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ROBERT L. LONG, JR., M.D., P.A. - Florida Company Profile

Company Details

Entity Name: ROBERT L. LONG, JR., M.D., P.A.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit

ROBERT L. LONG, JR., M.D., P.A. is structured as a Domestic Profit Corporation, which, in Florida signifies a Profit Corporation (also known as a C-Corporation). This business structure is recognized as a separate legal entity from its owners. This offers shareholders the benefit of limited liability protection, safeguarding their personal assets from the corporation's debts and obligations, and facilitates raising capital through the issuance of stock. In Florida, Domestic Profit Corporations are governed by Title XXXVI, Chapter 607, Florida Statutes – Florida Business Corporation Act.

Status: Inactive

The business entity is inactive. This status may signal operational issues or voluntary closure, raising concerns about the business's ability to repay loans and requiring careful risk assessment by lenders.

Date Filed: 14 Dec 1984 (40 years ago)
Date of dissolution: 31 Jan 2011 (14 years ago)
Last Event: VOLUNTARY DISSOLUTION
Event Date Filed: 31 Jan 2011 (14 years ago)
Document Number: H34093
FEI/EIN Number 592475473

Federal Employer Identification (FEI) Number assigned by the IRS.

Address: 909 MARWALT DR, SUITE 1011, FT WALTON BCH, FL, 32547, US
Mail Address: 909 MARWALT DR, SUITE 1011, FT WALTON BCH, FL, 32547, US
ZIP code: 32547
County: Okaloosa
Place of Formation: FLORIDA

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
ROBERT L. LONG, JR., M.D., P.A. 401(K) PLAN 2011 592475473 2013-05-03 ROBERT L. LONG., JR., M.D., P.A. 2
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1986-10-01
Business code 621111
Sponsor’s telephone number 8508633377
Plan sponsor’s address 909 MAR WALT DRIVE, SUITE 1011, FORT WALTON BEACH, FL, 32547

Plan administrator’s name and address

Administrator’s EIN 592475473
Plan administrator’s name ROBERT L. LONG., JR., M.D., P.A.
Plan administrator’s address 909 MAR WALT DRIVE, SUITE 1011, FORT WALTON BEACH, FL, 32547
Administrator’s telephone number 8508633377

Signature of

Role Plan administrator
Date 2013-05-03
Name of individual signing ROBERT L. LONG, JR., M.D.
Valid signature Filed with authorized/valid electronic signature
ROBERT L. LONG, JR., M.D., P.A. 401(K) PLAN 2010 592475473 2012-04-24 ROBERT L. LONG., JR., M.D., P.A. 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1986-10-01
Business code 621111
Sponsor’s telephone number 8508633377
Plan sponsor’s address 909 MAR WALT DRIVE, SUITE 1011, FORT WALTON BEACH, FL, 32547

Plan administrator’s name and address

Administrator’s EIN 592475473
Plan administrator’s name ROBERT L. LONG., JR., M.D., P.A.
Plan administrator’s address 909 MAR WALT DRIVE, SUITE 1011, FORT WALTON BEACH, FL, 32547
Administrator’s telephone number 8508633377

Signature of

Role Plan administrator
Date 2012-04-24
Name of individual signing ROBERT L. LONG, JR., M.D.
Valid signature Filed with authorized/valid electronic signature
ROBERT L. LONG, JR., M.D., P.A. 401(K) PLAN 2009 592475473 2011-07-14 ROBERT L. LONG., JR., M.D., P.A. 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1986-10-01
Business code 621111
Sponsor’s telephone number 8508633377
Plan sponsor’s address 909 MAR WALT DRIVE, SUITE 1011, FORT WALTON BEACH, FL, 32547

Plan administrator’s name and address

Administrator’s EIN 592475473
Plan administrator’s name ROBERT L. LONG., JR., M.D., P.A.
Plan administrator’s address 909 MAR WALT DRIVE, SUITE 1011, FORT WALTON BEACH, FL, 32547
Administrator’s telephone number 8508633377

Signature of

Role Plan administrator
Date 2011-07-14
Name of individual signing ROBERT L. LONG, JR., M.D.
Valid signature Filed with authorized/valid electronic signature

Key Officers & Management

Name Role Address
LONG, ROBERT L. JR., M.D. Agent 909 MARWALT DR, FT WALTON BCH, FL, 32547
LONG, ROBERT L. JR., M.D President 909 MARWALT DR, SUITE 1011, FT. WALTON BCH, FL, 32547

Events

Event Type Filed Date Value Description
VOLUNTARY DISSOLUTION 2011-01-31 - -
CHANGE OF PRINCIPAL ADDRESS 2009-04-06 909 MARWALT DR, SUITE 1011, FT WALTON BCH, FL 32547 -
CHANGE OF MAILING ADDRESS 2009-04-06 909 MARWALT DR, SUITE 1011, FT WALTON BCH, FL 32547 -
REGISTERED AGENT ADDRESS CHANGED 2009-04-06 909 MARWALT DR, SUITE 1011, FT WALTON BCH, FL 32547 -
NAME CHANGE AMENDMENT 2009-01-29 ROBERT L. LONG, JR., M.D., P.A. -
NAME CHANGE AMENDMENT 2002-03-11 EMERALD COAST UROLOGY, P.A. -

Documents

Name Date
Voluntary Dissolution 2011-01-31
ANNUAL REPORT 2010-04-06
ANNUAL REPORT 2009-04-06
Name Change 2009-01-29
ANNUAL REPORT 2008-02-21
ANNUAL REPORT 2007-02-07
ANNUAL REPORT 2006-02-16
ANNUAL REPORT 2005-01-28
ANNUAL REPORT 2004-03-01
ANNUAL REPORT 2003-01-31

Date of last update: 01 Apr 2025

Sources: Florida Department of State