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  5. NORTH COUNTY DERMATOLOGY CLINIC, P.A.

NORTH COUNTY DERMATOLOGY CLINIC, P.A.

Company Details

Entity Name: NORTH COUNTY DERMATOLOGY CLINIC, P.A.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Active
Date Filed: 19 Mar 2007 (18 years ago)
Document Number: P07000035274
FEI/EIN Number 208618397
Address: 6500 N SOCRUM LOOP ROAD, SUITE 100, LAKELAND, FL, 33809, US
Mail Address: 6500 N SOCRUM LOOP ROAD, SUITE 100, LAKELAND, FL, 33809, US
ZIP code: 33809
County: Polk
Place of Formation: FLORIDA

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
NORTH COUNTY DERMATOLOGY 401(K) PLAN 2018 208618397 2019-05-14 NORTH COUNTY DERMATOLOGY CLINIC, P.A 20
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2014-01-01
Business code 621399
Sponsor’s telephone number 8638533331
Plan sponsor’s address 6500 N SOCRUM LOOP RD, STE 100, LAKELAND, FL, 33809

Signature of
Role Plan administrator
Date 2019-05-14
Name of individual signing JUDITH KNIGHT
Valid signature Filed with authorized/valid electronic signature
NORTH COUNTY DERMATOLOGY 401(K) PLAN 2017 208618397 2018-07-30 NORTH COUNTY DERMATOLOGY CLINIC, P.A 21
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2014-01-01
Business code 621399
Sponsor’s telephone number 8638533331
Plan sponsor’s address 6500 N SOCRUM LOOP RD, STE 100, LAKELAND, FL, 33809

Signature of
Role Plan administrator
Date 2018-07-30
Name of individual signing JUDITH KNIGHT
Valid signature Filed with authorized/valid electronic signature
NORTH COUNTY DERMATOLOGY 401(K) PLAN 2016 208618397 2017-10-10 NORTH COUNTY DERMATOLOGY CLINIC, P.A 20
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2014-01-01
Business code 621399
Sponsor’s telephone number 8638533331
Plan sponsor’s address 6500 N SOCRUM LOOP RD, STE 100, LAKELAND, FL, 33809

Signature of
Role Plan administrator
Date 2017-10-10
Name of individual signing JUDITH KNIGHT
Valid signature Filed with authorized/valid electronic signature
NORTH COUNTY DERMATOLOGY 401(K) PLAN 2015 208618397 2016-05-27 NORTH COUNTY DERMATOLOGY CLINIC, P.A 18
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2014-01-01
Business code 621399
Sponsor’s telephone number 8638533331
Plan sponsor’s address 6500 NORTH SOCRUM LOOP ROAD, SUITE 100, LAKELAND, FL, 33809

Signature of
Role Plan administrator
Date 2016-05-27
Name of individual signing JUDITH KNIGHT
Valid signature Filed with authorized/valid electronic signature
NORTH COUNTY DERMATOLOGY 401(K) PLAN 2014 208618397 2015-10-14 NORTH COUNTY DERMATOLOGY CLINIC, P.A 13
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2014-01-01
Business code 621399
Sponsor’s telephone number 8638533331
Plan sponsor’s address 6500 NORTH SOCRUM LOOP RD., SUITE 1, LAKELAND, FL, 33809

Signature of
Role Plan administrator
Date 2015-10-14
Name of individual signing JUDITH KNIGHT
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
Knight Timothy E Agent 6500 N SOCRUM LOOP ROAD, LAKELAND, FL, 33809

Director

Name Role Address
KNIGHT TIMOTHY E. M Director 2604 HUNTINGTON HILLS DR., LAKELAND, FL, 33810

Secretary

Name Role Address
Knight Judith Secretary 6500 N SOCRUM LOOP ROAD, LAKELAND, FL, 33809

Events

Event Type Filed Date Value Description
REGISTERED AGENT NAME CHANGED 2016-01-19 Knight, Timothy E. No data
REGISTERED AGENT ADDRESS CHANGED 2016-01-19 6500 N SOCRUM LOOP ROAD, SUITE 100, LAKELAND, FL 33809 No data
CHANGE OF PRINCIPAL ADDRESS 2011-01-06 6500 N SOCRUM LOOP ROAD, SUITE 100, LAKELAND, FL 33809 No data
CHANGE OF MAILING ADDRESS 2011-01-06 6500 N SOCRUM LOOP ROAD, SUITE 100, LAKELAND, FL 33809 No data

Documents

Name Date
ANNUAL REPORT 2025-01-16
ANNUAL REPORT 2024-01-05
ANNUAL REPORT 2023-02-24
ANNUAL REPORT 2022-01-07
ANNUAL REPORT 2021-02-05
ANNUAL REPORT 2020-01-16
ANNUAL REPORT 2019-01-04
ANNUAL REPORT 2018-01-15
ANNUAL REPORT 2017-01-23
ANNUAL REPORT 2016-01-19

Related by officers

Knight Judith

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Related by address

No related companies by address

Date of last update: 02 Feb 2025

Sources: Florida Department of State

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