| Entity Name: | COLLINS ORTHOPEDIC LAB, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: |
Domestic Profit
COLLINS ORTHOPEDIC LAB, INC. is structured as a Domestic Profit Corporation, which, in Florida signifies a Profit Corporation (also known as a C-Corporation). This business structure is recognized as a separate legal entity from its owners. This offers shareholders the benefit of limited liability protection, safeguarding their personal assets from the corporation's debts and obligations, and facilitates raising capital through the issuance of stock. In Florida, Domestic Profit Corporations are governed by Title XXXVI, Chapter 607, Florida Statutes – Florida Business Corporation Act. |
| Status: |
Inactive
The business entity is inactive. This status may signal operational issues or voluntary closure, raising concerns about the business's ability to repay loans and requiring careful risk assessment by lenders. |
| Date Filed: | 22 Feb 2006 (19 years ago) |
| Date of dissolution: | 08 Oct 2014 (11 years ago) |
| Last Event: | VOLUNTARY DISSOLUTION |
| Event Date Filed: | 08 Oct 2014 (11 years ago) |
| Document Number: | P06000026510 |
| FEI/EIN Number |
204354328
Federal Employer Identification (FEI) Number assigned by the IRS. |
| Address: | 320 PINEY RIDGE RD., CASSELBERRY, FL, 32707 |
| Mail Address: | 320 PINEY RIDGE RD., CASSELBERRY, FL, 32707 |
| ZIP code: | 32707 |
| County: | Seminole |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1609973395 | 2006-09-17 | 2013-04-03 | 320 PINEY RIDGE RD, CASSELBERRY, FL, 327073806, US | 320 PINEY RIDGE RD, CASSELBERRY, FL, 327073806, US | |||||||||||||||||||||||||
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| Phone | +1 407-388-0141 |
| Fax | 4073881121 |
Authorized person
| Name | MR. DALE HOWARD COLLINS |
| Role | CEO |
| Phone | 4073880141 |
Taxonomy
| Taxonomy Code | 335E00000X - Prosthetic/Orthotic Supplier |
| License Number | POR 120 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | LICENSE P & O |
| Number | POR 120 |
| State | FL |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| COLLINS ORTHOPEDIC LAB, INC. 401(K) PROFIT SHARING PLAN | 2012 | 204354328 | 2013-03-07 | COLLINS ORTHOPEDIC LAB, INC. | 4 | |||||||||||||||||||||||||||||||
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| Role | Plan administrator |
| Date | 2013-03-07 |
| Name of individual signing | DALE COLLINS |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2009-01-01 |
| Business code | 621510 |
| Sponsor’s telephone number | 4074681891 |
| Plan sponsor’s address | 320 PINEY RIDGE ROAD, CASSELBERRY, FL, 32707 |
Plan administrator’s name and address
| Administrator’s EIN | 204354328 |
| Plan administrator’s name | COLLINS ORTHOPEDIC LAB, INC. |
| Plan administrator’s address | 320 PINEY RIDGE ROAD, CASSELBERRY, FL, 32707 |
| Administrator’s telephone number | 4074681891 |
Signature of
| Role | Plan administrator |
| Date | 2012-10-02 |
| Name of individual signing | DALE COLLINS |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2009-01-01 |
| Business code | 621510 |
| Sponsor’s telephone number | 4074681891 |
| Plan sponsor’s address | 320 PINEY RIDGE ROAD, CASSELBERRY, FL, 32707 |
Plan administrator’s name and address
| Administrator’s EIN | 204354328 |
| Plan administrator’s name | COLLINS ORTHOPEDIC LAB, INC. |
| Plan administrator’s address | 320 PINEY RIDGE ROAD, CASSELBERRY, FL, 32707 |
| Administrator’s telephone number | 4074681891 |
Signature of
| Role | Plan administrator |
| Date | 2011-09-08 |
| Name of individual signing | DALE COLLINS |
| Valid signature | Filed with authorized/valid electronic signature |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2009-01-01 |
| Business code | 621510 |
| Sponsor’s telephone number | 4074681891 |
| Plan sponsor’s address | 2003 LONGWOOD LAKE MARY ROAD, STE 1007, LONGWOOD, FL, 32750 |
Plan administrator’s name and address
| Administrator’s EIN | 204354328 |
| Plan administrator’s name | COLLINS ORTHOPEDIC LAB, INC. |
| Plan administrator’s address | 2003 LONGWOOD LAKE MARY ROAD, STE 1007, LONGWOOD, FL, 32750 |
| Administrator’s telephone number | 4074681891 |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2009-01-01 |
| Business code | 621510 |
| Sponsor’s telephone number | 4074681891 |
| Plan sponsor’s address | 2003 LONGWOOD LAKE MARY ROAD, STE 1007, LONGWOOD, FL, 32750 |
Plan administrator’s name and address
| Administrator’s EIN | 204354328 |
| Plan administrator’s name | COLLINS ORTHOPEDIC LAB, INC. |
| Plan administrator’s address | 2003 LONGWOOD LAKE MARY ROAD, STE 1007, LONGWOOD, FL, 32750 |
| Administrator’s telephone number | 4074681891 |
Signature of
| Role | Plan administrator |
| Date | 2010-09-24 |
| Name of individual signing | DALE COLLINS |
| Valid signature | Filed with authorized/valid electronic signature |
| Name | Role | Address |
|---|---|---|
| COLLINS DALE H | President | 1358 N. MARCY DR., LONGWOOD, FL, 32750 |
| COLLINS DALE H | Agent | 1358 N. MARCY DR., LONGWOOD, FL, 32750 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| VOLUNTARY DISSOLUTION | 2014-10-08 | - | - |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2014-09-26 | - | - |
| CHANGE OF PRINCIPAL ADDRESS | 2011-06-06 | 320 PINEY RIDGE RD., CASSELBERRY, FL 32707 | - |
| CHANGE OF MAILING ADDRESS | 2011-06-06 | 320 PINEY RIDGE RD., CASSELBERRY, FL 32707 | - |
| Name | Date |
|---|---|
| VOLUNTARY DISSOLUTION | 2014-10-08 |
| ANNUAL REPORT | 2013-03-17 |
| ANNUAL REPORT | 2012-04-23 |
| ADDRESS CHANGE | 2011-06-30 |
| ANNUAL REPORT | 2011-03-15 |
| ANNUAL REPORT | 2010-04-19 |
| ANNUAL REPORT | 2009-04-11 |
| ANNUAL REPORT | 2008-04-28 |
| ANNUAL REPORT | 2007-04-20 |
| Domestic Profit | 2006-02-22 |
| Contract Type | Award or IDV Flag | PIID | Start Date | Current End Date | Potential End Date | |||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| - | IDV | VA248BP00881 | 2008-10-01 | - | - | |||||||||||||||||||||
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| Title | PROSTHETIC FABRICATION AND REPAIR |
| NAICS Code | 339113: SURGICAL APPLIANCE AND SUPPLIES MANUFACTURING |
| Product and Service Codes | 6515: MED & SURGICAL INSTRUMENTS,EQ & SUP |
Recipient Details
| Recipient | COLLINS ORTHOPEDIC LAB, INC. |
| UEI | G1BGKBXVLCM9 |
| Legacy DUNS | 194605080 |
| Recipient Address | 2003 LONGWOOD LAKE MARY RD STE 1007, LONGWOOD, 327502848, UNITED STATES |
Date of last update: 01 May 2025
Sources: Florida Department of State
