| Entity Name: | KENNETH W. FIELDS DERMATOLOGY, P.A. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Profit Corporation |
| Status: | Inactive |
| Date Filed: | 15 Jan 1993 (32 years ago) |
| Date of dissolution: | 22 Sep 2017 (7 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 22 Sep 2017 (7 years ago) |
| Document Number: | P93000003612 |
| FEI/EIN Number | 65-0231090 |
| Address: | 5100 TAMIAMI TRAIL NORTH, SUITE 102, NAPLES, FL 34103 |
| Mail Address: | 5100 TAMIAMI TRAIL NORTH, SUITE 102, NAPLES, FL 34103 |
| ZIP code: | 34103 |
| County: | Collier |
| Place of Formation: | FLORIDA |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| KENNETH W. FIELDS DERMATOLOGY, P.A. PROFIT SHARING PLAN | 2011 | 650231090 | 2012-10-02 | KENNETH W. FIELDS DERMATOLOGY, P.A. | 6 | |||||||||||||||||||||||||||||||
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| Administrator’s EIN | 650231090 |
| Plan administrator’s name | KENNETH W. FIELDS DERMATOLOGY, P.A. |
| Plan administrator’s address | 5100 TAMIAMI TRAIL N. SUITE 102, NAPLES, FL, 34103 |
| Administrator’s telephone number | 2392627546 |
Signature of
| Role | Plan administrator |
| Date | 2012-10-02 |
| Name of individual signing | JAMES RALEY |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2005-01-01 |
| Business code | 621111 |
| Sponsor’s telephone number | 2392627546 |
| Plan sponsor’s address | 5100 TAMIAMI TRAIL N. SUITE 102, NAPLES, FL, 34103 |
Plan administrator’s name and address
| Administrator’s EIN | 650231090 |
| Plan administrator’s name | KENNETH W. FIELDS DERMATOLOGY, P.A. |
| Plan administrator’s address | 5100 TAMIAMI TRAIL N. SUITE 102, NAPLES, FL, 34103 |
| Administrator’s telephone number | 2392627546 |
Signature of
| Role | Plan administrator |
| Date | 2011-10-12 |
| Name of individual signing | JAMES RALEY |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2005-01-01 |
| Business code | 621111 |
| Sponsor’s telephone number | 2392627546 |
| Plan sponsor’s address | 5100 TAMIAMI TRAIL N. SUITE 102, NAPLES, FL, 34103 |
Plan administrator’s name and address
| Administrator’s EIN | 650231090 |
| Plan administrator’s name | KENNETH W. FIELDS DERMATOLOGY, P.A. |
| Plan administrator’s address | 5100 TAMIAMI TRAIL N. SUITE 102, NAPLES, FL, 34103 |
| Administrator’s telephone number | 2392627546 |
Signature of
| Role | Plan administrator |
| Date | 2010-10-12 |
| Name of individual signing | JAMES RALEY |
| Valid signature | Filed with authorized/valid electronic signature |
| Name | Role | Address |
|---|---|---|
| FIELDS, KENNETH W | Agent | 5100 TAMIAMI TRAIL NORTH, SUITE 102, NAPLES, FL 33940 |
| Name | Role | Address |
|---|---|---|
| FIELDS, KENNETH W | President | 5100 TAMIAMI TRAIL NORTH, SUITE 102, NAPLES, FL 34103 |
| Name | Role | Address |
|---|---|---|
| FIELDS, KENNETH W | Secretary | 5100 TAMIAMI TRAIL NORTH, SUITE 102, NAPLES, FL 34103 |
| Name | Role | Address |
|---|---|---|
| FIELDS, KENNETH W | Treasurer | 5100 TAMIAMI TRAIL NORTH, SUITE 102, NAPLES, FL 34103 |
| Name | Role | Address |
|---|---|---|
| FIELDS, KENNETH W | Director | 5100 TAMIAMI TRAIL NORTH, SUITE 102, NAPLES, FL 34103 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2017-09-22 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2009-04-23 | 5100 TAMIAMI TRAIL NORTH, SUITE 102, NAPLES, FL 34103 | No data |
| CHANGE OF MAILING ADDRESS | 2009-04-23 | 5100 TAMIAMI TRAIL NORTH, SUITE 102, NAPLES, FL 34103 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2009-04-23 | 5100 TAMIAMI TRAIL NORTH, SUITE 102, NAPLES, FL 33940 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2016-02-09 |
| ANNUAL REPORT | 2015-02-03 |
| ANNUAL REPORT | 2014-04-16 |
| ANNUAL REPORT | 2013-04-24 |
| ANNUAL REPORT | 2012-05-01 |
| ANNUAL REPORT | 2011-03-04 |
| ANNUAL REPORT | 2010-04-30 |
| ANNUAL REPORT | 2009-04-23 |
| ANNUAL REPORT | 2008-05-05 |
| ANNUAL REPORT | 2007-04-30 |
Date of last update: 03 Feb 2025
Sources: Florida Department of State
