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PUTNAM E.N.T., P.A.

Company Details

Entity Name: PUTNAM E.N.T., P.A.
Jurisdiction: FLORIDA
Filing Type: Florida Profit Corporation
Status: Inactive
Date Filed: 04 Sep 1990 (34 years ago)
Date of dissolution: 24 Sep 2021 (3 years ago)
Last Event: ADMIN DISSOLUTION FOR ANNUAL REPORT
Event Date Filed: 24 Sep 2021 (3 years ago)
Document Number: L98372
FEI/EIN Number 59-3026096
Address: 320 ZEAGLER DR, 3, PALATKA, FL 32177-3817
Mail Address: PO BOX 10071, FLEMING ISLAND, FL 32006
Place of Formation: FLORIDA

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
PUTNAM E. N. T. , P. A. PROFIT SHARING PLAN 2017 593026096 2018-04-19 PUTNAM E.N.T., P.A. 0
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-01-01
Business code 621111
Sponsor’s telephone number 3863251565
Plan sponsor’s address 320 ZEAGLER DRIVE, SUITE 1, PALATKA, FL, 321776854

Signature of
Role Plan administrator
Date 2018-04-19
Name of individual signing GLENWOOD A. CHARLES, M.D.
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2018-04-19
Name of individual signing GLENWOOD A. CHARLES, M.D.
Valid signature Filed with authorized/valid electronic signature
PUTNAM E.N.T., P.A. PROFIT SHARING PLAN 2017 593026096 2018-04-12 PUTNAM E.N.T., P.A. 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-01-01
Business code 621111
Sponsor’s telephone number 3863251565
Plan sponsor’s address 320 ZEAGLER DRIVE, SUITE 1, PALATKA, FL, 321776854

Signature of
Role Plan administrator
Date 2018-04-12
Name of individual signing GLENWOOD A. CHARLES, M.D.
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2018-04-12
Name of individual signing GLENWOOD A. CHARLES, M.D.
Valid signature Filed with authorized/valid electronic signature
PUTNAM E.N.T., P.A. PROFIT SHARING PLAN 2016 593026096 2017-05-12 PUTNAM E.N.T., P.A. 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-01-01
Business code 621111
Sponsor’s telephone number 3863251565
Plan sponsor’s address 320 ZEAGLER DRIVE, SUITE 1, PALATKA, FL, 321776854

Signature of
Role Plan administrator
Date 2017-05-12
Name of individual signing GLENWOOD A. CHARLES, M.D.
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2017-05-12
Name of individual signing GLENWOOD A. CHARLES, M.D.
Valid signature Filed with authorized/valid electronic signature
PUTNAM E.N.T., P.A. PROFIT SHARING PLAN 2015 593026096 2016-06-03 PUTNAM E.N.T., P.A. 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-01-01
Business code 621111
Sponsor’s telephone number 3863251565
Plan sponsor’s address 320 ZEAGLER DRIVE, SUITE 1, PALATKA, FL, 321776854

Signature of
Role Plan administrator
Date 2016-06-03
Name of individual signing GLENWOOD A. CHARLES, M.D.
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2016-06-03
Name of individual signing GLENWOOD A. CHARLES, M.D.
Valid signature Filed with authorized/valid electronic signature
PUTNAM E.N.T., P.A. PROFIT SHARING PLAN 2014 593026096 2015-07-04 PUTNAM E.N.T., P.A. 2
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-01-01
Business code 621111
Sponsor’s telephone number 3863251565
Plan sponsor’s address 320 ZEAGLER DRIVE, SUITE 1, PALATKA, FL, 321776854

Signature of
Role Plan administrator
Date 2015-07-04
Name of individual signing GLENWOOD A. CHARLES, M.D.
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2015-07-04
Name of individual signing GLENWOOD A. CHARLES, M.D.
Valid signature Filed with authorized/valid electronic signature
PUTNAM E.N.T., P.A. PROFIT SHARING PLAN 2013 593026096 2014-06-08 PUTNAM E.N.T., P.A. 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-01-01
Business code 621111
Sponsor’s telephone number 3863251565
Plan sponsor’s address 320 ZEAGLER DRIVE, SUITE 1, PALATKA, FL, 321776854

Signature of
Role Plan administrator
Date 2014-06-08
Name of individual signing GLENWOOD A. CHARLES, M.D.
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2014-06-08
Name of individual signing GLENWOOD A. CHARLES, M.D.
Valid signature Filed with authorized/valid electronic signature
PUTNAM E.N.T., P.A. PROFIT SHARING PLAN 2012 593026096 2013-07-07 PUTNAM E.N.T., P.A. 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-01-01
Business code 621111
Sponsor’s telephone number 3863251565
Plan sponsor’s address 320 ZEAGLER DRIVE, SUITE 1, PALATKA, FL, 321776854

Signature of
Role Plan administrator
Date 2013-07-07
Name of individual signing GLENWOOD A. CHARLES, M.D.
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2013-07-07
Name of individual signing GLENWOOD A. CHARLES, M.D.
Valid signature Filed with authorized/valid electronic signature
PUTNAM E.N.T., P.A. PROFIT SHARING PLAN 2011 593026096 2012-04-30 PUTNAM E.N.T., P.A. 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-01-01
Business code 621111
Sponsor’s telephone number 3863251565
Plan sponsor’s address 320 ZEAGLER DRIVE, SUITE 1, PALATKA, FL, 321776854

Plan administrator’s name and address
Administrator’s EIN 593026096
Plan administrator’s name PUTNAM E.N.T., P.A.
Plan administrator’s address 320 ZEAGLER DRIVE, SUITE 1, PALATKA, FL, 321776854
Administrator’s telephone number 3863251565

Signature of
Role Plan administrator
Date 2012-04-30
Name of individual signing GLENWOOD A. CHARLES, M.D.
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2012-04-30
Name of individual signing GLENWOOD A. CHARLES, M.D.
Valid signature Filed with authorized/valid electronic signature
PUTNAM E.N.T., P.A. PROFIT SHARING PLAN 2010 593026096 2011-06-24 PUTNAM E.N.T., P.A. 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-01-01
Business code 621111
Sponsor’s telephone number 3863251565
Plan sponsor’s address 320 ZEAGLER DRIVE, SUITE 1, PALATKA, FL, 321776854

Plan administrator’s name and address
Administrator’s EIN 593026096
Plan administrator’s name PUTNAM E.N.T., P.A.
Plan administrator’s address 320 ZEAGLER DRIVE, SUITE 1, PALATKA, FL, 321776854
Administrator’s telephone number 3863251565

Signature of
Role Plan administrator
Date 2011-06-24
Name of individual signing GLENWOOD A. CHARLES, M.D.
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2011-06-24
Name of individual signing GLENWOOD A. CHARLES, M.D.
Valid signature Filed with authorized/valid electronic signature
PUTNAM, E.N.T., P.A. PROFIT SHARING PLAN 2009 593026096 2010-07-15 PUTNAM E.N.T., P.A. 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-01-01
Business code 621111
Sponsor’s telephone number 3863251565
Plan sponsor’s address 320 ZEAGLER DRIVE, SUITE 1, PALATKA, FL, 321776854

Plan administrator’s name and address
Administrator’s EIN 593026096
Plan administrator’s name PUTNAM E.N.T., P.A.
Plan administrator’s address 320 ZEAGLER DRIVE, SUITE 1, PALATKA, FL, 321776854
Administrator’s telephone number 3863251565

Signature of
Role Plan administrator
Date 2010-07-15
Name of individual signing GLENWOOD A. CHARLES, M.D.
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2010-07-15
Name of individual signing GLENWOOD A. CHARLES, M.D.
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
TOVKACH, WALTER M. Agent 5011 NW 8 AVE, GAINESVILLE, FL 32605

President

Name Role Address
CHARLES, GLENWOOD A. President 2017 SALT MYRTLE LN, ORANGE PARK, FL 32003-7073

Treasurer

Name Role Address
CHARLES, GLENWOOD A. Treasurer 2017 SALT MYRTLE LN, ORANGE PARK, FL 32003-7073

Director

Name Role Address
CHARLES, GLENWOOD A. Director 2017 SALT MYRTLE LN, ORANGE PARK, FL 32003-7073

Secretary

Name Role Address
CHARLES, GLENWOOD A. Secretary 2017 SALT MYRTLE LN, ORANGE PARK, FL 32003-7073

Events

Event Type Filed Date Value Description
ADMIN DISSOLUTION FOR ANNUAL REPORT 2021-09-24 No data No data
CHANGE OF PRINCIPAL ADDRESS 2019-03-04 320 ZEAGLER DR, 3, PALATKA, FL 32177-3817 No data
CHANGE OF MAILING ADDRESS 2019-03-04 320 ZEAGLER DR, 3, PALATKA, FL 32177-3817 No data
REGISTERED AGENT ADDRESS CHANGED 1998-04-21 5011 NW 8 AVE, GAINESVILLE, FL 32605 No data

Documents

Name Date
ANNUAL REPORT 2020-03-27
ANNUAL REPORT 2019-03-04
ANNUAL REPORT 2018-02-10
ANNUAL REPORT 2017-04-01
ANNUAL REPORT 2016-03-29
ANNUAL REPORT 2015-03-21
ANNUAL REPORT 2014-03-06
ANNUAL REPORT 2013-04-04
ANNUAL REPORT 2012-03-07
ANNUAL REPORT 2011-01-17

Related by officers

TOVKACH, WALTER M.

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Related by address

No related companies by address

Date of last update: 03 Feb 2025

Sources: Florida Department of State

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