| Entity Name: | LEE SHETTLE, D.O., P.A. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 11 Jan 2011 (14 years ago) |
| Last Event: | REINSTATEMENT |
| Event Date Filed: | 06 Feb 2024 (a year ago) |
| Document Number: | P11000003543 |
| FEI/EIN Number | 274499519 |
| Address: | 13113 66TH STREET N., LARGO, FL, 33773 |
| Mail Address: | 7331 SAWGRASS POINT DRVE, PINELLAS PARK, FL, 33782 |
| ZIP code: | 33773 |
| County: | Pinellas |
| Place of Formation: | FLORIDA |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| LEE SHETTLE 401(K) PLAN | 2023 | 274499519 | 2024-08-30 | LEE SHETTLE, D.O., P.A. | 9 | |||||||||||||||||||||||||||||||||
|
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| Role | Plan administrator |
| Date | 2024-08-30 |
| Name of individual signing | DEBBIE SHETTLE |
| Valid signature | Filed with authorized/valid electronic signature |
| Role | Employer/plan sponsor |
| Date | 2024-08-30 |
| Name of individual signing | DEBBIE SHETTLE |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2021-01-01 |
| Business code | 621111 |
| Sponsor’s telephone number | 7276470300 |
| Plan sponsor’s address | 13133 66TH STREET N, LARGO, FL, 33773 |
Signature of
| Role | Plan administrator |
| Date | 2023-08-17 |
| Name of individual signing | DEBBIE SHETTLE |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2021-01-01 |
| Business code | 621111 |
| Sponsor’s telephone number | 7276470300 |
| Plan sponsor’s address | 13133 66TH STREET N, LARGO, FL, 33773 |
Signature of
| Role | Plan administrator |
| Date | 2022-07-15 |
| Name of individual signing | DEBBIE SHETTLE |
| Valid signature | Filed with authorized/valid electronic signature |
| Name | Role | Address |
|---|---|---|
| SHETTLE PHILIP L | Agent | 7331 SAWGRASS POINT DRVE, PINELLAS PARK, FL, 33782 |
| Name | Role | Address |
|---|---|---|
| SHETTLE PHILIP L | Director | 7331 SAWGRASS POINT DRVE, PINELLAS PARK, FL, 33782 |
| Name | Role | Address |
|---|---|---|
| SHETTLE PHILIP L | President | 7331 SAWGRASS POINT DRVE, PINELLAS PARK, FL, 33782 |
| Name | Role | Address |
|---|---|---|
| SHETTLE PHILIP L | Secretary | 7331 SAWGRASS POINT DRVE, PINELLAS PARK, FL, 33782 |
| Name | Role | Address |
|---|---|---|
| SHETTLE PHILIP L | Treasurer | 7331 SAWGRASS POINT DRVE, PINELLAS PARK, FL, 33782 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G12000091607 | LEE SHETTLE HEARING | EXPIRED | 2012-09-18 | 2017-12-31 | No data | LEE SHETTLE, D.O.P.A., 13113 66TH ST. N., LARGO, FL, 33773 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REINSTATEMENT | 2024-02-06 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2024-02-06 | SHETTLE, PHILIP LD.O. | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2023-09-22 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2012-01-10 | 13113 66TH STREET N., LARGO, FL 33773 | No data |
| Name | Date |
|---|---|
| REINSTATEMENT | 2024-02-06 |
| ANNUAL REPORT | 2022-01-24 |
| ANNUAL REPORT | 2021-01-25 |
| ANNUAL REPORT | 2020-01-20 |
| ANNUAL REPORT | 2019-01-30 |
| ANNUAL REPORT | 2018-01-05 |
| ANNUAL REPORT | 2017-01-09 |
| ANNUAL REPORT | 2016-01-14 |
| ANNUAL REPORT | 2015-01-07 |
| ANNUAL REPORT | 2014-01-14 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
