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  5. ANGLIN MEDICAL, P.A.

ANGLIN MEDICAL, P.A.

Company Details

Entity Name: ANGLIN MEDICAL, P.A.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Active
Date Filed: 17 Jan 2007 (18 years ago)
Last Event: AMENDMENT
Event Date Filed: 01 Aug 2007 (18 years ago)
Document Number: P07000007764
FEI/EIN Number 208244972
Address: 902 South Oregon Avenue, Tampa, FL, 33606, US
Mail Address: 902 South Oregon Avenue, Tampa, FL, 33606, US
ZIP code: 33606
County: Hillsborough
Place of Formation: FLORIDA

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
ANGLIN MEDICAL 401(K) PLAN 2021 208244972 2022-07-28 ANGLIN MEDICAL, P.A. 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2014-05-10
Business code 621111
Sponsor’s telephone number 8136721385
Plan sponsor’s address 13045 SUMMERFIELD SQUARE DRIVE, RIVERVIEW, FL, 33578

Signature of
Role Plan administrator
Date 2022-07-28
Name of individual signing MICKEL ANGLIN, M.D.
Valid signature Filed with authorized/valid electronic signature
ANGLIN MEDICAL 401(K) PLAN 2020 208244972 2021-07-16 ANGLIN MEDICAL, P.A. 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2014-05-10
Business code 621111
Sponsor’s telephone number 8136721385
Plan sponsor’s address 13045 SUMMERFIELD SQUARE DRIVE, RIVERVIEW, FL, 33578

Signature of
Role Plan administrator
Date 2021-07-16
Name of individual signing MICKEL ANGLIN, M.D.
Valid signature Filed with authorized/valid electronic signature
ANGLIN MEDICAL 401(K) PLAN 2019 208244972 2020-10-13 ANGLIN MEDICAL, P.A. 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2014-05-10
Business code 621111
Sponsor’s telephone number 8136721385
Plan sponsor’s address 13045 SUMMERFIELD SQUARE DRIVE, RIVERVIEW, FL, 33578

Signature of
Role Plan administrator
Date 2020-10-13
Name of individual signing MICKEL ANGLIN, M.D.
Valid signature Filed with authorized/valid electronic signature
ANGLIN MEDICAL 401(K) PLAN 2018 208244972 2019-10-04 ANGLIN MEDICAL, P.A. 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2014-05-10
Business code 621111
Sponsor’s telephone number 8136721385
Plan sponsor’s address 13045 SUMMERFIELD SQUARE DRIVE, RIVERVIEW, FL, 33578

Signature of
Role Plan administrator
Date 2019-10-04
Name of individual signing MICKEL ANGLIN, M.D.
Valid signature Filed with authorized/valid electronic signature
ANGLIN MEDICAL 401(K) PLAN 2017 208244972 2018-10-04 ANGLIN MEDICAL, P.A. 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2014-05-10
Business code 621111
Sponsor’s telephone number 8136721385
Plan sponsor’s address 13045 SUMMERFIELD SQUARE DRIVE, RIVERVIEW, FL, 33578

Signature of
Role Plan administrator
Date 2018-10-04
Name of individual signing MICKEL ANGLIN, M.D.
Valid signature Filed with authorized/valid electronic signature
ANGLIN MEDICAL 401(K) PLAN 2016 208244972 2017-07-24 ANGLIN MEDICAL, P.A. 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2014-05-10
Business code 621111
Sponsor’s telephone number 8136721385
Plan sponsor’s address 13045 SUMMERFIELD SQUARE DRIVE, RIVERVIEW, FL, 33578

Signature of
Role Plan administrator
Date 2017-07-24
Name of individual signing MICKEL ANGLIN, M.D.
Valid signature Filed with authorized/valid electronic signature
ANGLIN MEDICAL 401(K) PLAN 2015 208244972 2016-05-16 ANGLIN MEDICAL, P.A. 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2014-05-10
Business code 621111
Sponsor’s telephone number 8136721385
Plan sponsor’s address 13045 SUMMERFIELD SQUARE DRIVE, RIVERVIEW, FL, 33578

Signature of
Role Plan administrator
Date 2016-05-16
Name of individual signing MICKEL ANGLIN, M.D.
Valid signature Filed with authorized/valid electronic signature
ANGLIN MEDICAL 401(K) PLAN 2014 208244972 2015-04-27 ANGLIN MEDICAL, P.A. 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2014-05-10
Business code 621111
Sponsor’s telephone number 8136721385
Plan sponsor’s address 13045 SUMMERFILED SQUARE DRIVE, RIVERVIEW, FL, 33578

Signature of
Role Plan administrator
Date 2015-04-27
Name of individual signing MICKEL ANGLIN, M.D.
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
Anglin Medical Agent 902 South Oregon Avenue, Tampa, FL, 33606

President

Name Role Address
ANGLIN MICKEL M President 902 South Oregon Avenue, Tampa, FL, 33606

Secretary

Name Role Address
ANGLIN MICKEL M Secretary 902 South Oregon Avenue, Tampa, FL, 33606

Treasurer

Name Role Address
ANGLIN MICKEL M Treasurer 902 South Oregon Avenue, Tampa, FL, 33606

Director

Name Role Address
ANGLIN MICKEL M Director 902 South Oregon Avenue, Tampa, FL, 33606

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2023-04-14 902 South Oregon Avenue, Tampa, FL 33606 No data
CHANGE OF MAILING ADDRESS 2023-04-14 902 South Oregon Avenue, Tampa, FL 33606 No data
REGISTERED AGENT ADDRESS CHANGED 2023-04-14 902 South Oregon Avenue, Tampa, FL 33606 No data
REGISTERED AGENT NAME CHANGED 2022-04-13 Anglin Medical No data
AMENDMENT 2007-08-01 No data No data

Documents

Name Date
ANNUAL REPORT 2024-04-26
ANNUAL REPORT 2023-04-14
ANNUAL REPORT 2022-04-13
Reg. Agent Change 2021-07-08
ANNUAL REPORT 2021-04-16
ANNUAL REPORT 2020-04-24
ANNUAL REPORT 2019-04-22
ANNUAL REPORT 2018-04-30
ANNUAL REPORT 2017-04-30
ANNUAL REPORT 2016-04-29

Related by officers

ANGLIN MICKEL M

ANGLIN MEDICAL WEIGHT LOSS & WELLNESS CENTER, P.A. KFL, INC. ANGLIN GLOBAL ENTERPRISES, LLC

Related by address

902 South Oregon Avenue, Tampa, FL, 33606, US

SONGBIRD SEVEN LLC VICKY ANGLIN LLC DR. MICKEL ANGLIN LLC KIKO VENTURES LLC ANGLIN MEDICAL WEIGHT LOSS & WELLNESS CENTER, P.A. KFL, INC.

902 South Oregon Avenue, Tampa, FL, 33606, US

SONGBIRD SEVEN LLC VICKY ANGLIN LLC DR. MICKEL ANGLIN LLC KIKO VENTURES LLC ANGLIN MEDICAL WEIGHT LOSS & WELLNESS CENTER, P.A. KFL, INC.

Date of last update: 02 Feb 2025

Sources: Florida Department of State

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