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  5. JACKIE KLEIN LEFFERTS, M.D., P.A.

JACKIE KLEIN LEFFERTS, M.D., P.A. - Florida Company Profile

Company Details

Entity Name: JACKIE KLEIN LEFFERTS, M.D., P.A.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit

JACKIE KLEIN LEFFERTS, M.D., P.A. is structured as a Domestic Profit Corporation, which, in Florida signifies a Profit Corporation (also known as a C-Corporation). This business structure is recognized as a separate legal entity from its owners. This offers shareholders the benefit of limited liability protection, safeguarding their personal assets from the corporation's debts and obligations, and facilitates raising capital through the issuance of stock. In Florida, Domestic Profit Corporations are governed by Title XXXVI, Chapter 607, Florida Statutes – Florida Business Corporation Act.
Status: Inactive

The business entity is inactive. This status may signal operational issues or voluntary closure, raising concerns about the business's ability to repay loans and requiring careful risk assessment by lenders.

Date Filed: 10 Jul 2003 (22 years ago)
Date of dissolution: 23 Sep 2022 (3 years ago)
Last Event: ADMIN DISSOLUTION FOR ANNUAL REPORT
Event Date Filed: 23 Sep 2022 (3 years ago)
Document Number: P03000075855
FEI/EIN Number 650615596

Federal Employer Identification (FEI) Number assigned by the IRS.
Address: 3412 DUCK AVENUE, KEY WEST, FL, 33040
Mail Address: 5660 Shady Brook Ct, Sarasota, FL, 34243, US
ZIP code: 33040
County: Monroe
Place of Formation: FLORIDA

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
JACKIE KLEIN LEFFERTS, M.D., P.A. 401(K) PROFIT SHARING PLAN 2016 650615596 2017-06-05 JACKIE KLEIN LEFFERTS, M.D., P.A. 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-01-01
Business code 621111
Sponsor’s telephone number 3052941024
Plan sponsor’s address 3412 DUCK AVENUE, KEY WEST, FL, 33040

Signature of
Role Plan administrator
Date 2017-06-05
Name of individual signing MICHAEL LEFFERTS
Valid signature Filed with authorized/valid electronic signature
JACKIE KLEIN LEFFERTS, M.D., P.A. 401(K) PROFIT SHARING PLAN 2015 650615596 2016-07-05 JACKIE KLEIN LEFFERTS, M.D., P.A. 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-01-01
Business code 621111
Sponsor’s telephone number 3052941024
Plan sponsor’s address 3412 DUCK AVENUE, KEY WEST, FL, 33040

Signature of
Role Plan administrator
Date 2016-07-05
Name of individual signing MICHAEL LEFFERTS
Valid signature Filed with authorized/valid electronic signature
JACKIE KLEIN LEFFERTS, M.D., P.A. 401(K) PROFIT SHARING PLAN 2014 650615596 2015-07-06 JACKIE KLEIN LEFFERTS, M.D., P.A. 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-01-01
Business code 621111
Sponsor’s telephone number 3052941024
Plan sponsor’s address 3412 DUCK AVENUE, KEY WEST, FL, 33040

Signature of
Role Plan administrator
Date 2015-07-06
Name of individual signing MICHAEL LEFFERTS
Valid signature Filed with authorized/valid electronic signature
JACKIE KLEIN LEFFERTS, M.D., P.A. 401(K) PROFIT SHARING PLAN 2013 650615596 2014-07-07 JACKIE KLEIN LEFFERTS, M.D., P.A. 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-01-01
Business code 621111
Sponsor’s telephone number 3052941024
Plan sponsor’s address 3412 DUCK AVENUE, KEY WEST, FL, 33040

Signature of
Role Plan administrator
Date 2014-07-07
Name of individual signing MICHAEL LEFFERTS
Valid signature Filed with authorized/valid electronic signature
JACKIE KLEIN LEFFERTS, M.D., P.A. 401(K) PROFIT SHARING PLAN 2012 650615596 2013-07-10 JACKIE KLEIN LEFFERTS, M.D., P.A. 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-01-01
Business code 621111
Sponsor’s telephone number 3052941024
Plan sponsor’s address 3412 DUCK AVENUE, KEY WEST, FL, 33040

Signature of
Role Plan administrator
Date 2013-07-10
Name of individual signing MICHAEL LEFFERTS
Valid signature Filed with authorized/valid electronic signature
JACKIE KLEIN LEFFERTS, M.D., P.A. 401(K) PROFIT SHARING PLAN 2011 650615596 2012-07-25 JACKIE KLEIN LEFFERTS, M.D., P.A. 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-01-01
Business code 621111
Sponsor’s telephone number 3052941024
Plan sponsor’s address 3412 DUCK AVENUE, KEY WEST, FL, 33040

Plan administrator’s name and address
Administrator’s EIN 650615596
Plan administrator’s name JACKIE KLEIN LEFFERTS, M.D., P.A.
Plan administrator’s address 3412 DUCK AVENUE, KEY WEST, FL, 33040
Administrator’s telephone number 3052941024

Signature of
Role Plan administrator
Date 2012-07-25
Name of individual signing MICHAEL LEFFERTS
Valid signature Filed with authorized/valid electronic signature
JACKIE KLEIN LEFFERTS, M.D., P.A. 401(K) PROFIT SHARING PLAN 2010 650615596 2011-07-01 JACKIE KLEIN LEFFERTS, M.D., P.A. 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-01-01
Business code 621111
Sponsor’s telephone number 3052941024
Plan sponsor’s address 3412 DUCK AVENUE, KEY WEST, FL, 33040

Plan administrator’s name and address
Administrator’s EIN 650615596
Plan administrator’s name JACKIE KLEIN LEFFERTS, M.D., P.A.
Plan administrator’s address 3412 DUCK AVENUE, KEY WEST, FL, 33040
Administrator’s telephone number 3052941024

Signature of
Role Plan administrator
Date 2011-06-30
Name of individual signing MICHAEL LEFFERTS
Valid signature Filed with authorized/valid electronic signature
JACKIE KLEIN LEFFERTS, M.D., P.A. 401(K) PROFIT SHARING PLAN 2009 650615596 2010-07-28 JACKIE KLEIN LEFFERTS, M.D., P.A. 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-01-01
Business code 621111
Sponsor’s telephone number 3052941024
Plan sponsor’s address 3412 DUCK AVENUE, KEY WEST, FL, 33040

Plan administrator’s name and address
Administrator’s EIN 650615596
Plan administrator’s name JACKIE KLEIN LEFFERTS, M.D., P.A.
Plan administrator’s address 3412 DUCK AVENUE, KEY WEST, FL, 33040
Administrator’s telephone number 3052941024

Signature of
Role Plan administrator
Date 2010-07-28
Name of individual signing MICHAEL LEFFERTS
Valid signature Filed with authorized/valid electronic signature

Key Officers & Management

Name Role Address
LEFFERTS JACKIE KLEIN M Director 5660 Shady Brook Ct., Sarasota, FL, 34243
LEFFERTS MICHAEL Agent 815 PEACOCK PLAZA, KEY WEST, FL, 33040

Events

Event Type Filed Date Value Description
ADMIN DISSOLUTION FOR ANNUAL REPORT 2022-09-23 - -
CHANGE OF MAILING ADDRESS 2017-03-22 3412 DUCK AVENUE, KEY WEST, FL 33040 -
CHANGE OF PRINCIPAL ADDRESS 2010-04-02 3412 DUCK AVENUE, KEY WEST, FL 33040 -
CANCEL ADM DISS/REV 2007-02-19 - -
REGISTERED AGENT ADDRESS CHANGED 2007-02-19 815 PEACOCK PLAZA, KEY WEST, FL 33040 -
ADMIN DISSOLUTION FOR ANNUAL REPORT 2004-10-01 - -

Documents

Name Date
ANNUAL REPORT 2021-02-09
ANNUAL REPORT 2020-02-25
ANNUAL REPORT 2019-03-20
ANNUAL REPORT 2018-03-07
ANNUAL REPORT 2017-03-22
ANNUAL REPORT 2016-03-25
ANNUAL REPORT 2015-02-25
ANNUAL REPORT 2014-03-03
ANNUAL REPORT 2013-03-12
ANNUAL REPORT 2012-02-28

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Date of last update: 02 Apr 2025

Sources: Florida Department of State

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