| Entity Name: | DERMATOLOGY ASSOCIATES, P.A., OF THE PALM BEACHES |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Profit Corporation |
| Status: | Inactive |
| Date Filed: | 26 Sep 1969 (55 years ago) |
| Date of dissolution: | 17 Dec 2013 (11 years ago) |
| Last Event: | CONVERSION |
| Event Date Filed: | 17 Dec 2013 (11 years ago) |
| Document Number: | 601446 |
| FEI/EIN Number | 59-1271292 |
| Address: | 120 BUTLER STREET, A, WEST PALM BEACH, FL 33407 |
| Mail Address: | 120 BUTLER STREET, A, WEST PALM BEACH, FL 33407 |
| ZIP code: | 33407 |
| County: | Palm Beach |
| Place of Formation: | FLORIDA |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| DERMATOLOGY ASSOCIATES, P.A. OF THE PALM BEACHES PROFIT SHARING PLAN | 2010 | 591271292 | 2011-09-26 | DERMATOLOGY ASSOCIATES, P.A. OF THE PALM BEACHES | 118 | |||||||||||||||||||||||||||||||
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| Administrator’s EIN | 591271292 |
| Plan administrator’s name | DERMATOLOGY ASSOCIATES, P.A. OF THE PALM BEACHES |
| Plan administrator’s address | 120 A BUTLER STREET, WEST PALM BEACH, FL, 334076107 |
| Administrator’s telephone number | 5616591510 |
Signature of
| Role | Plan administrator |
| Date | 2011-09-26 |
| Name of individual signing | HOWARD GREEN |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 1996-01-01 |
| Business code | 621399 |
| Sponsor’s telephone number | 5616591510 |
| Plan sponsor’s address | 120 A BUTLER STREET, WEST PALM BEACH, FL, 334076107 |
Plan administrator’s name and address
| Administrator’s EIN | 591271292 |
| Plan administrator’s name | DERMATOLOGY ASSOCIATES, P.A. OF THE PALM BEACHES |
| Plan administrator’s address | 120 A BUTLER STREET, WEST PALM BEACH, FL, 334076107 |
| Administrator’s telephone number | 5616591510 |
Signature of
| Role | Plan administrator |
| Date | 2010-09-07 |
| Name of individual signing | HOWARD GREEN |
| Valid signature | Filed with authorized/valid electronic signature |
| Name | Role | Address |
|---|---|---|
| GREEN, HOWARD A | Agent | 120 BUTLER STREET, A, WEST PALM BEACH, FL 33407 |
| Name | Role | Address |
|---|---|---|
| GREEN, HOWARD A | President | 120 BUTLER STREET, SUITE A, WEST PALM BEACH, FL 33407 |
| Name | Role | Address |
|---|---|---|
| GREEN, HOWARD A | Secretary | 120 BUTLER STREET, SUITE A, WEST PALM BEACH, FL 33407 |
| Name | Role | Address |
|---|---|---|
| GREEN, HOWARD A | Director | 120 BUTLER STREET, SUITE A, WEST PALM BEACH, FL 33407 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CONVERSION | 2013-12-17 | No data | CONVERSION MEMBER. RESULTING CORPORATION WAS L13000175428. CONVERSION NUMBER 300000136743 |
| REGISTERED AGENT ADDRESS CHANGED | 2009-04-16 | 120 BUTLER STREET, A, WEST PALM BEACH, FL 33407 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2009-04-16 | 120 BUTLER STREET, A, WEST PALM BEACH, FL 33407 | No data |
| CHANGE OF MAILING ADDRESS | 2009-04-16 | 120 BUTLER STREET, A, WEST PALM BEACH, FL 33407 | No data |
| REGISTERED AGENT NAME CHANGED | 2009-04-16 | GREEN, HOWARD A | No data |
| CANCEL ADM DISS/REV | 2005-10-13 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2005-09-16 | No data | No data |
| NAME CHANGE AMENDMENT | 1997-04-30 | DERMATOLOGY ASSOCIATES, P.A., OF THE PALM BEACHES | No data |
| NAME CHANGE AMENDMENT | 1996-08-14 | GOODMAN AND GREEN, M.D., P.A. | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2013-04-08 |
| ANNUAL REPORT | 2012-03-14 |
| ANNUAL REPORT | 2011-02-17 |
| ANNUAL REPORT | 2010-02-25 |
| ANNUAL REPORT | 2009-04-16 |
| ANNUAL REPORT | 2008-01-14 |
| ANNUAL REPORT | 2007-04-30 |
| ANNUAL REPORT | 2006-01-23 |
| REINSTATEMENT | 2005-10-13 |
| ANNUAL REPORT | 2004-07-14 |
Date of last update: 06 Feb 2025
Sources: Florida Department of State
