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  5. ORLANDO FOOT & ANKLE CLINIC, INC.

ORLANDO FOOT & ANKLE CLINIC, INC. - Florida Company Profile

Company Details

Entity Name: ORLANDO FOOT & ANKLE CLINIC, INC.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit

ORLANDO FOOT & ANKLE CLINIC, INC. 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: 22 Jul 1985 (40 years ago)
Date of dissolution: 22 Sep 2023 (2 years ago)
Last Event: ADMIN DISSOLUTION FOR ANNUAL REPORT
Event Date Filed: 22 Sep 2023 (2 years ago)
Document Number: H67492
FEI/EIN Number 592580012

Federal Employer Identification (FEI) Number assigned by the IRS.
Address: 3165 McCrory Place, Suite 174, ORLANDO, FL, 32803, US
Mail Address: 3165 McCrory Place, Suite 174, ORLANDO, FL, 32803, US
ZIP code: 32803
County: Orange
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1518348168 2015-06-09 2020-08-05 PO BOX 140233, ORLANDO, FL, 328140233, US 400 E HOWRY AVE, DELAND, FL, 32724, US

Contacts
Phone +1 407-423-1234

Authorized person
Name GREGORY RENTON
Role CEO
Phone 4074231234

Taxonomy
Taxonomy Code 213ES0103X - Foot & Ankle Surgery Podiatrist
Is Primary Yes

Other Provider Identifiers
Issuer MEDICAID
Number 029602300
State FL

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
ORLANDO FOOT & ANKLE CLINIC, INC. 401(K) RETIREMENT PLAN 2015 592580012 2016-10-14 ORLANDO FOOT & ANKLE CLINIC, INC. 117
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2000-01-01
Business code 621111
Sponsor’s telephone number 4074231234
Plan sponsor’s address 3670 MAGUIRE BLVD., STE. 220, CORPORATE PARK 1, ORLANDO, FL, 328033012
ORLANDO FOOT & ANKLE CLINIC, INC. 401(K) RETIREMENT PLAN 2014 592580012 2015-10-12 ORLANDO FOOT & ANKLE CLINIC, INC. 115
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2000-01-01
Business code 621111
Sponsor’s telephone number 4074231234
Plan sponsor’s address 3670 MAGUIRE BLVD., STE. 220, CORPORATE PARK 1, ORLANDO, FL, 328033012
ORLANDO FOOT & ANKLE CLINIC, INC. 401(K) RETIREMENT PLAN 2013 592580012 2014-10-10 ORLANDO FOOT & ANKLE CLINIC, INC. 110
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2000-01-01
Business code 621111
Sponsor’s telephone number 4074231234
Plan sponsor’s address 3670 MAGUIRE BLVD., STE. 220, CORPORATE PARK 1, ORLANDO, FL, 328033012
ORLANDO FOOT & ANKLE CLINIC, INC. 401(K) RETIREMENT PLAN 2012 592580012 2013-06-25 ORLANDO FOOT & ANKLE CLINIC, INC. 101
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2000-01-01
Business code 621111
Sponsor’s telephone number 4074231234
Plan sponsor’s address 3670 MAGUIRE BLVD., STE. 220, CORPORATE PARK 1, ORLANDO, FL, 328033012

Signature of
Role Plan administrator
Date 2013-06-25
Name of individual signing TATIANA POMBO
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2013-06-25
Name of individual signing TATIANA POMBO
Valid signature Filed with authorized/valid electronic signature
ORLANDO FOOT & ANKLE CLINIC, INC. 401(K) RETIREMENT PLAN 2011 592580012 2012-04-20 ORLANDO FOOT & ANKLE CLINIC, INC. 96
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2000-01-01
Business code 621111
Sponsor’s telephone number 4074231234
Plan sponsor’s address 3670 MAGUIRE BLVD., STE. 220, CORPORATE PARK 1, ORLANDO, FL, 328033012

Plan administrator’s name and address
Administrator’s EIN 592580012
Plan administrator’s name ORLANDO FOOT & ANKLE CLINIC, INC.
Plan administrator’s address 3670 MAGUIRE BLVD., STE. 220, CORPORATE PARK 1, ORLANDO, FL, 328033012
Administrator’s telephone number 4074231234

Signature of
Role Plan administrator
Date 2012-04-20
Name of individual signing TATIANA POMBO
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2012-04-20
Name of individual signing TATIANA POMBO
Valid signature Filed with authorized/valid electronic signature
ORLANDO FOOT & ANKLE CLINIC, INC. 401(K) RETIREMENT PLAN 2010 592580012 2011-06-06 ORLANDO FOOT & ANKLE CLINIC, INC. 105
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2000-01-01
Business code 621111
Sponsor’s telephone number 4074231234
Plan sponsor’s address 3670 MAGUIRE BLVD., STE. 220, CORPORATE PARK 1, ORLANDO, FL, 328033012

Plan administrator’s name and address
Administrator’s EIN 592580012
Plan administrator’s name ORLANDO FOOT & ANKLE CLINIC, INC.
Plan administrator’s address 3670 MAGUIRE BLVD., STE. 220, CORPORATE PARK 1, ORLANDO, FL, 328033012
Administrator’s telephone number 4074231234

Signature of
Role Plan administrator
Date 2011-06-06
Name of individual signing TATIANA CHAVEZ
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2011-06-06
Name of individual signing TATIANA CHAVEZ
Valid signature Filed with authorized/valid electronic signature
ORLANDO FOOT & ANKLE CLINIC, INC. 401(K) RETIREMENT PLAN 2009 592580012 2010-08-02 ORLANDO FOOT & ANKLE CLINIC, INC. 100
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2000-01-01
Business code 621111
Sponsor’s telephone number 4074231234
Plan sponsor’s address 3670 MAGUIRE BLVD., STE. 220, CORPORATE PARK 1, ORLANDO, FL, 32803

Plan administrator’s name and address
Administrator’s EIN 592580012
Plan administrator’s name ORLANDO FOOT & ANKLE CLINIC, INC.
Plan administrator’s address 3670 MAGUIRE BLVD., STE. 220, CORPORATE PARK 1, ORLANDO, FL, 32803
Administrator’s telephone number 4074231234

Signature of
Role Plan administrator
Date 2010-08-02
Name of individual signing GREGORY RENTON
Valid signature Filed with authorized/valid electronic signature

Key Officers & Management

Name Role Address
MOATS DAVID B Vice President 3165 McCrory Place, ORLANDO, FL, 32803
Childs Douglas M President 3165 McCrory Place, ORLANDO, FL, 32803
NEAL Becky J Secretary 3165 McCrory Place Suite 174, Orlando, FL, 32803
NEAL Becky J Treasurer 3165 McCrory Place Suite 174, Orlando, FL, 32803
Shane Amber Vice President 3165 McCrory Place, Orlando, FL, 32803
NEAL BECKY J Agent 3165 McCrory Place, ORLANDO, FL, 32803

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G13000053631 PT CENTERS OF GREATER ORLANDO EXPIRED 2013-06-05 2018-12-31 - 3670 MAGUIRE BOULEVARD, SUITE 220, ORLANDO, FL, 32803

Events

Event Type Filed Date Value Description
ADMIN DISSOLUTION FOR ANNUAL REPORT 2023-09-22 - -
REGISTERED AGENT NAME CHANGED 2021-01-06 NEAL, BECKY J -
REGISTERED AGENT ADDRESS CHANGED 2017-01-10 3165 McCrory Place, Suite 174, ORLANDO, FL 32803 -
CHANGE OF PRINCIPAL ADDRESS 2017-01-10 3165 McCrory Place, Suite 174, ORLANDO, FL 32803 -
CHANGE OF MAILING ADDRESS 2017-01-10 3165 McCrory Place, Suite 174, ORLANDO, FL 32803 -
AMENDMENT AND NAME CHANGE 1999-08-02 ORLANDO FOOT & ANKLE CLINIC, INC. -
SHARE EXCHANGE 1999-01-13 - -
NAME CHANGE AMENDMENT 1989-07-05 ORLANDO FOOT & ANKLE CLINIC, P.A. -

Documents

Name Date
ANNUAL REPORT 2022-04-28
ANNUAL REPORT 2021-01-06
ANNUAL REPORT 2020-01-21
AMENDED ANNUAL REPORT 2019-05-20
ANNUAL REPORT 2019-01-28
ANNUAL REPORT 2018-01-12
ANNUAL REPORT 2017-01-10
ANNUAL REPORT 2016-01-26
ANNUAL REPORT 2015-01-12
ANNUAL REPORT 2014-01-08

Companies related by officers

MOATS DAVID B

AMBULATORY ANKLE & FOOT CENTER OF FLORIDA, INC. - Inactive
Domestic Profit (1990 - 2022)

Companies related by address

No other companies in our directory share the same address as ORLANDO FOOT & ANKLE CLINIC, INC.

Date of last update: 01 Apr 2025

Sources: Florida Department of State

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