| Entity Name: | ROBERT G. ELLISON, JR., M.D., P.A. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Inactive |
| Date Filed: | 21 Nov 2001 (23 years ago) |
| Date of dissolution: | 05 Mar 2021 (4 years ago) |
| Last Event: | VOLUNTARY DISSOLUTION |
| Event Date Filed: | 05 Mar 2021 (4 years ago) |
| Document Number: | P01000111336 |
| FEI/EIN Number | 593756846 |
| Mail Address: | 7015 WENSLEY WAY, JACKSONVILLE, FL, 32217 |
| Address: | 836 PRUDENTIAL DRIVE, SUITE 1405, JACKSONVILLE, FL, 32207 |
| ZIP code: | 32207 |
| County: | Duval |
| Place of Formation: | FLORIDA |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| ROBERT G ELLISON JR MD PA PROFIT SHARING PLAN | 2010 | 593756846 | 2011-10-10 | ROBERT G ELLISON, JR , M D , P A | 13 | |||||||||||||||||||||||||||||||
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| Administrator’s EIN | 593756846 |
| Plan administrator’s name | ROBERT G ELLISON JR M D P A |
| Plan administrator’s address | 836 PRUDENTIAL DRIVE SUITE 1405, JACKSONVILLE, FL, 32207 |
| Administrator’s telephone number | 9043887521 |
Signature of
| Role | Plan administrator |
| Date | 2011-10-10 |
| Name of individual signing | ROBERT G ELLISON JR MD |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2002-08-01 |
| Business code | 621111 |
| Sponsor’s telephone number | 9043887521 |
| Plan sponsor’s address | 836 PRUDENTIAL DRIVE SUITE 1405, JACKSONVILLE, FL, 32207 |
Plan administrator’s name and address
| Administrator’s EIN | 593756846 |
| Plan administrator’s name | ROBERT G ELLISON JR M D P A |
| Plan administrator’s address | 836 PRUDENTIAL DRIVE SUITE 1405, JACKSONVILLE, FL, 32207 |
| Administrator’s telephone number | 9043887521 |
Signature of
| Role | Plan administrator |
| Date | 2010-10-06 |
| Name of individual signing | ROBERT G ELLISON JR MD |
| Valid signature | Filed with authorized/valid electronic signature |
| Name | Role | Address |
|---|---|---|
| HATHAWAY RICHARD G | Agent | 115 PROFESSIONAL DRIVE, PONTE VEDRA BEACH, FL, 32082 |
| Name | Role | Address |
|---|---|---|
| ELLISON ROBERT G | Director | 7015 WENSLEY WAY, JACKSONVILLE, FL, 32217 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| VOLUNTARY DISSOLUTION | 2021-03-05 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2008-01-08 | 836 PRUDENTIAL DRIVE, SUITE 1405, JACKSONVILLE, FL 32207 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2005-01-12 | 115 PROFESSIONAL DRIVE, SUITE 101, PONTE VEDRA BEACH, FL 32082 | No data |
| CHANGE OF MAILING ADDRESS | 2003-05-02 | 836 PRUDENTIAL DRIVE, SUITE 1405, JACKSONVILLE, FL 32207 | No data |
| Name | Date |
|---|---|
| VOLUNTARY DISSOLUTION | 2021-03-05 |
| ANNUAL REPORT | 2020-01-17 |
| ANNUAL REPORT | 2019-02-11 |
| ANNUAL REPORT | 2018-01-16 |
| ANNUAL REPORT | 2017-02-09 |
| ANNUAL REPORT | 2016-02-16 |
| ANNUAL REPORT | 2015-01-24 |
| ANNUAL REPORT | 2014-01-25 |
| ANNUAL REPORT | 2013-02-03 |
| ANNUAL REPORT | 2012-02-03 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
