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  5. JAMES D. GALLAGHER, M.D., P.A.

JAMES D. GALLAGHER, M.D., P.A.

Company Details

Entity Name: JAMES D. GALLAGHER, M.D., P.A.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Inactive
Date Filed: 16 Sep 2003 (21 years ago)
Date of dissolution: 26 Sep 2014 (10 years ago)
Last Event: ADMIN DISSOLUTION FOR ANNUAL REPORT
Event Date Filed: 26 Sep 2014 (10 years ago)
Document Number: P03000103039
FEI/EIN Number 200217560
Address: 1840 Mease Drive, 400, SAFETY HARBOR, FL, 34695, US
Mail Address: 1840 MEASE DRIVE, SAFETY HARBOR, FL, 34695, US
ZIP code: 34695
County: Pinellas
Place of Formation: FLORIDA

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
JAMES D. GALLAGHER, M.D. P.A. 401(K) PROFIT SHARING PLAN 2012 200217560 2013-10-03 JAMES D. GALLAGHER, M.D., P.A. 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-01-01
Business code 621111
Sponsor’s telephone number 7277868678
Plan sponsor’s address 3890 TAMPA ROAD, SUITE 401, PALM HARBOR, FL, 34684

Signature of
Role Plan administrator
Date 2013-10-03
Name of individual signing JAMES D. GALLAGHER, M.D.
Valid signature Filed with authorized/valid electronic signature
JAMES D. GALLAGHER, M.D. P.A. 401K PROFIT SHARING PLAN 2011 200217560 2012-08-07 JAMES D. GALLAGHER, M.D. P.A. 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-01-01
Business code 621111
Sponsor’s telephone number 7277868678
Plan sponsor’s address 3890 TAMPA ROAD, STE 401, PALM HARBOR, FL, 34684

Plan administrator’s name and address
Administrator’s EIN 200217560
Plan administrator’s name JAMES D. GALLAGHER, M.D. P.A.
Plan administrator’s address 3890 TAMPA ROAD, STE 401, PALM HARBOR, FL, 34684
Administrator’s telephone number 7277868678

Signature of
Role Plan administrator
Date 2012-08-07
Name of individual signing JAMES D. GALLAGHER, M.D.
Valid signature Filed with authorized/valid electronic signature
JAMES D. GALLAGHER, M.D. P.A. 401K PROFIT SHARING PLAN 2010 200217560 2011-10-11 JAMES D. GALLAGHER, M.D. P.A. 6
Three-digit plan number (PN) 001
Effective date of plan 2004-01-01
Business code 621111
Sponsor’s telephone number 7277868678
Plan sponsor’s address 3890 TAMPA ROAD, STE 401, PALM HARBOR, FL, 34684

Plan administrator’s name and address
Administrator’s EIN 200217560
Plan administrator’s name JAMES D. GALLAGHER, M.D. P.A.
Plan administrator’s address 3890 TAMPA ROAD, STE 401, PALM HARBOR, FL, 34684
Administrator’s telephone number 7277868678

Signature of
Role Plan administrator
Date 2011-10-11
Name of individual signing JAMES D. GALLAGHER, M.D.
Valid signature Filed with incorrect/unrecognized electronic signature
JAMES D. GALLAGHER, M.D. P.A. 401K PROFIT SHARING PLAN 2010 200217560 2011-10-12 JAMES D. GALLAGHER, M.D. P.A. 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-01-01
Business code 621111
Sponsor’s telephone number 7277868678
Plan sponsor’s address 3890 TAMPA ROAD, STE 401, PALM HARBOR, FL, 34684

Plan administrator’s name and address
Administrator’s EIN 200217560
Plan administrator’s name JAMES D. GALLAGHER, M.D. P.A.
Plan administrator’s address 3890 TAMPA ROAD, STE 401, PALM HARBOR, FL, 34684
Administrator’s telephone number 7277868678

Signature of
Role Plan administrator
Date 2011-10-12
Name of individual signing JAMES D. GALLAGHER, M.D.
Valid signature Filed with authorized/valid electronic signature
JAMES D. GALLAGHER, M.D. P.A. 401K PROFIT SHARING PLAN 2009 200217560 2010-10-14 JAMES D. GALLAGHER, M.D. P.A. 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-01-01
Business code 621111
Sponsor’s telephone number 7277868678
Plan sponsor’s address 3890 TAMPA ROAD, STE 401, PALM HARBOR, FL, 34684

Plan administrator’s name and address
Administrator’s EIN 200217560
Plan administrator’s name JAMES D. GALLAGHER, M.D. P.A.
Plan administrator’s address 3890 TAMPA ROAD, STE 401, PALM HARBOR, FL, 34684
Administrator’s telephone number 7277868678

Signature of
Role Plan administrator
Date 2010-10-14
Name of individual signing JAMES D. GALLAGHER, M.D.
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
GALLAGHER JAMES DMD Agent 1840 MEASE DRIVE, SAFETY HARBOR, FL, 34695

President

Name Role Address
GALLAGHER JAMES DMD President 1840 MEASE DRIVE, SAFETY HARBOR, FL, 34695

Secretary

Name Role Address
GALLAGHER JAMES DMD Secretary 1840 MEASE DRIVE, SAFETY HARBOR, FL, 34695

Treasurer

Name Role Address
GALLAGHER JAMES DMD Treasurer 1840 MEASE DRIVE, SAFETY HARBOR, FL, 34695

Events

Event Type Filed Date Value Description
ADMIN DISSOLUTION FOR ANNUAL REPORT 2014-09-26 No data No data
CHANGE OF PRINCIPAL ADDRESS 2013-04-26 1840 Mease Drive, 400, SAFETY HARBOR, FL 34695 No data
CHANGE OF MAILING ADDRESS 2013-04-26 1840 Mease Drive, 400, SAFETY HARBOR, FL 34695 No data
REGISTERED AGENT NAME CHANGED 2013-04-26 GALLAGHER, JAMES D, MD No data
REGISTERED AGENT ADDRESS CHANGED 2013-04-26 1840 MEASE DRIVE, STE 400, SAFETY HARBOR, FL 34695 No data

Documents

Name Date
ANNUAL REPORT 2013-04-26
ANNUAL REPORT 2012-02-01
ANNUAL REPORT 2011-04-20
ANNUAL REPORT 2010-02-16
ANNUAL REPORT 2009-05-01
ANNUAL REPORT 2008-05-02
ANNUAL REPORT 2007-05-01
ANNUAL REPORT 2006-05-03
ANNUAL REPORT 2005-05-03
ANNUAL REPORT 2004-04-26

Related by officers

No related officers

Related by address

No related companies by address

Date of last update: 03 Feb 2025

Sources: Florida Department of State

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