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  5. NELSON CHARLIE, M.D., P.A.

NELSON CHARLIE, M.D., P.A.

Company Details

Entity Name: NELSON CHARLIE, M.D., P.A.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Active
Date Filed: 10 Dec 2003 (21 years ago)
Document Number: P03000148791
FEI/EIN Number 200491241
Address: 1800 SE 10TH AVENUE, 305, FT. LAUDERDALE, FL, 33316, US
Mail Address: 1800 SE 10TH AVENUE, 305, FT. LAUDERDALE, FL, 33316, US
ZIP code: 33316
County: Broward
Place of Formation: FLORIDA

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
NELSON CHARLIE, M. D., P.A. 401(K) PLAN 2023 200491241 2024-07-09 NELSON CHARLIE, M. D., P. A. 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2010-01-01
Business code 621111
Sponsor’s telephone number 9544674100
Plan sponsor’s address 1800 S.E. 10TH AVENUE, STE. 305, FORT LAUDERDALE, FL, 33316
NELSON CHARLIE, M. D., P.A. 401(K) PLAN 2022 200491241 2023-06-29 NELSON CHARLIE, M. D., P. A. 11
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2010-01-01
Business code 621111
Sponsor’s telephone number 9544674100
Plan sponsor’s address 1800 S.E. 10TH AVENUE, STE. 305, FORT LAUDERDALE, FL, 33316
NELSON CHARLIE, M. D., P.A. 401(K) PLAN 2021 200491241 2022-06-08 NELSON CHARLIE, M. D., P. A. 11
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2010-01-01
Business code 621111
Sponsor’s telephone number 9544674100
Plan sponsor’s address 1800 S.E. 10TH AVENUE, STE. 305, FORT LAUDERDALE, FL, 33316
NELSON CHARLIE, M. D., P.A. 401(K) PLAN 2020 200491241 2021-05-26 NELSON CHARLIE, M. D., P. A. 12
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2010-01-01
Business code 621111
Sponsor’s telephone number 9544674100
Plan sponsor’s address 1800 S.E. 10TH AVENUE, STE. 305, FORT LAUDERDALE, FL, 33316
NELSON CHARLIE, M. D., P.A. 401(K) PLAN 2019 200491241 2020-06-24 NELSON CHARLIE, M. D., P. A. 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2010-01-01
Business code 621111
Sponsor’s telephone number 9544674100
Plan sponsor’s address 1800 S.E. 10TH AVENUE, STE. 305, FORT LAUDERDALE, FL, 33316
NELSON CHARLIE, M. D., P.A. 401(K) PLAN 2018 200491241 2019-05-20 NELSON CHARLIE, M. D., P. A. 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2010-01-01
Business code 621111
Sponsor’s telephone number 9544674100
Plan sponsor’s address 1800 S.E. 10TH AVENUE, STE. 305, FORT LAUDERDALE, FL, 33316
NELSON CHARLIE, M. D., P.A. 401(K) PLAN 2017 200491241 2018-07-10 NELSON CHARLIE, M. D., P. A. 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2010-01-01
Business code 621111
Sponsor’s telephone number 9544674100
Plan sponsor’s address 1800 S.E. 10TH AVENUE, STE. 305, FORT LAUDERDALE, FL, 33316
NELSON CHARLIE, M. D., P.A. 401(K) PLAN 2016 200491241 2017-07-20 NELSON CHARLIE, M. D., P. A. 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2010-01-01
Business code 621111
Sponsor’s telephone number 9544674100
Plan sponsor’s address 1800 S.E. 10TH AVENUE, STE. 305, FORT LAUDERDALE, FL, 33316
NELSON CHARLIE, M. D., P.A. 401(K) PLAN 2015 200491241 2016-07-28 NELSON CHARLIE, M. D., P. A. 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2010-01-01
Business code 621111
Sponsor’s telephone number 9544674100
Plan sponsor’s address 1800 S.E. 10TH AVENUE, STE. 305, FORT LAUDERDALE, FL, 33316
NELSON CHARLIE, M. D., P.A. 401(K) PLAN 2014 200491241 2015-10-09 NELSON CHARLIE, M. D., P. A. 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2010-01-01
Business code 621111
Sponsor’s telephone number 9544674100
Plan sponsor’s address 1800 S.E. 10TH AVENUE, STE. 305, FORT LAUDERDALE, FL, 33316

Signature of
Role Plan administrator
Date 2015-10-09
Name of individual signing NELSON CHARLIE, M.D.
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role
BUSINESS FILINGS INCORPORATED Agent

Director

Name Role Address
Charlie Nelson Director 1800 Se 10Th Avenue 305, Ft. Lauderdale, FL, 33316

President

Name Role Address
Charlie Nelson President 1800 Se 10Th Avenue 305, Ft. Lauderdale, FL, 33316

Vice President

Name Role Address
Charlie Nelson Vice President 1800 Se 10Th Avenue 305, Ft. Lauderdale, FL, 33316

Secretary

Name Role Address
Charlie Nelson Secretary 1800 Se 10Th Avenue 305, Ft. Lauderdale, FL, 33316

Treasurer

Name Role Address
Charlie Nelson Treasurer 1800 Se 10Th Avenue 305, Ft. Lauderdale, FL, 33316

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G16000014806 LAUDERDALE ACADEMIC DERMATOLOGY ACTIVE 2016-02-09 2026-12-31 No data 1800 SE 10TH AVENUE, 305, FT. LAUDERDALE, FL, 33316
G09083900017 LAUDERDALE ACADEMIC DERMATOLOGY ACTIVE 2009-03-24 2029-12-31 No data 1800 SE 10TH AVE, SUITE 305, FORT LAUDERDALE, FL, 33316

Events

Event Type Filed Date Value Description
REGISTERED AGENT ADDRESS CHANGED 2015-06-10 1200 South Pine Island Road, Plantation, FL 33324 No data
CHANGE OF PRINCIPAL ADDRESS 2013-01-31 1800 SE 10TH AVENUE, 305, FT. LAUDERDALE, FL 33316 No data
CHANGE OF MAILING ADDRESS 2013-01-31 1800 SE 10TH AVENUE, 305, FT. LAUDERDALE, FL 33316 No data
REGISTERED AGENT NAME CHANGED 2013-01-31 BUSINESS FILINGS INCORPORATED No data

Documents

Name Date
ANNUAL REPORT 2024-03-03
ANNUAL REPORT 2023-02-05
ANNUAL REPORT 2022-02-20
ANNUAL REPORT 2021-01-10
ANNUAL REPORT 2020-05-17
ANNUAL REPORT 2019-02-09
ANNUAL REPORT 2018-01-21
ANNUAL REPORT 2017-01-15
ANNUAL REPORT 2016-01-24
ANNUAL REPORT 2015-01-11

Related by officers

No related officers

Related by address

No related companies by address

Date of last update: 01 Feb 2025

Sources: Florida Department of State

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