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  5. ROBERT SCHELLENBERG, D.C., P.A.

ROBERT SCHELLENBERG, D.C., P.A.

Company Details

Entity Name: ROBERT SCHELLENBERG, D.C., P.A.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Active
Date Filed: 30 Oct 2002 (22 years ago)
Document Number: P02000116589
FEI/EIN Number 061655266
Address: 1200 S. KANNER HWY., STUART, FL, 34994
Mail Address: 1200 S. KANNER HWY., STUART, FL, 34994
ZIP code: 34994
County: Martin
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1760713002 2010-01-27 2012-08-28 1200 S KANNER HWY, STUART, FL, 349943708, US 1200 S KANNER HWY, STUART, FL, 349943708, US

Contacts
Phone +1 772-288-2008
Fax 7722883256

Authorized person
Name ROBERT L SCHELLENBERG
Role CHIROPRACTIC PHYSICIAN
Phone 7722882008

Taxonomy
Taxonomy Code 111N00000X - Chiropractor
License Number CH8437
State FL
Is Primary Yes

Other Provider Identifiers
Issuer MEDICAID
Number 381694000
State FL
Issuer BCBS
Number 70098
State FL
Issuer MEDICARE ID
Number CZ159
State FL
Issuer MEDICARE PTAN
Number 70098
State FL

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
ROBERT L. SCHELLENBERG, D.C., P.A., 401(K) PROFIT SHARING PLAN 2019 061655266 2020-10-06 ROBERT SCHELLENBERG, D.C., P.A. 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-01-01
Business code 621310
Sponsor’s telephone number 7722882008
Plan sponsor’s address 4617 S.W. CITRUS BOULEVARD, PALM CITY, FL, 34990

Signature of
Role Plan administrator
Date 2020-10-06
Name of individual signing ROBERT SCHELLENBERG
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2020-10-06
Name of individual signing ROBERT SCHELLENBERG
Valid signature Filed with authorized/valid electronic signature
ROBERT L. SCHELLENBERG, D.C., P.A., 401(K) PROFIT SHARING PLAN 2018 061655266 2019-10-10 ROBERT SCHELLENBERG, D.C., P.A. 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-01-01
Business code 621310
Sponsor’s telephone number 7722882008
Plan sponsor’s address 4617 S.W. CITRUS BOULEVARD, PALM CITY, FL, 34990

Signature of
Role Plan administrator
Date 2019-10-10
Name of individual signing ROBERT L SCHELLENBERG
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2019-10-10
Name of individual signing ROBERT L SCHELLENBERG
Valid signature Filed with authorized/valid electronic signature
ROBERT L. SCHELLENBERG, D.C., P.A., 401(K) PROFIT SHARING PLAN 2017 061655266 2018-10-11 ROBERT SCHELLENBERG, D.C., P.A. 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-01-01
Business code 621310
Sponsor’s telephone number 7722882008
Plan sponsor’s address 4617 S.W. CITRUS BOULEVARD, PALM CITY, FL, 34990

Signature of
Role Plan administrator
Date 2018-10-11
Name of individual signing ROBERT SXHELLENBERG
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2018-10-11
Name of individual signing ROBERT SXHELLENBERG
Valid signature Filed with authorized/valid electronic signature
ROBERT L. SCHELLENBERG, D.C., P.A., 401(K) PROFIT SHARING PLAN 2016 061655266 2017-12-07 ROBERT SCHELLENBERG, D.C., P.A. 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-01-01
Business code 621310
Sponsor’s telephone number 7722882008
Plan sponsor’s address 2398 S.W. OAK RIDGE ROAD, PALM CITY, FL, 34990

Signature of
Role Plan administrator
Date 2017-12-07
Name of individual signing ROBERT SCHELLENBERG
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2017-12-07
Name of individual signing ROBERT SCHELLENBERG
Valid signature Filed with authorized/valid electronic signature
ROBERT L. SCHELLENBERG, D.C., P.A., 401(K) PROFIT SHARING PLAN 2015 061655266 2016-10-14 ROBERT SCHELLENBERG, D.C., P.A. 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-01-01
Business code 621310
Sponsor’s telephone number 7722882008
Plan sponsor’s address 2398 S.W. OAK RIDGE ROAD, PALM CITY, FL, 34990

Signature of
Role Plan administrator
Date 2016-10-14
Name of individual signing ROBERT SCHELLENBERG
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2016-10-14
Name of individual signing ROBERT SCHELLENBERG
Valid signature Filed with authorized/valid electronic signature
ROBERT L. SCHELLENBERG, D.C., P.A., 401(K) PROFIT SHARING PLAN 2013 061655266 2014-07-30 ROBERT SCHELLENBERG, D.C., P.A. 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-01-01
Business code 621310
Sponsor’s telephone number 7722882008
Plan sponsor’s mailing address 2398 S.W. OAK RIDGE ROAD, PALM CITY, FL, 34990
Plan sponsor’s address ROBERT L. SCHELLENBERG, D.C., 2398 S.W. OAK RIDGE ROAD, PALM CITY, FL, 34990

Number of participants as of the end of the plan year
Active participants 3
Retired or separated participants receiving benefits 0
Other retired or separated participants entitled to future benefits 0
Deceased participants whose beneficiaries are receiving or are entitled to receive benefits 0
Number of participants with account balances as of the end of the plan year 2
Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 0

Signature of
Role Plan administrator
Date 2014-07-30
Name of individual signing ROBERT SCHELLENBERG
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2014-07-30
Name of individual signing ROBERT SCHELLENBERG
Valid signature Filed with authorized/valid electronic signature
ROBERT L. SCHELLENBERG, D.C., P.A., 401(K) PROFIT SHARING PLAN 2012 061655266 2013-10-01 ROBERT SCHELLENBERG, D.C., P.A. 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-01-01
Business code 621310
Sponsor’s telephone number 7722882008
Plan sponsor’s mailing address 2398 S.W. OAK RIDGE ROAD, PALM CITY, FL, 34990
Plan sponsor’s address ROBERT L. SCHELLENBERG, D.C., 2398 S.W. OAK RIDGE ROAD, PALM CITY, FL, 34990

Number of participants as of the end of the plan year
Active participants 3
Retired or separated participants receiving benefits 0
Other retired or separated participants entitled to future benefits 0
Deceased participants whose beneficiaries are receiving or are entitled to receive benefits 0
Number of participants with account balances as of the end of the plan year 2
Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 0

Signature of
Role Plan administrator
Date 2013-10-01
Name of individual signing ROBERT L.SCHELLENBERG
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2013-10-01
Name of individual signing ROBERT L.SCHELLENBERG
Valid signature Filed with authorized/valid electronic signature
ROBERT SCHELLENBERG, D.C., P.A., 401(K) PROFIT SHARING PLAN 2011 061655266 2012-09-28 ROBERT SCHELLENBERG, D.C., P.A. 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-01-01
Business code 621310
Sponsor’s telephone number 7722882008
Plan sponsor’s mailing address 2398 S.W. OAK RIDGE ROAD, PALM CITY, FL, 34990
Plan sponsor’s address ROBERT L. SCHELLENBERG, D.C., 2398 S.W. OAK RIDGE ROAD, PALM CITY, FL, 34990

Plan administrator’s name and address
Administrator’s EIN 061655266
Plan administrator’s name ROBERT SCHELLENBERG, D.C., P.A.
Plan administrator’s address 2398 S.W. OAK RIDGE ROAD, PALM CITY, FL, 34990
Administrator’s telephone number 7722882008

Number of participants as of the end of the plan year
Active participants 3
Retired or separated participants receiving benefits 0
Other retired or separated participants entitled to future benefits 0
Deceased participants whose beneficiaries are receiving or are entitled to receive benefits 0
Number of participants with account balances as of the end of the plan year 2
Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 0

Signature of
Role Plan administrator
Date 2012-09-28
Name of individual signing ROBERT L SCHELLENBERG
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2012-09-28
Name of individual signing ROBERT L SCHELLENBERG
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
SCHELLENBERG ROBERT L Agent 1200 S KANNER HWY, STUART, FL, 34994

President

Name Role Address
SCHELLENBERG ROBERT LDr. President 1200 S. KANNER HWY., STUART, FL, 34994

Secretary

Name Role Address
SCHELLENBERG ROBERT LDr. Secretary 1200 S. KANNER HWY., STUART, FL, 34994

Treasurer

Name Role Address
SCHELLENBERG ROBERT LDr. Treasurer 1200 S. KANNER HWY., STUART, FL, 34994

Director

Name Role Address
SCHELLENBERG ROBERT LDr. Director 1200 S. KANNER HWY., STUART, FL, 34994

Events

Event Type Filed Date Value Description
REGISTERED AGENT ADDRESS CHANGED 2011-04-27 1200 S KANNER HWY, STUART, FL 34994 No data
CHANGE OF PRINCIPAL ADDRESS 2010-11-10 1200 S. KANNER HWY., STUART, FL 34994 No data
CHANGE OF MAILING ADDRESS 2010-11-10 1200 S. KANNER HWY., STUART, FL 34994 No data
REGISTERED AGENT NAME CHANGED 2005-02-23 SCHELLENBERG, ROBERT L No data

Documents

Name Date
ANNUAL REPORT 2024-03-26
ANNUAL REPORT 2023-03-30
ANNUAL REPORT 2022-03-03
ANNUAL REPORT 2021-04-18
ANNUAL REPORT 2020-06-07
ANNUAL REPORT 2019-05-16
ANNUAL REPORT 2018-06-01
ANNUAL REPORT 2017-09-13
ANNUAL REPORT 2016-04-14
ANNUAL REPORT 2015-04-30

Related by officers

SCHELLENBERG ROBERT L

NOBLE ENDEAVORS, LLC NADIAN, INC. BRS ENDEAVOR ENTERPRISES, LLC

Related by address

No related companies by address

Date of last update: 03 Feb 2025

Sources: Florida Department of State

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