| Entity Name: | CAROLYN M. CAREY, M.D., P.A. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Inactive |
| Date Filed: | 19 Aug 2005 (19 years ago) |
| Date of dissolution: | 27 Sep 2013 (11 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 27 Sep 2013 (11 years ago) |
| Document Number: | P05000115957 |
| FEI/EIN Number | 203341195 |
| Address: | 601 5TH STREET SOUTH, SUITE 511, ST. PETERSBURG, FL, 33701, US |
| Mail Address: | 601 5TH STREET SOUTH, SUITE 511, ST. PETERSBURG, FL, 33701, US |
| ZIP code: | 33701 |
| County: | Pinellas |
| Place of Formation: | FLORIDA |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| CAROLYN M. CAREY, M.D., P.A. 401(K) PROFIT SHARING PLAN | 2012 | 203341195 | 2013-04-01 | CAROLYN M. CAREY, M.D., P.A. | 9 | |||||||||||||||||||||||||||||||||||||||||
|
||||||||||||||||||||||||||||||||||||||||||||||
| Role | Plan administrator |
| Date | 2013-04-01 |
| Name of individual signing | CARLOYN M. CAREY, M.D. |
| Valid signature | Filed with authorized/valid electronic signature |
| Role | Employer/plan sponsor |
| Date | 2013-04-01 |
| Name of individual signing | CAROLYN M. CAREY, M.D. |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2000-01-01 |
| Business code | 621111 |
| Sponsor’s telephone number | 7277678181 |
| Plan sponsor’s address | 601-5TH STREET S, STE. 511, ST. PETERSBURG, FL, 33701 |
Plan administrator’s name and address
| Administrator’s EIN | 203341195 |
| Plan administrator’s name | CAROLYN M. CAREY, M.D., P.A. |
| Plan administrator’s address | 601-5TH STREET S, ST. PETERSBURG, FL, 33701 |
| Administrator’s telephone number | 7277678181 |
Signature of
| Role | Plan administrator |
| Date | 2012-05-14 |
| Name of individual signing | CARLOYN M. CAREY, M.D. |
| Valid signature | Filed with authorized/valid electronic signature |
| Role | Employer/plan sponsor |
| Date | 2012-05-21 |
| Name of individual signing | CAROLYN M. CAREY, M.D. |
| Valid signature | Filed with authorized/valid electronic signature |
| Name | Role | Address |
|---|---|---|
| MIKOS CYNTHIA | Agent | 202 S. ROME AVENUE #100, TAMPA, FL, 33606 |
| Name | Role | Address |
|---|---|---|
| CAREY CAROLYN M | Director | 601 5TH STREET SOUTH, SUITE 511, ST. PETERSBURG, FL, 33701 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2013-09-27 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2011-05-03 | 601 5TH STREET SOUTH, SUITE 511, ST. PETERSBURG, FL 33701 | No data |
| CHANGE OF MAILING ADDRESS | 2011-05-03 | 601 5TH STREET SOUTH, SUITE 511, ST. PETERSBURG, FL 33701 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2009-02-10 | 202 S. ROME AVENUE #100, TAMPA, FL 33606 | No data |
| REGISTERED AGENT NAME CHANGED | 2008-04-08 | MIKOS, CYNTHIA | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2012-04-27 |
| ANNUAL REPORT | 2011-05-03 |
| ANNUAL REPORT | 2010-02-16 |
| ANNUAL REPORT | 2009-02-10 |
| ANNUAL REPORT | 2008-04-08 |
| ANNUAL REPORT | 2007-01-23 |
| ANNUAL REPORT | 2006-02-10 |
| Domestic Profit | 2005-08-19 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
