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  5. RODNEY E. POWELL, M.D., P.A.

RODNEY E. POWELL, M.D., P.A.

Company Details

Entity Name: RODNEY E. POWELL, M.D., P.A.
Jurisdiction: FLORIDA
Filing Type: Florida Profit Corporation
Status: Inactive
Date Filed: 02 Apr 1986 (39 years ago)
Date of dissolution: 11 Dec 2017 (7 years ago)
Last Event: VOLUNTARY DISSOLUTION
Event Date Filed: 11 Dec 2017 (7 years ago)
Document Number: J07277
FEI/EIN Number 59-2649888
Address: 965 MAR WALT DRIVE, FORT WALTON BEACH, FL 32547
Mail Address: 965 MAR WALT DRIVE, FORT WALTON BEACH, FL 32547
ZIP code: 32547
County: Okaloosa
Place of Formation: FLORIDA

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
RODNEY E. POWELL, M.D., P.A. PROFIT SHARING PLAN 2015 592649888 2016-10-11 RODNEY E. POWELL, M.D., P.A. 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1986-04-01
Business code 621111
Sponsor’s telephone number 8508626934
Plan sponsor’s address 965 MAR WALT DRIVE, FT. WALTON BEACH, FL, 32547

Signature of
Role Plan administrator
Date 2016-10-11
Name of individual signing RODNEY E. POWELL, M.D.
Valid signature Filed with authorized/valid electronic signature
RODNEY E. POWELL, M.D., P.A. PROFIT SHARING PLAN 2014 592649888 2015-10-14 RODNEY E. POWELL, M.D., P.A. 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1986-04-01
Business code 621111
Sponsor’s telephone number 8508626934
Plan sponsor’s address 965 MAR WALT DRIVE, FT. WALTON BEACH, FL, 32547

Signature of
Role Plan administrator
Date 2015-10-14
Name of individual signing RODNEY E. POWELL, M.D.
Valid signature Filed with authorized/valid electronic signature
RODNEY E. POWELL, M.D., P.A. PROFIT SHARING PLAN 2013 592649888 2014-07-24 RODNEY E. POWELL, M.D., P.A. 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1986-04-01
Business code 621111
Sponsor’s telephone number 8508626934
Plan sponsor’s address 965 MAR WALT DRIVE, FT. WALTON BEACH, FL, 32547

Signature of
Role Plan administrator
Date 2014-07-24
Name of individual signing RODNEY E. POWELL, M.D.
Valid signature Filed with authorized/valid electronic signature
RODNEY E. POWELL, M.D., P.A. PROFIT SHARING PLAN 2012 592649888 2013-07-16 RODNEY E. POWELL, M.D., P.A. 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1986-04-01
Business code 621111
Sponsor’s telephone number 8508626934
Plan sponsor’s address 965 MAR WALT DRIVE, FT. WALTON BEACH, FL, 32547

Signature of
Role Plan administrator
Date 2013-07-16
Name of individual signing RODNEY E. POWELL, M.D.
Valid signature Filed with authorized/valid electronic signature
RODNEY E. POWELL, M.D., P.A. PROFIT SHARING PLAN 2011 592649888 2012-10-12 RODNEY E. POWELL, M.D., P.A. 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1986-04-01
Business code 621111
Sponsor’s telephone number 8508626934
Plan sponsor’s address 965 MAR WALT DRIVE, FT. WALTON BEACH, FL, 32547

Plan administrator’s name and address
Administrator’s EIN 592649888
Plan administrator’s name RODNEY E. POWELL, M.D., P.A.
Plan administrator’s address 965 MAR WALT DRIVE, FT. WALTON BEACH, FL, 32547
Administrator’s telephone number 8508626934

Signature of
Role Plan administrator
Date 2012-10-12
Name of individual signing RODNEY E. POWELL, M.D.
Valid signature Filed with authorized/valid electronic signature
RODNEY E. POWELL, M.D., P.A. PROFIT SHARING PLAN 2010 592649888 2011-07-19 RODNEY E. POWELL, M.D., P.A. 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1986-04-01
Business code 621111
Sponsor’s telephone number 8508626934
Plan sponsor’s address 965 MAR WALT DRIVE, FT. WALTON BEACH, FL, 32547

Plan administrator’s name and address
Administrator’s EIN 592649888
Plan administrator’s name RODNEY E. POWELL, M.D., P.A.
Plan administrator’s address 965 MAR WALT DRIVE, FT. WALTON BEACH, FL, 32547
Administrator’s telephone number 8508626934

Signature of
Role Plan administrator
Date 2011-07-19
Name of individual signing RODNEY E. POWELL, M.D.
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2011-07-19
Name of individual signing RODNEY E. POWELL, M.D.
Valid signature Filed with authorized/valid electronic signature
RODNEY E. POWELL, M.D., P.A. PROFIT SHARING PLAN 2009 592649888 2010-09-30 RODNEY E. POWELL, M.D., P.A. 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1986-04-01
Business code 621111
Sponsor’s telephone number 8508626934
Plan sponsor’s address 965 MAR WALT DRIVE, FT. WALTON BEACH, FL, 32547

Plan administrator’s name and address
Administrator’s EIN 592649888
Plan administrator’s name RODNEY E. POWELL, M.D., P.A.
Plan administrator’s address 965 MAR WALT DRIVE, FT. WALTON BEACH, FL, 32547
Administrator’s telephone number 8508626934

Signature of
Role Plan administrator
Date 2010-09-29
Name of individual signing RODNEY E. POWELL, M.D.
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
POWELL, RODNEY E Agent 965 MAR WALT DR, FORT WALTON BEACH, FL 32547

Director

Name Role Address
POWELL, RODNEY E, MD Director 965 MAR WALT DR, FORT WALTON BEACH, FL 32547

Events

Event Type Filed Date Value Description
VOLUNTARY DISSOLUTION 2017-12-11 No data No data
REINSTATEMENT 2013-10-02 No data No data
ADMIN DISSOLUTION FOR ANNUAL REPORT 2013-09-27 No data No data
CANCEL ADM DISS/REV 2003-10-27 No data No data
ADMIN DISSOLUTION FOR ANNUAL REPORT 2003-09-19 No data No data
REGISTERED AGENT ADDRESS CHANGED 1998-01-22 965 MAR WALT DR, FORT WALTON BEACH, FL 32547 No data
REGISTERED AGENT NAME CHANGED 1994-02-04 POWELL, RODNEY E No data
CHANGE OF PRINCIPAL ADDRESS 1993-04-02 965 MAR WALT DRIVE, FORT WALTON BEACH, FL 32547 No data
CHANGE OF MAILING ADDRESS 1993-04-02 965 MAR WALT DRIVE, FORT WALTON BEACH, FL 32547 No data

Documents

Name Date
ANNUAL REPORT 2017-02-17
ANNUAL REPORT 2016-01-21
ANNUAL REPORT 2015-01-16
ANNUAL REPORT 2014-01-09
REINSTATEMENT 2013-10-02
ANNUAL REPORT 2012-03-20
ANNUAL REPORT 2011-01-28
ANNUAL REPORT 2010-05-14
ANNUAL REPORT 2009-03-16
ANNUAL REPORT 2008-04-14

Related by officers

No related officers

Related by address

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Date of last update: 04 Feb 2025

Sources: Florida Department of State

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