| Entity Name: | UNIVERSITY FAMILY HEALTHCARE, P.A. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 03 Apr 2001 (24 years ago) |
| Last Event: | REINSTATEMENT |
| Event Date Filed: | 07 Nov 2007 (17 years ago) |
| Document Number: | P01000033796 |
| FEI/EIN Number | 651091623 |
| Address: | 6731 Professional Parkway West, Lakewood ranch, FL, 34240, US |
| Mail Address: | 22266 Panther Loop, Bradenton, FL, 34202, US |
| ZIP code: | 34240 |
| County: | Sarasota |
| Place of Formation: | FLORIDA |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| UNIVERSITY FAMILY HEALTHCARE, P.A. 401(K) PLAN & TRUST | 2022 | 651091623 | 2023-09-13 | UNIVERSITY FAMILY HEALTHCARE, P.A. | 15 | |||||||||||||||||||||||
|
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| Role | Plan administrator |
| Date | 2023-09-13 |
| Name of individual signing | BRIAN D. CARLSON |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2019-11-01 |
| Business code | 621111 |
| Sponsor’s telephone number | 9413512020 |
| Plan sponsor’s address | 6731 PROFESSIONAL PARKWAY WEST, LAKEWOOD RANCH, FL, 342408490 |
Signature of
| Role | Plan administrator |
| Date | 2023-02-15 |
| Name of individual signing | BRIAN D. CARLSON |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2019-11-01 |
| Business code | 621111 |
| Sponsor’s telephone number | 9413512020 |
| Plan sponsor’s address | LAKEWOOD RANCH PROFESSIONAL PARK, 6731 PROFESSIONAL PARKWAY WEST, LAKEWOOD RANCH, FL, 342408490 |
Signature of
| Role | Plan administrator |
| Date | 2021-10-15 |
| Name of individual signing | BRIAN D. CARLSON |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2019-11-01 |
| Business code | 621111 |
| Sponsor’s telephone number | 9413512020 |
| Plan sponsor’s address | LAKEWOOD RANCH PROFESSIONAL PARK, 6731 PROFESSIONAL PARKWAY WEST, LAKEWOOD RANCH, FL, 342408490 |
Signature of
| Role | Plan administrator |
| Date | 2020-10-15 |
| Name of individual signing | BRIAN D. CARLSON |
| Valid signature | Filed with authorized/valid electronic signature |
| Name | Role | Address |
|---|---|---|
| CARLSON Brian DDr. | Agent | 6731 Professional Parkway West, Lakewood ranch, FL, 34240 |
| Name | Role | Address |
|---|---|---|
| CARLSON LOREN SDr. | Vice President | 6731 Professional Parkway West, Lakewood ranch, FL, 34240 |
| Carlson Marissa L | Vice President | 6731 Professional Parkway West, Lakewood ranch, FL, 34240 |
| Name | Role | Address |
|---|---|---|
| Carlson Brian DDr. | President | 6731 Professional Parkway West, Lakewood Ranch, FL, 34240 |
| Name | Role | Address |
|---|---|---|
| Carlson Dorlinda LDr. | Secretary | 6731 Professional Parkway West, Lakewood Ranch, FL, 34240 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2018-03-20 | 6731 Professional Parkway West, Suite 100, Lakewood ranch, FL 34240 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2018-03-20 | 6731 Professional Parkway West, Suite 100, Lakewood ranch, FL 34240 | No data |
| CHANGE OF MAILING ADDRESS | 2017-04-05 | 6731 Professional Parkway West, Suite 100, Lakewood ranch, FL 34240 | No data |
| REGISTERED AGENT NAME CHANGED | 2017-04-05 | CARLSON, Brian D, Dr. | No data |
| REINSTATEMENT | 2007-11-07 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2007-09-14 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-03 |
| ANNUAL REPORT | 2023-01-31 |
| ANNUAL REPORT | 2022-03-24 |
| ANNUAL REPORT | 2021-04-06 |
| ANNUAL REPORT | 2020-02-19 |
| ANNUAL REPORT | 2019-03-04 |
| ANNUAL REPORT | 2018-03-20 |
| ANNUAL REPORT | 2017-04-05 |
| ANNUAL REPORT | 2016-04-20 |
| ANNUAL REPORT | 2015-04-28 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
