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  5. WALLACE FAMILY PRACTICE, P.A.

WALLACE FAMILY PRACTICE, P.A. - Florida Company Profile

Company Details

Entity Name: WALLACE FAMILY PRACTICE, P.A.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit

WALLACE FAMILY PRACTICE, P.A. 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: Active

The business entity is active. This status indicates that the business is currently operating and compliant with state regulations, suggesting a lower risk profile for lenders and potentially better creditworthiness.

Date Filed: 28 Sep 2006 (19 years ago)
Document Number: P06000125002
FEI/EIN Number 205630941

Federal Employer Identification (FEI) Number assigned by the IRS.
Address: 14651 Palm Beach Blvd, Fort Myers, FL, 33905, US
Mail Address: 14651 Palm Beach Blvd, Fort Myers, FL, 33905, US
ZIP code: 33905
County: Lee
Place of Formation: FLORIDA

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
WALLACE FAMILY PRACTICE SAFE HARBOR 401(K) PLAN 2023 205630941 2024-08-26 WALLACE FAMILY PRACTICE, P.A. 8
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2014-03-31
Business code 621111
Sponsor’s telephone number 2393692903
Plan sponsor’s address 14651 PALM BEACH BLVD., SUITE 100, FORT MYERS, FL, 33905
WALLACE FAMILY PRACTICE SAFE HARBOR 401(K) PLAN 2022 205630941 2023-05-31 WALLACE FAMILY PRACTICE, P.A. 4
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2014-03-31
Business code 621111
Sponsor’s telephone number 2393692903
Plan sponsor’s address 14651 PALM BEACH BLVD., SUITE 100, FORT MYERS, FL, 33905
WALLACE FAMILY PRACTICE SAFE HARBOR 401(K) PLAN 2021 205630941 2022-06-08 WALLACE FAMILY PRACTICE, P.A. 4
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2014-03-31
Business code 621111
Sponsor’s telephone number 2393692903
Plan sponsor’s address 14651 PALM BEACH BLVD., SUITE 100, FORT MYERS, FL, 33905
WALLACE FAMILY PRACTICE SAFE HARBOR 401(K) PLAN 2020 205630941 2021-06-09 WALLACE FAMILY PRACTICE, P.A. 4
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2014-03-31
Business code 621111
Sponsor’s telephone number 2393692903
Plan sponsor’s address 14651 PALM BEACH BLVD., SUITE 100, FORT MYERS, FL, 33905
WALLACE FAMILY PRACTICE SAFE HARBOR 401(K) PLAN 2019 205630941 2020-10-08 WALLACE FAMILY PRACTICE, P.A. 4
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2014-03-31
Business code 621111
Sponsor’s telephone number 2393692903
Plan sponsor’s address 3400 LEE BOULEVARD, SUITE 108, LEHIGH ACRES, FL, 33971
WALLACE FAMILY PRACTICE SAFE HARBOR 401(K) PLAN 2018 205630941 2019-10-11 WALLACE FAMILY PRACTICE, P.A. 5
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2014-03-31
Business code 621111
Sponsor’s telephone number 2393692903
Plan sponsor’s address 3400 LEE BOULEVARD, SUITE 108, LEHIGH ACRES, FL, 33971
WALLACE FAMILY PRACTICE SAFE HARBOR 401(K) PLAN 2017 205630941 2018-09-28 WALLACE FAMILY PRACTICE, P.A. 5
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2014-03-31
Business code 621111
Sponsor’s telephone number 2393692903
Plan sponsor’s address 3400 LEE BOULEVARD, SUITE 108, LEHIGH ACRES, FL, 33971
WALLACE FAMILY PRACTICE SAFE HARBOR 401(K) PLAN 2016 205630941 2017-10-13 WALLACE FAMILY PRACTICE, P.A. 4
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2014-03-31
Business code 621111
Sponsor’s telephone number 2393692903
Plan sponsor’s address 3400 LEE BOULEVARD, SUITE 108, LEHIGH ACRES, FL, 33971
WALLACE FAMILY PRACTICE SAFE HARBOR 401(K) PLAN 2015 205630941 2016-07-18 WALLACE FAMILY PRACTICE, P.A. 4
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2014-03-31
Business code 621111
Sponsor’s telephone number 2393692903
Plan sponsor’s address 3400 LEE BOULEVARD, SUITE 108, LEHIGH ACRES, FL, 33971

Signature of
Role Plan administrator
Date 2016-07-18
Name of individual signing TASHA B. WALLACE
Valid signature Filed with authorized/valid electronic signature
WALLACE FAMILY PRACTICE SAFE HARBOR 401(K) PLAN 2014 205630941 2015-10-12 WALLACE FAMILY PRACTICE, P.A. 4
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2014-03-31
Business code 621111
Sponsor’s telephone number 2393692903
Plan sponsor’s address 3400 LEE BOULEVARD, SUITE 108, LEHIGH ACRES, FL, 33971

Signature of
Role Plan administrator
Date 2015-10-12
Name of individual signing TASHA B. WALLACE
Valid signature Filed with authorized/valid electronic signature

Key Officers & Management

Name Role Address
WALLACE TASHA B Director 12011 Rosemount Dr, Fort Myers, FL, 33913
WALLACE TASHA B Agent 12011 Rosemount Dr, FORT MYERS, FL, 33913

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2021-02-16 14651 Palm Beach Blvd, 100, Fort Myers, FL 33905 -
CHANGE OF MAILING ADDRESS 2021-02-16 14651 Palm Beach Blvd, 100, Fort Myers, FL 33905 -
REGISTERED AGENT ADDRESS CHANGED 2021-02-16 12011 Rosemount Dr, FORT MYERS, FL 33913 -

Documents

Name Date
ANNUAL REPORT 2024-02-23
ANNUAL REPORT 2023-03-05
ANNUAL REPORT 2022-03-07
ANNUAL REPORT 2021-02-16
ANNUAL REPORT 2020-03-23
ANNUAL REPORT 2019-03-15
ANNUAL REPORT 2018-02-27
ANNUAL REPORT 2017-03-29
ANNUAL REPORT 2016-03-10
ANNUAL REPORT 2015-01-13

Companies related by officers

WALLACE TASHA B

WALLACE FAMILY INVESTMENT GROUP, LLC - Inactive
Florida Limited Liability Co. (2009 - 2020)

Companies related by address

No other companies in our directory share the same address as WALLACE FAMILY PRACTICE, P.A.

Date of last update: 01 Apr 2025

Sources: Florida Department of State

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