 2013-09-27 LARRY R. WILLIAMS, M.D., P.A. 9
File View Page
Three-digit plan number (PN) 005
Effective date of plan 1987-02-01
Business code 621111
Sponsor’s telephone number 7278944738
Plan sponsor’s address 995 16TH STREET NORTH, ST. PETERSBURG, FL, 33705

Signature of
Role Plan administrator
Date 2013-09-27
Name of individual signing LARRY R. WILLIAMS, M.D.
Valid signature Filed with authorized/valid electronic signature
LARRY R. WILLIAMS, M.D., P.A. 401(K) PROFIT SHARING PLAN 2011 591231347 2012-05-22 LARRY R. WILLIAMS, M.D., P.A. 9
File View Page
Three-digit plan number (PN) 005
Effective date of plan 1987-02-01
Business code 621111
Sponsor’s telephone number 7278944738
Plan sponsor’s address 1201 7TH AVENUE NORTH, ST. PETERSBURG, FL, 33705

Plan administrator’s name and address
Administrator’s EIN 591231347
Plan administrator’s name LARRY R. WILLIAMS, M.D., P.A.
Plan administrator’s address 1201 7TH AVENUE NORTH, ST. PETERSBURG, FL, 33705
Administrator’s telephone number 7278944738

Signature of
Role Plan administrator
Date 2012-05-22
Name of individual signing LARRY R WILLIAMS, M.D.
Valid signature Filed with authorized/valid electronic signature
LARRY R. WILLIAMS, M.D., P.A. PROFIT SHARING PLAN 2010 591231347 2011-10-01 LARRY R. WILLIAMS, M.D., P.A. 9
File View Page
Three-digit plan number (PN) 005
Effective date of plan 1987-02-01
Business code 621111
Sponsor’s telephone number 7278944738
Plan sponsor’s address 1201 7TH AVE N, ST. PETERSBURG, FL, 33705

Plan administrator’s name and address
Administrator’s EIN 591231347
Plan administrator’s name LARRY R. WILLIAMS, M.D., P.A.
Plan administrator’s address 1201 7TH AVE N, ST. PETERSBURG, FL, 33705
Administrator’s telephone number 7278944738

Signature of
Role Plan administrator
Date 2011-10-01
Name of individual signing LARRY R WILLIAMS, M.D.
Valid signature Filed with authorized/valid electronic signature
LARRY R. WILLIAMS, M.D., P.A. PROFIT SHARING PLAN 2009 591231347 2010-09-29 LARRY R. WILLIAMS, M.D., P.A. 13
File View Page
Three-digit plan number (PN) 005
Effective date of plan 1987-02-01
Business code 621111
Sponsor’s telephone number 7278944738
Plan sponsor’s address 1201 7TH AVE N, ST. PETERSBURG, FL, 33705

Plan administrator’s name and address
Administrator’s EIN 591231347
Plan administrator’s name LARRY R. WILLIAMS, M.D., P.A.
Plan administrator’s address 1201 7TH AVE N, ST. PETERSBURG, FL, 33705
Administrator’s telephone number 7278944738

Signature of
Role Plan administrator
Date 2010-09-29
Name of individual signing LARRY R WILLIAMS, M.D.
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
WILLIAMS, LARRY R. Agent 995 16TH STREET NORTH, ST PETERSBURG, FL 33705

Manager

Name Role Address
WILLIAMS, LARRY RMD Manager 995 16TH STREET NORTH, SAINT PETERSBURG, FL 33705

Director

Name Role Address
WILLIAMS, LARRY RMD Director 995 16TH STREET NORTH, SAINT PETERSBURG, FL 33705

Events

Event Type Filed Date Value Description
VOLUNTARY DISSOLUTION 2016-05-04 No data No data
CHANGE OF PRINCIPAL ADDRESS 2012-04-17 995 16TH STREET NORTH, SAINT PETERSBURG, FL 33705 No data
REGISTERED AGENT ADDRESS CHANGED 2012-04-17 995 16TH STREET NORTH, ST PETERSBURG, FL 33705 No data
CHANGE OF MAILING ADDRESS 2012-04-17 995 16TH STREET NORTH, SAINT PETERSBURG, FL 33705 No data
REGISTERED AGENT NAME CHANGED 2008-08-28 WILLIAMS, LARRY R. No data
NAME CHANGE AMENDMENT 2008-03-17 LARRY R. WILLIAMS, M.D., P.A. No data
NAME CHANGE AMENDMENT 1993-02-01 LEE & WILLIAMS, P.A No data
NAME CHANGE AMENDMENT 1992-09-03 LEE, WILLIAMS & COLLINS, P.A. No data
NAME CHANGE AMENDMENT 1990-02-22 LEE & WILLIAMS, P.A. No data
NAME CHANGE AMENDMENT 1976-02-16 MACRIS, OREBAUGH & LEE, P.A. No data

Documents

Name Date
VOLUNTARY DISSOLUTION 2016-05-04
ANNUAL REPORT 2015-02-02
ANNUAL REPORT 2014-02-14
ANNUAL REPORT 2013-02-18
ANNUAL REPORT 2012-04-17
ANNUAL REPORT 2011-04-21
ANNUAL REPORT 2010-01-07
ANNUAL REPORT 2009-06-24
ANNUAL REPORT 2008-08-28
Name Change 2008-03-17

Related by officers

No related officers

Related by address

No related companies by address

Date of last update: 06 Feb 2025

Sources: Florida Department of State

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