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LAKELAND PATHOLOGISTS, P.A.

Company Details

Entity Name: LAKELAND PATHOLOGISTS, P.A.
Jurisdiction: FLORIDA
Filing Type: Florida Profit Corporation
Status: Active
Date Filed: 06 Dec 1988 (36 years ago)
Last Event: AMENDMENT
Event Date Filed: 22 Jun 2004 (21 years ago)
Document Number: K49429
FEI/EIN Number 59-2919114
Address: 1125 BARTOW RD, STE 101, LAKELAND, FL 33801
Mail Address: 1125 BARTOW RD, STE 101, LAKELAND, FL 33801
ZIP code: 33801
County: Polk
Place of Formation: FLORIDA

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
LAKELAND PATHOLOGISTS, P.A. 401(K) PROFIT SHARING PLAN 2023 592919114 2024-06-06 LAKELAND PATHOLOGISTS, P.A. 45
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-01-01
Business code 621111
Sponsor’s telephone number 8636837171
Plan sponsor’s address 1125 BARTOW ROAD, SUITE 101, LAKELAND, FL, 338015845
LAKELAND PATHOLOGISTS, P.A. 401(K) PROFIT SHARING PLAN 2022 592919114 2023-04-10 LAKELAND PATHOLOGISTS, P.A. 44
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-01-01
Business code 621111
Sponsor’s telephone number 8636837171
Plan sponsor’s address 1125 BARTOW ROAD, SUITE 101, LAKELAND, FL, 338015845
LAKELAND PATHOLOGISTS, P.A. 401(K) PROFIT SHARING PLAN 2021 592919114 2022-06-13 LAKELAND PATHOLOGISTS, P.A. 42
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-01-01
Business code 621111
Sponsor’s telephone number 8636837171
Plan sponsor’s address 1125 BARTOW ROAD, SUITE 101, LAKELAND, FL, 338015845
LAKELAND PATHOLOGISTS, P. A. 401(K) PROFIT SHARING PLAN 2020 592919114 2021-05-25 LAKELAND PATHOLOGISTS, P.A. 51
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-01-01
Business code 621111
Sponsor’s telephone number 8636837171
Plan sponsor’s address 1125 BARTOW ROAD, SUITE 101, LAKELAND, FL, 338015845
LAKELAND PATHOLOGISTS, P. A. 401(K) PROFIT SHARING PLAN 2019 592919114 2020-05-20 LAKELAND PATHOLOGISTS, P.A. 51
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-01-01
Business code 621111
Sponsor’s telephone number 8636837171
Plan sponsor’s address 1125 BARTOW ROAD, SUITE 101, LAKELAND, FL, 338015845
LAKELAND PATHOLOGISTS, P. A. 401(K) PROFIT SHARING PLAN 2018 592919114 2019-07-11 LAKELAND PATHOLOGISTS, P.A. 48
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-01-01
Business code 621111
Sponsor’s telephone number 8636837171
Plan sponsor’s address 1125 BARTOW ROAD, SUITE 101, LAKELAND, FL, 338015845
LAKELAND PATHOLOGISTS, P. A. 401(K) PROFIT SHARING PLAN 2017 592919114 2018-06-15 LAKELAND PATHOLOGISTS, P.A. 49
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-01-01
Business code 621111
Sponsor’s telephone number 8636837171
Plan sponsor’s address 1125 BARTOW ROAD, SUITE 101, LAKELAND, FL, 338015845
LAKELAND PATHOLOGISTS, P. A. 401(K) PROFIT SHARING PLAN 2016 592919114 2017-06-20 LAKELAND PATHOLOGISTS, P.A. 45
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-01-01
Business code 621111
Sponsor’s telephone number 8636837171
Plan sponsor’s address 1125 BARTOW ROAD, SUITE 101, LAKELAND, FL, 338015845

Signature of

Role Plan administrator
Date 2017-06-20
Name of individual signing TIMOTHY DICKASON
Valid signature Filed with authorized/valid electronic signature
LAKELAND PATHOLOGISTS, P. A. 401(K) PROFIT SHARING PLAN 2015 592919114 2016-07-18 LAKELAND PATHOLOGISTS, P.A. 47
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-01-01
Business code 621111
Sponsor’s telephone number 8636837171
Plan sponsor’s address 1125 BARTOW ROAD, SUITE 101, LAKELAND, FL, 338015845

Signature of

Role Plan administrator
Date 2016-07-18
Name of individual signing CRAIG D. LARISCY, M.D.
Valid signature Filed with authorized/valid electronic signature
LAKELAND PATHOLOGISTS, P. A. 401(K) PROFIT SHARING PLAN 2014 592919114 2015-08-10 LAKELAND PATHOLOGISTS, P.A. 46
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-01-01
Business code 621111
Sponsor’s telephone number 8636837171
Plan sponsor’s address 1125 BARTOW ROAD, SUITE 101, LAKELAND, FL, 338015845

Signature of

Role Plan administrator
Date 2015-08-10
Name of individual signing CRAIG D. LARISCY, M.D.
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
LARISCY, CRAIG D, Dr. Agent 1125 BARTOW RD, STE 101, LAKELAND, FL 33801

Vice President

Name Role Address
LARISCY, CRAIG D, Dr. Vice President 1125 BARTOW RD, STE 101 LAKELAND, FL 33801
BOYNTON, EVANDER A, Dr. Vice President 1125 BARTOW RD, STE 101 LAKELAND, FL 33801

Treasurer

Name Role Address
GARCIA, EDWARD J, Dr. Treasurer 1125 Bartow Road, LAKELAND, FL 33801

President

Name Role Address
YODER, BRIAN J, Dr. President 1125 BARTOW RD, STE 101, LAKELAND, FL

Secretary

Name Role Address
DICKASON, TIMOTHY J, Dr. Secretary 1125 BARTOW RD, STE 101 LAKELAND, FL 33801

Events

Event Type Filed Date Value Description
REGISTERED AGENT NAME CHANGED 2019-02-07 LARISCY, CRAIG D, Dr. No data
CHANGE OF PRINCIPAL ADDRESS 2008-10-16 1125 BARTOW RD, STE 101, LAKELAND, FL 33801 No data
CHANGE OF MAILING ADDRESS 2008-10-16 1125 BARTOW RD, STE 101, LAKELAND, FL 33801 No data
REGISTERED AGENT ADDRESS CHANGED 2008-10-16 1125 BARTOW RD, STE 101, LAKELAND, FL 33801 No data
AMENDMENT 2004-06-22 No data No data
NAME CHANGE AMENDMENT 1997-06-03 LAKELAND PATHOLOGISTS, P.A. No data

Documents

Name Date
ANNUAL REPORT 2025-01-27
ANNUAL REPORT 2024-01-29
ANNUAL REPORT 2023-01-27
ANNUAL REPORT 2022-01-24
ANNUAL REPORT 2021-01-10
ANNUAL REPORT 2020-01-15
ANNUAL REPORT 2019-02-07
ANNUAL REPORT 2018-03-29
ANNUAL REPORT 2017-03-21
ANNUAL REPORT 2016-04-20

Date of last update: 03 Feb 2025

Sources: Florida Department of State