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  5. HALIFAX PATHOLOGY ASSOCIATES, P.A.

HALIFAX PATHOLOGY ASSOCIATES, P.A.

Company Details

Entity Name: HALIFAX PATHOLOGY ASSOCIATES, P.A.
Jurisdiction: FLORIDA
Filing Type: Florida Profit Corporation
Status: Active
Date Filed: 08 Jul 2003 (22 years ago)
Last Event: AMENDMENT
Event Date Filed: 14 Oct 2003 (21 years ago)
Document Number: P03000076983
FEI/EIN Number 05-0576513
Address: 5455 STATE ROAD 11, DE LEON SPRINGS, FL 32130
Mail Address: 5455 STATE ROAD 11, DE LEON SPRINGS, FL 32130
ZIP code: 32130
County: Volusia
Place of Formation: FLORIDA

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
401K/PROFIT SHARING PLAN AND TRUST FOR EMPLOYEES OF HALIFAX PATHOLOGY ASSOCIATES, P.A. 2023 050576513 2024-09-30 HALIFAX PATHOLOGY ASSOCIATES, P.A. 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-01-01
Business code 621111
Sponsor’s telephone number 3862587668
Plan sponsor’s address P.O. BOX 11695, DAYTONA BEACH, FL, 32120

Signature of
Role Plan administrator
Date 2024-09-30
Name of individual signing LORA J. SHEHI
Valid signature Filed with authorized/valid electronic signature
CASH BALANCE PENSION PLAN AND TRUST FOR EMPLOYEES OF HALIFAX PATHOLOGY ASSOCIATES, P.A. 2023 050576513 2024-09-30 HALIFAX PATHOLOGY ASSOCIATES, P.A. 4
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2007-01-01
Business code 621111
Sponsor’s telephone number 3862587668
Plan sponsor’s address P.O. BOX 11695, DAYTONA BEACH, FL, 32120

Signature of
Role Plan administrator
Date 2024-09-30
Name of individual signing LORA J. SHEHI
Valid signature Filed with authorized/valid electronic signature
CASH BALANCE PENSION PLAN AND TRUST FOR EMPLOYEES OF HALIFAX PATHOLOGY ASSOCIATES, P.A. 2022 050576513 2023-10-02 HALIFAX PATHOLOGY ASSOCIATES, P.A. 4
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2007-01-01
Business code 621111
Sponsor’s telephone number 3862587668
Plan sponsor’s address P.O. BOX 11695, DAYTONA BEACH, FL, 32120

Signature of
Role Plan administrator
Date 2023-10-02
Name of individual signing LORA J. SHEHI
Valid signature Filed with authorized/valid electronic signature
401K/PROFIT SHARING PLAN AND TRUST FOR EMPLOYEES OF HALIFAX PATHOLOGY ASSOCIATES, P.A. 2022 050576513 2023-10-02 HALIFAX PATHOLOGY ASSOCIATES, P.A. 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-01-01
Business code 621111
Sponsor’s telephone number 3862587668
Plan sponsor’s address 569 HEALTH BOULEVARD, SUITE A, DAYTONA BEACH, FL, 32114

Signature of
Role Plan administrator
Date 2023-10-02
Name of individual signing LORA J. SHEHI
Valid signature Filed with authorized/valid electronic signature
401K/PROFIT SHARING PLAN AND TRUST FOR EMPLOYEES OF HALIFAX PATHOLOGY ASSOCIATES, P.A. 2021 050576513 2022-10-05 HALIFAX PATHOLOGY ASSOCIATES, P.A. 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-01-01
Business code 621111
Sponsor’s telephone number 3862587668
Plan sponsor’s address 569 HEALTH BOULEVARD, SUITE A, DAYTONA BEACH, FL, 32114

Signature of
Role Plan administrator
Date 2022-10-05
Name of individual signing LORA J. SHEHI
Valid signature Filed with authorized/valid electronic signature
CASH BALANCE PENSION PLAN AND TRUST FOR EMPLOYEES OF HALIFAX PATHOLOGY ASSOCIATES, P.A. 2021 050576513 2022-10-05 HALIFAX PATHOLOGY ASSOCIATES, P.A. 4
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2007-01-01
Business code 621111
Sponsor’s telephone number 3862587668
Plan sponsor’s address P.O. BOX 11695, DAYTONA BEACH, FL, 32120

Signature of
Role Plan administrator
Date 2022-10-05
Name of individual signing LORA J. SHEHI
Valid signature Filed with authorized/valid electronic signature
401(K)/PROFIT SHARING PLAN AND TRUST FOR EMPLOYEES OF HALIFAX PATHOLOGY ASSOCIATES, P.A. 2020 050576513 2021-09-27 HALIFAX PATHOLOGY ASSOCIATES, P.A. 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-01-01
Business code 621111
Sponsor’s telephone number 3682587668
Plan sponsor’s address P.O. BOX 11695, DAYTONA, FL, 321201695
CASH BALANCE PENSION PLAN AND TRUST FOR EMPLOYEES OF HALIFAX PATHOLOGY ASSOCIATES, P.A. 2020 050576513 2021-10-05 HALIFAX PATHOLOGY ASSOCIATES, P.A. 4
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2007-01-01
Business code 621111
Sponsor’s telephone number 3862587668
Plan sponsor’s address P.O. BOX 11695, DAYTONA BEACH, FL, 32120

Signature of
Role Plan administrator
Date 2021-10-05
Name of individual signing LORA J. SHEHI
Valid signature Filed with authorized/valid electronic signature
401(K)/PROFIT SHARING PLAN AND TRUST FOR EMPLOYEES OF HALIFAX PATHOLOGY ASSOCIATES, P.A. 2019 050576513 2020-07-07 HALIFAX PATHOLOGY ASSOCIATES, P.A. 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-01-01
Business code 621111
Sponsor’s telephone number 3682587668
Plan sponsor’s address P.O. BOX 11695, DAYTONA, FL, 321201695
CASH BALANCE PENSION PLAN AND TRUST FOR EMPLOYEES OF HALIFAX PATHOLOGY ASSOCIATES, P.A. 2019 050576513 2020-10-07 HALIFAX PATHOLOGY ASSOCIATES, P.A. 4
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2007-01-01
Business code 621111
Sponsor’s telephone number 3862587668
Plan sponsor’s address P.O. BOX 11695, DAYTONA BEACH, FL, 32120

Signature of
Role Plan administrator
Date 2020-10-07
Name of individual signing LORA J. SHEHI
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
SHEHI, LORA J, Dr. Agent 5455 STATE ROAD 11, DE LEON SPRINGS, FL 32130

President

Name Role Address
SHEHI, LORA J, DR. President P.O. BOX 11695, DAYTONA BEACH, FL 32120-1695

Secretary

Name Role Address
SHEHI, LORA J, DR. Secretary P.O. BOX 11695, DAYTONA BEACH, FL 32120-1695

Director

Name Role Address
SHEHI, LORA J, DR. Director P.O. BOX 11695, DAYTONA BEACH, FL 32120-1695

Vice President

Name Role Address
GRIMES, RENI A, Dr. Vice President P.O. BOX 11695, DAYTONA BEACH, FL 32120-1695

Events

Event Type Filed Date Value Description
REGISTERED AGENT ADDRESS CHANGED 2018-03-27 5455 STATE ROAD 11, DE LEON SPRINGS, FL 32130 No data
CHANGE OF PRINCIPAL ADDRESS 2018-03-08 5455 STATE ROAD 11, DE LEON SPRINGS, FL 32130 No data
CHANGE OF MAILING ADDRESS 2018-03-08 5455 STATE ROAD 11, DE LEON SPRINGS, FL 32130 No data
REGISTERED AGENT NAME CHANGED 2014-04-23 SHEHI, LORA J, Dr. No data
AMENDMENT 2003-10-14 No data No data

Documents

Name Date
AMENDED ANNUAL REPORT 2024-08-26
ANNUAL REPORT 2024-03-12
ANNUAL REPORT 2023-03-14
ANNUAL REPORT 2022-04-11
ANNUAL REPORT 2021-03-11
ANNUAL REPORT 2020-04-10
ANNUAL REPORT 2019-03-29
Reg. Agent Change 2018-03-29
ANNUAL REPORT 2018-03-05
ANNUAL REPORT 2017-03-23

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No related officers

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5455 STATE ROAD 11, DE LEON SPRINGS, FL 32130

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Date of last update: 06 Jan 2025

Sources: Florida Department of State

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