| Entity Name: | PHYSICIANS UNITED PLAN, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Inactive |
| Date Filed: | 21 Feb 2005 (20 years ago) |
| Date of dissolution: | 25 Sep 2015 (9 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 25 Sep 2015 (9 years ago) |
| Document Number: | P05000038718 |
| FEI/EIN Number | 202505788 |
| Address: | 8427 SOUTHPARK CIRCLE, ORLANDO, FL, 32819, US |
| Mail Address: | 8427 SOUTHPARK CIRCLE, ORLANDO, FL, 32819, US |
| ZIP code: | 32819 |
| County: | Orange |
| Place of Formation: | FLORIDA |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| PHYSICIANS UNITED PLAN, INC. 401(K) PROFIT SHARING | 2015 | 202505788 | 2016-03-11 | PHYSICIANS UNITED PLAN, INC. | 39 | |||||||||||||||||||||||||||||||||
|
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| Role | Plan administrator |
| Date | 2016-03-11 |
| Name of individual signing | DOUG NORDBY |
| Valid signature | Filed with authorized/valid electronic signature |
| Role | Employer/plan sponsor |
| Date | 2016-03-11 |
| Name of individual signing | DOUG NORDBY |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2012-01-01 |
| Business code | 812990 |
| Plan sponsor’s mailing address | 9102 SOUTHPARK CENTER LOOP 200, ORLANDO, FL, 32819 |
| Plan sponsor’s address | 9102 SOUTHPARK CENTER LOOP 200, ORLANDO, FL, 32819 |
Number of participants as of the end of the plan year
| Active participants | 193 |
| Retired or separated participants receiving benefits | 0 |
| Other retired or separated participants entitled to future benefits | 33 |
| Number of participants with account balances as of the end of the plan year | 179 |
| Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested | 0 |
Signature of
| Role | Plan administrator |
| Date | 2013-10-15 |
| Name of individual signing | KEVIN ENTERLEIN |
| Valid signature | Filed with authorized/valid electronic signature |
| Name | Role | Address |
|---|---|---|
| SATTAUR IMTIAZ H | Agent | 8427 SOUTHPARK CIRCLE, ORLANDO, FL, 32819 |
| Name | Role | Address |
|---|---|---|
| ENTERLEIN KEVIN P | Chief Operating Officer | 8427 SOUTHPARK CIRCLE, ORLANDO, FL, 32819 |
| Name | Role | Address |
|---|---|---|
| SATTAUR IMTIAZ H | Chief Executive Officer | 8427 SOUTHPARK CIRCLE, ORLANDO, FL, 32819 |
| Name | Role | Address |
|---|---|---|
| DEBI DARILU | Chief Administrative Officer | 8427 SOUTHPARK CIRCLE, ORLANDO, FL, 32819 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2015-09-25 | No data | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2014-01-14 | 8427 SOUTHPARK CIRCLE, SUITE 500, ORLANDO, FL 32819 | No data |
| CHANGE OF MAILING ADDRESS | 2013-09-24 | 8427 SOUTHPARK CIRCLE, SUITE 500, ORLANDO, FL 32819 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2013-09-24 | 8427 SOUTHPARK CIRCLE, SUITE 500, ORLANDO, FL 32819 | No data |
| AMENDED AND RESTATEDARTICLES | 2013-01-29 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2013-01-29 | SATTAUR, IMTIAZ H | No data |
| AMENDMENT | 2008-01-22 | No data | No data |
| AMENDED AND RESTATEDARTICLES | 2006-11-02 | No data | No data |
| AMENDMENT | 2005-12-01 | No data | No data |
| Document Number | Status | Case Number | Name of Court | Date of Entry | Expiration Date | Amount Due | Plaintiff |
|---|---|---|---|---|---|---|---|
| J07000332182 | LAPSED | 07-SC-10579 | ORANGE COUNTY, FLORIDA | 2007-10-03 | 2012-10-11 | $5315.00 | MICHAEL R. SEAMAN, 1000 WINDERLEY PLACE, #134, MAITLAND, FL 32751 |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2014-01-14 |
| ANNUAL REPORT | 2013-03-22 |
| Amended and Restated Articles | 2013-01-29 |
| ANNUAL REPORT | 2012-08-21 |
| ANNUAL REPORT | 2012-01-16 |
| Reg. Agent Change | 2011-08-12 |
| Off/Dir Resignation | 2011-03-31 |
| ANNUAL REPORT | 2011-02-01 |
| ANNUAL REPORT | 2010-02-19 |
| ANNUAL REPORT | 2009-04-22 |
Date of last update: 03 Feb 2025
Sources: Florida Department of State
