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  5. PATRICK J. GRABLIN, M.D., P.A.

PATRICK J. GRABLIN, M.D., P.A.

Company Details

Entity Name: PATRICK J. GRABLIN, M.D., P.A.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Inactive
Date Filed: 18 Feb 2000 (25 years ago)
Date of dissolution: 27 Jan 2020 (5 years ago)
Last Event: VOLUNTARY DISSOLUTION
Event Date Filed: 27 Jan 2020 (5 years ago)
Document Number: P00000017752
FEI/EIN Number 650985584
Address: 1118 Palma Sola Blvd, BRADENTON, FL, 34209, US
Mail Address: P O BOX 14869, BRADENTON, FL, 34280
ZIP code: 34209
County: Manatee
Place of Formation: FLORIDA

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
PATRICK J. GRABLIN, M.D., P.A. RETIREMENT SAVINGS PLAN 2018 650985584 2019-12-19 PATRICK J. GRABLIN, M.D., P.A. 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-01-01
Business code 621111
Sponsor’s telephone number 9417449200
Plan sponsor’s address 530 5TH STREET EAST, BRADENTON, FL, 34280

Signature of
Role Plan administrator
Date 2019-12-19
Name of individual signing KARIN A GRABLIN
Valid signature Filed with authorized/valid electronic signature
PATRICK J. GRABLIN, M.D., P.A. RETIREMENT SAVINGS PLAN 2018 650985584 2019-08-07 PATRICK J. GRABLIN, M.D., P.A. 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-01-01
Business code 621111
Sponsor’s telephone number 9415045054
Plan sponsor’s address 530 FIFTH STREET EAST, BRADENTON, FL, 34280

Signature of
Role Plan administrator
Date 2019-08-07
Name of individual signing KARIN A GRABLIN
Valid signature Filed with authorized/valid electronic signature
PATRICK J. GRABLIN, M.D., P.A. RETIREMENT SAVINGS PLAN 2017 650985584 2018-11-03 PATRICK J. GRABLIN, M.D., P.A. 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-01-01
Business code 621111
Sponsor’s telephone number 9415045054
Plan sponsor’s address 530 FIFTH STREET EAST, BRADENTON, FL, 34280

Signature of
Role Plan administrator
Date 2018-11-03
Name of individual signing KARIN A GRABLIN
Valid signature Filed with authorized/valid electronic signature
PATRICK J. GRABLIN, M.D., P.A. RETIREMENT SAVINGS PLAN 2016 650985584 2017-09-03 PATRICK J. GRABLIN, M.D., P.A. 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-01-01
Business code 621111
Sponsor’s telephone number 9415045054
Plan sponsor’s address 530 FIFTH STREET EAST, BRADENTON, FL, 34280

Signature of
Role Plan administrator
Date 2017-09-03
Name of individual signing PATRICK GRABLIN
Valid signature Filed with authorized/valid electronic signature
PATRICK J. GRABLIN, M.D., P.A. RETIREMENT SAVINGS PLAN 2015 650985584 2016-07-29 PATRICK J. GRABLIN, M.D., P.A. 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-01-01
Business code 621111
Sponsor’s telephone number 9415045054
Plan sponsor’s address PO BOX 14869, BRANDENTON, FL, 34280

Signature of
Role Plan administrator
Date 2016-07-29
Name of individual signing KARIN GRABLIN
Valid signature Filed with authorized/valid electronic signature
PATRICK J. GRABLIN, M.D., P.A. RETIREMENT SAVINGS PLAN 2014 650985584 2015-09-27 PATRICK J. GRABLIN, M.D., P.A. 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-01-01
Business code 541214
Sponsor’s telephone number 9417449200
Plan sponsor’s address 530 5TH STREET EAST, BRANDENTON, FL, 34208

Signature of
Role Plan administrator
Date 2015-09-27
Name of individual signing GRABLIN
Valid signature Filed with authorized/valid electronic signature
PATRICK J. GRABLIN, M.D., P.A. RETIREMENT SAVINGS PLAN 2013 650985584 2014-07-22 PATRICK J. GRABLIN, M.D., P.A. 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-01-01
Business code 541214
Sponsor’s telephone number 9417449200
Plan sponsor’s address 530 5TH STREET EAST, BRANDENTON, FL, 34208

Signature of
Role Plan administrator
Date 2014-07-22
Name of individual signing KARIN GRABLIN
Valid signature Filed with authorized/valid electronic signature
PATRICK J. GRABLIN, M.D., P.A. RETIREMENT SAVINGS PLAN 2012 650985584 2013-06-21 PATRICK J. GRABLIN, M.D., P.A. 8
Three-digit plan number (PN) 001
Effective date of plan 2002-01-01
Business code 541214
Sponsor’s telephone number 9417449200
Plan sponsor’s address 530 5TH STREET EAST, BRANDENTON, FL, 34208

Signature of
Role Plan administrator
Date 2013-06-18
Name of individual signing PATRICK J. GRABLIN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2013-06-20
Name of individual signing PATRICK J. GRABLIN
Valid signature Filed with authorized/valid electronic signature
PATRICK J. GRABLIN, M.D., P.A. RETIREMENT SAVINGS PLAN 2011 650985584 2012-07-15 PATRICK J. GRABLIN, M.D., P.A. 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-01-01
Business code 541214
Sponsor’s telephone number 9417449200
Plan sponsor’s address 530 5TH STREET EAST, BRANDENTON, FL, 34208

Plan administrator’s name and address
Administrator’s EIN 650985584
Plan administrator’s name PATRICK J. GRABLIN, M.D., P.A.
Plan administrator’s address 530 5TH STREET EAST, BRANDENTON, FL, 34208
Administrator’s telephone number 9417449200

Signature of
Role Plan administrator
Date 2012-07-15
Name of individual signing KARIN A. GRABLIN
Valid signature Filed with authorized/valid electronic signature
PATRICK J. GRABLIN, M.D., P.A. RETIREMENT SAVINGS PLAN 2010 650985584 2011-05-29 PATRICK J. GRABLIN, M.D., P.A. 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-01-01
Business code 541214
Sponsor’s telephone number 9417449200
Plan sponsor’s address 530 5TH STREET EAST, BRANDENTON, FL, 34208

Plan administrator’s name and address
Administrator’s EIN 650985584
Plan administrator’s name PATRICK J. GRABLIN, M.D., P.A.
Plan administrator’s address 530 5TH STREET EAST, BRANDENTON, FL, 34208
Administrator’s telephone number 9417449200

Signature of
Role Plan administrator
Date 2011-05-29
Name of individual signing KARIN A GRABLIN
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
GRABLIN KARIN A Agent 1118 Palma Sola Blvd, BRADENTON, FL, 34209

President

Name Role Address
GRABLIN PATRICK J President P.O. Box 14869, BRADENTON, FL, 34280

Treasurer

Name Role Address
GRABLIN KARIN A Treasurer P.O. BOX 14399, BRADENTON, FL, 34280

Events

Event Type Filed Date Value Description
VOLUNTARY DISSOLUTION 2020-01-27 No data No data
CHANGE OF PRINCIPAL ADDRESS 2019-02-24 1118 Palma Sola Blvd, BRADENTON, FL 34209 No data
REGISTERED AGENT ADDRESS CHANGED 2019-02-24 1118 Palma Sola Blvd, BRADENTON, FL 34209 No data
REGISTERED AGENT NAME CHANGED 2013-07-24 GRABLIN, KARIN A No data
CHANGE OF MAILING ADDRESS 2001-04-26 1118 Palma Sola Blvd, BRADENTON, FL 34209 No data

Documents

Name Date
VOLUNTARY DISSOLUTION 2020-01-27
ANNUAL REPORT 2019-02-24
ANNUAL REPORT 2018-01-27
ANNUAL REPORT 2017-01-08
ANNUAL REPORT 2016-01-24
ANNUAL REPORT 2015-01-31
ANNUAL REPORT 2014-01-20
Reg. Agent Change 2013-07-24
ANNUAL REPORT 2013-01-24
ANNUAL REPORT 2012-03-25

Related by officers

GRABLIN KARIN A

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GRABLIN PATRICK J

DREAMS MATTER, INC.

Related by address

No related companies by address

Date of last update: 01 Feb 2025

Sources: Florida Department of State

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