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CHILDHOOD NEUROSURGERY AND CENTER FOR HYDROCEPHALUS, P.A.

Company Details

Entity Name: CHILDHOOD NEUROSURGERY AND CENTER FOR HYDROCEPHALUS, P.A.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Inactive
Date Filed: 22 Aug 2005 (19 years ago)
Date of dissolution: 23 Sep 2011 (13 years ago)
Last Event: ADMIN DISSOLUTION FOR ANNUAL REPORT
Event Date Filed: 23 Sep 2011 (13 years ago)
Document Number: P05000116957
FEI/EIN Number 203367557
Address: 58 W. MICHIGAN ST., ORLANDO, FL
Mail Address: 58 W. MICHIGAN ST., ORLANDO, FL
Place of Formation: FLORIDA

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
CHILDHOOD NEUROSURGERY AND CENTER FOR HYDROCEPHALUS, P.A. 401(K) PROFIT SHARING PLAN 2010 203367557 2011-11-28 CHILDHOOD NEUROSURGERY AND CENTER FOR HYDROCEPHALUS, P.A. 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-01-01
Business code 621111
Sponsor’s telephone number 4074483264
Plan sponsor’s address 58 WEST MICHIGAN STREET, ORLANDO, FL, 32806

Plan administrator’s name and address
Administrator’s EIN 203367557
Plan administrator’s name CHILDHOOD NEUROSURGERY AND CENTER FOR HYDROCEPHALUS, P.A.
Plan administrator’s address 58 WEST MICHIGAN STREET, ORLANDO, FL, 32806
Administrator’s telephone number 4074483264

Signature of
Role Plan administrator
Date 2011-11-28
Name of individual signing REBA CARDILLO
Valid signature Filed with authorized/valid electronic signature
CHILDHOOD NEUROSURGERY AND CENTER FOR HYDROCEPHALUS, P.A. 401(K) PROFIT SHARING PLAN 2010 203367557 2011-07-22 CHILDHOOD NEUROSURGERY AND CENTER FOR HYDROCEPHALUS, P.A. 18
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-01-01
Business code 621111
Sponsor’s telephone number 4076497686
Plan sponsor’s address 58 WEST MICHIGAN STREET, ORLANDO, FL, 32806

Plan administrator’s name and address
Administrator’s EIN 203367557
Plan administrator’s name CHILDHOOD NEUROSURGERY AND CENTER FOR HYDROCEPHALUS, P.A.
Plan administrator’s address 58 WEST MICHIGAN STREET, ORLANDO, FL, 32806
Administrator’s telephone number 4076497686

Signature of
Role Plan administrator
Date 2011-07-22
Name of individual signing REBA CARDILLO
Valid signature Filed with authorized/valid electronic signature
CHILDHOOD NEUROSURGERY AND CENTER FOR HYDROCEPHALUS, P.A. 401(K) PROFIT SHARING PLAN 2009 203367557 2010-09-29 CHILDHOOD NEUROSURGERY AND CENTER FOR HYDROCEPHALUS, P.A. 15
Three-digit plan number (PN) 001
Effective date of plan 2004-01-01
Business code 621111
Sponsor’s telephone number 4076497686
Plan sponsor’s address 58 WEST MICHIGAN STREET, ORLANDO, FL, 32806

Plan administrator’s name and address
Administrator’s EIN 203367557
Plan administrator’s name CHILDHOOD NEUROSURGERY AND CENTER FOR HYDROCEPHALUS, P.A.
Plan administrator’s address 58 WEST MICHIGAN STREET, ORLANDO, FL, 32806
Administrator’s telephone number 4076497686

Signature of
Role Plan administrator
Date 2010-09-29
Name of individual signing REBA CARDILLO
Valid signature Filed with authorized/valid electronic signature
CHILDHOOD NEUROSURGERY AND CENTER FOR HYDROCEPHALUS, P.A. 401(K) PROFIT SHARING PLAN 2009 203367557 2010-10-08 CHILDHOOD NEUROSURGERY AND CENTER FOR HYDROCEPHALUS, P.A. 15
Three-digit plan number (PN) 001
Effective date of plan 2004-01-01
Business code 621111
Sponsor’s telephone number 4076497686
Plan sponsor’s address 58 WEST MICHIGAN STREET, ORLANDO, FL, 32806

Plan administrator’s name and address
Administrator’s EIN 203367557
Plan administrator’s name CHILDHOOD NEUROSURGERY AND CENTER FOR HYDROCEPHALUS, P.A.
Plan administrator’s address 58 WEST MICHIGAN STREET, ORLANDO, FL, 32806
Administrator’s telephone number 4076497686

Signature of
Role Plan administrator
Date 2010-10-08
Name of individual signing REBA CARDILLO
Valid signature Filed with authorized/valid electronic signature
CHILDHOOD NEUROSURGERY AND CENTER FOR HYDROCEPHALUS, P.A. 401(K) PROFIT SHARING PLAN 2009 203367557 2010-10-08 CHILDHOOD NEUROSURGERY AND CENTER FOR HYDROCEPHALUS, P.A. 15
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-01-01
Business code 621111
Sponsor’s telephone number 4076497686
Plan sponsor’s address 58 WEST MICHIGAN STREET, ORLANDO, FL, 32806

Plan administrator’s name and address
Administrator’s EIN 203367557
Plan administrator’s name CHILDHOOD NEUROSURGERY AND CENTER FOR HYDROCEPHALUS, P.A.
Plan administrator’s address 58 WEST MICHIGAN STREET, ORLANDO, FL, 32806
Administrator’s telephone number 4076497686

Signature of
Role Plan administrator
Date 2010-10-08
Name of individual signing REBA CARDILLO
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
MORAN THOMAS P Agent 111 N. ORANGE AVE., SUITE 1200, ORLANDO, FL, 32801

Director

Name Role Address
PATTISAPU JOGI V Director 58 W. MICHIGAN ST., ORLANDO, FL, 32806
GEGG CHRISTOPHER A Director 58 W. MICHIGAN ST., ORLANDO, FL, 32806

Events

Event Type Filed Date Value Description
ADMIN DISSOLUTION FOR ANNUAL REPORT 2011-09-23 No data No data

Documents

Name Date
Reg. Agent Resignation 2011-09-07
ANNUAL REPORT 2010-04-19
ANNUAL REPORT 2009-04-27
ANNUAL REPORT 2008-04-29
ANNUAL REPORT 2007-04-12
ANNUAL REPORT 2006-08-10
ANNUAL REPORT 2006-04-12
Domestic Profit 2005-08-22

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PATTISAPU JOGI V

JOGI V. PATTISAPU, M.D., P.A. PEDIATRIC NEUROSCIENCE, P.A. PEDIATRIC NEUROSURGERY, P.A. HYDROCEPHALUS AND NEUROSCIENCE INSTITUTE, INC.

GEGG CHRISTOPHER A

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MORAN THOMAS P

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Date of last update: 02 Feb 2025

Sources: Florida Department of State

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