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  5. THE MCGREGOR CLINIC, INC.

THE MCGREGOR CLINIC, INC.

Company Details

Entity Name: THE MCGREGOR CLINIC, INC.
Jurisdiction: FLORIDA
Filing Type: Domestic Non-Profit
Status: Active
Date Filed: 13 Nov 1998 (26 years ago)
Document Number: N98000006521
FEI/EIN Number 650922489
Address: 3487 Broadway, FT. MYERS, FL, 33901, US
Mail Address: 3487 Broadway, FT. MYERS, FL, 33901, US
ZIP code: 33901
County: Lee
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1104092345 2008-05-07 2022-01-20 3487 BROADWAY AVENUE, FORT MYERS, FL, 339017213, US 3487 BROADWAY AVENUE, FORT MYERS, FL, 339017213, US

Contacts
Phone +1 239-334-9555
Fax 2393342439

Authorized person
Name MR. BERT THOMAS HAMMOND
Role CEO
Phone 2393349555

Taxonomy
Taxonomy Code 171M00000X - Case Manager/Care Coordinator
Is Primary Yes
Taxonomy Code 261QP2300X - Primary Care Clinic/Center
Is Primary No

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
MCGREGOR CLINIC RETIREMENT PLAN 2023 650922489 2024-10-11 THE MCGREGOR CLINIC, INC. 54
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2014-01-01
Business code 621111
Sponsor’s telephone number 2393349555
Plan sponsor’s address 3487 BROADWAY AVE, FORT MYERS, FL, 339017213

Signature of
Role Plan administrator
Date 2024-10-11
Name of individual signing CHELSEA ALVARADO
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2024-10-11
Name of individual signing CHELSEA ALVARADO
Valid signature Filed with authorized/valid electronic signature
MCGREGOR CLINIC RETIREMENT PLAN 2022 650922489 2023-07-05 MCGREGOR CLINIC INC 53
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2014-01-01
Business code 621111
Sponsor’s telephone number 2393349555
Plan sponsor’s address 3487 BROADWAY AVENUE, FORT MYERS, FL, 33901
MCGREGOR CLINIC RETIREMENT PLAN 2021 650922489 2022-05-17 MCGREGOR CLINIC INC 47
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2014-01-01
Business code 621111
Sponsor’s telephone number 2393349555
Plan sponsor’s address 3487 BROADWAY AVENUE, FORT MYERS, FL, 33901
MCGREGOR CLINIC RETIREMENT PLAN 2020 650922489 2021-07-08 MCGREGOR CLINIC INC 48
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2014-01-01
Business code 621111
Sponsor’s telephone number 2393349555
Plan sponsor’s address 3487 BROADWAY AVENUE, FORT MYERS, FL, 33901

Signature of
Role Plan administrator
Date 2021-07-08
Name of individual signing CHELSEA SEEBAUER
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2021-07-08
Name of individual signing SUSAN GERALD
Valid signature Filed with authorized/valid electronic signature
MCGREGOR CLINIC RETIREMENT PLAN 2019 650922489 2020-07-06 MCGREGOR CLINIC INC 54
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2014-01-01
Business code 621111
Sponsor’s telephone number 2393349555
Plan sponsor’s address 3487 BROADWAY AVENUE, FORT MYERS, FL, 33901

Signature of
Role Plan administrator
Date 2020-07-06
Name of individual signing CHELSEA SEEBAUER
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2020-07-06
Name of individual signing SUSAN GERALD
Valid signature Filed with authorized/valid electronic signature
MCGREGOR CLINIC RETIREMENT PLAN 2018 650922489 2019-07-24 MCGREGOR CLINIC INC 51
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2014-01-01
Business code 621111
Sponsor’s telephone number 2393349555
Plan sponsor’s address 3487 BROADWAY AVENUE, FORT MYERS, FL, 33901

Signature of
Role Plan administrator
Date 2019-07-24
Name of individual signing SUSAN GERALD
Valid signature Filed with authorized/valid electronic signature
MCGREGOR CLINIC RETIREMENT PLAN 2017 650922489 2018-09-07 MCGREGOR CLINIC INC 50
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2014-01-01
Business code 621111
Sponsor’s telephone number 2393349555
Plan sponsor’s address 3487 BROADWAY AVENUE, FORT MYERS, FL, 33901

Signature of
Role Plan administrator
Date 2018-09-07
Name of individual signing SUSAN GERALD
Valid signature Filed with authorized/valid electronic signature
MCGREGOR CLINIC RETIREMENT PLAN 2016 650922489 2017-07-19 MCGREGOR CLINIC INC 43
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2014-01-01
Business code 621111
Sponsor’s telephone number 2393349555
Plan sponsor’s address 3487 BROADWAY AVE, FT MYERS, FL, 33901

Signature of
Role Plan administrator
Date 2017-07-19
Name of individual signing SUSAN GERALD
Valid signature Filed with authorized/valid electronic signature
MCGREGOR CLINIC RETIREMENT PLAN 2015 650922489 2016-07-13 MCGREGOR CLINIC INC 37
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2014-01-01
Business code 621111
Sponsor’s telephone number 2393349555
Plan sponsor’s address 3487 BROADWAY AVE, FT MYERS, FL, 33901

Signature of
Role Plan administrator
Date 2016-05-19
Name of individual signing SUSAN GERALD
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2016-05-19
Name of individual signing SUSAN GERALD
Valid signature Filed with authorized/valid electronic signature
MCGREGOR CLINIC RETIREMENT PLAN 2014 650922489 2015-09-09 MCGREGOR CLINIC INC 26
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2014-01-01
Business code 621111
Sponsor’s telephone number 2393349555
Plan sponsor’s address 3487 BROADWAY AVE, FT MYERS, FL, 33901

Signature of
Role Plan administrator
Date 2015-09-09
Name of individual signing SUSAN GERALD
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
Seebauer Chelsea Agent 3487 Broadway, FORT MYERS, FL, 33901

Director

Name Role Address
Dettis Johnna Director 3487 Broadway, FT. MYERS, FL, 33901
Madsen Greg Director 3487 Broadway, FT. MYERS, FL, 33901
Smith Kagan Director 3487 BROADWAY, FORT MYERS, FL, 33901

Chief Executive Officer

Name Role Address
Hammond Bert T Chief Executive Officer 3487 Broadway, FT. MYERS, FL, 33901

Comp

Name Role Address
Seebauer Chelsea Comp 3487 Broadway, FT. MYERS, FL, 33901

Chief Operating Officer

Name Role Address
Gerald Susan Chief Operating Officer 3487 BROADWAY, FORT MYERS, FL, 33901

Events

Event Type Filed Date Value Description
REGISTERED AGENT NAME CHANGED 2022-01-13 Seebauer, Chelsea No data
CHANGE OF PRINCIPAL ADDRESS 2013-05-13 3487 Broadway, FT. MYERS, FL 33901 No data
CHANGE OF MAILING ADDRESS 2013-05-13 3487 Broadway, FT. MYERS, FL 33901 No data
REGISTERED AGENT ADDRESS CHANGED 2013-05-13 3487 Broadway, FORT MYERS, FL 33901 No data

Documents

Name Date
ANNUAL REPORT 2024-01-30
ANNUAL REPORT 2023-03-24
ANNUAL REPORT 2022-01-13
ANNUAL REPORT 2021-01-28
ANNUAL REPORT 2020-03-31
ANNUAL REPORT 2019-03-01
ANNUAL REPORT 2018-02-28
ANNUAL REPORT 2017-02-09
ANNUAL REPORT 2016-03-29
ANNUAL REPORT 2015-03-06

Related by officers

No related officers

Related by address

No related companies by address

Date of last update: 01 Feb 2025

Sources: Florida Department of State

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