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  5. WALTER R. GILBERT, JR., M.D.,P.A.

WALTER R. GILBERT, JR., M.D.,P.A.

Company Details

Entity Name: WALTER R. GILBERT, JR., M.D.,P.A.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Inactive
Date Filed: 13 Dec 1979 (45 years ago)
Document Number: 648144
FEI/EIN Number 591957504
Address: 3 SHIRCLIFF WAY, SUITE 122, JACKSONVILLE, FL, 32204
Mail Address: 3 SHIRCLIFF WAY, SUITE 122, JACKSONVILLE, FL, 32204
ZIP code: 32204
County: Duval
Place of Formation: FLORIDA

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
WALTER R. GILBERT, JR. , M. D. , P. A. 401(K) PROFIT SHARING PLAN 2015 591957504 2016-10-28 WALTER R. GILBERT, JR., M.D., P.A. 1
File View Page
Three-digit plan number (PN) 003
Effective date of plan 1990-10-15
Business code 621111
Sponsor’s telephone number 9043842333
Plan sponsor’s address 3 SHIRCLIFF WAY SUITE 122, JACKSONVILLE, FL, 32204

Signature of
Role Plan administrator
Date 2016-10-28
Name of individual signing WALTER R. GILBERT, M.D.
Valid signature Filed with authorized/valid electronic signature
WALTER R. GILBERT,JR., M.D., P.A. 401(K) PROFIT SHARING PLAN 2015 591957504 2016-07-27 WALTER R. GILBERT, JR., M.D., P.A. 1
File View Page
Three-digit plan number (PN) 003
Effective date of plan 1990-10-15
Business code 621111
Sponsor’s telephone number 9043842333
Plan sponsor’s address 3 SHIRCLIFF WAY SUITE 122, JACKSONVILLE, FL, 32204

Signature of
Role Plan administrator
Date 2016-07-27
Name of individual signing WALTER R. GILBERT, M.D.
Valid signature Filed with authorized/valid electronic signature
WALTER R. GILBERT,JR., M.D., P.A. 401(K) PROFIT SHARING PLAN 2014 591957504 2015-10-12 WALTER R. GILBERT, JR., M.D., P.A. 20
File View Page
Three-digit plan number (PN) 003
Effective date of plan 1990-10-15
Business code 621111
Sponsor’s telephone number 9043842333
Plan sponsor’s address 3 SHIRCLIFF WAY SUITE 122, JACKSONVILLE, FL, 32204

Signature of
Role Plan administrator
Date 2015-10-12
Name of individual signing WALTER R. GILBERT, M.D.
Valid signature Filed with authorized/valid electronic signature
WALTER R. GILBERT,JR., M.D., P.A. 401(K) PROFIT SHARING PLAN 2013 591957504 2014-04-24 WALTER R. GILBERT, JR., M.D., P.A. 20
File View Page
Three-digit plan number (PN) 003
Effective date of plan 1990-10-15
Business code 621111
Sponsor’s telephone number 9043892852
Plan sponsor’s address 3 SHIRCLIFF WAY SUITE 122, JACKSONVILLE, FL, 32204

Signature of
Role Plan administrator
Date 2014-04-24
Name of individual signing WALTER R. GILBERT, M.D.
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2014-04-24
Name of individual signing WALTER R. GILBERT, M.D.
Valid signature Filed with authorized/valid electronic signature
WALTER R. GILBERT,JR., M.D., P.A. 401(K) PROFIT SHARING PLAN 2012 591957504 2013-05-21 WALTER R. GILBERT, JR., M.D., P.A. 21
File View Page
Three-digit plan number (PN) 003
Effective date of plan 1990-10-15
Business code 621111
Sponsor’s telephone number 9043892852
Plan sponsor’s address 3 SHIRCLIFF WAY SUITE 122, JACKSONVILLE, FL, 32204

Signature of
Role Plan administrator
Date 2013-05-21
Name of individual signing WALTER R. GILBERT, M.D.
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2013-05-21
Name of individual signing WALTER R. GILBERT, M.D.
Valid signature Filed with authorized/valid electronic signature
WALTER R. GILBERT,JR., M.D., P.A. 401(K) PROFIT SHARING PLAN 2011 591957504 2012-07-23 WALTER R. GILBERT, JR., M.D., P.A. 21
File View Page
Three-digit plan number (PN) 003
Effective date of plan 1990-10-15
Business code 621111
Sponsor’s telephone number 9043892852
Plan sponsor’s address 3 SHIRCLIFF WAY SUITE 122, JACKSONVILLE, FL, 32204

Plan administrator’s name and address
Administrator’s EIN 591957504
Plan administrator’s name WALTER R. GILBERT, JR., M.D., P.A.
Plan administrator’s address 3 SHIRCLIFF WAY SUITE 122, JACKSONVILLE, FL, 32204
Administrator’s telephone number 9043892852

Signature of
Role Plan administrator
Date 2012-07-23
Name of individual signing WALTER R. GILBERT, M.D.
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2012-07-23
Name of individual signing WALTER R. GILBERT, M.D.
Valid signature Filed with authorized/valid electronic signature
WALTER R. GILBERT,JR., M.D., P.A. 401(K) PROFIT SHARING PLAN 2010 591957504 2011-09-13 WALTER R. GILBERT, JR., M.D., P.A. 22
File View Page
Three-digit plan number (PN) 003
Effective date of plan 1990-10-15
Business code 621111
Sponsor’s telephone number 9043892852
Plan sponsor’s address 3 SHIRCLIFF WAY SUITE 122, JACKSONVILLE, FL, 32204

Plan administrator’s name and address
Administrator’s EIN 591957504
Plan administrator’s name WALTER R. GILBERT, JR., M.D., P.A.
Plan administrator’s address 3 SHIRCLIFF WAY SUITE 122, JACKSONVILLE, FL, 32204
Administrator’s telephone number 9043892852

Signature of
Role Plan administrator
Date 2011-09-13
Name of individual signing WALTER R. GILBERT, M.D.
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2011-09-13
Name of individual signing WALTER R. GILBERT, M.D.
Valid signature Filed with authorized/valid electronic signature
WALTER R. GILBERT,JR., M.D., P.A. 401(K) PROFIT SHARING PLAN 2009 591957504 2010-08-31 WALTER R. GILBERT, JR., M.D., P.A. 23
File View Page
Three-digit plan number (PN) 003
Effective date of plan 1990-10-15
Business code 621111
Sponsor’s telephone number 9043892852
Plan sponsor’s address 3 SHIRCLIFF WAY SUITE 122, JACKSONVILLE, FL, 32204

Plan administrator’s name and address
Administrator’s EIN 591957504
Plan administrator’s name WALTER R. GILBERT, JR., M.D., P.A.
Plan administrator’s address 3 SHIRCLIFF WAY SUITE 122, JACKSONVILLE, FL, 32204
Administrator’s telephone number 9043892852

Signature of
Role Plan administrator
Date 2010-08-31
Name of individual signing WALTER R. GILBERT, M.D.
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2010-08-31
Name of individual signing WALTER R. GILBERT, M.D.
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
GILBERT WALTER R Agent 3 SHIRCLIFF WAY, JACKSONVILLE, FL, 32204

President

Name Role Address
GILBERT, WALTER R JR President 3 SHIRCLIFF WAY #122, JACKSONVILLE, FL, 32204

Treasurer

Name Role Address
GILBERT, WALTER R JR Treasurer 3 SHIRCLIFF WAY #122, JACKSONVILLE, FL, 32204

Director

Name Role Address
GILBERT, WALTER R JR Director 3 SHIRCLIFF WAY #122, JACKSONVILLE, FL, 32204

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G14000006148 GILBERT CATARACT CENTER EXPIRED 2014-01-17 2019-12-31 No data 3 SHIRCLIFF WAY, SUITE 122, JACKSONVILLE, FL, 32204

Events

Event Type Filed Date Value Description
ADMIN DISSOLUTION FOR ANNUAL REPORT 2016-09-23 No data No data

Related by officers

No related officers

Related by address

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Date of last update: 02 Jan 2025

Sources: Florida Department of State

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