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  5. FLORIDA MEDICAL ONE, INC.

FLORIDA MEDICAL ONE, INC.

Company Details

Entity Name: FLORIDA MEDICAL ONE, INC.
Jurisdiction: FLORIDA
Filing Type: Florida Profit Corporation
Status: Inactive
Date Filed: 14 Dec 2001 (23 years ago)
Date of dissolution: 25 Sep 2020 (4 years ago)
Last Event: ADMIN DISSOLUTION FOR ANNUAL REPORT
Event Date Filed: 25 Sep 2020 (4 years ago)
Document Number: P01000118844
FEI/EIN Number 65-1159502
Address: 6150 DIAMOND CENTER CT, # 203, FORT MYERS, FL 33912
Mail Address: P O BOX 61344, FORT MYERS, FL 33906
ZIP code: 33912
County: Lee
Place of Formation: FLORIDA

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
FLORIDA MEDICAL ONE, INC. 401K PLAN 2019 651159502 2020-05-13 FLORIDA MEDICAL ONE, INC. 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2014-07-12
Business code 561490
Sponsor’s telephone number 9705070129
Plan sponsor’s address P O BOX 61344, FT MYERS, FL, 33906

Signature of
Role Plan administrator
Date 2020-05-13
Name of individual signing JAMES L BRADLEY
Valid signature Filed with authorized/valid electronic signature
FLORIDA MEDICAL ONE, INC. 401K PLAN 2018 651159502 2019-05-14 FLORIDA MEDICAL ONE, INC. 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2014-07-12
Business code 561490
Sponsor’s telephone number 2392745004
Plan sponsor’s address P O BOX 61344, FT MYERS, FL, 33906

Signature of
Role Plan administrator
Date 2019-05-14
Name of individual signing JAMES L BRADLEY
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2019-05-14
Name of individual signing JAMES L BRADLEY
Valid signature Filed with authorized/valid electronic signature
FLORIDA MEDICAL ONE, INC. 401K PLAN 2017 651159502 2018-05-25 FLORIDA MEDICAL ONE, INC. 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2014-07-12
Business code 561490
Sponsor’s telephone number 2392745004
Plan sponsor’s address P O BOX 61344, FT MYERS, FL, 33906

Signature of
Role Plan administrator
Date 2018-05-25
Name of individual signing JAMES L BRADLEY
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2018-05-25
Name of individual signing JAMES L BRADLEY
Valid signature Filed with authorized/valid electronic signature
FLORIDA MEDICAL ONE, INC. 401K PLAN 2016 651159502 2017-05-23 FLORIDA MEDICAL ONE, INC. 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2014-07-12
Business code 561490
Sponsor’s telephone number 2392745004
Plan sponsor’s address P O BOX 61344, FT MYERS, FL, 33906

Signature of
Role Plan administrator
Date 2017-05-23
Name of individual signing JAMES L BRADLEY
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2017-05-23
Name of individual signing JAMES L BRADLEY
Valid signature Filed with authorized/valid electronic signature
FLORIDA MEDICAL ONE, INC. 401K PLAN 2015 651159502 2016-05-13 FLORIDA MEDICAL ONE, INC. 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2014-07-12
Business code 561490
Sponsor’s telephone number 2392745004
Plan sponsor’s address P O BOX 61344, FT MYERS, FL, 33906

Signature of
Role Plan administrator
Date 2016-05-13
Name of individual signing JAMES L BRADLEY
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2016-05-13
Name of individual signing JAMES L BRADLEY
Valid signature Filed with authorized/valid electronic signature
FLORIDA MEDICAL ONE, INC. 401K PLAN 2014 651159502 2015-07-01 FLORIDA MEDICAL ONE, INC. 0
Three-digit plan number (PN) 001
Effective date of plan 2014-07-12
Business code 561490
Sponsor’s telephone number 2392745004
Plan sponsor’s address 6150 DIAMOND CENTER CT, SUITE 201, FT MYERS, FL, 33928

Signature of
Role Plan administrator
Date 2015-07-01
Name of individual signing JAMES L BRADLEY
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2015-07-01
Name of individual signing JAMES L BRADLEY
Valid signature Filed with authorized/valid electronic signature
FLORIDA MEDICAL ONE, INC. 401K PLAN 2014 651159502 2016-03-14 FLORIDA MEDICAL ONE, INC. 0
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2014-07-12
Business code 561490
Sponsor’s telephone number 2392745004
Plan sponsor’s address 6150 DIAMOND CENTER CT, SUITE 201, FT MYERS, FL, 33928

Signature of
Role Plan administrator
Date 2016-03-14
Name of individual signing JAMES L BRADLEY
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2016-03-14
Name of individual signing JAMES L BRADLEY
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
BRADLEY, JAMES LIII Agent 6150 DIAMOND CENTER CT, # 203, FORT MYERS, FL 33912

President

Name Role Address
BRADLEY, JAMES LIII President 6150 DIAMOND CENTER CT # 203, FORT MYERS, FL 33912

Director

Name Role Address
BRADLEY, JAMES LIII Director 6150 DIAMOND CENTER CT # 203, FORT MYERS, FL 33912
HAAS, ANGELIQUE M Director 6150 DIAMOND CENTER CT # 203, FORT MYERS, FL 33912

Secretary

Name Role Address
HAAS, ANGELIQUE M Secretary 6150 DIAMOND CENTER CT # 203, FORT MYERS, FL 33912

Treasurer

Name Role Address
HAAS, ANGELIQUE M Treasurer 6150 DIAMOND CENTER CT # 203, FORT MYERS, FL 33912

Events

Event Type Filed Date Value Description
ADMIN DISSOLUTION FOR ANNUAL REPORT 2020-09-25 No data No data
CHANGE OF PRINCIPAL ADDRESS 2015-04-23 6150 DIAMOND CENTER CT, # 203, FORT MYERS, FL 33912 No data
REGISTERED AGENT ADDRESS CHANGED 2015-04-23 6150 DIAMOND CENTER CT, # 203, FORT MYERS, FL 33912 No data
CHANGE OF MAILING ADDRESS 2005-02-06 6150 DIAMOND CENTER CT, # 203, FORT MYERS, FL 33912 No data
CANCEL ADM DISS/REV 2003-12-08 No data No data
ADMIN DISSOLUTION FOR ANNUAL REPORT 2003-09-19 No data No data

Documents

Name Date
ANNUAL REPORT 2019-05-07
ANNUAL REPORT 2018-04-18
ANNUAL REPORT 2017-04-20
ANNUAL REPORT 2016-04-08
ANNUAL REPORT 2015-04-23
ANNUAL REPORT 2014-04-28
ANNUAL REPORT 2013-04-26
ANNUAL REPORT 2012-04-30
ANNUAL REPORT 2011-02-17
ANNUAL REPORT 2010-02-17

Related by officers

No related officers

Related by address

No related companies by address

Date of last update: 31 Jan 2025

Sources: Florida Department of State

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