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  5. C. LAWRENCE SLADE, M.D., F.A.C.S., L.L.C.

C. LAWRENCE SLADE, M.D., F.A.C.S., L.L.C. - Florida Company Profile

Company Details

Entity Name: C. LAWRENCE SLADE, M.D., F.A.C.S., L.L.C.
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.

C. LAWRENCE SLADE, M.D., F.A.C.S., L.L.C. is structured as a Limited Liability Company (LLC), a common business structure that offers its members limited liability protection, separating their personal assets from the company's debts and obligations.
In Florida, LLCs are governed by Title XXXVI, Chapter 605, Florida Revised Limited Liability Company 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: 08 Oct 2002 (23 years ago)
Date of dissolution: 23 Sep 2016 (9 years ago)
Last Event: ADMIN DISSOLUTION FOR ANNUAL REPORT
Event Date Filed: 23 Sep 2016 (9 years ago)
Document Number: L02000026528
FEI/EIN Number 710908976

Federal Employer Identification (FEI) Number assigned by the IRS.
Address: 3635 CLYDE MORRIS BLVD, SUITE 400, PORT ORANGE, FL, 32129, US
Mail Address: 3635 CLYDE MORRIS BLVD, SUITE 400, PORT ORANGE, FL, 32129, US
ZIP code: 32129
County: Volusia
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1578836003 2012-02-14 2012-03-22 3635 S CLYDE MORRIS BLVD, SUITE 400, PORT ORANGE, FL, 321292300, US 3635 S CLYDE MORRIS BLVD, SUITE 400, PORT ORANGE, FL, 321292300, US

Contacts
Phone +1 386-756-9400
Fax 3867564338

Authorized person
Name CLEMENT L SLADE
Role PRESIDENT
Phone 3867569400

Taxonomy
Taxonomy Code 174400000X - Specialist
License Number ME40228
State FL
Is Primary Yes

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
C. LAWRENCE SLADE, M.D., F.A.C.S., L.L.C. 401(K) PROFIT SHARING PLAN 2015 710908976 2016-02-25 C. LAWRENCE SLADE, M.D., F.A.C.S., L.L.C. 11
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-01-01
Business code 621111
Sponsor’s telephone number 3867569400
Plan sponsor’s address 3635 CLYDE MORRIS BLVD., SUITE 400, PORT ORANGE, FL, 32129

Signature of
Role Plan administrator
Date 2016-02-25
Name of individual signing C. LAWRENCE SLADE, M.D.
Valid signature Filed with authorized/valid electronic signature
C. LAWRENCE SLADE, M.D., F.A.C.S., L.L.C. 401(K) PROFIT SHARING PLAN 2014 710908976 2015-08-31 C. LAWRENCE SLADE, M.D., F.A.C.S., L.L.C. 11
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-01-01
Business code 621111
Sponsor’s telephone number 3867569400
Plan sponsor’s address 3635 CLYDE MORRIS BLVD., SUITE 400, PORT ORANGE, FL, 32129

Signature of
Role Plan administrator
Date 2015-08-31
Name of individual signing C. LAWRENCE SLADE, M.D.
Valid signature Filed with authorized/valid electronic signature
C. LAWRENCE SLADE, M.D., F.A.C.S., L.L.C. 401(K) PROFIT SHARING PLAN 2013 710908976 2014-09-26 C. LAWRENCE SLADE, M.D., F.A.C.S., L.L.C. 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-01-01
Business code 621111
Sponsor’s telephone number 3867569400
Plan sponsor’s address 3635 CLYDE MORRIS BLVD., SUITE 400, PORT ORANGE, FL, 32129

Plan administrator’s name and address
Administrator’s EIN 710908976
Plan administrator’s name C. LAWRENCE SLADE, M.D., F.A.C.S., L.L.C.
Plan administrator’s address 3635 CLYDE MORRIS BLVD., SUITE 400, PORT ORANGE, FL, 32129
Administrator’s telephone number 3867569400

Signature of
Role Plan administrator
Date 2014-09-26
Name of individual signing C. LAWRENCE SLADE, M.D.
Valid signature Filed with authorized/valid electronic signature
C. LAWRENCE SLADE, M.D., F.A.C.S., L.L.C. DEFINED BENEFIT PLAN 2013 710908976 2014-09-22 C. LAWRENCE SLADE, M.D., F.A.C.S., L.L.C. 6
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2009-01-01
Business code 621111
Sponsor’s telephone number 3867569400
Plan sponsor’s address 3635 CLYDE MORRIS BLVD., SUITE 400, PORT ORANGE, FL, 32129

Signature of
Role Plan administrator
Date 2014-09-22
Name of individual signing C. LAWRENCE SLADE, M.D.
Valid signature Filed with authorized/valid electronic signature
C. LAWRENCE SLADE, M.D., F.A.C.S., L.L.C. 401(K) PROFIT SHARING PLAN 2012 710908976 2013-09-09 C. LAWRENCE SLADE, M.D., F.A.C.S., L.L.C. 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-01-01
Business code 621111
Sponsor’s telephone number 3867569400
Plan sponsor’s address 3635 CLYDE MORRIS BLVD., SUITE 400, PORT ORANGE, FL, 32129

Plan administrator’s name and address
Administrator’s EIN 710908976
Plan administrator’s name C. LAWRENCE SLADE, M.D., F.A.C.S., L.L.C.
Plan administrator’s address 3635 CLYDE MORRIS BLVD., SUITE 400, PORT ORANGE, FL, 32129
Administrator’s telephone number 3867569400

Signature of
Role Plan administrator
Date 2013-09-09
Name of individual signing C. LAWRENCE SLADE, M.D.
Valid signature Filed with authorized/valid electronic signature
C. LAWRENCE SLADE, M.D., F.A.C.S., L.L.C. DEFINED BENEFIT PLAN 2012 710908976 2013-09-20 C. LAWRENCE SLADE, M.D., F.A.C.S., L.L.C. 6
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2009-01-01
Business code 621111
Sponsor’s telephone number 3867569400
Plan sponsor’s address 3635 CLYDE MORRIS BLVD., SUITE 400, PORT ORANGE, FL, 32129

Signature of
Role Plan administrator
Date 2013-09-20
Name of individual signing SUSAN MURPHY
Valid signature Filed with authorized/valid electronic signature
C. LAWRENCE SLADE, M.D., F.A.C.S., L.L.C. DEFINED BENEFIT PLAN 2011 710908976 2012-09-19 C. LAWRENCE SLADE, M.D., F.A.C.S., L.L.C. 5
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2009-01-01
Business code 621111
Sponsor’s telephone number 3867569400
Plan sponsor’s address 3635 CLYDE MORRIS BLVD., SUITE 400, PORT ORANGE, FL, 32129

Plan administrator’s name and address
Administrator’s EIN 710908976
Plan administrator’s name C. LAWRENCE SLADE, M.D., F.A.C.S., L.L.C.
Plan administrator’s address 3635 CLYDE MORRIS BLVD., SUITE 400, PORT ORANGE, FL, 32129
Administrator’s telephone number 3867569400

Signature of
Role Plan administrator
Date 2012-09-19
Name of individual signing C LAWRENCE SLADE
Valid signature Filed with authorized/valid electronic signature
C. LAWRENCE SLADE, M.D., F.A.C.S., L.L.C. 401(K) PROFIT SHARING PLAN 2011 710908976 2012-09-26 C. LAWRENCE SLADE, M.D., F.A.C.S., L.L.C. 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-01-01
Business code 621111
Sponsor’s telephone number 3867569400
Plan sponsor’s address 3635 CLYDE MORRIS BLVD., SUITE 400, PORT ORANGE, FL, 32129

Plan administrator’s name and address
Administrator’s EIN 710908976
Plan administrator’s name C. LAWRENCE SLADE, M.D., F.A.C.S., L.L.C.
Plan administrator’s address 3635 CLYDE MORRIS BLVD., SUITE 400, PORT ORANGE, FL, 32129
Administrator’s telephone number 3867569400

Signature of
Role Plan administrator
Date 2012-09-26
Name of individual signing C LAWRENCE SLADE
Valid signature Filed with authorized/valid electronic signature
C. LAWRENCE SLADE, M.D., F.A.C.S., L.L.C. DEFINED BENEFIT PLAN 2010 710908976 2011-09-29 C. LAWRENCE SLADE, M.D., F.A.C.S., L.L.C. 7
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2009-01-01
Business code 621111
Sponsor’s telephone number 3867569400
Plan sponsor’s address 3635 CLYDE MORRIS BLVD., SUITE 400, PORT ORANGE, FL, 32129

Plan administrator’s name and address
Administrator’s EIN 710908976
Plan administrator’s name C. LAWRENCE SLADE, M.D., F.A.C.S., L.L.C.
Plan administrator’s address 3635 CLYDE MORRIS BLVD., SUITE 400, PORT ORANGE, FL, 32129
Administrator’s telephone number 3867569400

Signature of
Role Plan administrator
Date 2011-09-29
Name of individual signing C LAWRENCE SLADE
Valid signature Filed with authorized/valid electronic signature
C. LAWRENCE SLADE, M.D., F.A.C.S., L.L.C. 401(K) PROFIT SHARING PLAN 2010 710908976 2011-09-29 C. LAWRENCE SLADE, M.D., F.A.C.S., L.L.C. 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-01-01
Business code 621111
Sponsor’s telephone number 3867569400
Plan sponsor’s address 3635 CLYDE MORRIS BLVD., SUITE 400, PORT ORANGE, FL, 32129

Plan administrator’s name and address
Administrator’s EIN 710908976
Plan administrator’s name C. LAWRENCE SLADE, M.D., F.A.C.S., L.L.C.
Plan administrator’s address 3635 CLYDE MORRIS BLVD., SUITE 400, PORT ORANGE, FL, 32129
Administrator’s telephone number 3867569400

Signature of
Role Plan administrator
Date 2011-09-29
Name of individual signing C LAWRENCE SLADE
Valid signature Filed with authorized/valid electronic signature

Key Officers & Management

Name Role Address
MURPHY SUSAN M Manager 3635 CLYDE MORRIS BLVD #400, PORT ORANGE, FL, 32129
SLADE CLAWRENCE M Agent 3635 CLYDE MORRIS BLVD, PORT ORANGE, FL, 32129

Events

Event Type Filed Date Value Description
ADMIN DISSOLUTION FOR ANNUAL REPORT 2016-09-23 - -
REGISTERED AGENT ADDRESS CHANGED 2013-01-24 3635 CLYDE MORRIS BLVD, 400, PORT ORANGE, FL 32129 -
REGISTERED AGENT NAME CHANGED 2012-01-10 SLADE C, LAWRENCE MD -
CHANGE OF PRINCIPAL ADDRESS 2004-01-13 3635 CLYDE MORRIS BLVD, SUITE 400, PORT ORANGE, FL 32129 -
CHANGE OF MAILING ADDRESS 2004-01-13 3635 CLYDE MORRIS BLVD, SUITE 400, PORT ORANGE, FL 32129 -

Documents

Name Date
ANNUAL REPORT 2015-02-09
ANNUAL REPORT 2014-03-06
ANNUAL REPORT 2013-01-24
ANNUAL REPORT 2012-01-10
ANNUAL REPORT 2011-06-13
ANNUAL REPORT 2010-02-08
ANNUAL REPORT 2009-03-24
ANNUAL REPORT 2008-01-15
ANNUAL REPORT 2007-01-09
ANNUAL REPORT 2006-01-31

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Companies related by address

No other companies in our directory share the same address as C. LAWRENCE SLADE, M.D., F.A.C.S., L.L.C.

Date of last update: 03 Apr 2025

Sources: Florida Department of State

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