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  5. GAINESVILLE PEDIATRIC ASSOCIATES, INC.

GAINESVILLE PEDIATRIC ASSOCIATES, INC.

Company Details

Entity Name: GAINESVILLE PEDIATRIC ASSOCIATES, INC.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Active
Date Filed: 27 Jun 2005 (20 years ago)
Last Event: REINSTATEMENT
Event Date Filed: 19 Oct 2020 (4 years ago)
Document Number: P05000091637
FEI/EIN Number 203080699
Address: 6440 WEST NEWBERRY ROAD, SUITE 402, GAINESVILLE, FL, 32605
Mail Address: 6440 WEST NEWBERRY ROAD, SUITE 402, GAINESVILLE, FL, 32605
ZIP code: 32605
County: Alachua
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1710050596 2006-11-17 2020-08-22 6440 W NEWBERRY ROAD, SUITE 402, GAINESVILLE, FL, 32605, US 6440 W NEWBERRY ROAD, SUITE 402, GAINESVILLE, FL, 32605, US

Contacts
Phone +1 352-333-5500
Fax 3523335506

Authorized person
Name MICHAEL W WYATT
Role PRESIDENT
Phone 3523335500

Taxonomy
Taxonomy Code 208000000X - Pediatrics Physician
Is Primary Yes

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
GAINESVILLE PEDIATRIC ASSOCIATES 401(K) PROFIT SHARING PLAN 2023 203080699 2024-05-01 GAINESVILLE PEDIATRIC ASSOCIATES 33
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-07-01
Business code 621399
Sponsor’s telephone number 3523335500
Plan sponsor’s address 6440 WEST NEWBERRY ROAD, SUITE 402, GAINESVILLE, FL, 32605

Signature of
Role Plan administrator
Date 2024-05-01
Name of individual signing MICHAEL WYATT
Valid signature Filed with authorized/valid electronic signature
GAINESVILLE PEDIATRIC ASSOCIATES 401(K) PROFIT SHARING PLAN 2022 203080699 2023-04-14 GAINESVILLE PEDIATRIC ASSOCIATES 34
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-07-01
Business code 621399
Sponsor’s telephone number 3523335500
Plan sponsor’s address 6440 W. NEWBERRY ROAD, SUITE 402, GAINESVILLE, FL, 32605

Signature of
Role Plan administrator
Date 2023-04-14
Name of individual signing MICHAEL WYATT
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2023-04-14
Name of individual signing MICHAEL WYATT
Valid signature Filed with authorized/valid electronic signature
GAINESVILLE PEDIATRIC ASSOCIATES 401(K) PROFIT SHARING PLAN 2021 203080699 2022-05-12 GAINESVILLE PEDIATRIC ASSOCIATES 35
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-07-01
Business code 621399
Sponsor’s telephone number 3523335500
Plan sponsor’s address 6440 W. NEWBERRY ROAD, SUITE 402, GAINESVILLE, FL, 32605

Signature of
Role Plan administrator
Date 2022-05-12
Name of individual signing MICHELLE BLAKEMORE
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2022-05-12
Name of individual signing MICHELLE BLAKEMORE
Valid signature Filed with authorized/valid electronic signature
GAINESVILLE PEDIATRIC ASSOCIATES 401(K) PROFIT SHARING PLAN 2020 203080699 2021-09-14 GAINESVILLE PEDIATRIC ASSOCIATES 31
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-07-01
Business code 621399
Sponsor’s telephone number 3523335500
Plan sponsor’s address 6440 W. NEWBERRY ROAD, SUITE 402, GAINESVILLE, FL, 32605

Signature of
Role Plan administrator
Date 2021-09-14
Name of individual signing MICHELLE BLAKEMORE
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2021-09-14
Name of individual signing MICHELLE BLAKEMORE
Valid signature Filed with authorized/valid electronic signature
GAINESVILLE PEDIATRIC ASSOCIATES 401(K) PROFIT SHARING PLAN 2019 203080699 2020-10-09 GAINESVILLE PEDIATRIC ASSOCIATES 32
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-07-01
Business code 621399
Sponsor’s telephone number 3523335500
Plan sponsor’s address 6440 W. NEWBERRY ROAD, SUITE 402, GAINESVILLE, FL, 32605

Signature of
Role Plan administrator
Date 2020-10-09
Name of individual signing MICHAEL WYATT
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2020-10-09
Name of individual signing MICHAEL WYATT
Valid signature Filed with authorized/valid electronic signature
GAINESVILLE PEDIATRIC ASSOCIATES 401(K) PROFIT SHARING PLAN 2018 203080699 2019-03-26 GAINESVILLE PEDIATRIC ASSOCIATES 34
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-07-01
Business code 621399
Sponsor’s telephone number 3523335500
Plan sponsor’s address 6440 W. NEWBERRY ROAD, SUITE 402, GAINESVILLE, FL, 32605

Signature of
Role Plan administrator
Date 2019-03-26
Name of individual signing MICHAEL WYATT
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2019-03-26
Name of individual signing MICHAEL WYATT
Valid signature Filed with authorized/valid electronic signature
GAINESVILLE PEDIATRIC ASSOCIATES 401(K) PROFIT SHARING PLAN 2017 203080699 2018-03-15 GAINESVILLE PEDIATRIC ASSOCIATES 33
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-07-01
Business code 621399
Sponsor’s telephone number 3523335500
Plan sponsor’s address 6440 W. NEWBERRY ROAD, SUITE 402, GAINESVILLE, FL, 32605

Signature of
Role Plan administrator
Date 2018-03-15
Name of individual signing MICHAEL WYATT
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2018-03-15
Name of individual signing MICHAEL WYATT
Valid signature Filed with authorized/valid electronic signature
GAINESVILLE PEDIATRIC ASSOCIATES 401(K) PROFIT SHARING PLAN 2016 203080699 2017-03-13 GAINESVILLE PEDIATRIC ASSOCIATES 32
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-07-01
Business code 621399
Sponsor’s telephone number 3523335500
Plan sponsor’s address 6440 W. NEWBERRY ROAD, SUITE 402, GAINESVILLE, FL, 32605

Signature of
Role Plan administrator
Date 2017-03-13
Name of individual signing MICHAEL WYATT
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2017-03-13
Name of individual signing MICHAEL WYATT
Valid signature Filed with authorized/valid electronic signature
GAINESVILLE PEDIATRIC ASSOCIATES 401(K) PROFIT SHARING PLAN 2015 203080699 2016-03-09 GAINESVILLE PEDIATRIC ASSOCIATES 31
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-07-01
Business code 621399
Sponsor’s telephone number 3523335500
Plan sponsor’s address 6440 W. NEWBERRY ROAD, SUITE 402, GAINESVILLE, FL, 32605

Signature of
Role Plan administrator
Date 2016-03-09
Name of individual signing MICHAEL D. WYATT
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2016-03-09
Name of individual signing MICHAEL D. WYATT
Valid signature Filed with authorized/valid electronic signature
GAINESVILLE PEDIATRIC ASSOCIATES 401(K) PROFIT SHARING PLAN 2014 203080699 2015-03-10 GAINESVILLE PEDIATRIC ASSOCIATES 33
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-07-01
Business code 621399
Sponsor’s telephone number 3523335500
Plan sponsor’s address 6440 W. NEWBERRY ROAD, SUITE 402, GAINESVILLE, FL, 32605

Signature of
Role Plan administrator
Date 2015-03-10
Name of individual signing MICHAEL WYATT
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2015-03-10
Name of individual signing MICHAEL WYATT
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
WYATT MICHAEL D Agent 6440 WEST NEWBERRY RD, GAINESVILLE, FL, 32605

Director

Name Role Address
WYATT MICHAEL D Director 6440 WEST NEWBERRY RD SUITE 402, GAINESVILLE, FL, 32605
GROOMS MARY C Director 6440 WEST NEWBERRY RD SUITE 402, GAINESVILLE, FL, 32605

Events

Event Type Filed Date Value Description
REINSTATEMENT 2020-10-19 No data No data
REGISTERED AGENT NAME CHANGED 2020-10-19 WYATT, MICHAEL D No data
ADMIN DISSOLUTION FOR ANNUAL REPORT 2020-09-25 No data No data
CHANGE OF PRINCIPAL ADDRESS 2009-02-16 6440 WEST NEWBERRY ROAD, SUITE 402, GAINESVILLE, FL 32605 No data
CHANGE OF MAILING ADDRESS 2009-02-16 6440 WEST NEWBERRY ROAD, SUITE 402, GAINESVILLE, FL 32605 No data
REGISTERED AGENT ADDRESS CHANGED 2009-02-16 6440 WEST NEWBERRY RD, SUITE 402, GAINESVILLE, FL 32605 No data

Documents

Name Date
ANNUAL REPORT 2024-02-15
ANNUAL REPORT 2023-02-28
ANNUAL REPORT 2022-01-04
ANNUAL REPORT 2021-02-17
REINSTATEMENT 2020-10-19
ANNUAL REPORT 2019-03-02
ANNUAL REPORT 2018-02-09
ANNUAL REPORT 2017-02-02
ANNUAL REPORT 2016-01-11
ANNUAL REPORT 2015-02-24

Related by officers

WYATT MICHAEL D

WYNTER LLC GAINESVILLE PEDIATRIC REAL ESTATE PARTNERS, LLC

GROOMS MARY C

WATCH ME RUN, INC. GAINESVILLE PEDIATRIC REAL ESTATE PARTNERS, LLC

Related by address

6440 WEST NEWBERRY ROAD, SUITE 402, GAINESVILLE, FL, 32605

GAINESVILLE PEDIATRIC REAL ESTATE PARTNERS, LLC

6440 WEST NEWBERRY ROAD, SUITE 402, GAINESVILLE, FL, 32605

GAINESVILLE PEDIATRIC REAL ESTATE PARTNERS, LLC

Date of last update: 02 Feb 2025

Sources: Florida Department of State

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