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PALM HARBOR PEDIATRICS, P.A. - Florida Company Profile

Company Details

Entity Name: PALM HARBOR PEDIATRICS, P.A.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit

PALM HARBOR 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: 09 Jan 1989 (36 years ago)
Date of dissolution: 22 Sep 2017 (8 years ago)
Last Event: ADMIN DISSOLUTION FOR ANNUAL REPORT
Event Date Filed: 22 Sep 2017 (8 years ago)
Document Number: K56807
FEI/EIN Number 592922707

Federal Employer Identification (FEI) Number assigned by the IRS.

Address: 2595 S.R. 584, PALM HARBOR, FL, 34684-3137, US
Mail Address: 2595 S.R. 584, PALM HARBOR, FL, 34684-3137, US
Place of Formation: FLORIDA

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
PALM HARBOR PEDIATRICS, P.A. 401(K) PLAN 2014 592922707 2015-07-20 PALM HARBOR PEDIATRICS, P.A. 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-06-01
Business code 621111
Sponsor’s telephone number 7277874944
Plan sponsor’s address 2595 SR 584, STE W, PALM HARBOR, FL, 34684

Signature of

Role Plan administrator
Date 2015-07-20
Name of individual signing ENID GAUD
Valid signature Filed with authorized/valid electronic signature
PALM HARBOR PEDIATRICS, P.A. 401(K) PLAN 2013 592922707 2015-06-12 PALM HARBOR PEDIATRICS, P.A. 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-06-01
Business code 621111
Sponsor’s telephone number 7277874944
Plan sponsor’s address 2595 SR 584, STE W, PALM HARBOR, FL, 34684

Signature of

Role Plan administrator
Date 2015-06-12
Name of individual signing ENID GAUD
Valid signature Filed with authorized/valid electronic signature
PALM HARBOR PEDIATRICS, P.A. 401(K) PLAN 2012 592922707 2014-04-02 PALM HARBOR PEDIATRICS, P.A. 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-06-01
Business code 621111
Sponsor’s telephone number 7277874944
Plan sponsor’s address 2595 SR 584, STE W, PALM HARBOR, FL, 34684

Signature of

Role Plan administrator
Date 2014-04-02
Name of individual signing ENID GAUD
Valid signature Filed with authorized/valid electronic signature
PALM HARBOR PEDIATRICS, P.A. 401(K) PLAN 2011 592922707 2013-01-09 PALM HARBOR PEDIATRICS, P.A. 11
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-06-01
Business code 621111
Sponsor’s telephone number 7277874944
Plan sponsor’s address 2595 SR 584, STE W, PALM HARBOR, FL, 34684

Plan administrator’s name and address

Administrator’s EIN 592922707
Plan administrator’s name PALM HARBOR PEDIATRICS, P.A.
Plan administrator’s address 2595 SR 584, STE W, PALM HARBOR, FL, 34684
Administrator’s telephone number 7277874944

Signature of

Role Plan administrator
Date 2013-01-09
Name of individual signing ENID GAUD
Valid signature Filed with authorized/valid electronic signature
PALM HARBOR PEDIATRICS, P.A. 401(K) PLAN 2010 592922707 2012-04-27 PALM HARBOR PEDIATRICS, P.A. 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-06-01
Business code 621111
Sponsor’s telephone number 7277874944
Plan sponsor’s address 2595 SR 584, STE W, PALM HARBOR, FL, 34684

Plan administrator’s name and address

Administrator’s EIN 592922707
Plan administrator’s name PALM HARBOR PEDIATRICS, P.A.
Plan administrator’s address 2595 SR 584, STE W, PALM HARBOR, FL, 34684
Administrator’s telephone number 7277874944

Signature of

Role Plan administrator
Date 2012-04-27
Name of individual signing ENID GAUD
Valid signature Filed with authorized/valid electronic signature
PALM HARBOR PEDIATRICS, P.A. 401(K) PLAN 2009 592922707 2011-04-27 PALM HARBOR PEDIATRICS, P.A. 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-06-01
Business code 621111
Sponsor’s telephone number 7277874944
Plan sponsor’s address 2595 SR 584, STE W, PALM HARBOR, FL, 34684

Plan administrator’s name and address

Administrator’s EIN 592922707
Plan administrator’s name PALM HARBOR PEDIATRICS, P.A.
Plan administrator’s address 2595 SR 584, STE W, PALM HARBOR, FL, 34684
Administrator’s telephone number 7277874944

Signature of

Role Plan administrator
Date 2011-04-27
Name of individual signing ENID GAUD
Valid signature Filed with authorized/valid electronic signature

Key Officers & Management

Name Role Address
GAUD ROSA E President 2595 S.R. 584, PALM HARBOR, FL, 346843137
GAUD ROSA E Secretary 2595 S.R. 584, PALM HARBOR, FL, 346843137
GAUD ROSA E Director 2595 S.R. 584, PALM HARBOR, FL, 346843137
ARROYO FERNANDO L Agent 2595 S.R. 584, PALM HARBOR, FL, 346843137
ARROYO, FERNANDO L. Vice President 2595 S.R. 584, PALM HARBOR, FL, 346843137

Events

Event Type Filed Date Value Description
ADMIN DISSOLUTION FOR ANNUAL REPORT 2017-09-22 - -
REGISTERED AGENT ADDRESS CHANGED 2013-03-21 2595 S.R. 584, SUITE W, PALM HARBOR, FL 34684-3137 -
CHANGE OF PRINCIPAL ADDRESS 2013-03-21 2595 S.R. 584, SUITE W, PALM HARBOR, FL 34684-3137 -
CHANGE OF MAILING ADDRESS 2013-03-21 2595 S.R. 584, SUITE W, PALM HARBOR, FL 34684-3137 -
REGISTERED AGENT NAME CHANGED 2009-04-07 ARROYO, FERNANDO L -
CANCEL ADM DISS/REV 2005-10-17 - -
ADMIN DISSOLUTION FOR ANNUAL REPORT 2005-09-16 - -
NAME CHANGE AMENDMENT 2000-11-09 PALM HARBOR PEDIATRICS, P.A. -

Documents

Name Date
ANNUAL REPORT 2016-04-28
ANNUAL REPORT 2015-01-08
ANNUAL REPORT 2014-07-31
ANNUAL REPORT 2013-03-21
ANNUAL REPORT 2012-03-05
ANNUAL REPORT 2011-06-28
ANNUAL REPORT 2010-04-27
ANNUAL REPORT 2009-04-07
ANNUAL REPORT 2008-01-17
ANNUAL REPORT 2007-04-06

Date of last update: 02 Apr 2025

Sources: Florida Department of State