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  5. MAITLAND FAMILY PRACTICE, P.A.

MAITLAND FAMILY PRACTICE, P.A.

Company Details

Entity Name: MAITLAND FAMILY PRACTICE, P.A.
Jurisdiction: FLORIDA
Filing Type: Florida Profit Corporation
Status: Inactive
Date Filed: 31 Oct 1979 (45 years ago)
Date of dissolution: 28 Jul 2022 (3 years ago)
Last Event: VOLUNTARY DISSOLUTION
Event Date Filed: 28 Jul 2022 (3 years ago)
Document Number: 645583
FEI/EIN Number 59-1944452
Address: 402 LAKE HOWELL RD., MAITLAND, FL 32751
Mail Address: 402 LAKE HOWELL RD., MAITLAND, FL 32751
ZIP code: 32751
County: Orange
Place of Formation: FLORIDA

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
MAITLAND FAMILY PRACTICE, P.A. PROFIT SHARING PLAN 2021 591944452 2022-06-02 MAITLAND FAMILY PRACTICE, P.A. 12
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1979-11-01
Business code 621111
Sponsor’s telephone number 4076284312
Plan sponsor’s address 402 LAKE HOWELL ROAD, MAITLAND, FL, 32751
MAITLAND FAMILY PRACTICE, P.A. PROFIT SHARING PLAN 2020 591944452 2021-12-28 MAITLAND FAMILY PRACTICE, P.A. 15
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1979-11-01
Business code 621111
Sponsor’s telephone number 4076284312
Plan sponsor’s address 402 LAKE HOWELL ROAD, MAITLAND, FL, 32751
MAITLAND FAMILY PRACTICE, P.A. PROFIT SHARING PLAN 2019 591944452 2021-03-08 MAITLAND FAMILY PRACTICE, P.A. 13
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1979-11-01
Business code 621111
Sponsor’s telephone number 4076284312
Plan sponsor’s address 402 LAKE HOWELL ROAD, MAITLAND, FL, 32751
MAITLAND FAMILY PRACTICE, P.A. PROFIT SHARING PLAN 2018 591944452 2020-05-12 MAITLAND FAMILY PRACTICE, P.A. 12
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1979-11-01
Business code 621111
Sponsor’s telephone number 4076284312
Plan sponsor’s address 402 LAKE HOWELL ROAD, MAITLAND, FL, 32751
MAITLAND FAMILY PRACTICE, P.A. PROFIT SHARING PLAN 2017 591944452 2019-04-05 MAITLAND FAMILY PRACTICE, P.A. 14
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1979-11-01
Business code 621111
Sponsor’s telephone number 4076284312
Plan sponsor’s address 402 LAKE HOWELL ROAD, MAITLAND, FL, 32751
MAITLAND FAMILY PRACTICE, P.A. PROFIT SHARING PLAN 2016 591944452 2018-03-07 MAITLAND FAMILY PRACTICE, P.A. 17
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1979-11-01
Business code 621111
Sponsor’s telephone number 4076284312
Plan sponsor’s address 402 LAKE HOWELL ROAD, MAITLAND, FL, 32751
MAITLAND FAMILY PRACTICE, P.A. PROFIT SHARING PLAN 2015 591944452 2017-06-06 MAITLAND FAMILY PRACTICE, P.A. 17
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1979-11-01
Business code 621111
Sponsor’s telephone number 4076284312
Plan sponsor’s address 402 LAKE HOWELL ROAD, MAITLAND, FL, 32751
MAITLAND FAMILY PRACTICE, P.A. PROFIT SHARING PLAN 2014 591944452 2016-03-28 MAITLAND FAMILY PRACTICE, P.A. 16
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1979-11-01
Business code 621111
Sponsor’s telephone number 4076284312
Plan sponsor’s address 402 LAKE HOWELL ROAD, MAITLAND, FL, 32751
MAITLAND FAMILY PRACTICE, P.A. PROFIT SHARING PLAN 2013 591944452 2015-03-23 MAITLAND FAMILY PRACTICE, P.A. 18
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1979-11-01
Business code 621111
Sponsor’s telephone number 4076284312
Plan sponsor’s address 402 LAKE HOWELL ROAD, MAITLAND, FL, 32751
MAITLAND FAMILY PRACTICE, P.A. PROFIT SHARING PLAN 2012 591944452 2014-03-14 MAITLAND FAMILY PRACTICE, P.A. 18
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1979-11-01
Business code 621111
Sponsor’s telephone number 4076284312
Plan sponsor’s address 402 LAKE HOWELL ROAD, MAITLAND, FL, 32751

Signature of
Role Plan administrator
Date 2014-03-14
Name of individual signing JAMES LOUTTIT
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2014-03-14
Name of individual signing JAMES LOUTTIT
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
Pursley, Timothy J, M.D. Agent 402 LAKE HOWELL RD., MAITLAND, FL 32751-2907

President

Name Role Address
WALDHEIM, EDDIE C , JR., DR. President 402 LAKE HOWELL RD., MAITLAND, FL 32751

Vice President

Name Role Address
PURSLEY, TIMOTHY J , Dr. Vice President 402 LAKE HOWELL RD., MAITLAND, FL 32751

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G12000077120 MAITLAND FAMILY PRACTICE EXPIRED 2012-08-03 2017-12-31 No data 402 LAKE HOWELL ROAD, MAITLAND, FL, 32751

Events

Event Type Filed Date Value Description
VOLUNTARY DISSOLUTION 2022-07-28 No data No data
REGISTERED AGENT NAME CHANGED 2015-01-12 Pursley, Timothy J, M.D. No data
REGISTERED AGENT ADDRESS CHANGED 1989-08-18 402 LAKE HOWELL RD., MAITLAND, FL 32751-2907 No data
CHANGE OF PRINCIPAL ADDRESS 1988-03-31 402 LAKE HOWELL RD., MAITLAND, FL 32751 No data
CHANGE OF MAILING ADDRESS 1988-03-31 402 LAKE HOWELL RD., MAITLAND, FL 32751 No data
NAME CHANGE AMENDMENT 1987-10-02 MAITLAND FAMILY PRACTICE, P.A. No data
NAME CHANGE AMENDMENT 1985-09-04 MAITLAND FAMILY PRACTICE, JAMES W. LOUTTIT, M.D., P.A. No data

Documents

Name Date
VOLUNTARY DISSOLUTION 2022-07-28
ANNUAL REPORT 2021-02-02
ANNUAL REPORT 2020-01-14
ANNUAL REPORT 2019-03-20
ANNUAL REPORT 2018-03-07
ANNUAL REPORT 2017-02-09
ANNUAL REPORT 2016-02-01
ANNUAL REPORT 2015-01-12
ANNUAL REPORT 2014-02-06
ANNUAL REPORT 2013-04-18

Related by officers

No related officers

Related by address

No related companies by address

Date of last update: 05 Feb 2025

Sources: Florida Department of State

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