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THOMAS F. KELLY, M.D., P.A.

Company Details

Entity Name: THOMAS F. KELLY, M.D., P.A.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Inactive
Date Filed: 01 Dec 2000 (24 years ago)
Date of dissolution: 27 Sep 2013 (11 years ago)
Last Event: ADMIN DISSOLUTION FOR ANNUAL REPORT
Event Date Filed: 27 Sep 2013 (11 years ago)
Document Number: P00000111058
FEI/EIN Number 651064163
Address: 1880 ARLINGTON STREET, #103, SARASOTA, FL, 34239
Mail Address: 1880 ARLINGTON STREET, #103, SARASOTA, FL, 34239
ZIP code: 34239
County: Sarasota
Place of Formation: FLORIDA

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
THOMAS F. KELLY, M.D., P.A. 401(K) PROFIT SHARING PLAN 2012 651064163 2013-11-18 THOMAS F. KELLY, M.D., P.A. 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-01-01
Business code 621111
Sponsor’s telephone number 9413659411
Plan sponsor’s address 1880 ARLINGTON STREET, SUITE 103, SARASOTA, FL, 342393505

Signature of

Role Plan administrator
Date 2013-11-18
Name of individual signing THOMAS F. KELLY
Valid signature Filed with authorized/valid electronic signature
THOMAS F. KELLY, M.D., P.A. 401(K) PROFIT SHARING PLAN 2012 651064163 2013-05-16 THOMAS F. KELLY, M.D., P.A. 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-01-01
Business code 621111
Sponsor’s telephone number 9413659411
Plan sponsor’s address 1880 ARLINGTON STREET, SUITE 103, SARASOTA, FL, 342393505

Signature of

Role Plan administrator
Date 2013-05-16
Name of individual signing THOMAS F. KELLY
Valid signature Filed with authorized/valid electronic signature
THOMAS F. KELLY, M.D., P.A. 401(K) PROFIT SHARING PLAN 2011 651064163 2012-09-24 THOMAS F. KELLY, M.D., P.A. 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-01-01
Business code 621111
Sponsor’s telephone number 9413659411
Plan sponsor’s address 1880 ARLINGTON STREET, SUITE 103, SARASOTA, FL, 342393505

Plan administrator’s name and address

Administrator’s EIN 651064163
Plan administrator’s name THOMAS F. KELLY, M.D., P.A.
Plan administrator’s address 1880 ARLINGTON STREET, SUITE 103, SARASOTA, FL, 342393505
Administrator’s telephone number 9413659411

Signature of

Role Plan administrator
Date 2012-09-13
Name of individual signing THOMAS F. KELLY
Valid signature Filed with authorized/valid electronic signature
THOMAS F. KELLY, M.D., P.A. 401(K) PROFIT SHARING PLAN 2011 651064163 2012-09-13 THOMAS F. KELLY, M.D., P.A. 5
Three-digit plan number (PN) 001
Effective date of plan 2003-01-01
Business code 621111
Sponsor’s telephone number 9413659411
Plan sponsor’s address 1880 ARLINGTON STREET, SUITE 103, SARASOTA, FL, 342393505

Plan administrator’s name and address

Administrator’s EIN 651064163
Plan administrator’s name THOMAS F. KELLY, M.D., P.A.
Plan administrator’s address 1880 ARLINGTON STREET, SUITE 103, SARASOTA, FL, 342393505
Administrator’s telephone number 9413659411

Signature of

Role Plan administrator
Date 2012-09-13
Name of individual signing THOMAS F. KELLY
Valid signature Filed with authorized/valid electronic signature
THOMAS F. KELLY, M.D., P.A. 401(K) PROFIT SHARING PLAN 2010 651064163 2011-10-05 THOMAS F. KELLY, M.D., P.A. 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-01-01
Business code 621111
Sponsor’s telephone number 9413659411
Plan sponsor’s address 1880 ARLINGTON STREET, SUITE 103, SARASOTA, FL, 342393505

Plan administrator’s name and address

Administrator’s EIN 651064163
Plan administrator’s name THOMAS F. KELLY, M.D., P.A.
Plan administrator’s address 1880 ARLINGTON STREET, SUITE 103, SARASOTA, FL, 342393505
Administrator’s telephone number 9413659411

Signature of

Role Plan administrator
Date 2011-10-05
Name of individual signing THOMAS F. KELLY
Valid signature Filed with authorized/valid electronic signature
THOMAS F. KELLY, M.D., P.A. 401(K) PROFIT SHARING PLAN 2009 651064163 2010-10-12 THOMAS F. KELLY, M.D., P.A. 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-01-01
Business code 621111
Sponsor’s telephone number 9413659411
Plan sponsor’s address 1880 ARLINGTON STREET, SUITE 103, SARASOTA, FL, 342393505

Plan administrator’s name and address

Administrator’s EIN 651064163
Plan administrator’s name THOMAS F. KELLY, M.D., P.A.
Plan administrator’s address 1880 ARLINGTON STREET, SUITE 103, SARASOTA, FL, 342393505
Administrator’s telephone number 9413659411

Signature of

Role Plan administrator
Date 2010-10-12
Name of individual signing THOMAS F. KELLY
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
KELLY THOMAS F Agent 1880 ARLINGTON STREET, SARASOTA, FL, 34236

President

Name Role Address
KELLY THOMAS F President 1880 ARLINGTON STREET SUITE #103, SARASOTA, FL, 34239

Secretary

Name Role Address
KELLY JACQUELINE F Secretary 1880 ARLINGTON STREET SUITE #103, SARASOTA, FL, 34239

Treasurer

Name Role Address
KELLY JACQUELINE F Treasurer 1880 ARLINGTON STREET SUITE #103, SARASOTA, FL, 34239

Events

Event Type Filed Date Value Description
ADMIN DISSOLUTION FOR ANNUAL REPORT 2013-09-27 No data No data
CHANGE OF PRINCIPAL ADDRESS 2009-03-24 1880 ARLINGTON STREET, #103, SARASOTA, FL 34239 No data
CHANGE OF MAILING ADDRESS 2009-03-24 1880 ARLINGTON STREET, #103, SARASOTA, FL 34239 No data
REGISTERED AGENT NAME CHANGED 2001-03-09 KELLY, THOMAS F No data
REGISTERED AGENT ADDRESS CHANGED 2001-03-09 1880 ARLINGTON STREET, SUITE #103, SARASOTA, FL 34236 No data

Documents

Name Date
ANNUAL REPORT 2012-02-09
ANNUAL REPORT 2011-01-07
ANNUAL REPORT 2010-01-11
ANNUAL REPORT 2009-03-24
ANNUAL REPORT 2008-01-10
ANNUAL REPORT 2007-04-18
ANNUAL REPORT 2006-04-17
ANNUAL REPORT 2005-04-21
ANNUAL REPORT 2004-04-01
ANNUAL REPORT 2003-03-17

Date of last update: 02 Feb 2025

Sources: Florida Department of State