| Entity Name: | ERIC R. TRUMBLE, M.D., P.A. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Inactive |
| Date Filed: | 28 Jun 2004 (21 years ago) |
| Date of dissolution: | 28 Sep 2012 (12 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 28 Sep 2012 (12 years ago) |
| Document Number: | P04000097692 |
| FEI/EIN Number | 201315318 |
| Address: | 2913 CULLEN LAKE SHORE DR, ORLANDO, FL, 32812 |
| Mail Address: | 2913 CULLEN LAKE SHORE DR, ORLANDO, FL, 32812 |
| ZIP code: | 32812 |
| County: | Orange |
| Place of Formation: | FLORIDA |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| ERIC R. TRUMBLE, M.D., P.A. 401(K) PROFIT SHARING PLAN | 2010 | 201315318 | 2011-12-21 | ERIC R. TRUMBLE, M.D., P.A. | 3 | |||||||||||||||||||||||||||||||||||||||||
|
||||||||||||||||||||||||||||||||||||||||||||||
| Administrator’s EIN | 201315318 |
| Plan administrator’s name | ERIC R. TRUMBLE, M.D., P.A. |
| Plan administrator’s address | 615 E PRINCETON ST. SUITE 540, ORLANDO, FL, 32803 |
| Administrator’s telephone number | 4072360006 |
Signature of
| Role | Plan administrator |
| Date | 2011-12-21 |
| Name of individual signing | TATIANA POMBO |
| Valid signature | Filed with authorized/valid electronic signature |
| Role | Employer/plan sponsor |
| Date | 2011-12-21 |
| Name of individual signing | TATIANA POMBO |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2004-01-01 |
| Business code | 621111 |
| Sponsor’s telephone number | 4072360006 |
| Plan sponsor’s address | 615 E PRINCETON ST. SUITE 540, ORLANDO, FL, 32803 |
Plan administrator’s name and address
| Administrator’s EIN | 201315318 |
| Plan administrator’s name | ERIC R. TRUMBLE, M.D., P.A. |
| Plan administrator’s address | 615 E PRINCETON ST. SUITE 540, ORLANDO, FL, 32803 |
| Administrator’s telephone number | 4072360006 |
Signature of
| Role | Plan administrator |
| Date | 2011-10-04 |
| Name of individual signing | TATIANA POMBO |
| Valid signature | Filed with authorized/valid electronic signature |
| Role | Employer/plan sponsor |
| Date | 2011-10-04 |
| Name of individual signing | TATIANA POMBO |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2004-01-01 |
| Business code | 621111 |
| Sponsor’s telephone number | 4072360006 |
| Plan sponsor’s address | 615 E PRINCETON ST. SUITE 540, ORLANDO, FL, 32803 |
Plan administrator’s name and address
| Administrator’s EIN | 201315318 |
| Plan administrator’s name | ERIC R. TRUMBLE, M.D., P.A. |
| Plan administrator’s address | 615 E PRINCETON ST. SUITE 540, ORLANDO, FL, 32803 |
| Administrator’s telephone number | 4072360006 |
Signature of
| Role | Plan administrator |
| Date | 2010-08-23 |
| Name of individual signing | JULIE BURGESS |
| Valid signature | Filed with authorized/valid electronic signature |
| Name | Role | Address |
|---|---|---|
| LEFKOWITZ IVAN M | Agent | 430 N MILLS AVE, ORLANDO, FL, 32803 |
| Name | Role | Address |
|---|---|---|
| TRUMBLE ERIC R | President | 2913 CULLEN LAKE SHORE DR, ORLANDO, FL, 32812 |
| Name | Role | Address |
|---|---|---|
| TRUMBLE ERIC R | Secretary | 2913 CULLEN LAKE SHORE DR, ORLANDO, FL, 32812 |
| Name | Role | Address |
|---|---|---|
| TRUMBLE ERIC R | Treasurer | 2913 CULLEN LAKE SHORE DR, ORLANDO, FL, 32812 |
| Name | Role | Address |
|---|---|---|
| TRUMBLE ERIC R | Director | 2913 CULLEN LAKE SHORE DR, ORLANDO, FL, 32812 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2012-09-28 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2010-04-14 | 2913 CULLEN LAKE SHORE DR, ORLANDO, FL 32812 | No data |
| CHANGE OF MAILING ADDRESS | 2010-04-14 | 2913 CULLEN LAKE SHORE DR, ORLANDO, FL 32812 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2011-03-15 |
| ANNUAL REPORT | 2010-04-14 |
| ANNUAL REPORT | 2009-03-06 |
| ANNUAL REPORT | 2008-01-15 |
| ANNUAL REPORT | 2007-01-08 |
| ANNUAL REPORT | 2006-01-05 |
| ANNUAL REPORT | 2005-01-03 |
| Domestic Profit | 2004-06-28 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
