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PALM HARBOR DERMATOLOGY, P.A. - Florida Company Profile

Company Details

Entity Name: PALM HARBOR DERMATOLOGY, P.A.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit

PALM HARBOR DERMATOLOGY, 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: 20 Mar 2008 (17 years ago)
Last Event: REINSTATEMENT
Event Date Filed: 02 Nov 2023 (a year ago)
Document Number: P08000029426
FEI/EIN Number 262291600

Federal Employer Identification (FEI) Number assigned by the IRS.

Mail Address: 4919 Memorial Highway, Suite 150, Tampa, FL, 33634, US
Address: 4197 WOODLANDS PARKWAY, 2ND FLOOR, PALM HARBOR, FL, 34685
ZIP code: 34685
County: Pinellas
Place of Formation: FLORIDA

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
PALM HARBOR DERMATOLOGY, P.A. 401(K) PLAN 2014 262291600 2015-10-15 PALM HARBOR DERMATOLOGY, P.A. 46
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Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Business code 621399
Sponsor’s telephone number 7277863810
Plan sponsor’s address 4197 WOODLANDS PARKWAY, 2ND FLOOR, PALM HARBOR, FL, 34685
PALM HARBOR DERMATOLOGY, P.A. 401(K) PLAN 2013 262291600 2014-10-15 PALM HARBOR DERMATOLOGY, P.A. 25
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Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Business code 621399
Sponsor’s telephone number 7277863810
Plan sponsor’s address 4197 WOODLANDS PARKWAY, 2ND FLOOR, PALM HARBOR, FL, 34685

Signature of

Role Plan administrator
Date 2014-10-15
Name of individual signing AMY ROSS
Valid signature Filed with authorized/valid electronic signature

Key Officers & Management

Name Role Address
ROSS AMY S Manager 4197 WOODLANDS PKWY, 2ND FLOOR, PALM HARBOR, FL, 34685
ROSS AMY S Director 4197 WOODLANDS PKWY, 2ND FLOOR, PALM HARBOR, FL, 34685
Jackson Matthew D Chief Financial Officer 4919 Memorial Highway, Tampa, FL, 33634
ROSS AMY SDr. Agent 4197 WOODLANDS PKWY, PALM HARBOR, FL, 34683

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G25000049796 TRUEBLUE CLINICAL RESEARCH ACTIVE 2025-04-14 2030-12-31 - 1104 KYLE WOOD LANE, BRANDON, FL, 33511
G24000154697 PHDERMATOLOGY SRQ ACTIVE 2024-12-20 2029-12-31 - 4197 WOODLANDS PKWY, PALM HARBOR, FL, 34685
G24000142264 PHDERMATOLOGY SOUTH SRQ ACTIVE 2024-11-21 2029-12-31 - 4197 WOODLANDS PKWY, PALM HARBOR, FL, 34685
G24000139783 PHDERMATOLOGY PALMER RANCH ACTIVE 2024-11-15 2029-12-31 - 4197 WOODLANDS PKWY, PALM HARBOR, FL, 34685
G24000139777 PHDERMATOLOGY LUTZ ACTIVE 2024-11-15 2029-12-31 - 4197 WOODLANDS PKWY, PALM HARBOR, FL, 34685
G24000139781 PHDERMATOLOGY SARASOTA ACTIVE 2024-11-15 2029-12-31 - 4197 WOODLANDS PKWY, PALM HARBOR, FL, 34685
G24000137880 FORCARE DERMATOLOGY ACTIVE 2024-11-12 2029-12-31 - 4197 WOODLANDS PKWY, PALM HARBOR, FL, 34685
G23000032886 SATYA SARASOTA DERMATOLOGY ACTIVE 2023-03-11 2028-12-31 - 4919 MEMORIAL HWY, SUITE 150, TAMPA, FL, 33634
G23000026875 SATYA SARASOTA DERMATOLOGY ACTIVE 2023-02-27 2028-12-31 - 4136 RIDGEMOOR DR N, PALM HARBOR, FL, 34685
G22000142919 DERMATOLOGY OF COASTAL SARASOTA ACTIVE 2022-11-16 2027-12-31 - 4919 MEMORIAL HWY, SUITE 150, TAMPA, FL, 33634

Events

Event Type Filed Date Value Description
CHANGE OF MAILING ADDRESS 2025-02-07 4197 WOODLANDS PARKWAY, 2ND FLOOR, PALM HARBOR, FL 34685 -
REGISTERED AGENT NAME CHANGED 2023-11-02 ROSS, AMY S, Dr. -
REINSTATEMENT 2023-11-02 - -
ADMIN DISSOLUTION FOR ANNUAL REPORT 2023-09-22 - -
CHANGE OF MAILING ADDRESS 2022-03-29 4197 WOODLANDS PARKWAY, 2ND FLOOR, PALM HARBOR, FL 34685 -
REGISTERED AGENT ADDRESS CHANGED 2009-04-27 4197 WOODLANDS PKWY, 2ND FLOOR, PALM HARBOR, FL 34683 -
CONVERSION 2008-03-20 - CORPORATION WAS A CONVERSION RESULT. CONVERTING CORPORATION WAS L07000098455. CONVERSION NUMBER 500000086025

Documents

Name Date
ANNUAL REPORT 2025-02-07
ANNUAL REPORT 2024-02-07
REINSTATEMENT 2023-11-02
ANNUAL REPORT 2022-03-29
ANNUAL REPORT 2021-04-09
ANNUAL REPORT 2020-05-20
ANNUAL REPORT 2019-02-11
ANNUAL REPORT 2018-03-26
ANNUAL REPORT 2017-02-05
ANNUAL REPORT 2016-03-25

USAspending Awards. Financial Assistance

FAIN Awarding Agency Assistance Listings Start Date End Date Description
4317145005 Small Business Administration 59.041 - 504 CERTIFIED DEVELOPMENT LOANS - - TO ASSIST SMALL BUSINESS CONCERNS BY PROVIDING LONG TERM FINANCING THROUGH THE SALE OF DEBENTURES TO THE PRIVATE SECTOR
Recipient PALM HARBOR DERMATOLOGY P.A.
Recipient Name Raw PALM HARBOR DERMATOLOGY P.A.
Recipient Address 4197 WOODLANDS PARKWAY 1ST F, PALM HARBOR, PINELLAS, FLORIDA, 34685-0000, UNITED STATES
Obligated Amount 0.00
Non-Federal Funding 0.00
Original Subsidy Cost 0.00
Face Value of Direct Loan 518000.00
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Date of last update: 02 Apr 2025

Sources: Florida Department of State