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  5. MATERNAL FETAL MEDICINE OF SOUTHWEST FLORIDA, P.A.

MATERNAL FETAL MEDICINE OF SOUTHWEST FLORIDA, P.A.

Company Details

Entity Name: MATERNAL FETAL MEDICINE OF SOUTHWEST FLORIDA, P.A.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Inactive
Date Filed: 15 May 2000 (25 years ago)
Date of dissolution: 19 Dec 2016 (8 years ago)
Last Event: VOLUNTARY DISS W/ NOTICE
Event Date Filed: 19 Dec 2016 (8 years ago)
Document Number: P00000049651
FEI/EIN Number 651007400
Address: 16261 Bass Road, #100, FORT MYERS, FL, 33908, US
Mail Address: 8270 COLLEGE PKWY, #205, FORT MYERS, FL, 33919
ZIP code: 33908
County: Lee
Place of Formation: FLORIDA

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
MATERNAL FETAL MEDICINE OF SOUTHWEST FLORIDA, PA 401(K) PROFIT SHARING PLAN 2016 651007400 2017-02-23 MATERNAL FETAL MEDICINE OF SOUTHWEST FLORIDA, P.A. 49
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2001-01-01
Business code 621111
Sponsor’s telephone number 2394815477
Plan sponsor’s address 8270 COLLEGE PARKWAY, SUITE 205, FORT MYERS, FL, 33919

Signature of
Role Plan administrator
Date 2017-02-23
Name of individual signing WILLIAM F. O'BRIEN, M.D.
Valid signature Filed with authorized/valid electronic signature
MATERNAL FETAL MEDICINE OF SOUTHWEST FLORIDA, PA 401(K) PROFIT SHARING PLAN 2015 651007400 2016-02-04 MATERNAL FETAL MEDICINE OF SOUTHWEST FLORIDA, P.A. 51
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2001-01-01
Business code 621111
Sponsor’s telephone number 2394815477
Plan sponsor’s address 8270 COLLEGE PARKWAY, SUITE 205, FORT MYERS, FL, 33919

Signature of
Role Plan administrator
Date 2016-02-04
Name of individual signing WILLIAM F. O'BRIEN, M.D.
Valid signature Filed with authorized/valid electronic signature
MATERNAL FETAL MEDICINE OF SOUTHWEST FLORIDA, PA 401(K) PROFIT SHARING PLAN 2014 651007400 2015-05-18 MATERNAL FETAL MEDICINE OF SOUTHWEST FLORIDA, P.A. 51
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2001-01-01
Business code 621111
Sponsor’s telephone number 2394815477
Plan sponsor’s address 8270 COLLEGE PARKWAY, SUITE 205, FORT MYERS, FL, 33919

Signature of
Role Plan administrator
Date 2015-05-18
Name of individual signing CHARLES M. MCCURDY, M.D.
Valid signature Filed with authorized/valid electronic signature
MATERNAL FETAL MEDICINE OF SOUTHWEST FLORIDA, PA 401(K) PROFIT SHARING PLAN 2013 651007400 2014-05-19 MATERNAL FETAL MEDICINE OF SOUTHWEST FLORIDA, P.A. 55
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2001-01-01
Business code 621111
Sponsor’s telephone number 2394815477
Plan sponsor’s address 8270 COLLEGE PARKWAY, SUITE 205, FORT MYERS, FL, 33919

Signature of
Role Plan administrator
Date 2014-05-19
Name of individual signing CHARLES M. MCCURDY, M.D.
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2014-05-19
Name of individual signing CHARLES M. MCCURDY, M.D.
Valid signature Filed with authorized/valid electronic signature
MATERNAL FETAL MEDICINE OF SOUTHWEST FLORIDA, PA 401(K) PROFIT SHARING PLAN 2012 651007400 2013-07-17 MATERNAL FETAL MEDICINE OF SOUTHWEST FLORIDA, P.A. 52
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2001-01-01
Business code 621111
Sponsor’s telephone number 2394815477
Plan sponsor’s address 8270 COLLEGE PARKWAY, SUITE 205, FORT MYERS, FL, 33919

Signature of
Role Plan administrator
Date 2013-07-17
Name of individual signing CHARLES M. MCCURDY, M.D.
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2013-07-17
Name of individual signing CHARLES M. MCCURDY, M.D.
Valid signature Filed with authorized/valid electronic signature
MATERNAL FETAL MEDICINE OF SOUTHWEST FLORIDA, PA 401(K) PROFIT SHARING PLAN 2011 651007400 2012-04-30 MATERNAL FETAL MEDICINE OF SOUTHWEST FLORIDA, P.A. 53
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2001-01-01
Business code 621111
Sponsor’s telephone number 2394815477
Plan sponsor’s address 8270 COLLEGE PARKWAY, SUITE 205, FORT MYERS, FL, 33919

Plan administrator’s name and address
Administrator’s EIN 651007400
Plan administrator’s name MATERNAL FETAL MEDICINE OF SOUTHWEST FLORIDA, P.A.
Plan administrator’s address 8270 COLLEGE PARKWAY, SUITE 205, FORT MYERS, FL, 33919
Administrator’s telephone number 2394815477

Signature of
Role Plan administrator
Date 2012-04-30
Name of individual signing CHARLES M. MCCURDY, M.D.
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2012-04-30
Name of individual signing CHARLES M. MCCURDY, M.D.
Valid signature Filed with authorized/valid electronic signature
MATERNAL FETAL MEDICINE OF SOUTHWEST FLORIDA, PA 401(K) PROFIT SHARING PLAN 2010 651007400 2011-05-18 MATERNAL FETAL MEDICINE OF SOUTHWEST FLORIDA, P.A. 52
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2001-01-01
Business code 621111
Sponsor’s telephone number 2394815477
Plan sponsor’s address 8270 COLLEGE PARKWAY, SUITE 205, FORT MYERS, FL, 33919

Plan administrator’s name and address
Administrator’s EIN 651007400
Plan administrator’s name MATERNAL FETAL MEDICINE OF SOUTHWEST FLORIDA, P.A.
Plan administrator’s address 8270 COLLEGE PARKWAY, SUITE 205, FORT MYERS, FL, 33919
Administrator’s telephone number 2394815477

Signature of
Role Plan administrator
Date 2011-05-18
Name of individual signing CHARLES M. MCCURDY, M.D.
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2011-05-18
Name of individual signing CHARLES M. MCCURDY, M.D.
Valid signature Filed with authorized/valid electronic signature
MATERNAL FETAL MEDICINE OF SOUTHWEST FLORIDA, PA 401K PROFIT SHARING PLAN 2009 651007400 2010-09-29 MATERNAL FETAL MEDICINE OF SOUTHWEST FLORIDA, P.A. 38
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2001-01-01
Business code 621111
Sponsor’s telephone number 2394815477
Plan sponsor’s address 8270 COLLEGE PARKWAY, SUITE 205, FORT MYERS, FL, 33919

Plan administrator’s name and address
Administrator’s EIN 651007400
Plan administrator’s name MATERNAL FETAL MEDICINE OF SOUTHWEST FLORIDA, P.A.
Plan administrator’s address 8270 COLLEGE PARKWAY, SUITE 205, FORT MYERS, FL, 33919
Administrator’s telephone number 2394815477

Signature of
Role Plan administrator
Date 2010-09-29
Name of individual signing CHARLES M. MCCURDY, M.D.
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2010-09-29
Name of individual signing CHARLES M. MCCURDY, M.D.
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
GARGANO ANTHONY J Agent 2240 WEST FIRST STREET, FORT MYERS, FL, 33901

Secretary

Name Role Address
O'BRIEN WILLIAM F Secretary 5242 NAUTILUS DRIVE, CAPE CORAL, FL, 33904

Vice President

Name Role Address
WILLIAMS MARK C Vice President 14135 STONEGATE DRIVE, TAMPA, FL, 33624
KRAMMER JUDITH M Vice President 15851 TRIPLE CROWN COURT, FORT MYERS, FL, 33912

Events

Event Type Filed Date Value Description
VOLUNTARY DISS W/ NOTICE 2016-12-19 No data No data
CHANGE OF PRINCIPAL ADDRESS 2013-03-15 16261 Bass Road, #100, FORT MYERS, FL 33908 No data
CHANGE OF MAILING ADDRESS 2009-04-16 16261 Bass Road, #100, FORT MYERS, FL 33908 No data
REGISTERED AGENT ADDRESS CHANGED 2009-04-16 2240 WEST FIRST STREET, FORT MYERS, FL 33901 No data
AMENDMENT 2008-09-30 No data No data

Documents

Name Date
CORAPVDWN 2016-12-19
ANNUAL REPORT 2016-04-19
ANNUAL REPORT 2015-03-30
ANNUAL REPORT 2014-03-18
ANNUAL REPORT 2013-03-15
ANNUAL REPORT 2012-03-21
ANNUAL REPORT 2011-02-18
ANNUAL REPORT 2010-02-19
ANNUAL REPORT 2009-04-16
ANNUAL REPORT 2008-12-18

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O'BRIEN WILLIAM F

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WILLIAMS MARK C

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GARGANO ANTHONY J

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Related by address

No related companies by address

Date of last update: 01 Feb 2025

Sources: Florida Department of State

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