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  5. LAKE CANCER MEDICAL CENTER, P.A.

LAKE CANCER MEDICAL CENTER, P.A. - Florida Company Profile

Company Details

Entity Name: LAKE CANCER MEDICAL CENTER, P.A.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit

LAKE CANCER MEDICAL CENTER, 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: 09 Nov 2004 (20 years ago)
Date of dissolution: 23 Sep 2016 (9 years ago)
Last Event: ADMIN DISSOLUTION FOR ANNUAL REPORT
Event Date Filed: 23 Sep 2016 (9 years ago)
Document Number: P04000153377
FEI/EIN Number 201858776

Federal Employer Identification (FEI) Number assigned by the IRS.
Address: 732 NORTH THIRD STREET, LEESBURG, FL, 34748
Mail Address: 732 NORTH THIRD STREET, LEESBURG, FL, 34748
ZIP code: 34748
County: Lake
Place of Formation: FLORIDA

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
LAKE CANCER MEDICAL CENTER, P. A. 401(K) PROFIT SHARING PLAN 2014 201858776 2015-10-05 LAKE CANCER MEDICAL CENTER, P.A. 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Business code 621111
Sponsor’s telephone number 3527282532
Plan sponsor’s address 732 NORTH 3RD STREET, LEESBURG, FL, 34748

Signature of
Role Plan administrator
Date 2015-10-05
Name of individual signing PABLO REYES
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2015-10-05
Name of individual signing PABLO REYES
Valid signature Filed with authorized/valid electronic signature
LAKE CANCER MEDICAL CENTER, P.A. 401(K) PROFIT SHARING PLAN 2014 201858776 2015-07-23 LAKE CANCER MEDICAL CENTER, P.A. 25
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Business code 621111
Sponsor’s telephone number 3527282532
Plan sponsor’s address 732 NORTH 3RD STREET, LEESBURG, FL, 34748

Signature of
Role Plan administrator
Date 2015-07-23
Name of individual signing PABLO REYES
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2015-07-23
Name of individual signing PABLO REYES
Valid signature Filed with authorized/valid electronic signature
LAKE CANCER MEDICAL CENTER, P.A. PROFIT SHARING PLAN 2014 201858776 2015-07-23 LAKE CANCER MEDICAL CENTER, P.A. 25
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2013-01-01
Business code 621111
Sponsor’s telephone number 3527282532
Plan sponsor’s address 732 NORTH 3RD STREET, LEESBURG, FL, 34748

Signature of
Role Plan administrator
Date 2015-07-23
Name of individual signing PABLO REYES
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2015-07-23
Name of individual signing PABLO REYES
Valid signature Filed with authorized/valid electronic signature
LAKE CANCER MEDICAL CENTER, P.A. 401K PROFIT SHARING PLAN 2013 201858776 2014-06-20 LAKE CANCER MEDICAL CENTER, P.A. 23
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Business code 621111
Sponsor’s telephone number 3527282532
Plan sponsor’s address 732 NORTH 3RD STREET, LEESBURG, FL, 34748

Signature of
Role Plan administrator
Date 2014-06-20
Name of individual signing PABLO REYES
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2014-06-20
Name of individual signing PABLO REYES
Valid signature Filed with authorized/valid electronic signature
LAKE CANCER MEDICAL CENTER, P.A. 401K PROFIT SHARING PLAN 2013 201858776 2015-07-23 LAKE CANCER MEDICAL CENTER, P.A. 23
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Business code 621111
Sponsor’s telephone number 3527282532
Plan sponsor’s address 732 NORTH 3RD STREET, LEESBURG, FL, 34748

Signature of
Role Plan administrator
Date 2015-07-23
Name of individual signing PABLO REYES
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2015-07-23
Name of individual signing PABLO REYES
Valid signature Filed with authorized/valid electronic signature
LAKE CANCER MEDICAL CENTER, P.A. PROFIT SHARING PLAN 2013 201858776 2015-07-23 LAKE CANCER MEDICAL CENTER, P.A. 23
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2013-01-01
Business code 621111
Sponsor’s telephone number 3527282532
Plan sponsor’s address 732 NORTH 3RD STREET, LEESBURG, FL, 34748

Signature of
Role Plan administrator
Date 2015-07-23
Name of individual signing PABLO REYES
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2015-07-23
Name of individual signing PABLO REYES
Valid signature Filed with authorized/valid electronic signature
LAKE CANCER MEDICAL CENTER, P.A. 401K PROFIT SHARING PLAN 2013 201858776 2014-07-28 LAKE CANCER MEDICAL CENTER, P.A. 23
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Business code 621111
Sponsor’s telephone number 3527282532
Plan sponsor’s address 732 NORTH 3RD STREET, LEESBURG, FL, 34748

Signature of
Role Plan administrator
Date 2014-07-28
Name of individual signing PA BLO REYES
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2014-07-28
Name of individual signing PABLO REYES
Valid signature Filed with authorized/valid electronic signature
LAKE CANCER MEDICAL CENTER, P.A. 401K PROFIT SHARING PLAN 2012 201858776 2013-07-22 LAKE CANCER MEDICAL CENTER, P.A. 24
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Business code 621111
Sponsor’s telephone number 3527282532
Plan sponsor’s address 732 NORTH 3RD STREET, LEESBURG, FL, 34748

Signature of
Role Plan administrator
Date 2013-07-22
Name of individual signing PABLO REYES
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2013-07-22
Name of individual signing PABLO REYES
Valid signature Filed with authorized/valid electronic signature
LAKE CANCER MEDICAL CENTER, P.A. 401K PROFIT SHARING PLAN 2011 201858776 2012-06-05 LAKE CANCER MEDICAL CENTER, P.A. 25
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Business code 621111
Sponsor’s telephone number 3527282532
Plan sponsor’s address 732 NORTH 3RD STREET, LEESBURG, FL, 34748

Plan administrator’s name and address
Administrator’s EIN 201858776
Plan administrator’s name LAKE CANCER MEDICAL CENTER, P.A.
Plan administrator’s address 732 NORTH 3RD STREET, LEESBURG, FL, 34748
Administrator’s telephone number 3527282532

Signature of
Role Plan administrator
Date 2012-06-05
Name of individual signing PABLO REYES
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2012-06-05
Name of individual signing PABLO REYES
Valid signature Filed with authorized/valid electronic signature
LAKE CANCER MEDICAL CENTER, P.A. 401K PROFIT SHARING PLAN 2010 201858776 2011-07-22 LAKE CANCER MEDICAL CENTER, P.A. 23
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Business code 621111
Sponsor’s telephone number 3527282532
Plan sponsor’s address 732 NORTH 3RD STREET, LEESBURG, FL, 34748

Plan administrator’s name and address
Administrator’s EIN 201858776
Plan administrator’s name LAKE CANCER MEDICAL CENTER, P.A.
Plan administrator’s address 732 NORTH 3RD STREET, LEESBURG, FL, 34748
Administrator’s telephone number 3527282532

Signature of
Role Plan administrator
Date 2011-07-22
Name of individual signing PABLO REYES
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2011-07-22
Name of individual signing PABLO REYES
Valid signature Filed with authorized/valid electronic signature

Key Officers & Management

Name Role Address
MATHEW LOURDES M Director 732 NORTH THIRD STREET, LEESBURG, FL, 34748
REYES PABLO J Director 732 NORTH THIRD STREET, LEESBURG, FL, 34748
MATHEW LOURDES M Agent 732 NORTH THIRD STREET, LEESBURG, FL, 34748

Events

Event Type Filed Date Value Description
ADMIN DISSOLUTION FOR ANNUAL REPORT 2016-09-23 - -
CHANGE OF PRINCIPAL ADDRESS 2005-04-25 732 NORTH THIRD STREET, LEESBURG, FL 34748 -
CHANGE OF MAILING ADDRESS 2005-04-25 732 NORTH THIRD STREET, LEESBURG, FL 34748 -
REGISTERED AGENT ADDRESS CHANGED 2005-04-25 732 NORTH THIRD STREET, LEESBURG, FL 34748 -

Documents

Name Date
ANNUAL REPORT 2015-04-27
ANNUAL REPORT 2014-03-03
ANNUAL REPORT 2013-04-30
ANNUAL REPORT 2012-04-10
ANNUAL REPORT 2011-02-15
ANNUAL REPORT 2010-01-19
ANNUAL REPORT 2009-04-21
ANNUAL REPORT 2008-04-21
ANNUAL REPORT 2007-04-16
ANNUAL REPORT 2006-05-01

Companies related by officers

MATHEW LOURDES M

LOURDES M. MATHEW, M.D., P.A. - Inactive
Domestic Profit (1998 - 1999)
LAKE HEART OUTREACH, INC. - Inactive
Domestic Profit (1998 - 1999)
LAKE CANCER & HEMATOLOGY, P.A. - Inactive
Domestic Profit (2014 - 2016)
LAKE CANCER & HEMATOLOGY, P.A. - Inactive
Domestic Profit (2014 - 2016)

REYES PABLO J

J REYES SERVICES INC - Active
Domestic Profit (2015 )
REYES MASONRY CORPORATION - Inactive
Domestic Profit (1999 - 2006)
REYES MASONRY CORPORATION - Inactive
Domestic Profit (1999 - 2006)

Companies related by address

732 NORTH THIRD STREET, LEESBURG, FL, 34748

LAKE CANCER & HEMATOLOGY, P.A.

732 NORTH THIRD STREET, LEESBURG, FL, 34748

LAKE CANCER & HEMATOLOGY, P.A.

Date of last update: 02 Apr 2025

Sources: Florida Department of State

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