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BLANE T. SHATKIN, M.D., P.A. - Florida Company Profile

Company Details

Entity Name: BLANE T. SHATKIN, M.D., P.A.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit

BLANE T. SHATKIN, 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: 17 Jan 1995 (30 years ago)
Date of dissolution: 28 Sep 2018 (7 years ago)
Last Event: ADMIN DISSOLUTION FOR ANNUAL REPORT
Event Date Filed: 28 Sep 2018 (7 years ago)
Document Number: P95000004597
FEI/EIN Number 650555661

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

Address: 7800 Sheridan St., PEMBROKE PINES, FL, 33024, US
Mail Address: 2200 S OCEAN LN APT 705, FT LAUDERDALE, FL, 33316, US
ZIP code: 33024
County: Broward
Place of Formation: FLORIDA

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
BLANE T. SHATKIN, M.D., P.A. PROFIT SHARING PLAN 2016 650555661 2017-02-08 BLANE T. SHATKIN, M.D., P.A. 2
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-01-01
Business code 621111
Sponsor’s telephone number 9543849997
Plan sponsor’s address 2200 S. OCEAN LANE, APT 705, FT. LAUDERDALE, FL, 33316
BLANE T. SHATKIN, M.D., P.A. PROFIT SHARING PLAN 2015 650555661 2016-06-15 BLANE T. SHATKIN, M.D., P.A. 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-01-01
Business code 621111
Sponsor’s telephone number 9543849997
Plan sponsor’s address 1604 TOWN CENTER BLVD., SUITE C, WESTON, FL, 33326
BLANE T. SHATKIN, M.D., P.A. PROFIT SHARING PLAN 2012 650555661 2013-07-02 BLANE T. SHATKIN, M.D., P.A. 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-01-01
Business code 621111
Sponsor’s telephone number 9543849997
Plan sponsor’s address 1604 TOWN CENTER BLVD., SUITE C, WESTON, FL, 33326

Signature of

Role Plan administrator
Date 2013-07-02
Name of individual signing BLANE T. SHATKIN, M.D.
Valid signature Filed with authorized/valid electronic signature
BLANE T. SHATKIN, M.D., P.A. PROFIT SHARING PLAN 2011 650555661 2012-04-11 BLANE T. SHATKIN, M.D., P.A. 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-01-01
Business code 621111
Sponsor’s telephone number 9543849997
Plan sponsor’s address 1604 TOWN CENTER BLVD., SUITE C, WESTON, FL, 33326

Plan administrator’s name and address

Administrator’s EIN 650555661
Plan administrator’s name BLANE T. SHATKIN, M.D., P.A.
Plan administrator’s address 1604 TOWN CENTER BLVD., SUITE C, WESTON, FL, 33326
Administrator’s telephone number 9543849997

Signature of

Role Plan administrator
Date 2012-04-11
Name of individual signing BLANE T. SHATKIN, M.D.
Valid signature Filed with authorized/valid electronic signature
BLANE T. SHATKIN, M.D., P.A. PROFIT SHARING PLAN 2010 650555661 2011-04-08 BLANE T. SHATKIN, M.D., P.A. 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-01-01
Business code 621111
Sponsor’s telephone number 9543849997
Plan sponsor’s address 1604 TOWN CENTER BLVD., SUITE C, WESTON, FL, 33326

Plan administrator’s name and address

Administrator’s EIN 650555661
Plan administrator’s name BLANE T. SHATKIN, M.D., P.A.
Plan administrator’s address 1604 TOWN CENTER BLVD., SUITE C, WESTON, FL, 33326
Administrator’s telephone number 9543849997

Signature of

Role Plan administrator
Date 2011-04-08
Name of individual signing BLANE T. SHATKIN, M.D.
Valid signature Filed with authorized/valid electronic signature

Key Officers & Management

Name Role Address
SHATKIN BLANE T Agent 7800 Sheridan St, PEMBROKE PINES, FL, 33024
SHATKIN BLANE T Director 2200 S OCEAN LN APT 705, FT LAUDERDALE, FL, 33316

Events

Event Type Filed Date Value Description
ADMIN DISSOLUTION FOR ANNUAL REPORT 2018-09-28 - -
REGISTERED AGENT ADDRESS CHANGED 2017-01-07 7800 Sheridan St, Wound Healing Center, PEMBROKE PINES, FL 33024 -
CHANGE OF PRINCIPAL ADDRESS 2017-01-07 7800 Sheridan St., Wound Healing Center, PEMBROKE PINES, FL 33024 -
CHANGE OF MAILING ADDRESS 2016-08-01 7800 Sheridan St., Wound Healing Center, PEMBROKE PINES, FL 33024 -
REINSTATEMENT 2010-10-06 - -
ADMIN DISSOLUTION FOR ANNUAL REPORT 2010-09-24 - -
CANCEL ADM DISS/REV 2006-10-04 - -
ADMIN DISSOLUTION FOR ANNUAL REPORT 2006-09-15 - -

Documents

Name Date
ANNUAL REPORT 2017-01-07
Reg. Agent Change 2016-08-01
ANNUAL REPORT 2016-01-16
ANNUAL REPORT 2015-01-12
ANNUAL REPORT 2014-01-13
ANNUAL REPORT 2013-01-07
ANNUAL REPORT 2012-01-04
ANNUAL REPORT 2011-01-20
REINSTATEMENT 2010-10-06
ANNUAL REPORT 2009-01-12

Date of last update: 02 Apr 2025

Sources: Florida Department of State