| Entity Name: | KIMBERLY GRAY-WHITE M.D. P.A. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 19 Aug 2013 (11 years ago) |
| Document Number: | P13000067857 |
| FEI/EIN Number | 320416059 |
| Mail Address: | 2814 w Barcelona, TAMPA, FL, 33629, US |
| Address: | 508 W DR MARTIN LUTHER KING JR BLVD, TAMPA, FL, 33603, US |
| ZIP code: | 33603 |
| County: | Hillsborough |
| Place of Formation: | FLORIDA |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| KIMBERLY GRAY-WHITE, M.D. 401(K) PROFIT SHARING PLAN | 2018 | 320416059 | 2019-10-10 | KIMBERLY GRAY-WHITE, M.D., P.A. | 4 | |||||||||||||||||||||||||||||||||
|
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| Role | Plan administrator |
| Date | 2019-10-10 |
| Name of individual signing | KIMBERLY GRAY-WHITE |
| Valid signature | Filed with authorized/valid electronic signature |
| Role | Employer/plan sponsor |
| Date | 2019-10-10 |
| Name of individual signing | KIMBERLY GRAY-WHITE |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 002 |
| Effective date of plan | 2018-01-01 |
| Business code | 621111 |
| Sponsor’s telephone number | 8132291924 |
| Plan sponsor’s address | 508 W DR MARTIN LUTHER KING JR BLVD, TAMPA, FL, 33603 |
| Name | Role | Address |
|---|---|---|
| GRAY-WHITE KIMBERLY M.D. | Agent | 2814 w Barcelona, TAMPA, FL, 33629 |
| Name | Role | Address |
|---|---|---|
| GRAY-WHITE KIMBERLY | President | 2814 w Barcelona, TAMPA, FL, 33629 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF MAILING ADDRESS | 2021-07-26 | 508 W DR MARTIN LUTHER KING JR BLVD, SUITE A, TAMPA, FL 33603 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2021-07-26 | 2814 w Barcelona, TAMPA, FL 33629 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2014-07-21 | 508 W DR MARTIN LUTHER KING JR BLVD, SUITE A, TAMPA, FL 33603 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-30 |
| ANNUAL REPORT | 2023-04-21 |
| ANNUAL REPORT | 2022-04-30 |
| ANNUAL REPORT | 2021-07-26 |
| ANNUAL REPORT | 2020-07-14 |
| ANNUAL REPORT | 2019-04-29 |
| ANNUAL REPORT | 2018-07-26 |
| ANNUAL REPORT | 2017-04-30 |
| ANNUAL REPORT | 2016-04-30 |
| ANNUAL REPORT | 2015-05-01 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
