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  5. SOUTH TAMPA MEDICAL ASSOCIATES, INC.

SOUTH TAMPA MEDICAL ASSOCIATES, INC.

Company Details

Entity Name: SOUTH TAMPA MEDICAL ASSOCIATES, INC.
Jurisdiction: FLORIDA
Filing Type: Florida Profit Corporation
Status: Inactive
Date Filed: 28 Jul 2009 (16 years ago)
Date of dissolution: 25 Sep 2015 (9 years ago)
Last Event: ADMIN DISSOLUTION FOR ANNUAL REPORT
Event Date Filed: 25 Sep 2015 (9 years ago)
Document Number: P09000063931
FEI/EIN Number 27-0928450
Address: 3614 WEST KENNEDY BOULEVARD, SUITE B, TAMPA, FL 33609
Mail Address: 3614 WEST KENNEDY BOULEVARD, SUITE B, TAMPA, FL 33609
ZIP code: 33609
County: Hillsborough
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1114258043 2010-01-15 2010-01-15 3614 W KENNEDY BLVD, SUITE B, TAMPA, FL, 336092852, US 3614 W KENNEDY BLVD, SUITE B, TAMPA, FL, 336092852, US

Contacts
Phone +1 813-890-8004
Fax 8132909691

Authorized person
Name LEONARD MENNEN
Role PHYSICIAN
Phone 8138908004

Taxonomy
Taxonomy Code 207R00000X - Internal Medicine Physician
License Number OS0003135
State FL
Is Primary Yes

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
SOUTH TAMPA MEDICAL ASSOCIATES, INC. PROFIT SHARING PLAN 2015 270928450 2016-09-20 SOUTH TAMPA MEDICAL ASSOCIATES, INC 1
Three-digit plan number (PN) 001
Effective date of plan 2010-08-04
Business code 621111
Sponsor’s telephone number 8136793355
Plan sponsor’s address 12 PESERVE BLVD, CLEARWATER BEACH, FL, 33764

Signature of
Role Plan administrator
Date 2016-09-20
Name of individual signing LEONARD MENNEN, M.D.
Valid signature Filed with authorized/valid electronic signature
SOUTH TAMPA MEDICAL ASSOCIATES, INC. PROFIT SHARING PLAN 2015 270928450 2016-09-20 SOUTH TAMPA MEDICAL ASSOCIATES, INC 1
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2010-08-04
Business code 621111
Sponsor’s telephone number 8136793355
Plan sponsor’s address 12 RESERVE BLVD, CLEARWATER BEACH, FL, 33764

Signature of
Role Plan administrator
Date 2016-09-20
Name of individual signing LEONARD MENNEN, M.D.
Valid signature Filed with authorized/valid electronic signature
SOUTH TAMPA MEDICAL ASSOCIATES, INC. PROFIT SHARING PLAN 2014 270928450 2015-04-03 SOUTH TAMPA MEDICAL ASSOCIATES, INC 1
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2010-08-01
Business code 621111
Sponsor’s telephone number 8138702528
Plan sponsor’s address 3614 WEST KENNEDY BLVD, TAMPA, FL, 33609

Signature of
Role Plan administrator
Date 2015-04-03
Name of individual signing LEONARD MENNEN, M.D.
Valid signature Filed with authorized/valid electronic signature
SOUTH TAMPA MEDICAL ASSOCIATES, INC. PROFIT SHARING PLAN 2014 270928450 2015-08-26 SOUTH TAMPA MEDICAL ASSOCIATES, INC 1
Three-digit plan number (PN) 001
Effective date of plan 2010-08-01
Business code 621111
Sponsor’s telephone number 8136793355
Plan sponsor’s address 12 RESERVE BLVD, CLEARWATER BEACH, FL, 33764

Signature of
Role Plan administrator
Date 2015-08-26
Name of individual signing LEONARD MENNEN, M.D.
Valid signature Filed with authorized/valid electronic signature
SOUTH TAMPA MEDICAL ASSOCIATES INC. PROFIT SHARING PLAN 2013 270928450 2014-10-15 SOUTH TAMPA MEDICAL ASSOCIATES INC. 17
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2010-08-01
Business code 621111
Sponsor’s telephone number 8138702528
Plan sponsor’s address 3614 WEST KENNEDY BLVD, TAMPA, FL, 33609

Signature of
Role Plan administrator
Date 2014-10-15
Name of individual signing DR. LEONARD MENNEN
Valid signature Filed with authorized/valid electronic signature
SOUTH TAMPA MEDICAL ASSOCIATES INC. PROFIT SHARING PLAN 2012 270928450 2013-10-15 SOUTH TAMPA MEDICAL ASSOCIATES INC. 18
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2010-08-01
Business code 621111
Sponsor’s telephone number 8138702528
Plan sponsor’s address 3614 WEST KENNEDY BLVD, TAMPA, FL, 33609

Signature of
Role Plan administrator
Date 2013-10-15
Name of individual signing DR. LEONARD MENNEN
Valid signature Filed with authorized/valid electronic signature
SOUTH TAMPA MEDICAL ASSOCIATES INC. PROFIT SHARING PLAN 2011 270928450 2012-10-15 SOUTH TAMPA MEDICAL ASSOCIATES INC. 0
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2010-08-01
Business code 621111
Sponsor’s telephone number 8138702528
Plan sponsor’s address 3614 WEST KENNEDY BLVD, TAMPA, FL, 33609

Plan administrator’s name and address
Administrator’s EIN 270928450
Plan administrator’s name SOUTH TAMPA MEDICAL ASSOCIATES INC.
Plan administrator’s address 3614 WEST KENNEDY BLVD, TAMPA, FL, 33609
Administrator’s telephone number 8138702528

Signature of
Role Plan administrator
Date 2012-10-12
Name of individual signing DR. LEONARD MENNEN
Valid signature Filed with authorized/valid electronic signature
SOUTH TAMPA MEDICAL ASSOCIATES INC. PROFIT SHARING PLAN 2010 270928450 2011-10-12 SOUTH TAMPA MEDICAL ASSOCIATES INC. 0
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2010-08-01
Business code 621111
Sponsor’s telephone number 8138702528
Plan sponsor’s address 3614 WEST KENNEDY BLVD, TAMPA, FL, 33609

Plan administrator’s name and address
Administrator’s EIN 270928450
Plan administrator’s name SOUTH TAMPA MEDICAL ASSOCIATES INC.
Plan administrator’s address 3614 WEST KENNEDY BLVD, TAMPA, FL, 33609
Administrator’s telephone number 8138702528

Signature of
Role Plan administrator
Date 2011-10-14
Name of individual signing DR. LEONARD MENNEN
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
MENNEN, LEONARD JR. Agent 3614 WEST KENNEDY BOULEVARD, SUITE B, TAMPA, FL 33609

Director

Name Role Address
WEISS, HENRY J Director 3614 WEST KENNEDY BOULEVARD, SUITE B, TAMPA, FL 33609
MENNEN, LEONARD JR. Director 3614 WEST KENNEDY BOULEVARD, SUITE B, TAMPA, FL 33609

Events

Event Type Filed Date Value Description
ADMIN DISSOLUTION FOR ANNUAL REPORT 2015-09-25 No data No data

Documents

Name Date
ANNUAL REPORT 2014-05-06
ANNUAL REPORT 2013-04-26
ANNUAL REPORT 2012-05-01
ANNUAL REPORT 2011-04-29
ANNUAL REPORT 2010-04-29
Domestic Profit 2009-07-28

Related by officers

WEISS, HENRY J

SOUTH TAMPA MEDICAL GROUP, P.A. HD LEATHER, INC.

Related by address

No related companies by address

Date of last update: 24 Feb 2025

Sources: Florida Department of State

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