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  5. WALTER A. CONLAN, III. M.D., P.A.

WALTER A. CONLAN, III. M.D., P.A.

Company Details

Entity Name: WALTER A. CONLAN, III. M.D., P.A.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Inactive
Date Filed: 03 Aug 2007 (18 years ago)
Date of dissolution: 03 Apr 2018 (7 years ago)
Last Event: CONVERSION
Event Date Filed: 03 Apr 2018 (7 years ago)
Document Number: P07000087821
FEI/EIN Number 260618248
Address: 6200 Lee Vista Blvd, Ste 250, Orlando, FL, 32822, US
Mail Address: 6200 Lee Vista Blvd, Ste 250, Orlando, FL, 32822, US
ZIP code: 32822
County: Orange
Place of Formation: FLORIDA

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
FLORIDA WOUND CARE DOCTORS 401(K) PLAN 2016 260618248 2017-08-17 WALTER A. CONLAN, III, M.D., P.A. 11
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2000-02-15
Business code 621111
Sponsor’s telephone number 4075995900
Plan sponsor’s address 600 NORTHLAKE BLVD., SUITE 260, ALTAMONTE SPRINGS, FL, 32701

Signature of
Role Plan administrator
Date 2017-08-17
Name of individual signing WALTER A. CONLAN, III, M.D.
Valid signature Filed with authorized/valid electronic signature
FLORIDA WOUND CARE DOCTORS 401(K) PLAN 2015 260618248 2016-07-08 WALTER A. CONLAN, III, M.D., P.A. 12
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2000-02-15
Business code 621111
Sponsor’s telephone number 4075995900
Plan sponsor’s address 1415 GENE STREET, WINTER PARK, FL, 32789

Signature of
Role Plan administrator
Date 2016-07-08
Name of individual signing WALTER A. CONLAN, III, M.D.
Valid signature Filed with authorized/valid electronic signature
WALTER A. CONLAN, III, M.D., P.A. PROFIT SHARING PLAN 2014 260618248 2015-07-07 WALTER A. CONLAN, III, M.D., P.A. 12
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2000-02-15
Business code 621111
Sponsor’s telephone number 4075995900
Plan sponsor’s address 1415 GENE STREET, WINTER PARK, FL, 32789

Signature of
Role Plan administrator
Date 2015-07-07
Name of individual signing WALTER A. CONLAN, III, M.D.
Valid signature Filed with authorized/valid electronic signature
WALTER A. CONLAN, III, M.D., P.A. PROFIT SHARING PLAN 2013 260618248 2014-05-28 WALTER A. CONLAN, III, M.D., P.A. 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2000-02-15
Business code 621111
Sponsor’s telephone number 4075995900
Plan sponsor’s address 295 WEST PINE AVENUE, LONGWOOD, FL, 32750

Signature of
Role Plan administrator
Date 2014-05-28
Name of individual signing WALTER A. CONLAN, III, M.D.
Valid signature Filed with authorized/valid electronic signature
WALTER A. CONLAN, III, M.D., P.A. PROFIT SHARING PLAN 2012 260618248 2013-05-23 WALTER A. CONLAN, III, M.D., P.A. 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2000-02-15
Business code 621111
Sponsor’s telephone number 4075995900
Plan sponsor’s address 295 WEST PINE AVENUE, LONGWOOD, FL, 32750

Signature of
Role Plan administrator
Date 2013-05-23
Name of individual signing WALTER A. CONLAN, III, M.D.
Valid signature Filed with authorized/valid electronic signature
WALTER A. CONLAN, III, M.D., P.A. PROFIT SHARING PLAN 2011 260618248 2012-04-20 WALTER A. CONLAN, III, M.D., P.A. 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2000-02-15
Business code 621111
Sponsor’s telephone number 4075995900
Plan sponsor’s address 295 WEST PINE AVENUE, LONGWOOD, FL, 32750

Plan administrator’s name and address
Administrator’s EIN 260618248
Plan administrator’s name WALTER A. CONLAN, III, M.D., P.A.
Plan administrator’s address 295 WEST PINE AVENUE, LONGWOOD, FL, 32750
Administrator’s telephone number 4075995900

Signature of
Role Plan administrator
Date 2012-04-20
Name of individual signing WALTER A. CONLAN, III, M.D.
Valid signature Filed with authorized/valid electronic signature
WALTER A. CONLAN, III, M.D., P.A. PROFIT SHARING PLAN 2010 260618248 2011-06-09 WALTER A. CONLAN, III, M.D., P.A. 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2000-02-15
Business code 621111
Sponsor’s telephone number 4075995900
Plan sponsor’s address 295 WEST PINE AVENUE, LONGWOOD, FL, 32750

Plan administrator’s name and address
Administrator’s EIN 260618248
Plan administrator’s name WALTER A. CONLAN, III, M.D., P.A.
Plan administrator’s address 295 WEST PINE AVENUE, LONGWOOD, FL, 32750
Administrator’s telephone number 4075995900

Signature of
Role Plan administrator
Date 2011-06-09
Name of individual signing WALTER A. CONLAN, III, M.D.
Valid signature Filed with authorized/valid electronic signature
WALTER A. CONLAN, III, M.D., P.A. PROFIT SHARING PLAN 2009 260618248 2010-09-30 WALTER A. CONLAN, III, M.D., P.A. 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2000-02-15
Business code 621111
Sponsor’s telephone number 4075995900
Plan sponsor’s address 295 WEST PINE AVENUE, LONGWOOD, FL, 32750

Plan administrator’s name and address
Administrator’s EIN 260618248
Plan administrator’s name WALTER A. CONLAN, III, M.D., P.A.
Plan administrator’s address 295 WEST PINE AVENUE, LONGWOOD, FL, 32750
Administrator’s telephone number 4075995900

Signature of
Role Plan administrator
Date 2010-09-28
Name of individual signing WALTER A. CONLAN, III, M.D.
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
CONLAN WALTER A Agent 6200 Lee Vista Blvd, Ste 250, Orlando, FL, 32822

Director

Name Role Address
CONLAN WALTER A Director 6200 Lee Vista Blvd, Ste 250, Orlando, FL, 32822

President

Name Role Address
CONLAN WALTER A President 6200 Lee Vista Blvd, Ste 250, Orlando, FL, 32822

Treasurer

Name Role Address
CONLAN WALTER A Treasurer 6200 Lee Vista Blvd, Ste 250, Orlando, FL, 32822

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G18000041800 ORLANDO WOUND INSTITUTE EXPIRED 2018-03-30 2023-12-31 No data 6200 LEE VISTA BLVD, STE 250, ORLANDO, FL, 32822
G10000014279 FLORIDA WOUND CARE DOCTORS EXPIRED 2010-02-12 2015-12-31 No data 283 CRANES ROOST BOULEVARD, SUITE 111/1813, ALTAMONTE SPRINGS, FL, 32701

Events

Event Type Filed Date Value Description
CONVERSION 2018-04-03 No data CONVERSION MEMBER. RESULTING CORPORATION WAS L18000084727. CONVERSION NUMBER 900000180639
CHANGE OF PRINCIPAL ADDRESS 2018-03-23 6200 Lee Vista Blvd, Ste 250, Orlando, FL 32822 No data
CHANGE OF MAILING ADDRESS 2018-03-23 6200 Lee Vista Blvd, Ste 250, Orlando, FL 32822 No data
REGISTERED AGENT NAME CHANGED 2018-03-23 CONLAN, WALTER A, III MD No data
REGISTERED AGENT ADDRESS CHANGED 2018-03-23 6200 Lee Vista Blvd, Ste 250, Orlando, FL 32822 No data

Documents

Name Date
ANNUAL REPORT 2018-03-23
ANNUAL REPORT 2017-04-20
ANNUAL REPORT 2016-04-21
ANNUAL REPORT 2015-04-21
ANNUAL REPORT 2014-04-16
ANNUAL REPORT 2013-04-22
ANNUAL REPORT 2012-04-20
ANNUAL REPORT 2011-08-03
ANNUAL REPORT 2011-04-26
ADDRESS CHANGE 2010-07-26

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Related by address

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Date of last update: 01 Feb 2025

Sources: Florida Department of State

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