| Entity Name: | PHYCON MEDICAL SCIENCES, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Profit Corporation |
| Status: | Inactive |
| Date Filed: | 24 Sep 1993 (31 years ago) |
| Date of dissolution: | 06 May 2013 (12 years ago) |
| Last Event: | VOLUNTARY DISSOLUTION |
| Event Date Filed: | 06 May 2013 (12 years ago) |
| Document Number: | P93000066741 |
| FEI/EIN Number | 59-3207239 |
| Address: | 13325 N. 56TH ST., TAMPA, FL 33617 |
| Mail Address: | 13325 N. 56TH ST., TAMPA, FL 33617 |
| ZIP code: | 33617 |
| County: | Hillsborough |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1467419549 | 2006-05-01 | 2020-08-22 | 635 GILLETTE AVE, TAMPA, FL, 336173821, US | 13325 N 56TH ST, TAMPA, FL, 336171161, US | |||||||||||||||
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| Phone | +1 813-985-5818 |
| Fax | 8139851571 |
Authorized person
| Name | MR. PERRIN C KLERSY |
| Role | CEO PRESIDENT |
| Phone | 8139855818 |
Taxonomy
| Taxonomy Code | 293D00000X - Physiological Laboratory |
| Is Primary | Yes |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| PHYCON MEDICAL SCIENCES 401K PLAN | 2010 | 593207239 | 2011-08-26 | PHYCON MEDICAL SCIENCES, INC. | 12 | |||||||||||||||||||||||||||||||||||||||||||||
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| Administrator’s EIN | 593207239 |
| Plan administrator’s name | PHYCON MEDICAL SCIENCES, INC. |
| Plan administrator’s address | 13325 NORTH 56TH STREET, TAMPA, FL, 33617 |
| Administrator’s telephone number | 8139855818 |
Number of participants as of the end of the plan year
| Active participants | 10 |
| Retired or separated participants receiving benefits | 0 |
| Other retired or separated participants entitled to future benefits | 0 |
| Deceased participants whose beneficiaries are receiving or are entitled to receive benefits | 0 |
| Number of participants with account balances as of the end of the plan year | 4 |
| Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested | 0 |
Signature of
| Role | Plan administrator |
| Date | 2011-08-26 |
| Name of individual signing | JAMES CALLUM |
| Valid signature | Filed with authorized/valid electronic signature |
| Name | Role | Address |
|---|---|---|
| KLERSY, PC | Agent | 635 GILLETTE AVE., TAMPA, FL 33617-3821 |
| Name | Role | Address |
|---|---|---|
| KLERSY, P.C. | President | 635 GILLETTE AVE., TAMPA, FL |
| Name | Role | Address |
|---|---|---|
| KLERSY, P.C. | Treasurer | 635 GILLETTE AVE., TAMPA, FL |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| VOLUNTARY DISSOLUTION | 2013-05-06 | No data | No data |
| CHANGE OF MAILING ADDRESS | 2005-04-25 | 13325 N. 56TH ST., TAMPA, FL 33617 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2004-04-27 | 13325 N. 56TH ST., TAMPA, FL 33617 | No data |
| Name | Date |
|---|---|
| VOLUNTARY DISSOLUTION | 2013-05-06 |
| ANNUAL REPORT | 2013-03-29 |
| ANNUAL REPORT | 2012-05-01 |
| ANNUAL REPORT | 2011-04-15 |
| Dom/For AR | 2010-05-17 |
| ANNUAL REPORT | 2009-05-11 |
| ANNUAL REPORT | 2008-04-28 |
| ANNUAL REPORT | 2007-04-05 |
| ANNUAL REPORT | 2006-04-21 |
| ANNUAL REPORT | 2005-04-25 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
