| Entity Name: | PANHANDLE FAMILY MEDICINE, P.A. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Inactive |
| Date Filed: | 04 Mar 2002 (23 years ago) |
| Date of dissolution: | 28 Apr 2015 (10 years ago) |
| Last Event: | VOLUNTARY DISSOLUTION |
| Event Date Filed: | 28 Apr 2015 (10 years ago) |
| Document Number: | P02000024026 |
| FEI/EIN Number | 043612113 |
| Address: | 103 Oxney Ct, Kathleen, GA, 31047, US |
| Mail Address: | 103 Oxney Ct, Kathleen, GA, 31047, US |
| Place of Formation: | FLORIDA |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| PANHANDLE FAMILY MEDICINE, P.A. 401(K) PROFIT SHARING PLAN | 2012 | 043612113 | 2013-10-14 | PANHANDLE FAMILY MEDICINE, P.A. | 23 | |||||||||||||||||||||||||||||||||
|
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| Role | Plan administrator |
| Date | 2013-10-13 |
| Name of individual signing | AYSHIA HATCHER |
| Valid signature | Filed with authorized/valid electronic signature |
| Role | Employer/plan sponsor |
| Date | 2013-10-13 |
| Name of individual signing | AYSHIA HATCHER |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2002-07-01 |
| Business code | 621111 |
| Sponsor’s telephone number | 8506384555 |
| Plan sponsor’s address | 877 3RD STREET, SUITE 4, CHIPLEY, FL, 32428 |
Plan administrator’s name and address
| Administrator’s EIN | 043612113 |
| Plan administrator’s name | PANHANDLE FAMILY MEDICINE, P.A. |
| Plan administrator’s address | 877 3RD STREET, SUITE 4, CHIPLEY, FL, 32428 |
| Administrator’s telephone number | 8506384555 |
Signature of
| Role | Plan administrator |
| Date | 2012-10-08 |
| Name of individual signing | AYSHIA HATCHER |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2002-07-01 |
| Business code | 621111 |
| Sponsor’s telephone number | 8506384555 |
| Plan sponsor’s address | 877 3RD STREET, SUITE 4, CHIPLEY, FL, 32428 |
Plan administrator’s name and address
| Administrator’s EIN | 043612113 |
| Plan administrator’s name | PANHANDLE FAMILY MEDICINE, P.A. |
| Plan administrator’s address | 877 3RD STREET, SUITE 4, CHIPLEY, FL, 32428 |
| Administrator’s telephone number | 8506384555 |
Signature of
| Role | Plan administrator |
| Date | 2011-05-17 |
| Name of individual signing | AYSHIA HATCHER |
| Valid signature | Filed with authorized/valid electronic signature |
| Name | Role | Address |
|---|---|---|
| HATCHER Jason | Agent | 103 Oxney Court, Kathleen, GA, FL, 31047 |
| Name | Role | Address |
|---|---|---|
| HATCHER JASON | President | 103 Oxney Ct, Kathleen, GA, 31047 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| VOLUNTARY DISSOLUTION | 2015-04-28 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2014-04-22 | 103 Oxney Ct, Kathleen, GA 31047 | No data |
| CHANGE OF MAILING ADDRESS | 2014-04-22 | 103 Oxney Ct, Kathleen, GA 31047 | No data |
| REGISTERED AGENT NAME CHANGED | 2014-04-22 | HATCHER, Jason | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2014-04-22 | 103 Oxney Court, Kathleen, GA, FL 31047 | No data |
| Name | Date |
|---|---|
| VOLUNTARY DISSOLUTION | 2015-04-28 |
| ANNUAL REPORT | 2014-04-22 |
| ANNUAL REPORT | 2013-04-26 |
| ANNUAL REPORT | 2012-04-18 |
| ANNUAL REPORT | 2011-03-16 |
| ANNUAL REPORT | 2010-03-23 |
| ANNUAL REPORT | 2009-02-25 |
| ANNUAL REPORT | 2008-02-08 |
| ANNUAL REPORT | 2007-07-10 |
| ANNUAL REPORT | 2006-04-25 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
