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  5. STEPHEN A. SPENCER, M.D., P.A.

STEPHEN A. SPENCER, M.D., P.A.

Company Details

Entity Name: STEPHEN A. SPENCER, M.D., P.A.
Jurisdiction: FLORIDA
Filing Type: Florida Profit Corporation
Status: Inactive
Date Filed: 21 Jan 1994 (31 years ago)
Date of dissolution: 27 Sep 2019 (5 years ago)
Last Event: ADMIN DISSOLUTION FOR ANNUAL REPORT
Event Date Filed: 27 Sep 2019 (5 years ago)
Document Number: P94000007463
FEI/EIN Number 65-0476256
Address: 1617 TAMIAMI TRAIL, PORT CHARLOTTE, FL 33948
Mail Address: PO BOX 494710, PORT CHARLOTTE, FL 33949
ZIP code: 33948
County: Charlotte
Place of Formation: FLORIDA

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
STEPHEN A. SPENCER, M. D. , P. A. 401(K) PROFIT 2015 650476256 2016-11-14 STEPHEN A. SPENCER, M.D., P.A. 21
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-01-01
Business code 621111
Sponsor’s telephone number 9416132400
Plan sponsor’s address 1617 TAMIAMI TRAIL, PORT CHARLOTTE, FL, 33948

Signature of
Role Plan administrator
Date 2016-11-14
Name of individual signing STEPHEN A. SPENCER, M.D.
Valid signature Filed with authorized/valid electronic signature
STEPHEN A. SPENCER, M.D., P.A. 401(K) PROFIT SHARING PLAN 2015 650476256 2016-04-28 STEPHEN A. SPENCER, M.D., P.A. 27
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-01-01
Business code 621111
Sponsor’s telephone number 9416132400
Plan sponsor’s address 1617 TAMIAMI TRAIL, PORT CHARLOTTE, FL, 33948

Signature of
Role Plan administrator
Date 2016-04-28
Name of individual signing STEPHEN A. SPENCER, M.D.
Valid signature Filed with authorized/valid electronic signature
STEPHEN A. SPENCER, M.D., P.A. 401(K) PROFIT SHARING PLAN 2014 650476256 2015-06-06 STEPHEN A. SPENCER, M.D., P.A. 23
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-01-01
Business code 621111
Sponsor’s telephone number 9416132400
Plan sponsor’s address 1617 TAMIAMI TRAIL, PORT CHARLOTTE, FL, 33948

Signature of
Role Plan administrator
Date 2015-06-06
Name of individual signing STEPHEN A. SPENCER, M.D.
Valid signature Filed with authorized/valid electronic signature
STEPHEN A. SPENCER, M.D., P.A. 401(K) PROFIT SHARING PLAN 2013 650476256 2014-06-12 STEPHEN A. SPENCER, M.D., P.A. 20
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-01-01
Business code 621111
Sponsor’s telephone number 9416132400
Plan sponsor’s address 1617 TAMIAMI TRAIL, PORT CHARLOTTE, FL, 33948

Signature of
Role Plan administrator
Date 2014-06-12
Name of individual signing STEPHEN A. SPENCER, M.D.
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2014-06-12
Name of individual signing STEPHEN A. SPENCER, M.D.
Valid signature Filed with authorized/valid electronic signature
STEPHEN A. SPENCER, M.D., P.A. 401(K) PROFIT SHARING PLAN 2012 650476256 2013-07-11 STEPHEN A. SPENCER, M.D., P.A. 19
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-01-01
Business code 621111
Sponsor’s telephone number 9416132400
Plan sponsor’s address 1617 TAMIAMI TRAIL, PORT CHARLOTTE, FL, 33948

Signature of
Role Plan administrator
Date 2013-07-11
Name of individual signing STEPHEN A. SPENCER, M.D.
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2013-07-11
Name of individual signing STEPHEN A. SPENCER, M.D.
Valid signature Filed with authorized/valid electronic signature
STEPHEN A. SPENCER, M.D., P.A. 401(K) PROFIT SHARING PLAN 2011 650476256 2012-05-08 STEPHEN A. SPENCER, M.D., P.A. 20
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-01-01
Business code 621111
Sponsor’s telephone number 9416132400
Plan sponsor’s address 1617 TAMIAMI TRAIL, PORT CHARLOTTE, FL, 33948

Plan administrator’s name and address
Administrator’s EIN 650476256
Plan administrator’s name STEPHEN A. SPENCER, M.D., P.A.
Plan administrator’s address 1617 TAMIAMI TRAIL, PORT CHARLOTTE, FL, 33948
Administrator’s telephone number 9416132400

Signature of
Role Plan administrator
Date 2012-05-08
Name of individual signing STEPHEN A. SPENCER, M.D.
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2012-05-08
Name of individual signing STEPHEN A. SPENCER, M.D.
Valid signature Filed with authorized/valid electronic signature
STEPHEN A. SPENCER, M.D., P.A. 401(K) PROFIT SHARING PLAN 2010 650476256 2011-05-19 STEPHEN A. SPENCER, M.D., P.A. 21
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-01-01
Business code 621111
Sponsor’s telephone number 9416132400
Plan sponsor’s address 3161 HARBOR BOULEVARD, SUITE A, PORT CHARLOTTE, FL, 33952

Plan administrator’s name and address
Administrator’s EIN 650476256
Plan administrator’s name STEPHEN A. SPENCER, M.D., P.A.
Plan administrator’s address 3161 HARBOR BOULEVARD, SUITE A, PORT CHARLOTTE, FL, 33952
Administrator’s telephone number 9416132400

Signature of
Role Plan administrator
Date 2011-05-19
Name of individual signing STEPHEN A. SPENCER, M.D.
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2011-05-19
Name of individual signing STEPHEN A. SPENCER, M.D.
Valid signature Filed with authorized/valid electronic signature
STEPHEN A. SPENCER, M.D., P.A. 401K PROFIT SHARING PLAN 2009 650476256 2010-07-13 STEPHEN A. SPENCER, M.D., P.A. 20
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-01-01
Business code 621111
Sponsor’s telephone number 9416132400
Plan sponsor’s address 3161 HARBOR BOULEVARD, SUITE A, PORT CHARLOTTE, FL, 33952

Plan administrator’s name and address
Administrator’s EIN 650476256
Plan administrator’s name STEPHEN A. SPENCER, M.D., P.A.
Plan administrator’s address 3161 HARBOR BOULEVARD, SUITE A, PORT CHARLOTTE, FL, 33952
Administrator’s telephone number 9416132400

Signature of
Role Plan administrator
Date 2010-07-13
Name of individual signing STEPHEN A. SPENCER, M.D.
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2010-07-13
Name of individual signing STEPHEN A. SPENCER, M.D.
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
HACKETT, JACK O, II Agent FARR LAW FIRM, 99 NESBIT STREET, PUNTA GORDA, FL 33950

Director

Name Role Address
SPENCER, STEPHEN A., M.D. Director 4791 HARBOR POINT COURT, PORT CHARLOTTE, FL 33952

President

Name Role Address
SPENCER, STEPHEN A., M.D. President 4791 HARBOR POINT COURT, PORT CHARLOTTE, FL 33952

Secretary

Name Role Address
SPENCER, STEPHEN A., M.D. Secretary 4791 HARBOR POINT COURT, PORT CHARLOTTE, FL 33952

Treasurer

Name Role Address
SPENCER, STEPHEN A., M.D. Treasurer 4791 HARBOR POINT COURT, PORT CHARLOTTE, FL 33952

Events

Event Type Filed Date Value Description
ADMIN DISSOLUTION FOR ANNUAL REPORT 2019-09-27 No data No data
REGISTERED AGENT ADDRESS CHANGED 2015-04-08 FARR LAW FIRM, 99 NESBIT STREET, PUNTA GORDA, FL 33950 No data
REGISTERED AGENT NAME CHANGED 2014-01-27 HACKETT, JACK O, II No data
CHANGE OF PRINCIPAL ADDRESS 2010-02-24 1617 TAMIAMI TRAIL, PORT CHARLOTTE, FL 33948 No data
CHANGE OF MAILING ADDRESS 2002-02-08 1617 TAMIAMI TRAIL, PORT CHARLOTTE, FL 33948 No data
REINSTATEMENT 1996-10-21 No data No data
ADMIN DISSOLUTION FOR ANNUAL REPORT 1995-08-25 No data No data

Documents

Name Date
ANNUAL REPORT 2018-04-30
ANNUAL REPORT 2017-04-19
ANNUAL REPORT 2016-04-27
ANNUAL REPORT 2015-04-08
ANNUAL REPORT 2014-01-27
ANNUAL REPORT 2013-02-25
ANNUAL REPORT 2012-02-29
ANNUAL REPORT 2011-02-18
ANNUAL REPORT 2010-02-24
ANNUAL REPORT 2009-02-23

Related by officers

HACKETT, JACK O, II

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Related by address

No related companies by address

Date of last update: 02 Feb 2025

Sources: Florida Department of State

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