Home Page
Counties
Lee
33908
BURG FOOT & ANKLE PA

BURG FOOT & ANKLE PA

Company Details

Entity Name:	BURG FOOT & ANKLE PA
Jurisdiction:	FLORIDA
Filing Type:	Florida Profit Corporation
Status:	Inactive
Date Filed:	24 Jun 2015 (10 years ago)
Date of dissolution:	24 Sep 2021 (3 years ago)
Last Event:	ADMIN DISSOLUTION FOR ANNUAL REPORT
Event Date Filed:	24 Sep 2021 (3 years ago)
Document Number:	P15000055095
FEI/EIN Number	47-4392389
Address:	12331 COCONUT CREEK CT, FORT MYERS, FL 33908
Mail Address:	12331 COCONUT CREEK CT, FORT MYERS, FL 33908
ZIP code:	33908
County:	Lee
Place of Formation:	FLORIDA

National Provider Identifier

NPI

Enumeration Date

Last Update Date

Mailing Address

Practice Location Address

1528435807

2015-08-21

2015-08-21

12681 NEW BRITTANY BLVD, BLDG 1E, FORT MYERS, FL, 339073631, US

12681 NEW BRITTANY BLVD, BLDG 1E, FORT MYERS, FL, 339073631, US

Contacts

Phone	+1 239-689-3843
Fax	2396893852

Authorized person

Name	DR. BRIAN DENNIS BURG
Role	OWNER
Phone	2396893843

Taxonomy

Taxonomy Code	213ES0103X - Foot & Ankle Surgery Podiatrist
License Number	PO2882
State	FL
Is Primary	Yes

form 5500

Plan Name

Plan Year

EIN/PN

Received

Sponsor

Total number of participants

BURG FOOT & ANKLE PA 401(K) PROFIT SHARING PLAN & TRUST

2021

474392389

2022-01-26

BURG FOOT & ANKLE PA

4

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2016-01-01
Business code	621391
Sponsor’s telephone number	2396893843
Plan sponsor’s address	12681 NEW BRITTANY BLVD., NO. 1E, FORT MYERS, FL, 33907

BURG FOOT & ANKLE PA 401(K) PROFIT SHARING PLAN & TRUST

2020

474392389

2021-07-26

BURG FOOT & ANKLE PA

4

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2016-01-01
Business code	621391
Sponsor’s telephone number	2396893843
Plan sponsor’s address	12681 NEW BRITTANY BLVD., NO. 1E, FORT MYERS, FL, 33907

BURG FOOT & ANKLE PA 401(K) PROFIT SHARING PLAN & TRUST

2019

474392389

2020-07-17

BURG FOOT & ANKLE PA

4

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2016-01-01
Business code	621391
Sponsor’s telephone number	2396893843
Plan sponsor’s address	12681 NEW BRITTANY BLVD., NO. 1E, FORT MYERS, FL, 33907

BURG FOOT & ANKLE PA 401(K) PROFIT SHARING PLAN & TRUST

2018

474392389

2019-07-26

BURG FOOT & ANKLE PA

4

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2016-01-01
Business code	621391
Sponsor’s telephone number	2396893843
Plan sponsor’s address	12681 NEW BRITTANY BLVD., NO. 1E, FORT MYERS, FL, 33907

BURG FOOT & ANKLE PA 401(K) PROFIT SHARING PLAN & TRUST

2017

474392389

2018-07-23

BURG FOOT & ANKLE PA

3

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2016-01-01
Business code	621391
Sponsor’s telephone number	2396893843
Plan sponsor’s address	12681 NEW BRITTANY BLVD., NO. 1E, FORT MYERS, FL, 33907

BURG FOOT & ANKLE PA 401(K) PROFIT SHARING PLAN & TRUST

2016

474392389

2017-08-08

BURG FOOT & ANKLE PA

2

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2016-01-01
Business code	621391
Sponsor’s telephone number	2396893843
Plan sponsor’s address	12681 NEW BRITTANY BLVD., NO. 1E, FORT MYERS, FL, 33907

Signature of

Role	Plan administrator
Date	2017-08-08
Name of individual signing	BRIAN D. BURG
Valid signature	Filed with authorized/valid electronic signature

Agent

Name	Role	Address
BURG, BRIAN	Agent	12331 COCONUT CREEK CT, FORT MYERS, FL 33908

President

Name	Role	Address
BURG, BRIAN	President	12331 COCONUT CREEK CT, FORT MYERS, FL 33908

Vice President

Name	Role	Address
BURG, BRIAN	Vice President	12331 COCONUT CREEK CT, FORT MYERS, FL 33908

Secretary

Name	Role	Address
BURG, BRIAN	Secretary	12331 COCONUT CREEK CT, FORT MYERS, FL 33908

Treasurer

Name	Role	Address
BURG, BRIAN	Treasurer	12331 COCONUT CREEK CT, FORT MYERS, FL 33908

Events

Event Type	Filed Date	Value	Description
ADMIN DISSOLUTION FOR ANNUAL REPORT	2021-09-24	No data	No data

Documents

Name	Date
ANNUAL REPORT	2020-01-16
ANNUAL REPORT	2019-04-05
ANNUAL REPORT	2018-01-15
ANNUAL REPORT	2017-04-09
ANNUAL REPORT	2016-04-20
Domestic Profit	2015-06-24

Date of last update: 20 Feb 2025

Sources: Florida Department of State