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RALPH M. WURSTER, D.O, PA

Company Details

Entity Name: RALPH M. WURSTER, D.O, PA
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Inactive
Date Filed: 29 Mar 2010 (15 years ago)
Date of dissolution: 27 Sep 2019 (5 years ago)
Last Event: ADMIN DISSOLUTION FOR ANNUAL REPORT
Event Date Filed: 27 Sep 2019 (5 years ago)
Document Number: P10000027748
FEI/EIN Number 272330710
Address: 2940 MALLORY CIRCLE, SUITE 201, CELEBRATION, FL, 34747, US
Mail Address: 2940 MALLORY CIRCLE, SUITE 201, CELEBRATION, FL, 34747, US
ZIP code: 34747
County: Osceola
Place of Formation: FLORIDA

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
RALPH M WURSTER, D.O., PA. 2015 272330710 2016-08-05 RALPH M WURSTER, D.O., PA. 2
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-01-01
Business code 621111
Sponsor’s telephone number 4075664763
Plan sponsor’s address 3810 GOLDEN FEATHER WAY, KISSIMMEE, FL, 34746

Signature of

Role Plan administrator
Date 2016-08-05
Name of individual signing LAURA WURSTER
Valid signature Filed with authorized/valid electronic signature
RALPH M WURSTER, D.O., PA. 2014 272330710 2016-08-05 RALPH M WURSTER, D.O., PA. 2
Three-digit plan number (PN) 001
Effective date of plan 2004-01-01
Business code 621111
Sponsor’s telephone number 4075664763
Plan sponsor’s address 1530 CELEBRATION BLVD, SUITE 402, CELEBRATION, FL, 34747

Signature of

Role Plan administrator
Date 2016-08-05
Name of individual signing LAURA WURSTER
Valid signature Filed with authorized/valid electronic signature
RALPH M WURSTER, D.O., PA. 2014 272330710 2016-10-19 RALPH M WURSTER, D.O., PA. 2
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-01-01
Business code 621111
Sponsor’s telephone number 4075664763
Plan sponsor’s address 1530 CELEBRATION BLVD, SUITE 402, CELEBRATION, FL, 34747

Signature of

Role Plan administrator
Date 2016-10-19
Name of individual signing LAURA WURSTER
Valid signature Filed with authorized/valid electronic signature
RALPH M WURSTER, D.O., PA. 2013 272330710 2016-10-19 RALPH M WURSTER, D.O., PA. 2
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-01-01
Business code 621111
Sponsor’s telephone number 4075664763
Plan sponsor’s address 1530 CELEBRATION BLVD, SUITE 402, CELEBRATION, FL, 34747

Signature of

Role Plan administrator
Date 2016-10-19
Name of individual signing LAURA WURSTER
Valid signature Filed with authorized/valid electronic signature
RALPH M WURSTER, D.O., PA. 2013 272330710 2016-08-05 RALPH M WURSTER, D.O., PA. 2
Three-digit plan number (PN) 001
Effective date of plan 2004-01-01
Business code 621111
Sponsor’s telephone number 4075664763
Plan sponsor’s address 1530 CELEBRATION BLVD, SUITE 402, CELEBRATION, FL, 34747

Signature of

Role Plan administrator
Date 2016-08-05
Name of individual signing LAURA WURSTER
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
ADAMS JOHN S Agent 2940 MALLORY CIRCLE, CELEBRATION, FL, 34747

Director

Name Role Address
EDWARD T. SALL, MD, DDS, MBA Director 2940 MALLORY CIRCLE - STE. 201, KISSIMMEE, FL, 34747

Owne

Name Role
PROACT HEALTH SOLUTIONS, INC. Owne

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G17000131352 PROACT HEALTH GROUP EXPIRED 2017-12-01 2022-12-31 No data 2940 MALLORY CIRCLE, SUITE 201, CELEBRATION, FL, 34747
G15000035239 PROACT HEALTH SOLUTIONS, INC. EXPIRED 2015-04-07 2020-12-31 No data 2940 MALLORY CIRCLE, SUITE 201, CELEBRATION, FL, 34747

Events

Event Type Filed Date Value Description
ADMIN DISSOLUTION FOR ANNUAL REPORT 2019-09-27 No data No data
AMENDMENT 2017-12-11 No data No data
CHANGE OF PRINCIPAL ADDRESS 2014-10-13 2940 MALLORY CIRCLE, SUITE 201, CELEBRATION, FL 34747 No data
CHANGE OF MAILING ADDRESS 2014-10-13 2940 MALLORY CIRCLE, SUITE 201, CELEBRATION, FL 34747 No data
REGISTERED AGENT NAME CHANGED 2014-10-13 ADAMS, JOHN S No data
REGISTERED AGENT ADDRESS CHANGED 2014-10-13 2940 MALLORY CIRCLE, SUTE 201, CELEBRATION, FL 34747 No data
REINSTATEMENT 2014-10-13 No data No data
ADMIN DISSOLUTION FOR ANNUAL REPORT 2014-09-26 No data No data

Documents

Name Date
ANNUAL REPORT 2018-04-24
Amendment 2017-12-11
ANNUAL REPORT 2017-04-27
ANNUAL REPORT 2016-04-19
ANNUAL REPORT 2015-04-07
REINSTATEMENT 2014-10-13
ANNUAL REPORT 2013-04-30
ANNUAL REPORT 2012-04-11
ANNUAL REPORT 2011-03-16
Domestic Profit 2010-03-29

Date of last update: 02 Feb 2025

Sources: Florida Department of State