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SANDRA L. HANSON, P.A.

Company Details

Entity Name: SANDRA L. HANSON, P.A.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Inactive
Date Filed: 06 Jan 2003 (22 years ago)
Date of dissolution: 25 Sep 2009 (15 years ago)
Last Event: ADMIN DISSOLUTION FOR ANNUAL REPORT
Event Date Filed: 25 Sep 2009 (15 years ago)
Document Number: P03000003259
FEI/EIN Number 043734645
Address: 918 MAR WALT DRIVE, FT. WALTON BCH, FL, 32547
Mail Address: 918 MAR WALT DRIVE, FT. WALTON BCH, FL, 32547
ZIP code: 32547
County: Okaloosa
Place of Formation: FLORIDA

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
SANDRA L. HANSON, M.D. PROFIT SHARING PLAN 2010 043734645 2012-05-03 SANDRA L. HANSON, P.A. 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1987-01-01
Business code 621111
Sponsor’s telephone number 8508823127
Plan sponsor’s address 918 MAR WALT DRIVE, FORT WALTON BEACH, FL, 325476706

Plan administrator’s name and address

Administrator’s EIN 043734645
Plan administrator’s name SANDRA L. HANSON, P.A.
Plan administrator’s address 918 MAR WALT DRIVE, FORT WALTON BEACH, FL, 325476706
Administrator’s telephone number 8508823127

Signature of

Role Plan administrator
Date 2012-05-03
Name of individual signing SANDRA L. HANSON
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2012-05-03
Name of individual signing SANDRA L. HANSON
Valid signature Filed with authorized/valid electronic signature
SANDRA L. HANSON, M.D. DEFINED BENEFIT PLAN 2010 043734645 2012-05-03 SANDRA L. HANSON P.A. 4
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2000-01-01
Business code 621111
Sponsor’s telephone number 8508823127
Plan sponsor’s address 918 MAR WALT DRIVE, FORT WALTON BEACH, FL, 325476706

Plan administrator’s name and address

Administrator’s EIN 043734645
Plan administrator’s name SANDRA L. HANSON P.A.
Plan administrator’s address 918 MAR WALT DRIVE, FORT WALTON BEACH, FL, 325476706
Administrator’s telephone number 8508823127

Signature of

Role Plan administrator
Date 2012-05-03
Name of individual signing SANDRA L. HANSON
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2012-05-03
Name of individual signing SANDRA L. HANSON
Valid signature Filed with authorized/valid electronic signature
SANDRA L. HANSON, M.D. PROFIT SHARING PLAN 2010 043734545 2011-10-17 SANDRA L. HANSON, P.A. 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1987-01-01
Business code 621111
Sponsor’s telephone number 8508823127
Plan sponsor’s address 918 MAR WALT DRIVE, FORT WALTON BEACH, FL, 325476706

Plan administrator’s name and address

Administrator’s EIN 043734545
Plan administrator’s name SANDRA L. HANSON, P.A.
Plan administrator’s address 918 MAR WALT DRIVE, FORT WALTON BEACH, FL, 325476706
Administrator’s telephone number 8508823127
SANDRA L. HANSON, M.D. DEFINED BENEFIT PLAN 2010 043734645 2011-10-17 SANDRA L. HANSON P.A. 4
Three-digit plan number (PN) 002
Effective date of plan 2000-01-01
Business code 621111
Sponsor’s telephone number 8508823127
Plan sponsor’s address 918 MAR WALT DRIVE, FORT WALTON BEACH, FL, 325476706

Plan administrator’s name and address

Administrator’s EIN 043734645
Plan administrator’s name SANDRA L. HANSON P.A.
Plan administrator’s address 918 MAR WALT DRIVE, FORT WALTON BEACH, FL, 325476706
Administrator’s telephone number 8508823127
SANDRA HANSON, M.D. PROFIT SHARING PLAN 2009 043734645 2010-07-29 SANDRA L. HANSON, P.A. 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1987-01-01
Business code 621111
Sponsor’s telephone number 8508623127
Plan sponsor’s address 918 MAR WALT DRIVE, FORT WALTON BEACH, FL, 325476706

Plan administrator’s name and address

Administrator’s EIN 043734645
Plan administrator’s name SANDRA L. HANSON, P.A.
Plan administrator’s address 918 MAR WALT DRIVE, FORT WALTON BEACH, FL, 325476706
Administrator’s telephone number 8508623127

Signature of

Role Plan administrator
Date 2010-07-29
Name of individual signing SANDRA L. HANSON
Valid signature Filed with authorized/valid electronic signature
SANDRA HANSON, M.D. PROFIT SHARING PLAN 2009 043734645 2010-07-28 SANDRA L. HANSON, P.A. 7
Three-digit plan number (PN) 001
Effective date of plan 1987-01-01
Business code 621111
Sponsor’s telephone number 8508623127
Plan sponsor’s address 918 MAR WALT DRIVE, FORT WALTON BEACH, FL, 325476706

Plan administrator’s name and address

Administrator’s EIN 043734645
Plan administrator’s name SANDRA L. HANSON, P.A.
Plan administrator’s address 918 MAR WALT DRIVE, FORT WALTON BEACH, FL, 325476706
Administrator’s telephone number 8508623127

Signature of

Role Plan administrator
Date 2010-07-28
Name of individual signing SANDRA L. HANSON
Valid signature Filed with incorrect/unrecognized electronic signature
SANDRA HANSON, M.D. DEFINED BENEFIT PLAN 2009 043734645 2010-10-13 SANDRA L. HANSON, P.A. 4
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2000-01-01
Business code 621111
Sponsor’s telephone number 8508623127
Plan sponsor’s address 918 MAR WALT DRIVE, FORT WALTON BEACH, FL, 325476706

Plan administrator’s name and address

Administrator’s EIN 043734645
Plan administrator’s name SANDRA L. HANSON, P.A.
Plan administrator’s address 918 MAR WALT DRIVE, FORT WALTON BEACH, FL, 325476706
Administrator’s telephone number 8508623127

Signature of

Role Plan administrator
Date 2010-10-13
Name of individual signing SANDRA L. HANSON
Valid signature Filed with authorized/valid electronic signature
SANDRA HANSON, M.D. PROFIT SHARING PLAN 2009 043734645 2010-07-15 SANDRA L. HANSON, P.A. 7
Three-digit plan number (PN) 001
Effective date of plan 1987-01-01
Business code 621111
Sponsor’s telephone number 8508623127
Plan sponsor’s address 918 MAR WALT DRIVE, FORT WALTON BEACH, FL, 325476706

Plan administrator’s name and address

Administrator’s EIN 043734645
Plan administrator’s name SANDRA L. HANSON, P.A.
Plan administrator’s address 918 MAR WALT DRIVE, FORT WALTON BEACH, FL, 325476706
Administrator’s telephone number 8508623127

Signature of

Role Plan administrator
Date 2010-07-15
Name of individual signing SANDRA L. HANSON
Valid signature Filed with incorrect/unrecognized electronic signature
SANDRA HANSON, M.D. PROFIT SHARING PLAN 2009 043734645 2010-07-15 SANDRA L. HANSON, P.A. 7
Three-digit plan number (PN) 001
Effective date of plan 1987-01-01
Business code 621111
Sponsor’s telephone number 8508623127
Plan sponsor’s address 918 MAR WALT DRIVE, FORT WALTON BEACH, FL, 325476706

Plan administrator’s name and address

Administrator’s EIN 043734645
Plan administrator’s name SANDRA L. HANSON, P.A.
Plan administrator’s address 918 MAR WALT DRIVE, FORT WALTON BEACH, FL, 325476706
Administrator’s telephone number 8508623127

Signature of

Role Plan administrator
Date 2010-07-15
Name of individual signing SANDRA L. HANSON
Valid signature Filed with incorrect/unrecognized electronic signature
SANDRA HANSON, M.D. PROFIT SHARING PLAN 2009 043734645 2010-07-14 SANDRA L. HANSON, P.A. 7
Three-digit plan number (PN) 001
Effective date of plan 1987-01-01
Business code 621111
Sponsor’s telephone number 8508623127
Plan sponsor’s address 918 MAR WALT DRIVE, FORT WALTON BEACH, FL, 325476706

Plan administrator’s name and address

Administrator’s EIN 043734645
Plan administrator’s name SANDRA L. HANSON, P.A.
Plan administrator’s address 918 MAR WALT DRIVE, FORT WALTON BEACH, FL, 325476706
Administrator’s telephone number 8508623127

Signature of

Role Plan administrator
Date 2010-07-14
Name of individual signing SANDRA L. HANSON
Valid signature Filed with incorrect/unrecognized electronic signature

Agent

Name Role Address
FLEET H. BART Agent FLEET, SPENCER, MARTIN & KILPATRICK, PA, SHALIMAR, FL, 325790000

Director

Name Role Address
HANSON SANDRA L Director 918 MAR WALT DRIVE, FORT WALTON BEACH, FL, 32547

Events

Event Type Filed Date Value Description
ADMIN DISSOLUTION FOR ANNUAL REPORT 2009-09-25 No data No data
CHANGE OF PRINCIPAL ADDRESS 2004-02-10 918 MAR WALT DRIVE, FT. WALTON BCH, FL 32547 No data
CHANGE OF MAILING ADDRESS 2004-02-10 918 MAR WALT DRIVE, FT. WALTON BCH, FL 32547 No data
REGISTERED AGENT ADDRESS CHANGED 2003-09-18 FLEET, SPENCER, MARTIN & KILPATRICK, PA, 1104 EGLIN PARKWAY, SHALIMAR, FL 32579-0000 No data

Documents

Name Date
ANNUAL REPORT 2008-01-08
ANNUAL REPORT 2007-01-18
ANNUAL REPORT 2006-03-08
ANNUAL REPORT 2005-01-14
ANNUAL REPORT 2004-02-10
Domestic Profit 2003-01-06

Date of last update: 03 Feb 2025

Sources: Florida Department of State