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  5. PSYCHIATRIC ASSOCIATES OF LAKE CITY, P.A.

PSYCHIATRIC ASSOCIATES OF LAKE CITY, P.A.

Company Details

Entity Name: PSYCHIATRIC ASSOCIATES OF LAKE CITY, P.A.
Jurisdiction: FLORIDA
Filing Type: Florida Profit Corporation
Status: Active
Date Filed: 29 Sep 1982 (42 years ago)
Last Event: NAME CHANGE AMENDMENT
Event Date Filed: 14 Oct 1994 (30 years ago)
Document Number: G01822
FEI/EIN Number 59-2245265
Address: 165 SW VISION GLENN, LAKE CITY, FL 32025
Mail Address: 165 SW VISION GLENN, LAKE CITY, FL 32025
ZIP code: 32025
County: Columbia
Place of Formation: FLORIDA

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
PSYCHIATRIC ASSOCIATES OF LAKE CITY, P.A. PROFIT SHARING PLAN AND TRUST 2021 592245265 2023-07-13 PSYCHIATRIC ASSOCIATES OF LAKE CITY, P.A. 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2001-01-01
Business code 621112
Sponsor’s telephone number 3867551800
Plan sponsor’s address 165 S.W. VISION GLENN, LAKE CITY, FL, 32025
PSYCHIATRIC ASSOCIATES OF LAKE CITY, P.A. PROFIT SHARING PLAN AND TRUST 2020 592245265 2022-07-08 PSYCHIATRIC ASSOCIATES OF LAKE CITY, P.A. 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2001-01-01
Business code 621112
Sponsor’s telephone number 3867551800
Plan sponsor’s address 165 S.W. VISION GLENN, LAKE CITY, FL, 32025

Signature of
Role Plan administrator
Date 2022-07-08
Name of individual signing SHILPA MHATRE
Valid signature Filed with authorized/valid electronic signature
PSYCHIATRIC ASSOCIATES OF LAKE CITY, P.A. PROFIT SHARING PLAN AND TRUST 2019 592245265 2021-07-06 PSYCHIATRIC ASSOCIATES OF LAKE CITY, P.A. 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2001-01-01
Business code 621112
Sponsor’s telephone number 3867551800
Plan sponsor’s address 165 S.W. VISION GLENN, LAKE CITY, FL, 32025

Signature of
Role Plan administrator
Date 2021-07-06
Name of individual signing SHILPA MHATRE
Valid signature Filed with authorized/valid electronic signature
PSYCHIATRIC ASSOCIATES OF LAKE CITY, P.A. PROFIT SHARING PLAN AND TRUST 2018 592245265 2020-05-14 PSYCHIATRIC ASSOCIATES OF LAKE CITY, P.A. 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2001-01-01
Business code 621112
Sponsor’s telephone number 3867551800
Plan sponsor’s address 165 S.W. VISION GLENN, LAKE CITY, FL, 32025

Signature of
Role Plan administrator
Date 2020-05-14
Name of individual signing SHILPA MHATRE
Valid signature Filed with authorized/valid electronic signature
PSYCHIATRIC ASSOCIATES OF LAKE CITY, P.A. PROFIT SHARING PLAN AND TRUST 2017 592245265 2019-06-20 PSYCHIATRIC ASSOCIATES OF LAKE CITY, P.A. 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2001-01-01
Business code 621112
Sponsor’s telephone number 3867551800
Plan sponsor’s address 165 S.W. VISION GLENN, LAKE CITY, FL, 32025

Signature of
Role Plan administrator
Date 2019-06-20
Name of individual signing SHILPA MHATRE
Valid signature Filed with authorized/valid electronic signature
PSYCHIATRIC ASSOCIATES OF LAKE CITY, P.A. PROFIT SHARING PLAN AND TRUST 2016 592245265 2018-05-25 PSYCHIATRIC ASSOCIATES OF LAKE CITY, P.A. 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2001-01-01
Business code 621112
Sponsor’s telephone number 3867551800
Plan sponsor’s address 165 S.W. VISION GLENN, LAKE CITY, FL, 32025

Signature of
Role Plan administrator
Date 2018-05-25
Name of individual signing SHILPA MHATRE
Valid signature Filed with authorized/valid electronic signature
PSYCHIATRIC ASSOCIATES OF LAKE CITY, P.A. PROFIT SHARING PLAN AND TRUST 2015 592245265 2017-04-10 PSYCHIATRIC ASSOCIATES OF LAKE CITY, P.A. 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2001-01-01
Business code 621112
Sponsor’s telephone number 3867551800
Plan sponsor’s address 165 S.W. VISION GLENN, LAKE CITY, FL, 32025

Signature of
Role Plan administrator
Date 2017-04-10
Name of individual signing SHILPA MHATRE
Valid signature Filed with authorized/valid electronic signature
PSYCHIATRIC ASSOCIATES OF LAKE CITY, P.A. PROFIT SHARING PLAN AND TRUST 2014 592245265 2016-04-08 PSYCHIATRIC ASSOCIATES OF LAKE CITY, P.A. 11
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2001-01-01
Business code 621112
Sponsor’s telephone number 3867551800
Plan sponsor’s address 165 S.W. VISION GLENN, LAKE CITY, FL, 32025

Signature of
Role Plan administrator
Date 2016-04-08
Name of individual signing SHILPA MHATRE
Valid signature Filed with authorized/valid electronic signature
PSYCHIATRIC ASSOCIATES OF LAKE CITY, P.A. PROFIT SHARING PLAN AND TRUST 2013 592245265 2015-02-16 PSYCHIATRIC ASSOCIATES OF LAKE CITY, P.A. 11
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2001-01-01
Business code 621112
Sponsor’s telephone number 3867551800
Plan sponsor’s address 165 S.W. VISION GLENN, LAKE CITY, FL, 32025

Signature of
Role Plan administrator
Date 2015-02-16
Name of individual signing SHILPA MHATRE
Valid signature Filed with authorized/valid electronic signature
PSYCHIATRIC ASSOCIATES OF LAKE CITY, P.A. PROFIT SHARING PLAN AND TRUST 2012 592245265 2014-07-07 PSYCHIATRIC ASSOCIATES OF LAKE CITY, P.A. 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2001-01-01
Business code 621112
Sponsor’s telephone number 3867551800
Plan sponsor’s address 165 S.W. VISION GLENN, LAKE CITY, FL, 32025

Signature of
Role Plan administrator
Date 2014-07-07
Name of individual signing SHILPA MHATRE
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
MHATRE, UMESH M. Agent 165 SW VISION GLENN, LAKE CITY, FL 32025

President

Name Role Address
MHATRE, UMESH M President 165 SW VISION GLENN, LAKE CITY, FL 32025

Secretary

Name Role Address
MHATRE, SHILPA Secretary 165 SW VISION GLENN, LAKE CITY, FL 32025

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2004-02-06 165 SW VISION GLENN, LAKE CITY, FL 32025 No data
CHANGE OF MAILING ADDRESS 2004-02-06 165 SW VISION GLENN, LAKE CITY, FL 32025 No data
REGISTERED AGENT ADDRESS CHANGED 2004-02-06 165 SW VISION GLENN, LAKE CITY, FL 32025 No data
NAME CHANGE AMENDMENT 1994-10-14 PSYCHIATRIC ASSOCIATES OF LAKE CITY, P.A. No data

Documents

Name Date
ANNUAL REPORT 2024-04-04
ANNUAL REPORT 2023-01-30
ANNUAL REPORT 2022-02-15
ANNUAL REPORT 2021-01-10
ANNUAL REPORT 2020-01-20
ANNUAL REPORT 2019-04-16
ANNUAL REPORT 2018-02-22
ANNUAL REPORT 2017-01-27
ANNUAL REPORT 2016-01-28
ANNUAL REPORT 2015-01-28

Related by officers

MHATRE, SHILPA

S & S DEVELOPMENT OF LAKE CITY, INC.

Related by address

No related companies by address

Date of last update: 05 Feb 2025

Sources: Florida Department of State

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