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  5. DEBORAH F. SHULTZ, M.D., P.A.

DEBORAH F. SHULTZ, M.D., P.A.

Company Details

Entity Name: DEBORAH F. SHULTZ, M.D., P.A.
Jurisdiction: FLORIDA
Filing Type: Florida Profit Corporation
Status: Inactive
Date Filed: 15 Sep 1988 (36 years ago)
Date of dissolution: 22 Sep 2023 (a year ago)
Last Event: ADMIN DISSOLUTION FOR ANNUAL REPORT
Event Date Filed: 22 Sep 2023 (a year ago)
Document Number: M99479
FEI/EIN Number 59-2910791
Address: 201 FLAMINGO DRIVE, APOLLO BEACH, FL 33572
Mail Address: 201 FLAMINGO DRIVE, APOLLO BEACH, FL 33572
ZIP code: 33572
County: Hillsborough
Place of Formation: FLORIDA

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
DEBORAH F. SHULTZ, M.D., P.A. PROFIT SHARING PLAN 2022 592910791 2024-02-13 DEBORAH F. SHULTZ, M.D., P.A. 11
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1993-01-01
Business code 621111
Sponsor’s telephone number 8136454687
Plan sponsor’s address 201 FLAMINGO DRIVE, APOLLO BEACH, FL, 33572
DEBORAH F. SHULTZ, M.D., P.A. PROFIT SHARING PLAN 2021 592910791 2023-02-15 DEBORAH F. SHULTZ, M.D., P.A. 11
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1993-01-01
Business code 621111
Sponsor’s telephone number 8136454687
Plan sponsor’s address 201 FLAMINGO DRIVE, APOLLO BEACH, FL, 33572
DEBORAH F. SHULTZ, M.D., P.A. PROFIT SHARING PLAN 2020 592910791 2021-10-15 DEBORAH F. SHULTZ, M.D., P.A. 11
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1993-01-01
Business code 621111
Sponsor’s telephone number 8136454687
Plan sponsor’s address 201 FLAMINGO DRIVE, APOLLO BEACH, FL, 33572
DEBORAH F. SHULTZ, M.D., P.A. 401(K) PROFIT SHARING PLAN 2019 592910791 2020-07-16 DEBORAH F. SHULTZ, M.D., P.A. 12
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1993-01-01
Business code 621111
Sponsor’s telephone number 8136454687
Plan sponsor’s address 201 FLAMINGO DR, APOLLO BEACH, FL, 335722619

Signature of
Role Plan administrator
Date 2020-07-16
Name of individual signing DEBORAH SHULTZ
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2020-07-16
Name of individual signing DEBORAH SHULTZ
Valid signature Filed with authorized/valid electronic signature
DEBORAH F. SHULTZ, M.D., P.A. 401(K) PROFIT SHARING PLAN 2018 592910791 2019-07-25 DEBORAH F. SHULTZ, M.D., P.A. 12
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1993-01-01
Business code 621111
Sponsor’s telephone number 8136454687
Plan sponsor’s address 201 FLAMINGO DR, APOLLO BEACH, FL, 335722619

Signature of
Role Plan administrator
Date 2019-07-25
Name of individual signing THERESA THIELE
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2019-07-25
Name of individual signing THERESA THIELE
Valid signature Filed with authorized/valid electronic signature
DEBORAH F. SHULTZ, M.D., P.A. 401(K) PROFIT SHARING PLAN 2017 592910791 2018-07-19 DEBORAH F. SHULTZ, M.D., P.A. 12
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1993-01-01
Business code 621111
Sponsor’s telephone number 8136454687
Plan sponsor’s address 201 FLAMINGO DR, APOLLO BEACH, FL, 335722619

Signature of
Role Plan administrator
Date 2018-07-19
Name of individual signing DEBORAH SHULTZ
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2018-07-19
Name of individual signing DEBORAH SHULTZ
Valid signature Filed with authorized/valid electronic signature
DEBORAH F. SHULTZ, M.D., P.A. 401(K) PROFIT SHARING PLAN 2016 592910791 2017-07-28 DEBORAH F. SHULTZ, M.D., P.A. 11
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1993-01-01
Business code 621111
Sponsor’s telephone number 8136454687
Plan sponsor’s address 201 FLAMINGO DR, APOLLO BEACH, FL, 335722619

Signature of
Role Plan administrator
Date 2017-07-28
Name of individual signing DEBORAH SHULTZ
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2017-07-28
Name of individual signing DEBORAH SHULTZ
Valid signature Filed with authorized/valid electronic signature
DEBORAH F. SHULTZ, M.D., P.A. 401(K) PROFIT SHARING PLAN 2015 592910791 2016-06-09 DEBORAH F. SHULTZ, M.D., P.A. 12
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1993-01-01
Business code 621111
Sponsor’s telephone number 8136454687
Plan sponsor’s address 201 FLAMINGO DR, APOLLO BEACH, FL, 335722619

Signature of
Role Plan administrator
Date 2016-06-09
Name of individual signing DEBORAH SHULTZ
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2016-06-09
Name of individual signing DEBORAH SHULTZ
Valid signature Filed with authorized/valid electronic signature
DEBORAH F. SHULTZ, M.D., P.A. 401(K) PROFIT SHARING PLAN 2014 592910791 2015-07-09 DEBORAH F. SHULTZ, M.D., P.A. 12
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1993-01-01
Business code 621111
Sponsor’s telephone number 8136454687
Plan sponsor’s address 201 FLAMINGO DR, APOLLO BEACH, FL, 335722619

Signature of
Role Plan administrator
Date 2015-07-09
Name of individual signing DEBORAH SHULTZ
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2015-07-09
Name of individual signing DEBORAH SHULTZ
Valid signature Filed with authorized/valid electronic signature
DEBORAH F. SHULTZ, M.D., P.A. 401(K) PROFIT SHARING PLAN 2013 592910791 2014-07-30 DEBORAH F. SHULTZ, M.D., P.A. 13
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1993-01-01
Business code 621111
Sponsor’s telephone number 8136454687
Plan sponsor’s address 201 FLAMINGO DR, APOLLO BEACH, FL, 335722619

Signature of
Role Plan administrator
Date 2014-07-30
Name of individual signing DEBORAH SHULTZ
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2014-07-30
Name of individual signing DEBORAH SHULTZ
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
SHULTZ, DEBORAH F., M.D. Agent 201 FLAMINGO DRIVE, APOLLO BEACH, FL 33572

President

Name Role Address
SHULTZ, DEBORAH F., M.D. President 201 FLAMINGO DRIVE, APOLLO BEACH, FL 33572

Events

Event Type Filed Date Value Description
ADMIN DISSOLUTION FOR ANNUAL REPORT 2023-09-22 No data No data
REGISTERED AGENT ADDRESS CHANGED 2017-02-16 201 FLAMINGO DRIVE, APOLLO BEACH, FL 33572 No data
CHANGE OF PRINCIPAL ADDRESS 1991-03-11 201 FLAMINGO DRIVE, APOLLO BEACH, FL 33572 No data
CHANGE OF MAILING ADDRESS 1991-03-11 201 FLAMINGO DRIVE, APOLLO BEACH, FL 33572 No data

Documents

Name Date
ANNUAL REPORT 2022-03-14
ANNUAL REPORT 2021-02-04
ANNUAL REPORT 2020-03-20
ANNUAL REPORT 2019-02-07
ANNUAL REPORT 2018-03-26
ANNUAL REPORT 2017-02-16
ANNUAL REPORT 2016-01-25
ANNUAL REPORT 2015-01-12
ANNUAL REPORT 2014-01-13
ANNUAL REPORT 2013-01-31

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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