| Entity Name: | BABAT, KATZ & SAMUELSON, M.D.'S, P.A. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Profit Corporation |
| Status: | Inactive |
| Date Filed: | 24 Oct 1973 (51 years ago) |
| Date of dissolution: | 25 Sep 2015 (9 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 25 Sep 2015 (9 years ago) |
| Document Number: | 604772 |
| FEI/EIN Number | 59-1476873 |
| Address: | 2150 49TH STREET NORTH, SUITE F, ST. PETERSBURG, FL 33710 |
| Mail Address: | 2150 49TH STREET NORTH, SUITE F, ST. PETERSBURG, FL 33710 |
| ZIP code: | 33710 |
| County: | Pinellas |
| Place of Formation: | FLORIDA |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| BABAT, KATZ & SAMUELSON, M.D.'S, P.A. 401(K) PLAN | 2015 | 591476873 | 2016-10-03 | BABAT, KATZ & SAMUELSON, M.D.'S, P.A. | 4 | |||||||||||||||||||||||
|
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| Role | Plan administrator |
| Date | 2016-10-03 |
| Name of individual signing | SHARY WEIS |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 003 |
| Effective date of plan | 2004-01-01 |
| Business code | 621111 |
| Sponsor’s telephone number | 7273810275 |
| Plan sponsor’s address | 2150 49TH STREET NORTH, SUITE F, ST. PETERSBURG, FL, 337105237 |
Signature of
| Role | Plan administrator |
| Date | 2015-10-07 |
| Name of individual signing | ALLAN E. KATZ |
| Valid signature | Filed with authorized/valid electronic signature |
| Name | Role | Address |
|---|---|---|
| BABAT, CHESTER, C., M.D. | Agent | 2150 49TH STREET NORTH, SUITE F, ST. PETERSBURG, FL 33710 |
| Name | Role | Address |
|---|---|---|
| SAMUELSON, DAVID | President | 825 18TH AVE NE, ST. PETERSBURG, FL |
| Name | Role | Address |
|---|---|---|
| SAMUELSON, DAVID | Director | 825 18TH AVE NE, ST. PETERSBURG, FL |
| Name | Role | Address |
|---|---|---|
| KATZ, ALLAN | Secretary | 131 CORDOVA BLVD NE, SAINT PETERSBURG, FL 33704 |
| Name | Role | Address |
|---|---|---|
| HANNA, NASR | Vice President | 6449 38 AVE N C4, SAINT PETERSBURG, FL 33710 |
| Name | Role | Address |
|---|---|---|
| PEVARSKI, DENNIS | Treasurer | 6449 38 AVE N C4, SAINT PETERSBURG, FL 33710 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G10000037758 | PINELLAS RADIOLOGY ASSOCIATES | EXPIRED | 2010-04-29 | 2015-12-31 | No data | 6449 38 AVENUE N #C4, ST. PETE, FL, 33710, US |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2015-09-25 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2012-05-01 | 2150 49TH STREET NORTH, SUITE F, ST. PETERSBURG, FL 33710 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2012-05-01 | 2150 49TH STREET NORTH, SUITE F, ST. PETERSBURG, FL 33710 | No data |
| CHANGE OF MAILING ADDRESS | 2012-05-01 | 2150 49TH STREET NORTH, SUITE F, ST. PETERSBURG, FL 33710 | No data |
| AMENDMENT | 2008-05-02 | No data | No data |
| NAME CHANGE AMENDMENT | 2006-08-08 | BABAT, KATZ & SAMUELSON, M.D.'S, P.A. | No data |
| NAME CHANGE AMENDMENT | 2004-06-25 | BABAT, KATZ, HONEYCUTT & SAMUELSON, M.D.'S, P.A. | No data |
| NAME CHANGE AMENDMENT | 2000-08-31 | BABAT, KATZ & HONEYCUTT, M.D.'S, P.A. | No data |
| RESTATED ARTICLES | 1999-04-20 | No data | No data |
| NAME CHANGE AMENDMENT | 1976-03-01 | BABAT & KATZ, M.D.'S, P.A. | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2014-04-29 |
| ANNUAL REPORT | 2013-04-30 |
| ANNUAL REPORT | 2012-05-01 |
| ANNUAL REPORT | 2011-04-25 |
| ANNUAL REPORT | 2010-04-07 |
| ANNUAL REPORT | 2009-06-22 |
| Amendment | 2008-05-02 |
| ANNUAL REPORT | 2008-02-19 |
| ANNUAL REPORT | 2007-03-12 |
| Name Change | 2006-08-08 |
Date of last update: 06 Feb 2025
Sources: Florida Department of State
