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  5. P. DEE G. STEPHENSON, M.D., P.A.

P. DEE G. STEPHENSON, M.D., P.A.

Company Details

Entity Name: P. DEE G. STEPHENSON, M.D., P.A.
Jurisdiction: FLORIDA
Filing Type: Florida Profit Corporation
Status: Active
Date Filed: 14 Aug 1988 (36 years ago)
Document Number: M94549
FEI/EIN Number 65-0058943
Address: 200 PALERMO PLACE, VENICE, FL 34285
Mail Address: 200 PALERMO PLACE, VENICE, FL 34285
ZIP code: 34285
County: Sarasota
Place of Formation: FLORIDA

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
P. DEE G. STEPHENSON, M.D.P.A. 401(K) PSP 2017 650058943 2018-05-16 P DEE G STEPHENSON, M.D. P.A. 9
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1993-01-01
Business code 621111
Sponsor’s telephone number 9414851121
Plan sponsor’s address 200 PALERMO PLACE, VENICE, FL, 34285

Signature of
Role Plan administrator
Date 2018-05-16
Name of individual signing P DEE G STEPHENSON MD
Valid signature Filed with authorized/valid electronic signature
P. DEE G. STEPHENSON, M.D.P.A. 401(K) PSP 2016 650058943 2017-09-07 P DEE G STEPHENSON, M.D. P.A. 7
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1993-01-01
Business code 621111
Sponsor’s telephone number 9414851121
Plan sponsor’s address 200 PALERMO PLACE, VENICE, FL, 34285

Signature of
Role Plan administrator
Date 2017-09-07
Name of individual signing P DEE G STEPHENSON, MD
Valid signature Filed with authorized/valid electronic signature
P. DEE G. STEPHENSON, M.D.P.A. 401(K) PSP 2015 650058943 2016-04-21 P DEE G STEPHENSON, M.D. P.A. 6
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1993-01-01
Business code 621111
Sponsor’s telephone number 9414851121
Plan sponsor’s address 200 PALERMO PLACE, VENICE, FL, 34285

Signature of
Role Plan administrator
Date 2016-04-21
Name of individual signing P DEE G STEPHENSON, MD
Valid signature Filed with authorized/valid electronic signature
P. DEE G. STEPHENSON, M.D.P.A. 401(K) PSP 2014 650058943 2015-07-23 P. DEE G. STEPHENSON, M.D.P.A. 7
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1993-01-01
Business code 621111
Sponsor’s telephone number 9414851121
Plan sponsor’s address 200 PALERMO PLACE, VENICE, FL, 34285

Signature of
Role Plan administrator
Date 2015-07-23
Name of individual signing P. DEE G. STEPHENSON, MD
Valid signature Filed with authorized/valid electronic signature
P. DEE G. STEPHENSON, MD PA 401(K) PSP 2013 650058943 2014-04-14 P. DEE G. STEPHENSON, M.D.P.A. 5
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1993-01-01
Business code 621111
Sponsor’s telephone number 9414851121
Plan sponsor’s address 200 PALERMO PLACE, VENICE, FL, 34285

Signature of
Role Plan administrator
Date 2014-04-14
Name of individual signing P DEE G STEPHENSON MD PA
Valid signature Filed with authorized/valid electronic signature
P. DEE G. STEPHENSON, MD PA 401(K) PSP 2012 650058943 2013-08-21 P. DEE G. STEPHENSON, M.D.P.A. 5
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1993-01-01
Business code 621111
Sponsor’s telephone number 9414851121
Plan sponsor’s address 200 PALERMO PLACE, VENICE, FL, 34285

Signature of
Role Plan administrator
Date 2013-08-21
Name of individual signing P DEE G STEPHENSON
Valid signature Filed with authorized/valid electronic signature
P. DEE G. STEPHENSON, MD PA 401(K) PSP 2011 650058943 2012-06-20 P. DEE G. STEPHENSON, M.D.P.A. 5
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1993-01-01
Business code 621111
Sponsor’s telephone number 9414851121
Plan sponsor’s address 200 PALERMO PLACE, VENICE, FL, 34285

Plan administrator’s name and address
Administrator’s EIN 650058943
Plan administrator’s name P. DEE G. STEPHENSON, M.D.P.A.
Plan administrator’s address 200 PALERMO PLACE, VENICE, FL, 34285
Administrator’s telephone number 9414851121

Signature of
Role Plan administrator
Date 2012-06-20
Name of individual signing P. DEE G. STEPHENSON, MD
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
STEPHENSON, P. DEE GMD Agent 200 PALERMO PLACE, VENICE, FL 34285

President

Name Role Address
STEPHENSON, P DEE GMD President 200 PALERMO PLACE, VENICE, FL 34285

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G16000108239 STEPHENSON EYE ASSOCIATES ACTIVE 2016-10-04 2026-12-31 No data 200 PALERMO PLACE, VENICE, FL, 34285

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2004-01-28 200 PALERMO PLACE, VENICE, FL 34285 No data
CHANGE OF MAILING ADDRESS 2004-01-28 200 PALERMO PLACE, VENICE, FL 34285 No data
REGISTERED AGENT NAME CHANGED 2004-01-28 STEPHENSON, P. DEE GMD No data
REGISTERED AGENT ADDRESS CHANGED 2004-01-28 200 PALERMO PLACE, VENICE, FL 34285 No data

Documents

Name Date
ANNUAL REPORT 2024-02-11
ANNUAL REPORT 2023-01-23
ANNUAL REPORT 2022-02-01
ANNUAL REPORT 2021-01-29
ANNUAL REPORT 2020-01-20
ANNUAL REPORT 2019-02-18
ANNUAL REPORT 2018-01-15
ANNUAL REPORT 2017-01-20
ANNUAL REPORT 2016-02-08
ANNUAL REPORT 2015-01-23

Related by officers

No related officers

Related by address

No related companies by address

Date of last update: 04 Feb 2025

Sources: Florida Department of State

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