| Entity Name: | PALM BEACH PEDIATRICS, P.A. |
| Jurisdiction: | FLORIDA |
| Filing Type: |
Domestic Profit
PALM BEACH PEDIATRICS, 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: | 04 Oct 1985 (40 years ago) |
| Date of dissolution: | 12 Aug 2024 (8 months ago) |
| Last Event: | CONVERSION |
| Event Date Filed: | 12 Aug 2024 (8 months ago) |
| Document Number: | H79213 |
| FEI/EIN Number |
592724116
Federal Employer Identification (FEI) Number assigned by the IRS. |
| Mail Address: | 1920 Palm Beach Lakes Blvd, West Palm Beach, FL, 33409, US |
| Address: | 1920 PALM BEACH LAKES BLVD, west palm BEACH, FL, 33409, US |
| ZIP code: | 33409 |
| County: | Palm Beach |
| Place of Formation: | FLORIDA |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| PALM BEACH PEDIATRICS PA 401 K PROFIT SHARING PLAN TRUST | 2013 | 592724116 | 2014-07-30 | PALM BEACH PEDIATRICS, P.A. | 95 | |||||||||||||||||||||||||||||||
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| Role | Plan administrator |
| Date | 2014-07-30 |
| Name of individual signing | SHANNON FOX LEVINE |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2004-01-01 |
| Business code | 621498 |
| Sponsor’s telephone number | 5613274960 |
| Plan sponsor’s address | 12955 PALMS WEST DRIVE, LOXAHATCHEE, FL, 33470 |
Signature of
| Role | Plan administrator |
| Date | 2013-07-29 |
| Name of individual signing | PALM BEACH PEDIATRICS, P.A. |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2004-01-01 |
| Business code | 621111 |
| Sponsor’s telephone number | 5613274960 |
| Plan sponsor’s address | 8200 SOUTH JOG ROAD, SUITE 203, BOYNTON BEACH, FL, 33472 |
Plan administrator’s name and address
| Administrator’s EIN | 592724116 |
| Plan administrator’s name | PALM BEACH PEDIATRICS P.A. |
| Plan administrator’s address | 8200 SOUTH JOG ROAD, SUITE 203, BOYNTON BEACH, FL, 33472 |
| Administrator’s telephone number | 5613274960 |
Signature of
| Role | Plan administrator |
| Date | 2011-07-19 |
| Name of individual signing | SHANNON FOX-LEVINE |
| Valid signature | Filed with authorized/valid electronic signature |
| Name | Role | Address |
|---|---|---|
| FOX-LEVINE, MD SHANNON JMD | President | PALM BEACH PEDIATRICS, PA, WEST PALM BEACH, FL, 33409 |
| Levine Eric D | Director | 1920 PALM BEACH LAKES BLVD, west palm BEACH, FL, 33409 |
| FOX-LEVINE SHANNON MD | Agent | 1920 PALM BEACH LAKES BLVD-SUITE 201, WEST PALM BEACH, FL, 33409 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CONVERSION | 2024-08-12 | - | CONVERSION MEMBER. RESULTING CORPORATION WAS L24000363076. CONVERSION NUMBER 700000257647 |
| REGISTERED AGENT ADDRESS CHANGED | 2020-11-16 | 1920 PALM BEACH LAKES BLVD-SUITE 201, WEST PALM BEACH, FL 33409 | - |
| CHANGE OF MAILING ADDRESS | 2020-09-14 | 1920 PALM BEACH LAKES BLVD, SUITE 201, west palm BEACH, FL 33409 | - |
| CHANGE OF PRINCIPAL ADDRESS | 2020-08-19 | 1920 PALM BEACH LAKES BLVD, SUITE 201, west palm BEACH, FL 33409 | - |
| REGISTERED AGENT NAME CHANGED | 2015-01-13 | FOX-LEVINE, SHANNON, MD | - |
| REINSTATEMENT | 2012-03-14 | - | - |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2011-09-23 | - | - |
| NAME CHANGE AMENDMENT | 1989-09-15 | PALM BEACH PEDIATRICS, P.A. | - |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-03-04 |
| ANNUAL REPORT | 2023-02-09 |
| ANNUAL REPORT | 2022-04-05 |
| ANNUAL REPORT | 2021-04-26 |
| ANNUAL REPORT | 2020-05-26 |
| ANNUAL REPORT | 2019-04-08 |
| ANNUAL REPORT | 2018-01-15 |
| ANNUAL REPORT | 2017-01-10 |
| ANNUAL REPORT | 2016-03-08 |
| ANNUAL REPORT | 2015-01-13 |
| Loan Number | Loan Funded Date | SBA Origination Office Code | Loan Delivery Method | Borrower Street Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| 8156257100 | 2020-04-15 | 0455 | PPP | 8200 S JOG RD STE 203, BOYNTON BEACH, FL, 33472 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| 9346438402 | 2021-02-16 | 0455 | PPS | 1920 Palm Beach Lakes Blvd Ste 201, West Palm Bch, FL, 33409-3506 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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Date of last update: 01 Apr 2025
Sources: Florida Department of State
