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  5. MID-BAY MEDICAL SERVICES, P.A.

MID-BAY MEDICAL SERVICES, P.A.

Company Details

Entity Name: MID-BAY MEDICAL SERVICES, P.A.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Inactive
Date Filed: 20 Dec 1994 (30 years ago)
Date of dissolution: 31 Mar 2022 (3 years ago)
Last Event: VOLUNTARY DISSOLUTION
Event Date Filed: 31 Mar 2022 (3 years ago)
Document Number: P94000091868
FEI/EIN Number 593284557
Address: 6101 Webb Rd, TAMPA, FL, 33615, US
Mail Address: P.O. Box 35160, St. Petersburg, FL, 33705, US
ZIP code: 33615
County: Hillsborough
Place of Formation: FLORIDA

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
MID-BAY MEDICAL SERVICES, P. A. 401(K) PLAN 2015 593284557 2016-10-08 MID-BAY MEDICAL SERVICES, P. A. 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1995-01-01
Business code 621111
Sponsor’s telephone number 8138778366
Plan sponsor’s address P.O. BOX 25293, TAMPA, FL, 33622

Signature of
Role Plan administrator
Date 2016-10-08
Name of individual signing JORGE L. CHAUMONT
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2016-10-08
Name of individual signing JORGE L. CHAUMONT
Valid signature Filed with authorized/valid electronic signature
MID-BAY MEDICAL SERVICES, P. A. 401(K) PLAN 2015 593284557 2016-12-27 MID-BAY MEDICAL SERVICES, P. A. 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1995-01-01
Business code 621111
Sponsor’s telephone number 8138778366
Plan sponsor’s address P.O. BOX 25293, TAMPA, FL, 33622

Signature of
Role Plan administrator
Date 2016-12-27
Name of individual signing JORGE L. CHAUMONT
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2016-12-27
Name of individual signing JORGE L. CHAUMONT
Valid signature Filed with authorized/valid electronic signature
MID-BAY MEDICAL SERVICES, P. A. 401(K) PLAN 2015 593284557 2016-07-22 MID-BAY MEDICAL SERVICES, P. A. 3
Three-digit plan number (PN) 001
Effective date of plan 1995-01-01
Business code 621111
Sponsor’s telephone number 8138778366
Plan sponsor’s address P.O. BOX 25293, TAMPA, FL, 33622

Signature of
Role Plan administrator
Date 2016-07-22
Name of individual signing JORGE L. CHAUMONT
Valid signature Filed with authorized/valid electronic signature
MID-BAY MEDICAL SERVICES, P. A. PENSION PLAN 2014 593284557 2015-11-18 MID-BAY MEDICAL SERVICES, P. A. 1
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2008-01-01
Business code 621111
Sponsor’s telephone number 8138778366
Plan sponsor’s address P.O. BOX 25293, TAMPA, FL, 33622

Signature of
Role Plan administrator
Date 2015-11-18
Name of individual signing JORGE L. CHAUMONT
Valid signature Filed with authorized/valid electronic signature
MID-BAY MEDICAL SERVICES, P. A. PENSION PLAN 2014 593284557 2015-10-09 MID-BAY MEDICAL SERVICES, P. A. 3
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2008-01-01
Business code 621111
Sponsor’s telephone number 8138778366
Plan sponsor’s address P.O. BOX 25293, TAMPA, FL, 33622

Signature of
Role Plan administrator
Date 2015-10-09
Name of individual signing JORGE L. CHAUMONT
Valid signature Filed with authorized/valid electronic signature
MID-BAY MEDICAL SERVICES, P. A. 401(K) PLAN 2014 593284557 2015-08-24 MID-BAY MEDICAL SERVICES, P. A. 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1995-01-01
Business code 621111
Sponsor’s telephone number 8138778366
Plan sponsor’s address P.O. BOX 25293, TAMPA, FL, 33622

Signature of
Role Plan administrator
Date 2015-08-24
Name of individual signing JORGE L. CHAUMONT
Valid signature Filed with authorized/valid electronic signature
MID-BAY MEDICAL SERVICES, P.A. 401(K) PLAN 2013 593284557 2014-10-09 MID-BAY MEDICAL SERVICES, P.A. 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1995-01-01
Business code 621111
Sponsor’s telephone number 8138778366
Plan sponsor’s address 2305 W DR MARTIN L KING JR BLVD, TAMPA, FL, 336076405

Signature of
Role Plan administrator
Date 2014-10-09
Name of individual signing JORGE L. CHAUMONT
Valid signature Filed with authorized/valid electronic signature
MID-BAY MEDICAL SERVICES, P.A. PENSION PLAN 2013 593284557 2014-10-09 MID-BAY MEDICAL SERVICES, P.A. 3
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2008-01-01
Business code 621111
Sponsor’s telephone number 8138778366
Plan sponsor’s address 2305 W DR MARTIN L KING JR BLVD, TAMPA, FL, 336076405

Signature of
Role Plan administrator
Date 2014-10-09
Name of individual signing JORGE L. CHAUMONT
Valid signature Filed with authorized/valid electronic signature
MID-BAY MEDICAL SERVICES, P.A. 401(K) PLAN 2012 593284557 2013-10-14 MID-BAY MEDICAL SERVICES, P.A. 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1995-01-01
Business code 621111
Sponsor’s telephone number 8138778366
Plan sponsor’s address 2305 W DR MARTIN L KING JR BLVD, TAMPA, FL, 336076405

Signature of
Role Plan administrator
Date 2013-10-14
Name of individual signing JORGE L. CHAUMONT
Valid signature Filed with authorized/valid electronic signature
MID-BAY MEDICAL SERVICES, P.A. PENSION PLAN 2012 593284557 2013-10-14 MID-BAY MEDICAL SERVICES, P.A. 3
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2008-01-01
Business code 621111
Sponsor’s telephone number 8138778366
Plan sponsor’s address 2305 W DR MARTIN L KING JR BLVD, TAMPA, FL, 336076405

Signature of
Role Plan administrator
Date 2013-10-14
Name of individual signing JORGE L. CHAUMONT
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
CHAUMONT JORGE L Agent 6101 Webb Rd, TAMPA, FL, 33615

Director

Name Role Address
CHAUMONT JORGE L Director P.O. Box 35160, St. Petersburg, FL, 33705

Manager

Name Role Address
ABLES BETH A Manager P.O. Box 35160, St. Petersburg, FL, 33705

Events

Event Type Filed Date Value Description
VOLUNTARY DISSOLUTION 2022-03-31 No data No data
CHANGE OF MAILING ADDRESS 2021-02-06 6101 Webb Rd, Suite 209, TAMPA, FL 33615 No data
CHANGE OF PRINCIPAL ADDRESS 2020-01-20 6101 Webb Rd, Suite 209, TAMPA, FL 33615 No data
REGISTERED AGENT ADDRESS CHANGED 2020-01-20 6101 Webb Rd, Suite 209, TAMPA, FL 33615 No data

Documents

Name Date
VOLUNTARY DISSOLUTION 2022-03-31
ANNUAL REPORT 2021-02-06
ANNUAL REPORT 2020-01-20
ANNUAL REPORT 2019-03-13
ANNUAL REPORT 2018-01-15
ANNUAL REPORT 2017-01-12
ANNUAL REPORT 2016-01-27
ANNUAL REPORT 2015-02-28
ANNUAL REPORT 2014-01-14
ANNUAL REPORT 2013-02-01

Related by officers

CHAUMONT JORGE L

EXPERT ADVISORS, LLC MAYIA LIMITED PARTNERSHIP #1 JORGE L. CHAUMONT, M.D. PROFESSIONAL ASSOCIATION

Related by address

No related companies by address

Date of last update: 03 Feb 2025

Sources: Florida Department of State

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