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  5. WILLIAM B. HENGHOLD, M.D., P.A.

WILLIAM B. HENGHOLD, M.D., P.A.

Company Details

Entity Name: WILLIAM B. HENGHOLD, M.D., P.A.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Active
Date Filed: 10 Feb 2005 (20 years ago)
Last Event: REINSTATEMENT
Event Date Filed: 04 May 2024 (9 months ago)
Document Number: P05000021447
FEI/EIN Number 202339667
Address: 530 FONTAINE STREET, PENSACOLA, FL, 32503, US
Mail Address: 530 FONTAINE STREET, PENSACOLA, FL, 32503, US
ZIP code: 32503
County: Escambia
Place of Formation: FLORIDA

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
WILLIAM B. HENGHOLD M.D. P.A. 401(K) & PROFIT SHARING PLAN 2022 202339667 2024-02-13 WILLIAM B. HENGHOLD M.D., P.A. 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-06-27
Business code 621111
Sponsor’s telephone number 8504744775
Plan sponsor’s address 540 FONTAINE STREET, PENSACOLA, FL, 32503
WILLIAM B. HENGHOLD M.D. P.A. 401(K) & PROFIT SHARING PLAN 2021 202339667 2023-02-15 WILLIAM B. HENGHOLD M.D., P.A. 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-06-27
Business code 621111
Sponsor’s telephone number 8504744775
Plan sponsor’s address 540 FONTAINE STREET, PENSACOLA, FL, 32503
WILLIAM B. HENGHOLD M.D. P.A. 401(K) & PROFIT SHARING PLAN 2020 202339667 2021-10-13 WILLIAM B. HENGHOLD M.D., P.A. 49
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-06-27
Business code 621111
Sponsor’s telephone number 8504744775
Plan sponsor’s address 540 FONTAINE STREET, PENSACOLA, FL, 32503
WILLIAM B. HENGHOLD M.D. P.A. 401(K) & PROFIT SHARING PLAN 2019 202339667 2021-01-15 WILLIAM B. HENGHOLD M.D., P.A. 51
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-06-27
Business code 621111
Sponsor’s telephone number 8504744775
Plan sponsor’s address 540 FONTAINE STREET, PENSACOLA, FL, 32503
WILLIAM B. HENGHOLD M.D. P.A. 401(K) & PROFIT SHARING PLAN 2018 202339667 2019-06-26 WILLIAM B. HENGHOLD M.D., P.A. 50
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-06-27
Business code 621111
Sponsor’s telephone number 8504744775
Plan sponsor’s address 540 FONTAINE STREET, PENSACOLA, FL, 32503

Signature of
Role Plan administrator
Date 2019-06-26
Name of individual signing MICHELLE HENGHOLD
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2019-06-26
Name of individual signing MICHELLE HENGHOLD
Valid signature Filed with authorized/valid electronic signature
WILLIAM B. HENGHOLD M.D. P.A. 401(K) & PROFIT SHARING PLAN 2017 202339667 2018-09-20 WILLIAM B. HENGHOLD M.D., P.A. 40
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-06-27
Business code 621111
Sponsor’s telephone number 8504744775
Plan sponsor’s address 540 FONTAINE STREET, PENSACOLA, FL, 32503

Signature of
Role Plan administrator
Date 2018-09-20
Name of individual signing WILLIAM HENGHOLD
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2018-09-20
Name of individual signing WILLIAM HENGHOLD
Valid signature Filed with authorized/valid electronic signature
WILLIAM B. HENGHOLD M.D. P.A. 401(K) & PROFIT SHARING PLAN 2016 202339667 2017-07-28 WILLIAM B. HENGHOLD M.D., P.A. 38
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-06-27
Business code 621111
Sponsor’s telephone number 8504744775
Plan sponsor’s address 540 FONTAINE STREET, PENSACOLA, FL, 32503

Signature of
Role Plan administrator
Date 2017-07-28
Name of individual signing WILLIAM HENGHOLD
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2017-07-28
Name of individual signing WILLIAM HENGHOLD
Valid signature Filed with authorized/valid electronic signature
WILLIAM B. HENGHOLD M.D. P.A. 401(K) & PROFIT SHARING PLAN 2015 202339667 2016-09-15 WILLIAM B. HENGHOLD M.D., P.A. 32
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-06-27
Business code 621111
Sponsor’s telephone number 8504744775
Plan sponsor’s address 540 FONTAINE STREET, PENSACOLA, FL, 32503

Signature of
Role Plan administrator
Date 2016-09-15
Name of individual signing MICHELLE HENGHOLD
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2016-09-15
Name of individual signing MICHELLE HENGHOLD
Valid signature Filed with authorized/valid electronic signature
WILLIAM B. HENGHOLD M.D. P.A. 401(K) & PROFIT SHARING PLAN 2014 202339667 2015-07-16 WILLIAM B. HENGHOLD M.D., P.A. 21
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-06-27
Business code 621111
Sponsor’s telephone number 8504744775
Plan sponsor’s address 540 FONTAINE STREET, PENSACOLA, FL, 32503

Signature of
Role Plan administrator
Date 2015-07-16
Name of individual signing MICHELLE HENGHOLD
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2015-07-16
Name of individual signing MICHELLE HENGHOLD
Valid signature Filed with authorized/valid electronic signature
WILLIAM B. HENGHOLD M.D. P.A. 401(K) & PROFIT SHARING PLAN 2013 202339667 2014-04-28 WILLIAM B. HENGHOLD M.D., P.A. 13
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-06-27
Business code 621111
Sponsor’s telephone number 8504744775
Plan sponsor’s address 540 FONTAINE STREET, PENSACOLA, FL, 32503

Signature of
Role Plan administrator
Date 2014-04-28
Name of individual signing MICHELLE HENGHOLD
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2014-04-28
Name of individual signing MICHELLE HENGHOLD
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
HENGHOLD WILLIAM BDr. Agent 530 FONTAINE STREET, PENSACOLA, FL, 32503

President

Name Role Address
HENGHOLD WILLIAM BDr. President 530 FONTAINE STREET, PENSACOLA, FL, 32503

Treasurer

Name Role Address
WILLIAM HENGHOLD BDr. Treasurer 530 FONTAINE STREET, PENSACOLA, FL, 32503

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G13000115593 HENGHOLD SKIN HEALTH & SURGERY GROUP EXPIRED 2013-11-25 2018-12-31 No data 530 FONTIANE STREET, PENSACOLA, FL, 32503

Events

Event Type Filed Date Value Description
REINSTATEMENT 2024-05-04 No data No data
ADMIN DISSOLUTION FOR ANNUAL REPORT 2022-09-23 No data No data
REGISTERED AGENT NAME CHANGED 2021-12-13 HENGHOLD, WILLIAM B, Dr. No data
REINSTATEMENT 2021-12-13 No data No data
CHANGE OF PRINCIPAL ADDRESS 2021-12-13 530 FONTAINE STREET, PENSACOLA, FL 32503 No data
ADMIN DISSOLUTION FOR ANNUAL REPORT 2021-09-24 No data No data
REGISTERED AGENT ADDRESS CHANGED 2018-01-15 530 FONTAINE STREET, PENSACOLA, FL 32503 No data
CHANGE OF MAILING ADDRESS 2014-02-07 530 FONTAINE STREET, PENSACOLA, FL 32503 No data

Documents

Name Date
REINSTATEMENT 2024-05-04
REINSTATEMENT 2021-12-13
ANNUAL REPORT 2020-03-06
ANNUAL REPORT 2019-02-07
ANNUAL REPORT 2018-01-15
ANNUAL REPORT 2017-03-06
ANNUAL REPORT 2016-02-02
ANNUAL REPORT 2015-01-14
ANNUAL REPORT 2014-02-07
ANNUAL REPORT 2013-01-27

Related by officers

HENGHOLD WILLIAM BDr.

HENGHOLD SURGERY CENTER, LLC M & W PROPERTIES OF FLORIDA, LLC

Related by address

No related companies by address

Date of last update: 02 Feb 2025

Sources: Florida Department of State

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