| Entity Name: | SIEVERT CLINIC, P.A. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Profit Corporation |
| Status: | Inactive |
| Date Filed: | 29 Jul 1981 (44 years ago) |
| Date of dissolution: | 19 Sep 2013 (11 years ago) |
| Last Event: | CONVERSION |
| Event Date Filed: | 19 Sep 2013 (11 years ago) |
| Document Number: | 696604 |
| FEI/EIN Number | 59-2129241 |
| Address: | 3880 COLONIAL BLVD., STE 1-A, FT. MYERS, FL 33966 |
| Mail Address: | 3880 COLONIAL BLVD., STE 1-A, STE 1, FT. MYERS, FL 33966 |
| ZIP code: | 33966 |
| County: | Lee |
| Place of Formation: | FLORIDA |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| SIEVERT CLINIC, P.A. 401K PROFIT SHARING PLAN AND TRUST | 2009 | 592129241 | 2010-10-08 | SIEVERT CLINIC, P.A. | 6 | |||||||||||||||||||||||||||||||||||||||||
|
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| Administrator’s EIN | 592129241 |
| Plan administrator’s name | SIEVERT CLINIC, P.A. |
| Plan administrator’s address | 3880 COLONIAL BLVD., SUITE 1A, FORT MYERS, FL, 33966 |
| Administrator’s telephone number | 2399361233 |
Signature of
| Role | Plan administrator |
| Date | 2010-10-08 |
| Name of individual signing | THOMAS D. SIEVERT |
| Valid signature | Filed with authorized/valid electronic signature |
| Role | Employer/plan sponsor |
| Date | 2010-10-08 |
| Name of individual signing | THOMAS D. SIEVERT |
| Valid signature | Filed with authorized/valid electronic signature |
| Name | Role | Address |
|---|---|---|
| SIEVERT, THOMAS D. | Agent | 3880 COLONIAL BLVD, STE 1, FT. MYERS, FL 33966 |
| Name | Role | Address |
|---|---|---|
| SIEVERT, RHONDA L. | Vice President | 1302 BRADFORD, FT. MYERS, FL 33901 |
| Name | Role | Address |
|---|---|---|
| SIEVERT, DR. THOMAS | President | 3880 COLONIAL BLVD. STE1, FT. MYERS, FL 33966 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CONVERSION | 2013-09-19 | No data | CONVERSION MEMBER. RESULTING CORPORATION WAS L13000133216. CONVERSION NUMBER 700000134357 |
| CHANGE OF MAILING ADDRESS | 2010-06-18 | 3880 COLONIAL BLVD., STE 1-A, FT. MYERS, FL 33966 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2010-06-18 | 3880 COLONIAL BLVD, STE 1, FT. MYERS, FL 33966 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2009-07-17 | 3880 COLONIAL BLVD., STE 1-A, FT. MYERS, FL 33966 | No data |
| Document Number | Status | Case Number | Name of Court | Date of Entry | Expiration Date | Amount Due | Plaintiff |
|---|---|---|---|---|---|---|---|
| J17000394587 | LAPSED | 12-SC-134 | CTY CT 20TH JUD LEE CTY FL | 2015-12-04 | 2022-07-28 | $3,465.00 | MERY INSURANCE COMPANY OF FLORIDA, 1901 ULMERTON RD., 6TH FLOOR, CLEARWATER, FL 33762 |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2013-03-22 |
| ANNUAL REPORT | 2012-02-23 |
| ANNUAL REPORT | 2011-01-21 |
| ANNUAL REPORT | 2010-06-18 |
| ANNUAL REPORT | 2009-01-07 |
| ANNUAL REPORT | 2008-01-24 |
| ANNUAL REPORT | 2007-02-14 |
| ANNUAL REPORT | 2006-01-31 |
| ANNUAL REPORT | 2005-03-07 |
| ANNUAL REPORT | 2004-02-19 |
Date of last update: 05 Feb 2025
Sources: Florida Department of State
