| Entity Name: | UROLOGY ASSOCIATES OF NORTHEAST FLORIDA, P.A. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Inactive |
| Date Filed: | 10 Mar 2000 (25 years ago) |
| Date of dissolution: | 24 Sep 2021 (3 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 24 Sep 2021 (3 years ago) |
| Document Number: | P00000024862 |
| FEI/EIN Number | 593629546 |
| Address: | 18851 NE 29TH AVE, AVENTURA, FL, 33180, US |
| Mail Address: | 18851 NE 29TH AVE, AVENTURA, FL, 33180, US |
| ZIP code: | 33180 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| UROLOGY ASSOCIATES OF NORTHEAST FLORIDA, P.A. 401(K) PROFIT SHARING PLAN | 2011 | 593629546 | 2012-02-02 | UROLOGY ASSOCIATES OF NORTHEAST FLORIDA, P.A. | 1 | |||||||||||||||||||||||||||||||||||||||||
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| Administrator’s EIN | 593629546 |
| Plan administrator’s name | UROLOGY ASSOCIATES OF NORTHEAST FLORIDA, P.A. |
| Plan administrator’s address | 1715 VILLAGE WAY, ORANGE PARK, FL, 32073 |
| Administrator’s telephone number | 9042648418 |
Signature of
| Role | Plan administrator |
| Date | 2012-02-02 |
| Name of individual signing | KELLY BLASSER |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2000-04-01 |
| Business code | 621111 |
| Sponsor’s telephone number | 9042648418 |
| Plan sponsor’s address | 1715 VILLAGE WAY, ORANGE PARK, FL, 32073 |
Plan administrator’s name and address
| Administrator’s EIN | 593629546 |
| Plan administrator’s name | UROLOGY ASSOCIATES OF NORTHEAST FLORIDA, P.A. |
| Plan administrator’s address | 1715 VILLAGE WAY, ORANGE PARK, FL, 32073 |
| Administrator’s telephone number | 9042648418 |
Signature of
| Role | Plan administrator |
| Date | 2011-10-12 |
| Name of individual signing | KELLY A. BLASSER |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2000-04-01 |
| Business code | 621111 |
| Sponsor’s telephone number | 9042648418 |
| Plan sponsor’s address | 1715 VILLAGE WAY, ORANGE PARK, FL, 32073 |
Plan administrator’s name and address
| Administrator’s EIN | 593629546 |
| Plan administrator’s name | UROLOGY ASSOCIATES OF NORTHEAST FLORIDA, P.A. |
| Plan administrator’s address | 1715 VILLAGE WAY, ORANGE PARK, FL, 32073 |
| Administrator’s telephone number | 9042648418 |
Signature of
| Role | Plan administrator |
| Date | 2010-10-07 |
| Name of individual signing | KELLY A. BLASSER |
| Valid signature | Filed with authorized/valid electronic signature |
| Role | Employer/plan sponsor |
| Date | 2010-10-07 |
| Name of individual signing | KELLY A. BLASSER |
| Valid signature | Filed with authorized/valid electronic signature |
| Name | Role |
|---|---|
| FLORIDAGENT.COM, INC. | Agent |
| Name | Role | Address |
|---|---|---|
| CRANE ROBIN | President | 18851 NE 29TH AVE, AVENTURA, FL, 33180 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2021-09-24 | No data | No data |
| REINSTATEMENT | 2020-03-09 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2020-03-09 | 18851 NE 29TH AVE, STE 700, AVENTURA, FL 33180 | No data |
| CHANGE OF MAILING ADDRESS | 2020-03-09 | 18851 NE 29TH AVE, STE 700, AVENTURA, FL 33180 | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2018-09-28 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2015-04-27 | FLORIDAGENT.COM, INC | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2004-01-06 | 1543-5 KINSGLEY AVE., ORANGE PARK, FL 32073 | No data |
| Name | Date |
|---|---|
| INFO ONLY | 2020-04-20 |
| REINSTATEMENT | 2020-03-09 |
| ANNUAL REPORT | 2017-01-12 |
| ANNUAL REPORT | 2016-03-07 |
| ANNUAL REPORT | 2015-04-27 |
| ANNUAL REPORT | 2014-03-13 |
| ANNUAL REPORT | 2013-01-07 |
| ANNUAL REPORT | 2012-02-08 |
| ANNUAL REPORT | 2011-01-26 |
| ANNUAL REPORT | 2010-02-21 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
