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BRUCE D. SHEPHARD, M.D., P.A. - Florida Company Profile

Company Details

Entity Name: BRUCE D. SHEPHARD, M.D., P.A.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit

BRUCE D. SHEPHARD, 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: 01 Mar 1994 (31 years ago)
Date of dissolution: 12 Jan 2018 (7 years ago)
Last Event: VOLUNTARY DISSOLUTION
Event Date Filed: 12 Jan 2018 (7 years ago)
Document Number: P94000016419
FEI/EIN Number 593226151

Federal Employer Identification (FEI) Number assigned by the IRS.

Address: 13014 N. Dale Mabry Hwy, #208, TAMPA, FL, 33618, US
Mail Address: 13014 N. Dale Mabry Hwy, #208, TAMPA, FL, 33618, US
ZIP code: 33618
County: Hillsborough
Place of Formation: FLORIDA

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
BRUCE D. SHEPHARD, M.D., P.A. PROFIT SHARING PLAN 2016 593226151 2017-07-11 BRUCE D. SHEPHARD, M.D., P.A. 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1995-01-01
Business code 621111
Sponsor’s telephone number 8139285276
Plan sponsor’s address 13014 N. DALE MABRY, #208, TAMPA, FL, 33618

Signature of

Role Plan administrator
Date 2017-07-11
Name of individual signing BRUCE D. SHEPHARD
Valid signature Filed with authorized/valid electronic signature
BRUCE D. SHEPHARD, M.D., P.A. PROFIT SHARING PLAN 2015 593226151 2016-03-07 BRUCE D. SHEPHARD, M.D., P.A. 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1995-01-01
Business code 621111
Sponsor’s telephone number 8138740720
Plan sponsor’s address 4302 N HABANA AVE STE 300, TAMPA, FL, 336076368

Plan administrator’s name and address

Administrator’s EIN 593226151
Plan administrator’s name BRUCE D. SHEPHARD, M.D., P.A.
Plan administrator’s address 4302 N HABANA AVE STE 300, TAMPA, FL, 336076368
Administrator’s telephone number 8138740720

Signature of

Role Plan administrator
Date 2016-03-07
Name of individual signing BRUCE D. SHEPHARD
Valid signature Filed with authorized/valid electronic signature
BRUCE D. SHEPHARD, M.D., P.A. PROFIT SHARING PLAN 2014 593226151 2015-03-13 BRUCE D. SHEPHARD, M.D., P.A. 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1995-01-01
Business code 621111
Sponsor’s telephone number 8138740720
Plan sponsor’s address 4302 N HABANA AVE STE 300, TAMPA, FL, 336076368

Plan administrator’s name and address

Administrator’s EIN 593226151
Plan administrator’s name BRUCE D. SHEPHARD, M.D., P.A.
Plan administrator’s address 4302 N HABANA AVE STE 300, TAMPA, FL, 336076368
Administrator’s telephone number 8138740720

Signature of

Role Plan administrator
Date 2015-03-13
Name of individual signing BRUCE D. SHEPHARD
Valid signature Filed with authorized/valid electronic signature
BRUCE D. SHEPHARD, M.D., P.A. PROFIT SHARING PLAN 2013 593226151 2014-03-03 BRUCE D. SHEPHARD, M.D., P.A. 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1995-01-01
Business code 621111
Sponsor’s telephone number 8138740720
Plan sponsor’s address 4302 N HABANA AVE STE 300, TAMPA, FL, 336076368

Plan administrator’s name and address

Administrator’s EIN 593226151
Plan administrator’s name BRUCE D. SHEPHARD, M.D., P.A.
Plan administrator’s address 4302 N HABANA AVE STE 300, TAMPA, FL, 336076368
Administrator’s telephone number 8138740720

Signature of

Role Plan administrator
Date 2014-03-03
Name of individual signing BRUCE D. SHEPHARD
Valid signature Filed with authorized/valid electronic signature
BRUCE D. SHEPHARD, M.D., P.A. PROFIT SHARING PLAN 2012 593226151 2013-02-28 BRUCE D. SHEPHARD, M.D., P.A. 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1995-01-01
Business code 621111
Sponsor’s telephone number 8138740720
Plan sponsor’s address 4302 N HABANA AVE STE 300, TAMPA, FL, 336076368

Plan administrator’s name and address

Administrator’s EIN 593226151
Plan administrator’s name BRUCE D. SHEPHARD, M.D., P.A.
Plan administrator’s address 4302 N HABANA AVE STE 300, TAMPA, FL, 336076368
Administrator’s telephone number 8138740720

Signature of

Role Plan administrator
Date 2013-02-28
Name of individual signing BRUCE D. SHEPHARD
Valid signature Filed with authorized/valid electronic signature
BRUCE D. SHEPHARD, M.D., P.A. PROFIT SHARING PLAN 2011 593226151 2012-03-11 BRUCE D. SHEPHARD, M.D., P.A. 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1995-01-01
Business code 621111
Sponsor’s telephone number 8138740720
Plan sponsor’s DBA name P.A.
Plan sponsor’s address 4302 N HABANA AVE STE 300, TAMPA, FL, 336076368

Plan administrator’s name and address

Administrator’s EIN 593226151
Plan administrator’s name BRUCE D. SHEPHARD, M.D., P.A.
Plan administrator’s address 4302 N HABANA AVE STE 300, TAMPA, FL, 336076368
Administrator’s telephone number 8138762496

Signature of

Role Plan administrator
Date 2012-03-11
Name of individual signing BRUCE D. SHEPHARD
Valid signature Filed with authorized/valid electronic signature
BRUCE D. SHEPHARD, M.D., P.A. PROFIT SHARING PLAN 2010 593226151 2011-04-27 BRUCE D. SHEPHARD, M.D., P.A. 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1995-01-01
Business code 621111
Sponsor’s telephone number 8138740720
Plan sponsor’s address 4302 N HABANA AVE STE 300, TAMPA, FL, 336076368

Plan administrator’s name and address

Administrator’s EIN 593226151
Plan administrator’s name BRUCE D. SHEPHARD, M.D., P.A.
Plan administrator’s address 4302 N HABANA AVE STE 300, TAMPA, FL, 336076368
Administrator’s telephone number 8138762496

Signature of

Role Plan administrator
Date 2011-04-27
Name of individual signing BRUCE D. SHEPHARD
Valid signature Filed with authorized/valid electronic signature
BRUCE D. SHEPHARD, M.D., P.A. PROFIT SHARING PLAN 2009 593226151 2010-06-01 BRUCE D. SHEPHARD, M.D., P.A. 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1995-01-01
Business code 621111
Sponsor’s telephone number 8138762496
Plan sponsor’s address 4302 N HABANA AVE STE 300, TAMPA, FL, 336076368

Plan administrator’s name and address

Administrator’s EIN 593226151
Plan administrator’s name BRUCE D. SHEPHARD, M.D., P.A.
Plan administrator’s address 4302 N HABANA AVE STE 300, TAMPA, FL, 336076368
Administrator’s telephone number 8138762496

Signature of

Role Plan administrator
Date 2010-06-01
Name of individual signing BRUCE D. SHEPHARD
Valid signature Filed with authorized/valid electronic signature

Key Officers & Management

Name Role Address
SHEPHARD BRUCE D Manager 13014 N. Dale Mabry Hwy, TAMPA, FL, 33618
SHEPHARD BRUCE D Director 13014 N. Dale Mabry Hwy, TAMPA, FL, 33618
SHEPHARD BRUCE D Agent 13014 N. Dale Mabry Hwy, TAMPA, FL, 33618

Events

Event Type Filed Date Value Description
VOLUNTARY DISSOLUTION 2018-01-12 - -
CHANGE OF PRINCIPAL ADDRESS 2017-02-13 13014 N. Dale Mabry Hwy, #208, TAMPA, FL 33618 -
CHANGE OF MAILING ADDRESS 2017-02-13 13014 N. Dale Mabry Hwy, #208, TAMPA, FL 33618 -
REGISTERED AGENT ADDRESS CHANGED 2017-02-13 13014 N. Dale Mabry Hwy, #208, TAMPA, FL 33618 -
CANCEL ADM DISS/REV 2004-10-25 - -
ADMIN DISSOLUTION FOR ANNUAL REPORT 2004-10-01 - -
REGISTERED AGENT NAME CHANGED 1995-03-06 SHEPHARD, BRUCE D -

Documents

Name Date
ANNUAL REPORT 2017-02-13
ANNUAL REPORT 2016-01-25
ANNUAL REPORT 2015-01-13
ANNUAL REPORT 2014-01-19
ANNUAL REPORT 2013-01-27
ANNUAL REPORT 2012-01-07
ANNUAL REPORT 2011-01-31
ANNUAL REPORT 2010-01-26
ANNUAL REPORT 2009-03-31
ANNUAL REPORT 2008-01-11

Date of last update: 03 Apr 2025

Sources: Florida Department of State