Menu
Search icon
  1. Home Page
    2. ›
  2. Counties
    3. ›
  3. Hillsborough
    4. ›
  4. 33614
    5. ›
  5. EDWARD BASS, M.D., P.A.

EDWARD BASS, M.D., P.A. - Florida Company Profile

Company Details

Entity Name: EDWARD BASS, M.D., P.A.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit

EDWARD BASS, M.D., P.A. is structured as a Domestic Profit Corporation, which, in Florida signifies a Profit Corporation (also known as a C-Corporation). This business structure is recognized as a separate legal entity from its owners. This offers shareholders the benefit of limited liability protection, safeguarding their personal assets from the corporation's debts and obligations, and facilitates raising capital through the issuance of stock. In Florida, Domestic Profit Corporations are governed by Title XXXVI, Chapter 607, Florida Statutes – Florida Business Corporation Act.
Status: Inactive

The business entity is inactive. This status may signal operational issues or voluntary closure, raising concerns about the business's ability to repay loans and requiring careful risk assessment by lenders.

Date Filed: 11 Jun 1993 (32 years ago)
Date of dissolution: 28 Sep 2012 (13 years ago)
Last Event: ADMIN DISSOLUTION FOR ANNUAL REPORT
Event Date Filed: 28 Sep 2012 (13 years ago)
Document Number: P93000043550
FEI/EIN Number 593186941

Federal Employer Identification (FEI) Number assigned by the IRS.
Address: 4710 N. HABANA AVE., SUITE 200, TAMPA, FL, 33614
Mail Address: 4710 N. HABANA AVE., SUITE 200, TAMPA, FL, 33614
ZIP code: 33614
County: Hillsborough
Place of Formation: FLORIDA

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
EDWARD BASS, M.D., P.A. PROFIT SHARING PLAN 2011 593186941 2012-02-06 EDWARD BASS, M.D., P.A. 2
Three-digit plan number (PN) 001
Effective date of plan 1993-07-01
Business code 621111
Plan sponsor’s mailing address 15011 LAUREL COVE CIRCLE, ODESSA, FL, 33556
Plan sponsor’s address 15011 LAUREL COVE CIRCLE, ODESSA, FL, 33556

Plan administrator’s name and address
Administrator’s EIN 593186941
Plan administrator’s name EDWARD BASS, M.D., P.A.
Plan administrator’s address 15011 LAUREL COVE CIRCLE, ODESSA, FL, 33556

Number of participants as of the end of the plan year
Active participants 0
Retired or separated participants receiving benefits 2
Number of participants with account balances as of the end of the plan year 0

Signature of
Role Plan administrator
Date 2012-02-06
Name of individual signing EDWARD BASS
Valid signature Filed with authorized/valid electronic signature
Role DFE
Date 2012-02-06
Name of individual signing FRANK PEREZ JR
Valid signature Filed with authorized/valid electronic signature
EDWARD BASS, M.D., P.A. PROFIT SHARING PLAN 2011 593186941 2012-02-07 EDWARD BASS, M.D., P.A. 2
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1993-07-01
Business code 621111
Plan sponsor’s mailing address 15011 LAUREL COVE CIRCLE, ODESSA, FL, 33556
Plan sponsor’s address 15011 LAUREL COVE CIRCLE, ODESSA, FL, 33556

Plan administrator’s name and address
Administrator’s EIN 593186941
Plan administrator’s name EDWARD BASS, M.D., P.A.
Plan administrator’s address 15011 LAUREL COVE CIRCLE, ODESSA, FL, 33556

Number of participants as of the end of the plan year
Active participants 0
Retired or separated participants receiving benefits 2
Number of participants with account balances as of the end of the plan year 0

Signature of
Role Plan administrator
Date 2012-02-07
Name of individual signing EDWARD BASS
Valid signature Filed with authorized/valid electronic signature
Role DFE
Date 2012-02-07
Name of individual signing FRANK PEREZ JR
Valid signature Filed with authorized/valid electronic signature
EDWARD BASS, M.D., P.A. PROFIT SHARING PLAN 2011 593186941 2012-01-19 EDWARD BASS, M.D., P.A. 2
Three-digit plan number (PN) 001
Effective date of plan 1993-07-01
Business code 621111
Plan sponsor’s mailing address 15011 LAUREL COVE CIRCLE, ODESSA, FL, 33556
Plan sponsor’s address 15011 LAUREL COVE CIRCLE, ODESSA, FL, 33556

Plan administrator’s name and address
Administrator’s EIN 593186941
Plan administrator’s name EDWARD BASS, M.D., P.A.
Plan administrator’s address 15011 LAUREL COVE CIRCLE, ODESSA, FL, 33556

Number of participants as of the end of the plan year
Active participants 0
Retired or separated participants receiving benefits 2
Number of participants with account balances as of the end of the plan year 0

Signature of
Role Employer/plan sponsor
Date 2012-01-19
Name of individual signing EDWARD BASS
Valid signature Filed with authorized/valid electronic signature
EDWARD BASS, M.D., P.A. PROFIT SHARING PLAN 2010 593186941 2011-01-28 EDWARD BASS, M.D., P.A. 2
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1993-07-01
Business code 621111
Sponsor’s telephone number 8138782800
Plan sponsor’s mailing address 4710 NORTH HABANA AVENUE, SUITE 200, TAMPA, FL, 33614
Plan sponsor’s address 4710 NORTH HABANA AVENUE, SUITE 200, TAMPA, FL, 33614

Plan administrator’s name and address
Administrator’s EIN 593186941
Plan administrator’s name EDWARD BASS, M.D., P.A.
Plan administrator’s address 4710 NORTH HABANA AVENUE, SUITE 200, TAMPA, FL, 33614
Administrator’s telephone number 8138782800

Number of participants as of the end of the plan year
Active participants 2

Signature of
Role Plan administrator
Date 2011-01-28
Name of individual signing EDWARD BASS
Valid signature Filed with authorized/valid electronic signature
Role DFE
Date 2011-01-28
Name of individual signing FRANK PEREZ JR
Valid signature Filed with authorized/valid electronic signature
EDWARD BASS, M.D., P.A. PROFIT SHARING PLAN 2009 593186941 2010-04-22 EDWARD BASS, M.D., P.A. 2
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1993-07-01
Business code 621111
Sponsor’s telephone number 8138782800
Plan sponsor’s mailing address 4710 NORTH HABANA AVENUE, SUITE 200, TAMPA, FL, 33614
Plan sponsor’s address 4710 NORTH HABANA AVENUE, SUITE 200, TAMPA, FL, 33614

Plan administrator’s name and address
Administrator’s EIN 593186941
Plan administrator’s name EDWARD BASS, M.D., P.A.
Plan administrator’s address 4710 NORTH HABANA AVENUE, SUITE 200, TAMPA, FL, 33614
Administrator’s telephone number 8138782800

Number of participants as of the end of the plan year
Active participants 2
Number of participants with account balances as of the end of the plan year 2

Signature of
Role Plan administrator
Date 2010-04-22
Name of individual signing EDWARD BASS
Valid signature Filed with authorized/valid electronic signature
Role DFE
Date 2010-04-22
Name of individual signing FRANK PEREZ JR
Valid signature Filed with authorized/valid electronic signature
EDWARD BASS, M.D., P.A. PROFIT SHARING PLAN 2009 593186941 2010-04-22 EDWARD BASS, M.D., P.A. 2
Three-digit plan number (PN) 001
Effective date of plan 1993-07-01
Business code 621111
Sponsor’s telephone number 8138782800
Plan sponsor’s mailing address 4710 NORTH HABANA AVENUE, SUITE 200, TAMPA, FL, 33614
Plan sponsor’s address 4710 NORTH HABANA AVENUE, SUITE 200, TAMPA, FL, 33614

Plan administrator’s name and address
Administrator’s EIN 593186941
Plan administrator’s name EDWARD BASS, M.D., P.A.
Plan administrator’s address 4710 NORTH HABANA AVENUE, SUITE 200, TAMPA, FL, 33614
Administrator’s telephone number 8138782800

Number of participants as of the end of the plan year
Active participants 2
Number of participants with account balances as of the end of the plan year 2

Signature of
Role Employer/plan sponsor
Date 2010-04-22
Name of individual signing EDWARD BASS
Valid signature Filed with authorized/valid electronic signature
Role DFE
Date 2010-04-22
Name of individual signing FRANK PEREZ JR
Valid signature Filed with authorized/valid electronic signature

Key Officers & Management

Name Role Address
BASS EDWARD D Director 4728 M/ HABANA AVE. SUITE 301, TAMPA, FL, 33614
BASS EDWARD D President 4728 M/ HABANA AVE. SUITE 301, TAMPA, FL, 33614
KEMKER TRENEM Agent 101 E. KENNEDY BLVD., TAMPA, FL, 33602

Events

Event Type Filed Date Value Description
ADMIN DISSOLUTION FOR ANNUAL REPORT 2012-09-28 - -
NAME CHANGE AMENDMENT 2008-07-21 EDWARD BASS, M.D., P.A. -
CHANGE OF PRINCIPAL ADDRESS 2007-03-06 4710 N. HABANA AVE., SUITE 200, TAMPA, FL 33614 -
REGISTERED AGENT ADDRESS CHANGED 2007-03-06 101 E. KENNEDY BLVD., STE 2700, TAMPA, FL 33602 -
CHANGE OF MAILING ADDRESS 2007-03-06 4710 N. HABANA AVE., SUITE 200, TAMPA, FL 33614 -
REGISTERED AGENT NAME CHANGED 2007-03-06 KEMKER, TRENEM -
AMENDMENT AND NAME CHANGE 2005-07-05 BASS & LIPENKO, M.D.S, P.A. -

Documents

Name Date
Reg. Agent Resignation 2021-12-10
ANNUAL REPORT 2011-01-24
ANNUAL REPORT 2010-01-12
ANNUAL REPORT 2009-06-25
Name Change 2008-07-21
ANNUAL REPORT 2008-02-04
ANNUAL REPORT 2007-03-06
ANNUAL REPORT 2006-04-07
Amendment and Name Change 2005-07-05
ANNUAL REPORT 2005-01-18

Companies related by officers

No other companies in our directory share the same officers as EDWARD BASS, M.D., P.A.

Companies related by address

No other companies in our directory share the same address as EDWARD BASS, M.D., P.A.

Date of last update: 01 Apr 2025

Sources: Florida Department of State

Privacy policy Policy
About us About us
Contacts Contact us

© 2025 flprofile.com, Part of Big Data Integrated