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  5. CHARLOTTE HARBOR ANESTHESIA P.A.

CHARLOTTE HARBOR ANESTHESIA P.A.

Company Details

Entity Name: CHARLOTTE HARBOR ANESTHESIA P.A.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Inactive
Date Filed: 12 Apr 2005 (20 years ago)
Date of dissolution: 28 Sep 2012 (12 years ago)
Last Event: ADMIN DISSOLUTION FOR ANNUAL REPORT
Event Date Filed: 28 Sep 2012 (12 years ago)
Document Number: P05000053827
FEI/EIN Number 202945863
Mail Address: 8130 PERRY MAXWELL CIRCLE, SARASOTA, FL, 34240, US
Address: 2600 MLK JR STREET NORTH, 600, ST. PETERSBURG, FL, 33704, US
ZIP code: 33704
County: Pinellas
Place of Formation: FLORIDA

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
CHARLOTTE HARBOR ANESTHESIA, P.A. PROFIT SHARING AND 401(K) PLAN 2011 202945863 2012-07-13 CHARLOTTE HARBOR ANESTHESIA, 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 7275258822
Plan sponsor’s address 2600 DR. MARTIN LUTHER KING JR ST N, SUITE 600, ST. PETERSBURG, FL, 33704

Plan administrator’s name and address
Administrator’s EIN 202945863
Plan administrator’s name CHARLOTTE HARBOR ANESTHESIA, P.A.
Plan administrator’s address 2600 DR. MARTIN LUTHER KING JR ST N, SUITE 600, ST. PETERSBURG, FL, 33704
Administrator’s telephone number 7275258822

Signature of
Role Plan administrator
Date 2012-07-13
Name of individual signing SUBHASBHAI SHAH
Valid signature Filed with authorized/valid electronic signature
CHARLOTTE HARBOR ANESTHESIA, P.A. PROFIT SHARING AND 401(K) PLAN 2011 202945863 2012-04-19 CHARLOTTE HARBOR ANESTHESIA, P.A. 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-01-01
Business code 621111
Sponsor’s telephone number 7275258822
Plan sponsor’s address 2600 DR. MARTIN LUTHER KING JR ST N, SUITE 600, ST. PETERSBURG, FL, 33704

Plan administrator’s name and address
Administrator’s EIN 202945863
Plan administrator’s name CHARLOTTE HARBOR ANESTHESIA, P.A.
Plan administrator’s address 2600 DR. MARTIN LUTHER KING JR ST N, SUITE 600, ST. PETERSBURG, FL, 33704
Administrator’s telephone number 7275258822

Signature of
Role Plan administrator
Date 2012-04-19
Name of individual signing SUBHASBHAI SHAH
Valid signature Filed with authorized/valid electronic signature
CHARLOTTE HARBOR ANESTHESIA, P.A. PROFIT SHARING AND 401(K) PLAN 2010 202945863 2011-10-13 CHARLOTTE HARBOR ANESTHESIA, P.A. 10
Three-digit plan number (PN) 001
Effective date of plan 2006-01-01
Business code 621111
Sponsor’s telephone number 7275258822
Plan sponsor’s address 2600 DR. MARTIN LUTHER KING JR ST N, SUITE 600, ST. PETERSBURG, FL, 33704

Plan administrator’s name and address
Administrator’s EIN 202945863
Plan administrator’s name CHARLOTTE HARBOR ANESTHESIA, P.A.
Plan administrator’s address 2600 DR. MARTIN LUTHER KING JR ST N, SUITE 600, ST. PETERSBURG, FL, 33704
Administrator’s telephone number 7275258822

Signature of
Role Plan administrator
Date 2011-10-13
Name of individual signing SUBHASBHAI SHAH
Valid signature Filed with incorrect/unrecognized electronic signature
CHARLOTTE HARBOR ANESTHESIA, P.A. PROFIT SHARING AND 401(K) PLAN 2010 202945863 2011-10-27 CHARLOTTE HARBOR ANESTHESIA, P.A. 10
Three-digit plan number (PN) 001
Effective date of plan 2006-01-01
Business code 621111
Sponsor’s telephone number 7275258822
Plan sponsor’s address 2600 DR. MARTIN LUTHER KING JR ST N, SUITE 600, ST. PETERSBURG, FL, 33704

Plan administrator’s name and address
Administrator’s EIN 202945863
Plan administrator’s name CHARLOTTE HARBOR ANESTHESIA, P.A.
Plan administrator’s address 2600 DR. MARTIN LUTHER KING JR ST N, SUITE 600, ST. PETERSBURG, FL, 33704
Administrator’s telephone number 7275258822

Signature of
Role Plan administrator
Date 2011-10-27
Name of individual signing SUBHASBHAI SHAH
Valid signature Filed with incorrect/unrecognized electronic signature
CHARLOTTE HARBOR ANESTHESIA, P.A. PROFIT SHARING AND 401(K) PLAN 2010 202945863 2011-10-28 CHARLOTTE HARBOR ANESTHESIA, P.A. 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-01-01
Business code 621111
Sponsor’s telephone number 7275258822
Plan sponsor’s address 2600 DR. MARTIN LUTHER KING JR ST N, SUITE 600, ST. PETERSBURG, FL, 33704

Plan administrator’s name and address
Administrator’s EIN 202945863
Plan administrator’s name CHARLOTTE HARBOR ANESTHESIA, P.A.
Plan administrator’s address 2600 DR. MARTIN LUTHER KING JR ST N, SUITE 600, ST. PETERSBURG, FL, 33704
Administrator’s telephone number 7275258822

Signature of
Role Plan administrator
Date 2011-10-28
Name of individual signing SUBHASBHAI SHAH
Valid signature Filed with authorized/valid electronic signature
CHARLOTTE HARBOR ANESTHESIA, P.A. PROFIT SHARING AND 401(K) PLAN 2010 202945863 2011-10-27 CHARLOTTE HARBOR ANESTHESIA, P.A. 10
Three-digit plan number (PN) 001
Effective date of plan 2006-01-01
Business code 621111
Sponsor’s telephone number 7275258822
Plan sponsor’s address 2600 DR. MARTIN LUTHER KING JR ST N, SUITE 600, ST. PETERSBURG, FL, 33704

Plan administrator’s name and address
Administrator’s EIN 202945863
Plan administrator’s name CHARLOTTE HARBOR ANESTHESIA, P.A.
Plan administrator’s address 2600 DR. MARTIN LUTHER KING JR ST N, SUITE 600, ST. PETERSBURG, FL, 33704
Administrator’s telephone number 7275258822

Signature of
Role Plan administrator
Date 2011-10-27
Name of individual signing SUBHASBHAI SHAH
Valid signature Filed with incorrect/unrecognized electronic signature
CHARLOTTE HARBOR ANESTHESIA, P.A. PROFIT SHARING AND 401(K) PLAN 2009 202945863 2010-10-12 CHARLOTTE HARBOR ANESTHESIA, 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 7278232188
Plan sponsor’s address 8130 PERRY MAXWELL CIRCLE, SARASOTA, FL, 34240

Plan administrator’s name and address
Administrator’s EIN 202945863
Plan administrator’s name CHARLOTTE HARBOR ANESTHESIA, P.A.
Plan administrator’s address 8130 PERRY MAXWELL CIRCLE, SARASOTA, FL, 34240
Administrator’s telephone number 7278232188

Signature of
Role Plan administrator
Date 2010-10-12
Name of individual signing SUBHASBHAI SHAH
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
TORTORICE BERNARD M Agent 8130 PERRY MAXWELL CIRCLE, SARASOTA, FL, 34240

President

Name Role Address
TORTORICE BERNARD M President 8130 PERRY MAXWELL CIRCLE, SARASOTA, FL, 34240

Events

Event Type Filed Date Value Description
ADMIN DISSOLUTION FOR ANNUAL REPORT 2012-09-28 No data No data
CHANGE OF PRINCIPAL ADDRESS 2008-04-18 2600 MLK JR STREET NORTH, 600, ST. PETERSBURG, FL 33704 No data
CHANGE OF MAILING ADDRESS 2006-07-05 2600 MLK JR STREET NORTH, 600, ST. PETERSBURG, FL 33704 No data
REGISTERED AGENT ADDRESS CHANGED 2006-07-05 8130 PERRY MAXWELL CIRCLE, SARASOTA, FL 34240 No data

Documents

Name Date
ANNUAL REPORT 2011-04-29
ANNUAL REPORT 2010-04-27
ANNUAL REPORT 2009-04-30
ANNUAL REPORT 2008-04-18
ANNUAL REPORT 2007-04-27
ANNUAL REPORT 2006-07-05
Domestic Profit 2005-04-12

Related by officers

TORTORICE BERNARD M

CRNA SERVICES OF PUNTA GORDA, PA CHARLOTTE HARBOR ANESTHESIOLOGIST MANAGEMENT CO. MP ANESTHESIA CONSULTANTS, INC.

Related by address

8130 PERRY MAXWELL CIRCLE, SARASOTA, FL, 34240, US

CHARLOTTE HARBOR ANESTHESIOLOGIST MANAGEMENT CO.

Date of last update: 02 Feb 2025

Sources: Florida Department of State

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