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ORTHOPAEDIC SPECIALTIES OF TAMPA BAY, P.A.

Company Details

Entity Name: ORTHOPAEDIC SPECIALTIES OF TAMPA BAY, P.A.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Active
Date Filed: 01 Dec 1970 (54 years ago)
Document Number: 602564
FEI/EIN Number 591306865
Address: 1011 JEFFORDS STREET, SUITE C, CLEARWATER, FL, 33756-4093, US
Mail Address: 1011 JEFFORDS STREET, SUITE C, CLEARWATER, FL, 33756-4093, US
Place of Formation: FLORIDA

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
ORTHOPAEDIC SPECIALTIES OF TAMPA BAY, P.A. 401(K) PROFIT SHARING PLAN AND TRUST 2013 591306865 2014-07-02 ORTHOPAEDIC SPECIALTIES OF TAMPA BAY, P.A. 54
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1970-12-01
Business code 621111
Sponsor’s telephone number 7274465993
Plan sponsor’s address 1011 JEFFORDS STREET, SUITE C, CLEARWATER, FL, 337564070

Plan administrator’s name and address
Administrator’s EIN 591306865
Plan administrator’s name ORTHOPAEDIC SPECIALTIES OF TAMPA BAY, P.A.
Plan administrator’s address 1011 JEFFORDS STREET, SUITE C, CLEARWATER, FL, 337564070
Administrator’s telephone number 7274465993

Signature of
Role Plan administrator
Date 2014-07-02
Name of individual signing WILLARD A. HUGHES II, M.D.
Valid signature Filed with authorized/valid electronic signature
ORTHOPAEDIC SPECIALTIES OF TAMPA BAY, P.A. 401(K) PROFIT SHARING PLAN AND TRUST 2013 591306865 2014-03-11 ORTHOPAEDIC SPECIALTIES OF TAMPA BAY, P.A. 54
Three-digit plan number (PN) 001
Effective date of plan 1970-12-01
Business code 621111
Sponsor’s telephone number 7274465993
Plan sponsor’s address 1011 JEFFORDS STREET, SUITE C, CLEARWATER, FL, 337564070

Plan administrator’s name and address
Administrator’s EIN 591306865
Plan administrator’s name ORTHOPAEDIC SPECIALTIES OF TAMPA BAY, P.A.
Plan administrator’s address 1011 JEFFORDS STREET, SUITE C, CLEARWATER, FL, 337564070
Administrator’s telephone number 7274465993

Signature of
Role Plan administrator
Date 2014-03-11
Name of individual signing WILLARD A. HUGHES II, M.D.
Valid signature Filed with authorized/valid electronic signature
ORTHOPAEDIC SPECIALTIES OF TAMPA BAY, P.A. 401(K) PROFIT SHARING PLAN AND TRUST 2012 591306865 2013-07-24 ORTHOPAEDIC SPECIALTIES OF TAMPA BAY, P.A. 57
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1970-12-01
Business code 621111
Sponsor’s telephone number 7274465993
Plan sponsor’s address 1011 JEFFORDS STREET, SUITE C, CLEARWATER, FL, 337564070

Plan administrator’s name and address
Administrator’s EIN 591306865
Plan administrator’s name ORTHOPAEDIC SPECIALTIES OF TAMPA BAY, P.A.
Plan administrator’s address 1011 JEFFORDS STREET, SUITE C, CLEARWATER, FL, 337564070
Administrator’s telephone number 7274465993

Signature of
Role Plan administrator
Date 2013-07-24
Name of individual signing WILLARD A. HUGHES II, M.D.
Valid signature Filed with authorized/valid electronic signature
ORTHOPAEDIC SPECIALTIES OF TAMPA BAY, P.A. 401(K) PROFIT SHARING PLAN AND TRUST 2011 591306865 2012-10-11 ORTHOPAEDIC SPECIALTIES OF TAMPA BAY, P.A. 51
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1970-12-01
Business code 621111
Sponsor’s telephone number 7274465993
Plan sponsor’s address 1011 JEFFORDS STREET, SUITE C, CLEARWATER, FL, 337564070

Plan administrator’s name and address
Administrator’s EIN 591306865
Plan administrator’s name ORTHOPAEDIC SPECIALTIES OF TAMPA BAY, P.A.
Plan administrator’s address 1011 JEFFORDS STREET, SUITE C, CLEARWATER, FL, 337564070
Administrator’s telephone number 7274465993

Signature of
Role Plan administrator
Date 2012-10-11
Name of individual signing WILLARD A. HUGHES II, M.D.
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
MARCOTTE ANTHONY LD.O. Agent 1011 JEFFORDS STREET, CLEARWATER, FL, 337564093

President

Name Role Address
MARCOTTE ANTHONY LD.O. President 1011 JEFFORDS STREET, CLEARWATER, FL, 337564093

Director

Name Role Address
MARCOTTE ANTHONY LD.O. Director 1011 JEFFORDS STREET, CLEARWATER, FL, 337564093
HERREMA MITCH RD.O. Director 1011 JEFFORDS STREET, CLEARWATER, FL, 337564093
HOWELL RICHARD SM.D. Director 1011 JEFFORDS STREET, CLEARWATER, FL, 337564093
VENEZIA MICHAEL AD.O. Director 1011 JEFFORDS STREET, CLEARWATER, FL, 337564093

Vice President

Name Role Address
HERREMA MITCH RD.O. Vice President 1011 JEFFORDS STREET, CLEARWATER, FL, 337564093

Secretary

Name Role Address
HOWELL RICHARD SM.D. Secretary 1011 JEFFORDS STREET, CLEARWATER, FL, 337564093

Treasurer

Name Role Address
VENEZIA MICHAEL AD.O. Treasurer 1011 JEFFORDS STREET, CLEARWATER, FL, 337564093

Events

Event Type Filed Date Value Description
AMENDMENT 2016-08-03 No data No data
REINSTATEMENT 2004-11-12 No data No data
ADMIN DISSOLUTION FOR ANNUAL REPORT 2004-10-01 No data No data
NAME CHANGE AMENDMENT 1992-03-30 ORTHOPAEDIC SPECIALTIES OF TAMPA BAY, P.A. No data
NAME CHANGE AMENDMENT 1992-01-31 ORTHOPAEDIC SPECIALISTS OF TAMPA BAY, P.A. No data
EVENT CONVERTED TO NOTES 1991-12-27 No data No data
AMENDMENT 1987-03-27 No data No data

Related by officers

MARCOTTE ANTHONY LD.O.

JEFFORDS INVESTMENTS, LLC

HOWELL RICHARD SM.D.

JEFFORDS INVESTMENTS, LLC

VENEZIA MICHAEL AD.O.

JEFFORDS INVESTMENTS, LLC

Related by address

No related companies by address

Date of last update: 02 Feb 2025

Sources: Florida Department of State

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