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  5. KENNETH E. STARK, M.D., P.A.

KENNETH E. STARK, M.D., P.A.

Company Details

Entity Name: KENNETH E. STARK, M.D., P.A.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Active
Date Filed: 30 Sep 2004 (20 years ago)
Document Number: P04000136555
FEI/EIN Number 201723835
Address: 1613 BANNING BEACH ROAD, TAVARES, FL, 32778
Mail Address: 1613 BANNING BEACH ROAD, TAVARES, FL, 32778
ZIP code: 32778
County: Lake
Place of Formation: FLORIDA

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
KENNETH E. STARK, M. D. P. A. DEFINED BENEFIT PLAN 2021 201723835 2022-10-06 KENNETH E. STARK, M.D., P.A. 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-01-01
Business code 621111
Sponsor’s telephone number 3523437735
Plan sponsor’s address 1613 BANNING BEACH ROAD, TAVARES, FL, 32778
KENNETH E. STARK, M. D. P. A. DEFINED BENEFIT PLAN 2020 201723835 2021-06-30 KENNETH E. STARK, M.D., P.A. 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-01-01
Business code 621111
Sponsor’s telephone number 3523437735
Plan sponsor’s address 1613 BANNING BEACH ROAD, TAVARES, FL, 32778
KENNETH E. STARK, M. D. P. A. DEFINED BENEFIT PLAN 2019 201723835 2020-10-14 KENNETH E. STARK, M.D., P.A. 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-01-01
Business code 621111
Sponsor’s telephone number 3523437735
Plan sponsor’s address 1613 BANNING BEACH ROAD, TAVARES, FL, 32778
KENNETH E. STARK, M. D. P. A. DEFINED BENEFIT PLAN 2018 201723835 2019-10-14 KENNETH E. STARK, M.D., P.A. 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-01-01
Business code 621111
Sponsor’s telephone number 3523437735
Plan sponsor’s address 1613 BANNING BEACH ROAD, TAVARES, FL, 32778
KENNETH E. STARK, M. D. P. A. DEFINED BENEFIT PLAN 2017 201723835 2018-10-12 KENNETH E. STARK, M.D., P.A. 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-01-01
Business code 621111
Sponsor’s telephone number 3523437735
Plan sponsor’s address 1613 BANNING BEACH ROAD, TAVARES, FL, 32778
KENNETH E. STARK, M. D. P. A. DEFINED BENEFIT PLAN 2016 201723835 2017-10-16 KENNETH E. STARK, M.D., P.A. 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-01-01
Business code 621111
Sponsor’s telephone number 3523437735
Plan sponsor’s address 1613 BANNING BEACH ROAD, TAVARES, FL, 32778
KENNETH E. STARK, M. D. P. A. DEFINED BENEFIT PLAN 2015 201723835 2016-08-25 KENNETH E. STARK, M.D., P.A. 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-01-01
Business code 621111
Sponsor’s telephone number 3523437735
Plan sponsor’s address 1613 BANNING BEACH ROAD, TAVARES, FL, 32778

Signature of
Role Plan administrator
Date 2016-08-25
Name of individual signing KENNETH PAYNE
Valid signature Filed with authorized/valid electronic signature
KENNETH E. STARK, M. D. P. A. DEFINED BENEFIT PLA 2014 201723835 2015-10-12 KENNETH E. STARK, M.D., P.A. 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-01-01
Business code 621111
Sponsor’s telephone number 3523437735
Plan sponsor’s address 1613 BANNING BEACH ROAD, TAVARES, FL, 32778

Signature of
Role Plan administrator
Date 2015-10-12
Name of individual signing KENNETH E. STARK, M.D.
Valid signature Filed with authorized/valid electronic signature
KENNETH E. STARK, M.D., P.A. DEFINED BENEFIT PLAN 2013 201723835 2014-10-11 KENNETH E. STARK, M.D., P.A. 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-01-01
Business code 621111
Sponsor’s telephone number 3523437735
Plan sponsor’s address 1613 BANNING BEACH ROAD, TAVARES, FL, 327782024

Signature of
Role Plan administrator
Date 2014-10-10
Name of individual signing KENNETH E. STARK, M.D.
Valid signature Filed with authorized/valid electronic signature
KENNETH E. STARK, M.D., P.A. DEFINED BENEFIT PLAN 2012 201723835 2013-10-10 KENNETH E. STARK, M.D., P.A. 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-01-01
Business code 621111
Sponsor’s telephone number 3523437735
Plan sponsor’s address 1613 BANNING BEACH ROAD, TAVARES, FL, 327782024

Signature of
Role Plan administrator
Date 2013-10-10
Name of individual signing KENNETH E. STARK, M.D.
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
STARK KENNETH EDr. Agent 1613 BANNING BEACH ROAD, TAVARES, FL, 32778

Director

Name Role Address
STARK KENNETH E Director 1613 BANNING BEACH ROAD, TAVARES, FL, 32778

Events

Event Type Filed Date Value Description
REGISTERED AGENT NAME CHANGED 2019-01-18 STARK, KENNETH E, Dr. No data

Documents

Name Date
ANNUAL REPORT 2024-03-06
ANNUAL REPORT 2023-02-27
ANNUAL REPORT 2022-03-11
ANNUAL REPORT 2021-02-04
ANNUAL REPORT 2020-01-19
ANNUAL REPORT 2019-01-18
ANNUAL REPORT 2018-01-15
ANNUAL REPORT 2017-01-10
ANNUAL REPORT 2016-01-20
ANNUAL REPORT 2015-01-18

Related by officers

No related officers

Related by address

No related companies by address

Date of last update: 02 Feb 2025

Sources: Florida Department of State

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