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  5. SOUTHERN PINELLAS SURGICAL, P.A.

SOUTHERN PINELLAS SURGICAL, P.A. - Florida Company Profile

Company Details

Entity Name: SOUTHERN PINELLAS SURGICAL, P.A.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit

SOUTHERN PINELLAS SURGICAL, 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: 12 Jul 2004 (21 years ago)
Date of dissolution: 28 Sep 2018 (7 years ago)
Last Event: ADMIN DISSOLUTION FOR ANNUAL REPORT
Event Date Filed: 28 Sep 2018 (7 years ago)
Document Number: P04000103339
FEI/EIN Number 201354098

Federal Employer Identification (FEI) Number assigned by the IRS.
Address: 11200 SEMINOLE BLVD, LARGO, FL, 33778, US
Mail Address: 11200 SEMINOLE BLVD, LARGO, FL, 33778, US
ZIP code: 33778
County: Pinellas
Place of Formation: FLORIDA

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
SOUTHERN PINELLAS SURGICAL, P.A. PENSION PLAN 2018 201354098 2019-10-15 SOUTHERN PINELLAS SURGICAL, P.A. 7
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2012-01-01
Business code 621111
Sponsor’s telephone number 7275849500
Plan sponsor’s address 12955 SEMINOLE BOULEVARD, LARGO, FL, 33778
SOUTHERN PINELLAS SURGICAL, P.A. 401(K) PLAN 2018 201354098 2019-10-15 SOUTHERN PINELLAS SURGICAL, P.A. 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 621111
Sponsor’s telephone number 7275849500
Plan sponsor’s address 12955 SEMINOLE BOULEVARD, LARGO, FL, 33778
SOUTHERN PINELLAS SURGICAL, P.A. 401(K) PLAN 2017 201354098 2018-07-30 SOUTHERN PINELLAS SURGICAL, P.A. 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 621111
Sponsor’s telephone number 7275849500
Plan sponsor’s address 12955 SEMINOLE BOULEVARD, LARGO, FL, 33778
SOUTHERN PINELLAS SURGICAL, P.A. PENSION PLAN 2017 201354098 2018-07-30 SOUTHERN PINELLAS SURGICAL, P.A. 9
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2012-01-01
Business code 621111
Sponsor’s telephone number 7275849500
Plan sponsor’s address 12955 SEMINOLE BOULEVARD, LARGO, FL, 33778
SOUTHERN PINELLAS SURGICAL, P.A. 401(K) PLAN 2016 201354098 2018-01-29 SOUTHERN PINELLAS SURGICAL, P.A. 12
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 621111
Sponsor’s telephone number 7275849500
Plan sponsor’s address 12955 SEMINOLE BOULEVARD, LARGO, FL, 33778

Signature of
Role Plan administrator
Date 2018-01-29
Name of individual signing RICHARD FANSLER
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2018-01-29
Name of individual signing RICHARD FANSLER
Valid signature Filed with authorized/valid electronic signature
SOUTHERN PINELLAS SURGICAL, P.A. PENSION PLAN 2016 201354098 2018-01-29 SOUTHERN PINELLAS SURGICAL, P.A. 12
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2012-01-01
Business code 621111
Sponsor’s telephone number 7275849500
Plan sponsor’s address 12955 SEMINOLE BOULEVARD, LARGO, FL, 33778

Signature of
Role Plan administrator
Date 2018-01-29
Name of individual signing RICHARD FANSLER
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2018-01-29
Name of individual signing RICHARD FANSLER
Valid signature Filed with authorized/valid electronic signature
SOUTHERN PINELLAS SURGICAL, P.A. 401(K) PLAN 2015 201354098 2016-10-10 SOUTHERN PINELLAS SURGICAL, P.A. 11
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 621111
Sponsor’s telephone number 7275849500
Plan sponsor’s address 12955 SEMINOLE BOULEVARD, LARGO, FL, 33778

Signature of
Role Plan administrator
Date 2016-10-08
Name of individual signing RICHARD FANSLER
Valid signature Filed with authorized/valid electronic signature
SOUTHERN PINELLAS SURGICAL, P.A. PENSION PLAN 2015 201354098 2016-10-10 SOUTHERN PINELLAS SURGICAL, P.A. 9
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2012-01-01
Business code 621111
Sponsor’s telephone number 7275849500
Plan sponsor’s address 12955 SEMINOLE BOULEVARD, LARGO, FL, 33778

Signature of
Role Plan administrator
Date 2016-10-08
Name of individual signing RICHARD FANSLER
Valid signature Filed with authorized/valid electronic signature
SOUTHERN PINELLAS SURGICAL, P.A. PENSION PLAN 2014 201354098 2015-10-15 SOUTHERN PINELLAS SURGICAL, P.A. 9
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2012-01-01
Business code 621111
Sponsor’s telephone number 7275849500
Plan sponsor’s address 12955 SEMINOLE BOULEVARD, LARGO, FL, 33778

Signature of
Role Plan administrator
Date 2015-10-15
Name of individual signing RICHARD FANSLER
Valid signature Filed with authorized/valid electronic signature
SOUTHERN PINELLAS SURGICAL, P.A. 401(K) PLAN 2014 201354098 2015-10-15 SOUTHERN PINELLAS SURGICAL, P.A. 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 621111
Sponsor’s telephone number 7275849500
Plan sponsor’s address 12955 SEMINOLE BOULEVARD, LARGO, FL, 33778

Signature of
Role Plan administrator
Date 2015-10-15
Name of individual signing RICHARD FANSLER
Valid signature Filed with authorized/valid electronic signature

Key Officers & Management

Name Role Address
FANSLER RICHARD Director 12942 Harbor View Drive, SEMINOLE, FL, 33776
FANSLER RICHARD F. Agent 11200 SEMINOLE BLVD, LARGO, FL, 33778

Events

Event Type Filed Date Value Description
ADMIN DISSOLUTION FOR ANNUAL REPORT 2018-09-28 - -
CHANGE OF PRINCIPAL ADDRESS 2016-03-30 11200 SEMINOLE BLVD, Suite 210, LARGO, FL 33778 -
CHANGE OF MAILING ADDRESS 2016-03-30 11200 SEMINOLE BLVD, Suite 210, LARGO, FL 33778 -
REGISTERED AGENT ADDRESS CHANGED 2016-03-30 11200 SEMINOLE BLVD, Suite 210, LARGO, FL 33778 -
REGISTERED AGENT NAME CHANGED 2005-05-01 FANSLER, RICHARD F. -
AMENDED AND RESTATEDARTICLES 2004-07-20 - -

Documents

Name Date
ANNUAL REPORT 2017-01-15
ANNUAL REPORT 2016-03-30
ANNUAL REPORT 2015-01-26
ANNUAL REPORT 2014-05-01
ANNUAL REPORT 2013-02-05
ANNUAL REPORT 2012-01-18
ANNUAL REPORT 2011-01-17
ANNUAL REPORT 2010-01-09
ANNUAL REPORT 2009-01-17
ANNUAL REPORT 2008-05-01

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11200 SEMINOLE BLVD, LARGO, FL, 33778, US

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Date of last update: 03 Apr 2025

Sources: Florida Department of State

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