| Entity Name: | TRACI THOMPSON, M.D., P.A. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 22 Jul 2020 (5 years ago) |
| Document Number: | P20000054476 |
| FEI/EIN Number | 852153112 |
| Mail Address: | 12191 W. LINEBAUGH AVE., UNIT 186, TAMPA, FL, 33626, US |
| Address: | 904 EAST HENRY AVENUE, TAMPA, FL, 33604, US |
| ZIP code: | 33604 |
| County: | Hillsborough |
| Place of Formation: | FLORIDA |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| TRACI THOMPSON MD PA 401(K) PLAN | 2023 | 852153112 | 2024-10-07 | TRACI THOMPSON, M.D., P.A. | 4 | |||||||||||||||||||||||
|
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| Role | Plan administrator |
| Date | 2024-10-07 |
| Name of individual signing | SHIRLEY HORNER |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2022-05-01 |
| Business code | 621111 |
| Sponsor’s telephone number | 4104933901 |
| Plan sponsor’s address | 904 EAST HENRY AVENUE, TAMPA, FL, 33604 |
Signature of
| Role | Plan administrator |
| Date | 2023-09-11 |
| Name of individual signing | SHIRLEY HORNER |
| Valid signature | Filed with authorized/valid electronic signature |
| Name | Role | Address |
|---|---|---|
| Thompson Traci | Agent | 904 EAST HENRY AVENUE, TAMPA, FL, 33604 |
| Name | Role | Address |
|---|---|---|
| THOMPSON TRACI | President | 12191 W. LINEBAUGH AVE., TAMPA, FL, 33626 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G20000092785 | PAPILLON CONSULTING | ACTIVE | 2020-07-31 | 2025-12-31 | No data | 12157 W. LINEBAUGH AVENUE, UNIT 186, TAMPA, FL, 33626 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT ADDRESS CHANGED | 2023-03-06 | 904 EAST HENRY AVENUE, TAMPA, FL 33604 | No data |
| REGISTERED AGENT NAME CHANGED | 2022-02-20 | Thompson, Traci | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2021-07-26 | 904 EAST HENRY AVENUE, TAMPA, FL 33604 | No data |
| CHANGE OF MAILING ADDRESS | 2021-02-03 | 904 EAST HENRY AVENUE, TAMPA, FL 33604 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-29 |
| ANNUAL REPORT | 2023-03-06 |
| ANNUAL REPORT | 2022-02-20 |
| ANNUAL REPORT | 2021-02-03 |
| Domestic Profit | 2020-07-22 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
