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  5. ADVANCED DERMATOLOGY, P.A.

ADVANCED DERMATOLOGY, P.A.

Company Details

Entity Name: ADVANCED DERMATOLOGY, P.A.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Active
Date Filed: 21 Mar 2001 (24 years ago)
Last Event: AMENDMENT AND NAME CHANGE
Event Date Filed: 04 Oct 2001 (23 years ago)
Document Number: P01000029310
FEI/EIN Number 59-3706134
Address: 1361 S. 13TH AVE, STE 180, JACKSONVILLE BEACH, FL, 32250, US
Mail Address: 1361 S. 13TH AVE, STE 180, JACKSONVILLE BEACH, FL, 32250, US
ZIP code: 32250
County: Duval
Place of Formation: FLORIDA

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
ADVANCED DERMATOLOGY, P.A. DEFINED BENEFIT PLAN 2023 593706134 2024-10-08 ADVANCED DERMATOLOGY, P.A. 2
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2011-01-01
Business code 621111
Sponsor’s telephone number 9047303880
Plan sponsor’s address 1361 13TH AVENUE SOUTH, SUITE 180, JACKSONVILLE BEACH, FL, 32250

Signature of
Role Plan administrator
Date 2024-10-08
Name of individual signing KEVIN CHEEZUM
Valid signature Filed with authorized/valid electronic signature
ADVANCED DERMATOLOGY, P.A. RETIREMENT SAVINGS PLAN 2023 593706134 2024-10-08 ADVANCED DERMATOLOGY, P.A. 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-01-01
Business code 621111
Sponsor’s telephone number 9042474300
Plan sponsor’s address 1361 13TH AVENUE SOUTH, SUITE 180, JACKSONVILLE BEACH, FL, 32250

Signature of
Role Plan administrator
Date 2024-10-08
Name of individual signing KEVIN CHEEZUM
Valid signature Filed with authorized/valid electronic signature
ADVANCED DERMATOLOGY, P.A. DEFINED BENEFIT PLAN 2022 593706134 2023-06-02 ADVANCED DERMATOLOGY, P.A. 2
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2011-01-01
Business code 621111
Sponsor’s telephone number 9047303880
Plan sponsor’s address 1361 13TH AVENUE SOUTH, SUITE 180, JACKSONVILLE BEACH, FL, 32250

Signature of
Role Plan administrator
Date 2023-06-02
Name of individual signing KEVIN CHEEZUM
Valid signature Filed with authorized/valid electronic signature
ADVANCED DERMATOLOGY, P.A. RETIREMENT SAVINGS PLAN 2022 593706134 2023-05-30 ADVANCED DERMATOLOGY, P.A. 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-01-01
Business code 621111
Sponsor’s telephone number 9042474300
Plan sponsor’s address 1361 13TH AVENUE SOUTH, SUITE 180, JACKSONVILLE BEACH, FL, 32250

Signature of
Role Plan administrator
Date 2023-05-30
Name of individual signing KEVIN CHEEZUM
Valid signature Filed with authorized/valid electronic signature
ADVANCED DERMATOLOGY, P.A. RETIREMENT SAVINGS PLAN 2021 593706134 2022-07-28 ADVANCED DERMATOLOGY, P.A. 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-01-01
Business code 621111
Sponsor’s telephone number 9042474300
Plan sponsor’s address 1361 13TH AVENUE SOUTH, SUITE 180, JACKSONVILLE BEACH, FL, 32250

Signature of
Role Plan administrator
Date 2022-07-28
Name of individual signing KEVIN CHEEZUM
Valid signature Filed with authorized/valid electronic signature
ADVANCED DERMATOLOGY, P.A. DEFINED BENEFIT PLAN 2021 593706134 2022-07-28 ADVANCED DERMATOLOGY, P.A. 2
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2011-01-01
Business code 621111
Sponsor’s telephone number 9047303880
Plan sponsor’s address 1361 13TH AVENUE SOUTH, SUITE 180, JACKSONVILLE BEACH, FL, 32250

Signature of
Role Plan administrator
Date 2022-07-28
Name of individual signing KEVIN CHEEZUM
Valid signature Filed with authorized/valid electronic signature
ADVANCED DERMATOLOGY, P.A. DEFINED BENEFIT PLAN 2020 593706134 2021-08-10 ADVANCED DERMATOLOGY, P.A. 2
Three-digit plan number (PN) 002
Effective date of plan 2011-01-01
Business code 621111
Sponsor’s telephone number 9047303880
Plan sponsor’s address 1361 13TH AVENUE SOUTH, SUITE 180, JACKSONVILLE BEACH, FL, 32250

Signature of
Role Plan administrator
Date 2021-08-10
Name of individual signing CHRISTINE NG
Valid signature Filed with authorized/valid electronic signature
ADVANCED DERMATOLOGY, P.A. DEFINED BENEFIT PLAN 2020 593706134 2021-12-07 ADVANCED DERMATOLOGY, P.A. 2
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2011-01-01
Business code 621111
Sponsor’s telephone number 9047303880
Plan sponsor’s address 1361 13TH AVENUE SOUTH, SUITE 180, JACKSONVILLE BEACH, FL, 32250

Signature of
Role Plan administrator
Date 2021-12-07
Name of individual signing CHRISTINE NG
Valid signature Filed with authorized/valid electronic signature
ADVANCED DERMATOLOGY, P.A. RETIREMENT SAVINGS PLAN 2020 593706134 2021-08-10 ADVANCED DERMATOLOGY, P.A. 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-01-01
Business code 621111
Sponsor’s telephone number 9042474300
Plan sponsor’s address 1361 13TH AVENUE SOUTH, SUITE 180, JACKSONVILLE BEACH, FL, 32250

Signature of
Role Plan administrator
Date 2021-08-10
Name of individual signing CHRISTINE NG
Valid signature Filed with authorized/valid electronic signature
ADVANCED DERMATOLOGY, P.A. RETIREMENT SAVINGS PLAN 2019 593706134 2020-08-25 ADVANCED DERMATOLOGY, P.A. 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-01-01
Business code 621111
Sponsor’s telephone number 9042474300
Plan sponsor’s address 1361 13TH AVENUE SOUTH, SUITE 180, JACKSONVILLE BEACH, FL, 32250

Signature of
Role Plan administrator
Date 2020-08-25
Name of individual signing CHRISTINE NG
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role
C T CORPORATION SYSTEM Agent

President

Name Role Address
Schillinger Jeffery President 4000 Hollywood Blvd, Hollywood, FL, 33021

Treasurer

Name Role Address
NG CHRISTINE MD Treasurer 1361 S. 13TH AVE, JACKSONVILLE BEACH, FL, 32250

Secretary

Name Role Address
NG CHRISTINE MD Secretary 1361 S. 13TH AVE, JACKSONVILLE BEACH, FL, 32250

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2024-03-25 1361 S. 13TH AVE, STE 180, JACKSONVILLE BEACH, FL 32250 No data
CHANGE OF MAILING ADDRESS 2024-03-25 1361 S. 13TH AVE, STE 180, JACKSONVILLE BEACH, FL 32250 No data
REGISTERED AGENT NAME CHANGED 2023-05-19 C T Corporation System No data
REGISTERED AGENT ADDRESS CHANGED 2023-05-19 1200 South Pine Island Road, Plantation, FL 33324 No data
AMENDMENT AND NAME CHANGE 2001-10-04 ADVANCED DERMATOLOGY, P.A. No data
NAME CHANGE AMENDMENT 2001-09-06 ADVANCED DERMATOLOGY, INC. No data

Documents

Name Date
ANNUAL REPORT 2024-03-25
ANNUAL REPORT 2023-05-19
ANNUAL REPORT 2022-04-08
ANNUAL REPORT 2021-04-05
ANNUAL REPORT 2020-03-10
ANNUAL REPORT 2019-04-01
ANNUAL REPORT 2018-04-05
ANNUAL REPORT 2017-04-18
ANNUAL REPORT 2016-03-24
ANNUAL REPORT 2015-04-07

Related by officers

Schillinger Jeffery

DERMCARE MANAGEMENT, LLC. SKIN CARE RESEARCH, LLC PLASTIC SURGERY AND COSMETICS GROUP OF FLORIDA, P.A. KEY WEST DERMATOLOGY, INC THE DERMATOLOGY AND AESTHETIC CENTER, INC. ALFREDO D. FERNANDEZ, M.D., P.A. DERMATOLOGY GROUP OF FLORIDA, P.A.

Related by address

No related companies by address

Date of last update: 01 Feb 2025

Sources: Florida Department of State

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