Search icon

BUSCEMI & CHAN, M.D., P.A.

Company Details

Entity Name: BUSCEMI & CHAN, M.D., P.A.
Jurisdiction: FLORIDA
Filing Type: Florida Profit Corporation
Status: Inactive
Date Filed: 19 Jul 1972 (53 years ago)
Date of dissolution: 20 Dec 2010 (14 years ago)
Last Event: VOLUNTARY DISS W/ NOTICE
Event Date Filed: 20 Dec 2010 (14 years ago)
Document Number: 603648
FEI/EIN Number 59-1406528
Address: 2727 W. MARTIN LUTHER KING BLVD, #320, TAMPA, FL 33607
Mail Address: 2727 W. MARTIN LUTHER KING BLVD, #320, TAMPA, FL 33607
ZIP code: 33607
County: Hillsborough
Place of Formation: FLORIDA

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
BUSCEMI & CHAN, M.D., P.A. PROFIT SHARING PLAN 2009 591406528 2010-10-12 BUSCEMI & CHAN, M.D., P.A. 17
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1972-08-01
Business code 621111
Sponsor’s telephone number 8139264010
Plan sponsor’s address 10968 SHELDON ROAD, TAMPA, FL, 336244701

Plan administrator’s name and address

Administrator’s EIN 591406528
Plan administrator’s name BUSCEMI & CHAN, M.D., P.A.
Plan administrator’s address 10968 SHELDON ROAD, TAMPA, FL, 336244701
Administrator’s telephone number 8139264010

Signature of

Role Plan administrator
Date 2010-10-12
Name of individual signing MICHAEL J. BUSCEMI, JR.
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
BUSCEMI, MICHAEL JJR. Agent 2727 W. MARTIN LUTHER KING BLVD, #320, TAMPA, FL 33607

Director

Name Role Address
LUNSETH, PAUL A Director 2727 W. MARTIN LUTHER KING BLVD #320, TAMPA, FL 33607
BUSCEMI, MICHAEL J Director 2727 W. MARTIN LUTHER KING BLVD #320, TAMPA, FL 33607
CHAN, JOHN C Director 2727 W. MARTIN LUTHER KING BLVD #320, TAMPA, FL 33607

President

Name Role Address
BUSCEMI, MICHAEL J President 2727 W. MARTIN LUTHER KING BLVD #320, TAMPA, FL 33607

Vice President

Name Role Address
CHAN, JOHN C Vice President 2727 W. MARTIN LUTHER KING BLVD #320, TAMPA, FL 33607

Events

Event Type Filed Date Value Description
VOLUNTARY DISS W/ NOTICE 2010-12-20 No data No data
REINSTATEMENT 2010-12-16 No data No data
REGISTERED AGENT NAME CHANGED 2010-12-16 BUSCEMI, MICHAEL JJR. No data
ADMIN DISSOLUTION FOR ANNUAL REPORT 2010-09-24 No data No data
NAME CHANGE AMENDMENT 2006-02-20 BUSCEMI & CHAN, M.D., P.A. No data
CHANGE OF MAILING ADDRESS 2005-10-26 2727 W. MARTIN LUTHER KING BLVD, #320, TAMPA, FL 33607 No data
CANCEL ADM DISS/REV 2005-10-26 No data No data
REGISTERED AGENT ADDRESS CHANGED 2005-10-26 2727 W. MARTIN LUTHER KING BLVD, #320, TAMPA, FL 33607 No data
CHANGE OF PRINCIPAL ADDRESS 2005-10-26 2727 W. MARTIN LUTHER KING BLVD, #320, TAMPA, FL 33607 No data
ADMIN DISSOLUTION FOR ANNUAL REPORT 2005-09-16 No data No data

Documents

Name Date
CORAPVDWN 2010-12-20
REINSTATEMENT 2010-12-16
ANNUAL REPORT 2009-09-02
ANNUAL REPORT 2008-05-19
ANNUAL REPORT 2007-07-12
Name Change 2006-02-20
ANNUAL REPORT 2006-02-20
REINSTATEMENT 2005-10-26
Name Change 2004-06-10
ANNUAL REPORT 2004-01-12

Date of last update: 06 Feb 2025

Sources: Florida Department of State