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  5. TIMOTHY F. KELLY, M.D., P.A.

TIMOTHY F. KELLY, M.D., P.A. - Florida Company Profile

Company Details

Entity Name: TIMOTHY F. KELLY, M.D., P.A.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit

TIMOTHY F. KELLY, 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: 07 Oct 1985 (40 years ago)
Date of dissolution: 23 Sep 2022 (3 years ago)
Last Event: ADMIN DISSOLUTION FOR ANNUAL REPORT
Event Date Filed: 23 Sep 2022 (3 years ago)
Document Number: H79499
FEI/EIN Number 592586941

Federal Employer Identification (FEI) Number assigned by the IRS.
Address: 1840 MEASE DRIVE, SUITE 406, SAFETY HARBOR, FL, 34695, US
Mail Address: 1840 MEASE DRIVE, SUITE 406, SAFETY HARBOR, FL, 34695, US
ZIP code: 34695
County: Pinellas
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1326349200 2010-11-09 2012-09-24 1840 MEASE DR, SUITE 406, SAFETY HARBOR, FL, 346956602, US 1840 MEASE DR, SUITE 406, SAFETY HARBOR, FL, 346956602, US

Contacts
Phone +1 727-712-8222
Fax 7277128229

Authorized person
Name DR. TIMOTHY F. KELLY
Role PRESIDENT
Phone 7277128222

Taxonomy
Taxonomy Code 207N00000X - Dermatology Physician
Is Primary Yes

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
TIMOTHY F. KELLY, M.D., P.A. DEFINED BENEFIT PLAN 2016 592586941 2017-06-21 TIMOTHY F. KELLY, M.D., P.A. 8
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2003-01-01
Business code 621111
Sponsor’s telephone number 7277341498
Plan sponsor’s address 1840 MEASE DR. SUITE 406, SAFETY HARBOR, FL, 34695

Signature of
Role Plan administrator
Date 2017-06-21
Name of individual signing TIMOTHY F. KELLY, MD
Valid signature Filed with authorized/valid electronic signature
TIMOTHY F. KELLY, M. D. , P. A. DEFINED BENEFIT PLAN 2016 592586941 2017-06-21 TIMOTHY F. KELLY, M.D., P.A. 8
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2003-01-01
Business code 621111
Sponsor’s telephone number 7277341498
Plan sponsor’s address 1840 MEASE DR. SUITE 406, SAFETY HARBOR, FL, 34695

Signature of
Role Plan administrator
Date 2017-06-21
Name of individual signing TIMOTHY F. KELLY, MD
Valid signature Filed with authorized/valid electronic signature
TIMOTHY F. KELLY, M.D., P.A. SAVINGS PLAN 2016 592586941 2017-06-05 TIMOTHY F. KELLY, M.D., P.A. 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1986-01-01
Business code 621111
Sponsor’s telephone number 7277341498
Plan sponsor’s address 1840 MEASE DR. SUITE 406, SAFETY HARBOR, FL, 34695

Signature of
Role Plan administrator
Date 2017-06-05
Name of individual signing TIMOTHY F. KELLY
Valid signature Filed with authorized/valid electronic signature
TIMOTHY F. KELLY, M.D., P.A. SAVINGS PLAN 2015 592586941 2016-07-28 TIMOTHY F. KELLY, M.D., P.A. 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1986-01-01
Business code 621111
Sponsor’s telephone number 7277341498
Plan sponsor’s address 1840 MEASE DR. SUITE 406, SAFETY HARBOR, FL, 34695

Signature of
Role Plan administrator
Date 2016-07-28
Name of individual signing TIMOTHY F. KELLY
Valid signature Filed with authorized/valid electronic signature
TIMOTHY F. KELLY, M.D., P.A. DEFINED BENEFIT PLAN 2015 592586941 2016-07-28 TIMOTHY F. KELLY, M.D., P.A. 8
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2003-01-01
Business code 621111
Sponsor’s telephone number 7277341498
Plan sponsor’s address 1840 MEASE DR. SUITE 406, SAFETY HARBOR, FL, 34695

Signature of
Role Plan administrator
Date 2016-07-28
Name of individual signing LINDA M. KELLY
Valid signature Filed with authorized/valid electronic signature
TIMOTHY F. KELLY, M.D., P.A. SAVINGS PLAN 2014 592586941 2015-08-13 TIMOTHY F. KELLY, M.D., P.A. 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1986-01-01
Business code 621111
Sponsor’s telephone number 7277341498
Plan sponsor’s address 1840 MEASE DR. SUITE 406, SAFETY HARBOR, FL, 34695

Signature of
Role Plan administrator
Date 2015-08-13
Name of individual signing TIMOTHY F. KELLY
Valid signature Filed with authorized/valid electronic signature
TIMOTHY F. KELLY, M.D., P.A. DEFINED BENEFIT PLAN 2014 592586941 2015-08-13 TIMOTHY F. KELLY, M.D., P.A. 7
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2003-01-01
Business code 621111
Sponsor’s telephone number 7277341498
Plan sponsor’s address 1840 MEASE DR. SUITE 406, SAFETY HARBOR, FL, 34695

Signature of
Role Plan administrator
Date 2015-08-13
Name of individual signing TIMOTHY F. KELLY
Valid signature Filed with authorized/valid electronic signature
TIMOTHY F. KELLY, M.D., P.A. DEFINED BENEFIT PLAN 2013 592586941 2014-10-11 TIMOTHY F. KELLY, M.D., P.A. 5
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2003-01-01
Business code 621111
Sponsor’s telephone number 7277341498
Plan sponsor’s address 1840 MEASE DR. SUITE 406, SAFETY HARBOR, FL, 34695

Signature of
Role Plan administrator
Date 2014-10-11
Name of individual signing TIMOTHY F. KELLY
Valid signature Filed with authorized/valid electronic signature
TIMOTHY F. KELLY, M.D., P.A. SAVINGS PLAN 2013 592586941 2014-10-11 TIMOTHY F. KELLY, M.D., P.A. 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1986-01-01
Business code 621111
Sponsor’s telephone number 7277341498
Plan sponsor’s address 1840 MEASE DR. SUITE 406, SAFETY HARBOR, FL, 34695

Signature of
Role Plan administrator
Date 2014-10-11
Name of individual signing TIMOTHY F. KELLY
Valid signature Filed with authorized/valid electronic signature
TIMOTHY F. KELLY, M.D., P.A. DEFINED BENEFIT PLAN 2012 592586941 2013-09-27 TIMOTHY F. KELLY, M.D., P.A. 5
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2003-01-01
Business code 621111
Sponsor’s telephone number 7277341498
Plan sponsor’s address 1840 MEASE DR. SUITE 406, SAFETY HARBOR, FL, 34695

Signature of
Role Plan administrator
Date 2013-09-27
Name of individual signing TIMOTHY F. KELLY
Valid signature Filed with authorized/valid electronic signature

Key Officers & Management

Name Role Address
LINDA KELLY, INC. Director -
KELLY, TIMOTHY F., MD Director 1840 MEASE DRIVE, SUITE 406, SAFETY HARBOR, FL, 34695
KELLY, TIMOTHY F., MD President 1840 MEASE DRIVE, SUITE 406, SAFETY HARBOR, FL, 34695
KELLY, TIMOTHY F., MD Agent 1840 MEASE DRIVE, SAFETY HARBOR, FL, 34695

Events

Event Type Filed Date Value Description
ADMIN DISSOLUTION FOR ANNUAL REPORT 2022-09-23 - -
CHANGE OF PRINCIPAL ADDRESS 2011-02-15 1840 MEASE DRIVE, SUITE 406, SAFETY HARBOR, FL 34695 -
CHANGE OF MAILING ADDRESS 2011-02-15 1840 MEASE DRIVE, SUITE 406, SAFETY HARBOR, FL 34695 -
REGISTERED AGENT ADDRESS CHANGED 2011-02-15 1840 MEASE DRIVE, SUITE 406, SAFETY HARBOR, FL 34695 -

Documents

Name Date
ANNUAL REPORT 2021-03-23
ANNUAL REPORT 2020-01-15
ANNUAL REPORT 2019-02-07
ANNUAL REPORT 2018-03-06
ANNUAL REPORT 2017-03-22
ANNUAL REPORT 2016-03-07
ANNUAL REPORT 2015-01-06
ANNUAL REPORT 2014-03-19
ANNUAL REPORT 2012-03-21
ANNUAL REPORT 2011-02-15

Companies related by officers

KELLY, TIMOTHY F., MD

GATORDERM I, LLC - Active
Florida Limited Liability Co. (2007 )

Companies related by address

1840 MEASE DRIVE, SUITE 406, SAFETY HARBOR, FL, 34695, US

GATORDERM I, LLC

1840 MEASE DRIVE, SUITE 406, SAFETY HARBOR, FL, 34695, US

GATORDERM I, LLC

Date of last update: 03 Apr 2025

Sources: Florida Department of State

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