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  5. G. TIMOTHY PETITO, O.D., P.A.

G. TIMOTHY PETITO, O.D., P.A.

Company Details

Entity Name: G. TIMOTHY PETITO, O.D., P.A.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Active
Date Filed: 19 Apr 1989 (36 years ago)
Document Number: K81650
FEI/EIN Number 592971351
Address: 8695 FOURTH ST N, ST. PETERSBURG, FL, 33702, US
Mail Address: 8695 FOURTH ST N, ST. PETERSBURG, FL, 33702, US
ZIP code: 33702
County: Pinellas
Place of Formation: FLORIDA

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
G. TIMOTHY PETITO, O.D., P.A. 401(K) PLAN 2017 592971351 2018-12-27 G. TIMOTHY PETITO, O.D., P.A. 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-01-01
Business code 621320
Sponsor’s telephone number 7275789880
Plan sponsor’s address 8695 4TH STREET N., ST. PETERSBURG, FL, 33702
G. TIMOTHY PETITO, O.D., P.A. 401(K) PLAN 2016 592971351 2017-10-12 G. TIMOTHY PETITO, O.D., P.A. 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-01-01
Business code 621320
Sponsor’s telephone number 7275789880
Plan sponsor’s address 8695 4TH STREET N., ST. PETERSBURG, FL, 33702
G. TIMOTHY PETITO, O.D., P.A. 401(K) PLAN 2015 592971351 2016-10-17 G. TIMOTHY PETITO, O.D., P.A. 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-01-01
Business code 621320
Sponsor’s telephone number 7275789880
Plan sponsor’s address 8695 4TH STREET N., ST. PETERSBURG, FL, 33702
G. TIMOTHY PETITO, O.D., P.A. 401(K) PLAN 2014 592971351 2016-10-17 G. TIMOTHY PETITO, O.D., P.A. 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-01-01
Business code 621320
Sponsor’s telephone number 7275789880
Plan sponsor’s address 8695 4TH STREET N., ST. PETERSBURG, FL, 33702
G. TIMOTHY PETITO, O.D., P.A. 401(K) PLAN 2013 592971351 2014-10-14 G. TIMOTHY PETITO, O.D., P.A. 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-01-01
Business code 621320
Sponsor’s telephone number 7275789880
Plan sponsor’s address 8695 4TH STREET N., ST. PETERSBURG, FL, 33702
G. TIMOTHY PETITO, O.D., P.A. 401(K) PLAN 2012 592971351 2013-10-07 G. TIMOTHY PETITO, O.D., P.A. 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-01-01
Business code 621320
Sponsor’s telephone number 7275789880
Plan sponsor’s address 8695 4TH STREET N., ST. PETERSBURG, FL, 33702

Signature of
Role Plan administrator
Date 2013-10-07
Name of individual signing G. TIMOTHY PETITO, O.D.
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2013-10-07
Name of individual signing G. TIMOTHY PETITO, O.D.
Valid signature Filed with authorized/valid electronic signature
G. TIMOTHY PETITO, O.D., P.A. 401(K) PLAN 2011 592971351 2012-10-15 G. TIMOTHY PETITO, O.D., P.A. 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-01-01
Business code 621320
Sponsor’s telephone number 7275789880
Plan sponsor’s address 8695 4TH STREET N., ST. PETERSBURG, FL, 33702

Plan administrator’s name and address
Administrator’s EIN 592971351
Plan administrator’s name G. TIMOTHY PETITO, O.D., P.A.
Plan administrator’s address 8695 4TH STREET N., ST. PETERSBURG, FL, 33702
Administrator’s telephone number 7275789880

Signature of
Role Plan administrator
Date 2012-10-15
Name of individual signing G. TIMOTHY PETITO, O.D.
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2012-10-15
Name of individual signing G. TIMOTHY PETITO, O.D.
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
PETITO G. TIMOTHY Agent 8695 FOURTH ST N., ST PETERSBURG, FL, 33702

President

Name Role Address
PETITO, G. TIMOTHY President 8695 FOURTH ST N., SAINT PETERSBURG, FL, 33702

Treasurer

Name Role Address
PETITO, G. TIMOTHY Treasurer 8695 FOURTH ST N., SAINT PETERSBURG, FL, 33702

Director

Name Role Address
PETITO, G. TIMOTHY Director 8695 FOURTH ST N., SAINT PETERSBURG, FL, 33702

Debts

Document Number Status Case Number Name of Court Date of Entry Expiration Date Amount Due Plaintiff
J18000604306 TERMINATED 1000000794272 PINELLAS 2018-08-20 2038-08-29 $ 410.00 STATE OF FLORIDA, DEPARTMENT OF REVENUE, LARGO SERVICE CENTER, 11351 ULMERTON RD STE 220, LARGO FL337781629
J16000267371 TERMINATED 1000000710910 PINELLAS 2016-04-15 2026-04-20 $ 1,866.98 STATE OF FLORIDA, DEPARTMENT OF REVENUE, LARGO SERVICE CENTER, 11351 ULMERTON RD STE 220, LARGO FL337781629
J16000267389 ACTIVE 1000000710912 PINELLAS 2016-04-15 2036-04-20 $ 3,169.03 STATE OF FLORIDA, DEPARTMENT OF REVENUE, OUT OF STATE COLLECTIONS UNIT, 1415 W US HIGHWAY 90 STE 115, LAKE CITY FL320556123
J12000799174 TERMINATED 1000000310420 PINELLAS 2012-10-23 2022-10-31 $ 361.98 STATE OF FLORIDA, DEPARTMENT OF REVENUE, CLEARWATER SERVICE CENTER, 19337 US HIGHWAY 19 N STE 200, CLEARWATER FL337643149

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Date of last update: 01 Feb 2025

Sources: Florida Department of State

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