| Entity Name: | GERIATRIC ONCOLOGY CONSORTIUM, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Not For Profit Corporation |
| Status: | Inactive |
| Date Filed: | 31 Dec 2003 (21 years ago) |
| Date of dissolution: | 27 Sep 2024 (4 months ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 27 Sep 2024 (4 months ago) |
| Document Number: | N04000000060 |
| FEI/EIN Number | 20-0561327 |
| Address: | 14502 N. Dale Mabry Highway, Suite 200-32, TAMPA, FL 33618 |
| Mail Address: | 14502 N. Dale Mabry Highway, Suite 200-32, TAMPA, FL 33618 |
| ZIP code: | 33618 |
| County: | Hillsborough |
| Place of Formation: | FLORIDA |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| GERIATRIC ONCOLOGY CONSORTIUM 401K PROFIT SHARING PLAN AND TRUST | 2014 | 200561327 | 2015-11-05 | GERIATRIC ONCOLOGY CONSORTIUM, INC | 4 | |||||||||||||||||||||||||||||||||||||||
|
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| Active participants | 3 |
| Retired or separated participants receiving benefits | 1 |
| Number of participants with account balances as of the end of the plan year | 3 |
Signature of
| Role | Plan administrator |
| Date | 2015-11-05 |
| Name of individual signing | KRISTINE SWIFT |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 002 |
| Effective date of plan | 2008-01-01 |
| Business code | 541990 |
| Sponsor’s telephone number | 8139691722 |
| Plan sponsor’s mailing address | 200 SOUTH MACDILL AVE, SUITE 200, TAMPA, FL, 33609 |
| Plan sponsor’s address | 200 SOUTH MACDILL AVE, SUITE 200, TAMPA, FL, 33609 |
Number of participants as of the end of the plan year
| Active participants | 4 |
| Retired or separated participants receiving benefits | 1 |
| Number of participants with account balances as of the end of the plan year | 4 |
Signature of
| Role | Plan administrator |
| Date | 2015-11-05 |
| Name of individual signing | KRISTINE SWIFT |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 002 |
| Effective date of plan | 2008-01-01 |
| Business code | 541990 |
| Sponsor’s telephone number | 8139691722 |
| Plan sponsor’s mailing address | 200 SOUTH MACDILL AVE, SUITE 200, TAMPA, FL, 33609 |
| Plan sponsor’s address | 200 SOUTH MACDILL AVE, SUITE 200, TAMPA, FL, 33609 |
Plan administrator’s name and address
| Administrator’s EIN | 200561327 |
| Plan administrator’s name | GERIATRIC ONCOLOGY CONSORTIUM, INC |
| Plan administrator’s address | 200 SOUTH MACDILL AVE, SUITE 200, TAMPA, FL, 33609 |
| Administrator’s telephone number | 8139691722 |
Number of participants as of the end of the plan year
| Active participants | 2 |
| Retired or separated participants receiving benefits | 1 |
| Number of participants with account balances as of the end of the plan year | 2 |
Signature of
| Role | Plan administrator |
| Date | 2015-11-05 |
| Name of individual signing | KRISTINE SWIFT |
| Valid signature | Filed with authorized/valid electronic signature |
| Name | Role | Address |
|---|---|---|
| SIMON, JODY | Agent | 14502 N. Dale Mabry Highway, Suite 200-32, TAMPA, FL 33618 |
| Name | Role | Address |
|---|---|---|
| SIMON, JODY | Director | 14502 N. Dale Mabry Highway, Suite 200 TAMPA, FL 33618 |
| HAUSER, ROBERT | Director | 77 TARRAGON LANE, EDGEWATER, MD 21037 |
| BALDUCCI, LODOVICO MD | Director | 4128 CARROLLWOOD VILLAGE DRIVE, TAMPA, FL 33624-4626 |
| Name | Role | Address |
|---|---|---|
| SIMON, JODY | President | 14502 N. Dale Mabry Highway, Suite 200 TAMPA, FL 33618 |
| Name | Role | Address |
|---|---|---|
| HAUSER, ROBERT | Vice President | 77 TARRAGON LANE, EDGEWATER, MD 21037 |
| Name | Role | Address |
|---|---|---|
| BALDUCCI, LODOVICO MD | Secretary | 4128 CARROLLWOOD VILLAGE DRIVE, TAMPA, FL 33624-4626 |
| Name | Role | Address |
|---|---|---|
| BALDUCCI, LODOVICO MD | Treasurer | 4128 CARROLLWOOD VILLAGE DRIVE, TAMPA, FL 33624-4626 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2024-09-27 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2022-02-28 | 14502 N. Dale Mabry Highway, Suite 200-32, TAMPA, FL 33618 | No data |
| CHANGE OF MAILING ADDRESS | 2022-02-28 | 14502 N. Dale Mabry Highway, Suite 200-32, TAMPA, FL 33618 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2022-02-28 | 14502 N. Dale Mabry Highway, Suite 200-32, TAMPA, FL 33618 | No data |
| REGISTERED AGENT NAME CHANGED | 2007-07-13 | SIMON, JODY | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2023-02-21 |
| ANNUAL REPORT | 2022-02-28 |
| ANNUAL REPORT | 2021-02-01 |
| ANNUAL REPORT | 2020-02-05 |
| ANNUAL REPORT | 2019-02-08 |
| ANNUAL REPORT | 2018-01-17 |
| ANNUAL REPORT | 2017-01-27 |
| ANNUAL REPORT | 2016-02-03 |
| ANNUAL REPORT | 2015-01-27 |
| ANNUAL REPORT | 2014-01-17 |
Date of last update: 05 Jan 2025
Sources: Florida Department of State
