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  5. CYNTHIA D. HENSLEY, M.D., P.A.

CYNTHIA D. HENSLEY, M.D., P.A.

Company Details

Entity Name: CYNTHIA D. HENSLEY, M.D., P.A.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Active
Date Filed: 09 Oct 2000 (24 years ago)
Last Event: NAME CHANGE AMENDMENT
Event Date Filed: 25 Jan 2001 (24 years ago)
Document Number: P00000095214
FEI/EIN Number 593674184
Address: 26661 DUBLIN WOODS CIRCLE, BONITA SPRINGS, FL, 34135
Mail Address: 26661 DUBLIN WOODS CIRCLE, BONITA SPRINGS, FL, 34135
ZIP code: 34135
County: Lee
Place of Formation: FLORIDA

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
CYNTHIA D. HENSLEY, M.D., P.A. 401(K) PROFIT SHARING PLAN 2017 593674184 2018-06-28 CYNTHIA D. HENSLEY, M.D., P.A. 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2001-01-01
Business code 621111
Sponsor’s telephone number 2398215554
Plan sponsor’s address 235 SEABREEZE AVENUE, NAPLES, FL, 34108

Signature of
Role Plan administrator
Date 2018-06-28
Name of individual signing CYNTHIA HENSLEY
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2018-06-28
Name of individual signing CYNTHIA HENSLEY
Valid signature Filed with authorized/valid electronic signature
CYNTHIA D. HENSLEY, M.D., P.A. 401(K) PROFIT SHARING PLAN 2016 593674184 2017-11-15 CYNTHIA D. HENSLEY, M.D., P.A. 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2001-01-01
Business code 621111
Sponsor’s telephone number 2398215554
Plan sponsor’s address 235 SEABREEZE AVENUE, NAPLES, FL, 34108

Signature of
Role Plan administrator
Date 2017-11-15
Name of individual signing CYNTHIA HENSLEY
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2017-11-15
Name of individual signing CYNTHIA HENSLEY
Valid signature Filed with authorized/valid electronic signature
CYNTHIA D. HENSLEY, M.D., P.A. 401(K) PROFIT SHARING PLAN 2015 593674184 2016-09-21 CYNTHIA D. HENSLEY, M.D., P.A. 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2001-01-01
Business code 621111
Sponsor’s telephone number 2398215554
Plan sponsor’s address 235 SEABREEZE AVENUE, NAPLES, FL, 34108

Signature of
Role Plan administrator
Date 2016-09-21
Name of individual signing CYNTHIA HENSLEY
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2016-09-21
Name of individual signing CYNTHIA HENSLEY
Valid signature Filed with authorized/valid electronic signature
CYNTHIA D. HENSLEY, M.D., P.A. 401(K) PROFIT SHARING PLAN 2014 593674184 2015-08-27 CYNTHIA D. HENSLEY, M.D., P.A. 12
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2001-01-01
Business code 621111
Sponsor’s telephone number 2398215554
Plan sponsor’s address 235 SEABREEZE AVENUE, NAPLES, FL, 34108

Signature of
Role Plan administrator
Date 2015-08-27
Name of individual signing CYNTHIA HENSLEY
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2015-08-27
Name of individual signing CYNTHIA HENSLEY
Valid signature Filed with authorized/valid electronic signature
CYNTHIA D. HENSLEY, M.D., P.A. 401(K) PROFIT SHARING PLAN 2013 593674184 2014-09-22 CYNTHIA D. HENSLEY, M.D., P.A. 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2001-01-01
Business code 621111
Sponsor’s telephone number 2398215554
Plan sponsor’s address 235 SEABREEZE AVENUE, NAPLES, FL, 34108

Signature of
Role Plan administrator
Date 2014-09-22
Name of individual signing CYNTHIA HENSLEY
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2014-09-22
Name of individual signing CYNTHIA HENSLEY
Valid signature Filed with authorized/valid electronic signature
CYNTHIA D. HENSLEY, M.D., P.A. 401(K) PROFIT SHARING PLAN 2012 593674184 2013-09-16 CYNTHIA D. HENSLEY, M.D., P.A. 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2001-01-01
Business code 621111
Sponsor’s telephone number 2398215554
Plan sponsor’s address 235 SEABREEZE AVENUE, NAPLES, FL, 34108

Signature of
Role Plan administrator
Date 2013-09-16
Name of individual signing CYNTHIA HENSLEY
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2013-09-16
Name of individual signing CYNTHIA HENSLEY
Valid signature Filed with authorized/valid electronic signature
CYNTHIA D. HENSLEY, M.D., P.A. 401(K) PROFIT SHARING PLAN 2011 593674184 2012-10-12 CYNTHIA D. HENSLEY, M.D., P.A. 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2001-01-01
Business code 621111
Sponsor’s telephone number 2398215554
Plan sponsor’s address 235 SEABREEZE AVENUE, NAPLES, FL, 34108

Plan administrator’s name and address
Administrator’s EIN 593674184
Plan administrator’s name CYNTHIA D. HENSLEY, M.D., P.A.
Plan administrator’s address 235 SEABREEZE AVENUE, NAPLES, FL, 34108
Administrator’s telephone number 2398215554

Signature of
Role Plan administrator
Date 2012-10-12
Name of individual signing CYNTHIA HENSLEY
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2012-10-12
Name of individual signing CYNTHIA HENSLEY
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
HENSLEY CYNTHIA D Agent 235 SEABREEZE AVE, NAPLES, FL, 34108

Chief Executive Officer

Name Role Address
HENSLEY CYNTHIA D Chief Executive Officer 26661 DUBLIN WOODS CIRCLE, BONITA SPRINGS, FL, 34135

Events

Event Type Filed Date Value Description
CHANGE OF MAILING ADDRESS 2012-01-04 26661 DUBLIN WOODS CIRCLE, BONITA SPRINGS, FL 34135 No data
CHANGE OF PRINCIPAL ADDRESS 2007-01-13 26661 DUBLIN WOODS CIRCLE, BONITA SPRINGS, FL 34135 No data
REGISTERED AGENT ADDRESS CHANGED 2003-01-30 235 SEABREEZE AVE, NAPLES, FL 34108 No data
NAME CHANGE AMENDMENT 2001-01-25 CYNTHIA D. HENSLEY, M.D., P.A. No data

Documents

Name Date
ANNUAL REPORT 2025-01-29
ANNUAL REPORT 2024-02-11
ANNUAL REPORT 2023-01-30
ANNUAL REPORT 2022-02-01
ANNUAL REPORT 2021-01-28
ANNUAL REPORT 2020-01-18
ANNUAL REPORT 2019-02-07
ANNUAL REPORT 2018-01-12
ANNUAL REPORT 2017-03-14
ANNUAL REPORT 2016-02-25

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Related by address

26661 DUBLIN WOODS CIRCLE, BONITA SPRINGS, FL, 34135

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26661 DUBLIN WOODS CIRCLE, BONITA SPRINGS, FL, 34135

HAYPOLITICAL, LLC LAKACYDA, INC.

Date of last update: 02 Feb 2025

Sources: Florida Department of State

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