| Entity Name: | ARTHUR G. PETTYGROVE, M.D., P.A. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Inactive |
| Date Filed: | 18 Feb 2000 (25 years ago) |
| Date of dissolution: | 28 Sep 2018 (6 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 28 Sep 2018 (6 years ago) |
| Document Number: | P00000017871 |
| FEI/EIN Number | 522218385 |
| Address: | 2919 SWANN AVENUE, 400A, TAMPA, FL, 33609 |
| Mail Address: | 2919 SWANN AVENUE, 400A, TAMPA, FL, 33609 |
| ZIP code: | 33609 |
| County: | Hillsborough |
| Place of Formation: | FLORIDA |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| ARTHUR G. PETTYGROVE, M.D., P.A. PROFIT SHARING PLAN | 2009 | 522218385 | 2010-11-22 | ARTHUR G. PETTYGROVE, M.D., P.A. | 1 | |||||||||||||||||||||||||||||||||||||
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| Administrator’s EIN | 522218385 |
| Plan administrator’s name | ARTHUR G. PETTYGROVE, M.D., P.A. |
| Plan administrator’s address | 2919 W. SWANN AVENUE, SUITE 400A, TAMPA, FL, 33609 |
| Administrator’s telephone number | 8138730576 |
Number of participants as of the end of the plan year
| Active participants | 1 |
| Number of participants with account balances as of the end of the plan year | 1 |
Signature of
| Role | Plan administrator |
| Date | 2010-11-22 |
| Name of individual signing | THOMAS LADD |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2000-04-05 |
| Business code | 621111 |
| Sponsor’s telephone number | 8138730576 |
| Plan sponsor’s mailing address | 2919 W. SWANN AVENUE, SUITE 400A, TAMPA, FL, 33609 |
| Plan sponsor’s address | 2919 W. SWANN AVENUE, SUITE 400A, TAMPA, FL, 33609 |
Plan administrator’s name and address
| Administrator’s EIN | 522218385 |
| Plan administrator’s name | ARTHUR G. PETTYGROVE, M.D., P.A. |
| Plan administrator’s address | 2919 W. SWANN AVENUE, SUITE 400A, TAMPA, FL, 33609 |
| Administrator’s telephone number | 8138730576 |
Number of participants as of the end of the plan year
| Active participants | 1 |
| Number of participants with account balances as of the end of the plan year | 1 |
Signature of
| Role | Plan administrator |
| Date | 2010-11-22 |
| Name of individual signing | THOMAS LADD |
| Valid signature | Filed with authorized/valid electronic signature |
| Name | Role | Address |
|---|---|---|
| PETTYGROVE ARTHUR G | Agent | 2919 SWANN AVE, TAMPA, FL, 33609 |
| Name | Role | Address |
|---|---|---|
| PETTYGROVE ARTHUR G | Director | 2919 SWANN AVENUE SUITE 400A, TAMPA, FL, 33609 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2018-09-28 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2008-07-07 | 2919 SWANN AVENUE, 400A, TAMPA, FL 33609 | No data |
| CHANGE OF MAILING ADDRESS | 2008-07-07 | 2919 SWANN AVENUE, 400A, TAMPA, FL 33609 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2008-07-07 | 2919 SWANN AVE, 400A, TAMPA, FL 33609 | No data |
| REGISTERED AGENT NAME CHANGED | 2006-07-05 | PETTYGROVE, ARTHUR G | No data |
| CANCEL ADM DISS/REV | 2003-10-24 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2003-09-19 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2017-01-12 |
| ANNUAL REPORT | 2016-01-25 |
| ANNUAL REPORT | 2015-02-23 |
| ANNUAL REPORT | 2014-01-10 |
| ANNUAL REPORT | 2013-01-17 |
| ANNUAL REPORT | 2012-02-21 |
| ANNUAL REPORT | 2011-01-05 |
| ANNUAL REPORT | 2010-01-07 |
| ANNUAL REPORT | 2009-01-31 |
| ANNUAL REPORT | 2008-07-07 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
