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  5. GULF COAST PODIATRY, P.A.

GULF COAST PODIATRY, P.A.

Company Details

Entity Name: GULF COAST PODIATRY, P.A.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Active
Date Filed: 24 Dec 2002 (22 years ago)
Document Number: P02000134063
FEI/EIN Number 061666115
Address: 2507 HARRISON AVENUE, SUITE 201, PANAMA CITY, FL, 32405, US
Mail Address: 2507 HARRISON AVENUE, SUITE 201, PANAMA CITY, FL, 32405, US
ZIP code: 32405
County: Bay
Place of Formation: FLORIDA

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
GULF COAST PODIATRY, P.A. 401(K) PLAN 2023 061666115 2024-10-29 GULF COAST PODIATRY, P.A. 20
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1985-02-28
Business code 621112
Sponsor’s telephone number 8507690325
Plan sponsor’s address 2507 HARRISON AVENUE, SUITE 201, PANAMA CITY, FL, 32405

Signature of
Role Plan administrator
Date 2024-10-29
Name of individual signing ADAM J. PEADEN
Valid signature Filed with authorized/valid electronic signature
GULF COAST PODIATRY, P.A. 401(K) PLAN 2022 061666115 2023-07-20 GULF COAST PODIATRY, P.A. 17
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1985-02-28
Business code 621112
Sponsor’s telephone number 8507690325
Plan sponsor’s address 2507 HARRISON AVENUE, SUITE 201, PANAMA CITY, FL, 32405

Signature of
Role Plan administrator
Date 2023-07-20
Name of individual signing SHAYNE R. JENSEN
Valid signature Filed with authorized/valid electronic signature
GULF COAST PODIATRY, P.A. 401(K) PLAN 2021 061666115 2022-10-06 GULF COAST PODIATRY, P.A. 16
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1985-02-28
Business code 621112
Sponsor’s telephone number 8507690325
Plan sponsor’s address 2507 HARRISON AVENUE, SUITE 201, PANAMA CITY, FL, 32405

Signature of
Role Plan administrator
Date 2022-10-06
Name of individual signing SHAYNE R. JENSEN
Valid signature Filed with authorized/valid electronic signature
GULF COAST PODIATRY, P.A. 401(K) PLAN 2020 061666115 2021-10-15 GULF COAST PODIATRY, P.A. 16
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1985-02-28
Business code 621112
Sponsor’s telephone number 8507690325
Plan sponsor’s address 2507 HARRISON AVENUE, SUITE 201, PANAMA CITY, FL, 32405

Signature of
Role Plan administrator
Date 2021-10-15
Name of individual signing SHAYNE R. JENSEN
Valid signature Filed with authorized/valid electronic signature
GULF COAST PODIATRY, P.A. 401(K) PLAN 2019 061666115 2020-09-21 GULF COAST PODIATRY, P.A. 16
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1985-02-28
Business code 621112
Sponsor’s telephone number 8507690325
Plan sponsor’s address 2507 HARRISON AVENUE, SUITE 201, PANAMA CITY, FL, 32405

Signature of
Role Plan administrator
Date 2020-09-21
Name of individual signing SHAYNE R. JENSEN
Valid signature Filed with authorized/valid electronic signature
GULF COAST PODIATRY, P.A. 401(K) PLAN 2018 061666115 2019-06-18 GULF COAST PODIATRY, P.A. 20
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1985-02-28
Business code 621112
Sponsor’s telephone number 8507690325
Plan sponsor’s address 2507 HARRISON AVENUE, PANAMA CITY, FL, 32405

Signature of
Role Plan administrator
Date 2019-06-18
Name of individual signing SHAYNE R. JENSEN
Valid signature Filed with authorized/valid electronic signature
GULF COAST PODIATRY, P.A. 401(K) PLAN 2017 061666115 2018-08-16 GULF COAST PODIATRY, P.A. 18
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1985-02-28
Business code 621112
Sponsor’s telephone number 8507690325
Plan sponsor’s address 2201 JENKS AVENUE, PANAMA CITY, FL, 32405

Signature of
Role Plan administrator
Date 2018-08-16
Name of individual signing LARRY L. HODSON
Valid signature Filed with authorized/valid electronic signature
GULF COAST PODIATRY, P.A. 401(K) PLAN 2016 061666115 2017-07-31 GULF COAST PODIATRY, P.A. 15
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1985-02-28
Business code 621112
Sponsor’s telephone number 8507690325
Plan sponsor’s address 2201 JENKS AVENUE, PANAMA CITY, FL, 32405

Signature of
Role Plan administrator
Date 2017-07-31
Name of individual signing LARRY L. HODSON
Valid signature Filed with authorized/valid electronic signature
GULF COAST PODIATRY, P.A. 401(K) PLAN 2015 061666115 2016-05-16 GULF COAST PODIATRY, P.A. 17
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1985-02-28
Business code 621112
Sponsor’s telephone number 8507690325
Plan sponsor’s address 2201 JENKS AVENUE, PANAMA CITY, FL, 32405

Signature of
Role Plan administrator
Date 2016-05-16
Name of individual signing LARRY L. HODSON
Valid signature Filed with authorized/valid electronic signature
GULF COAST PODIATRY, P.A. 401(K) PLAN 2014 061666115 2015-07-22 GULF COAST PODIATRY, P.A. 17
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1985-02-28
Business code 621112
Sponsor’s telephone number 8507690325
Plan sponsor’s address 2201 JENKS AVENUE, PANAMA CITY, FL, 32405

Signature of
Role Plan administrator
Date 2015-07-22
Name of individual signing LARRY L. HODSON
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
JENSEN SHAYNE ROFFICER Agent 2507 HARRISON AVENUE, PANAMA CITY, FL, 32405

President

Name Role Address
JENSEN SHAYNE RPRESIDE President 2507 HARRISON AVENUE, PANAMA CITY, FL, 32405

Vice President

Name Role Address
Peaden Adam JVICE PR Vice President 2507 HARRISON AVENUE, PANAMA CITY, FL, 32405

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2019-04-15 2507 HARRISON AVENUE, SUITE 201, PANAMA CITY, FL 32405 No data
CHANGE OF MAILING ADDRESS 2019-04-15 2507 HARRISON AVENUE, SUITE 201, PANAMA CITY, FL 32405 No data
REGISTERED AGENT NAME CHANGED 2019-04-15 JENSEN, SHAYNE R, OFFICER No data
REGISTERED AGENT ADDRESS CHANGED 2019-04-15 2507 HARRISON AVENUE, SUITE 201, PANAMA CITY, FL 32405 No data

Documents

Name Date
ANNUAL REPORT 2024-02-14
ANNUAL REPORT 2023-03-21
ANNUAL REPORT 2022-01-27
ANNUAL REPORT 2021-01-28
ANNUAL REPORT 2020-01-20
ANNUAL REPORT 2019-04-15
ANNUAL REPORT 2018-04-25
ANNUAL REPORT 2017-04-27
ANNUAL REPORT 2016-04-29
ANNUAL REPORT 2015-04-28

Related by officers

No related officers

Related by address

2507 HARRISON AVENUE, SUITE 201, PANAMA CITY, FL, 32405, US

2201 JENKS, LLC

2507 HARRISON AVENUE, SUITE 201, PANAMA CITY, FL, 32405, US

2201 JENKS, LLC

Date of last update: 01 Feb 2025

Sources: Florida Department of State

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