Search icon

FOOT & ANKLE ASSOCIATES OF WEST FLORIDA, P.A.

Company Details

Entity Name: FOOT & ANKLE ASSOCIATES OF WEST FLORIDA, P.A.
Jurisdiction: FLORIDA
Filing Type: Florida Profit Corporation
Status: Inactive
Date Filed: 30 May 1995 (30 years ago)
Date of dissolution: 26 Sep 2014 (10 years ago)
Last Event: ADMIN DISSOLUTION FOR ANNUAL REPORT
Event Date Filed: 26 Sep 2014 (10 years ago)
Document Number: P95000044071
FEI/EIN Number 59-3321025
Address: 11373 CORTEZ BLVD, SUITE 305, BROOKSVILLE, FL 34613
Mail Address: 11373 CORTEZ BLVD, SUITE 305, BROOKSVILLE, FL 34613
ZIP code: 34613
County: Hernando
Place of Formation: FLORIDA

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
FOOT & ANKLE ASSOCIATES OF WEST FLORIDA, P.A. 401(K) PLAN 2013 593321025 2014-05-15 FOOT & ANKLE ASSOCIATES OF WEST FLORIDA, P.A. 2
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1994-01-01
Business code 621391
Sponsor’s telephone number 3525968348
Plan sponsor’s address 11373 CORTEZ BOULEVARD, SUITE 305, BROOKSVILLE, FL, 346135411

Signature of

Role Plan administrator
Date 2014-05-15
Name of individual signing CHARLES M. MILLER
Valid signature Filed with authorized/valid electronic signature
FOOT & ANKLE ASSOCIATES OF WEST FLORIDA, P.A. 401(K) PLAN 2012 593321025 2013-09-07 FOOT & ANKLE ASSOCIATES OF WEST FLORIDA, P.A. 3
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1994-01-01
Business code 621391
Sponsor’s telephone number 3525968348
Plan sponsor’s address 11373 CORTEZ BOULEVARD, SUITE 305, BROOKSVILLE, FL, 346135411

Signature of

Role Plan administrator
Date 2013-09-07
Name of individual signing CHARLES M. MILLER
Valid signature Filed with authorized/valid electronic signature
FOOT & ANKLE ASSOCIATES OF WEST FLORIDA, P.A. 401(K) PLAN 2011 593321025 2012-07-05 FOOT & ANKLE ASSOCIATES OF WEST FLORIDA, P.A. 3
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1994-01-01
Business code 621391
Sponsor’s telephone number 3525968348
Plan sponsor’s address 11373 CORTEZ BOULEVARD, SUITE 305, BROOKSVILLE, FL, 346135411

Plan administrator’s name and address

Administrator’s EIN 593321025
Plan administrator’s name FOOT & ANKLE ASSOCIATES OF WEST FLORIDA, P.A.
Plan administrator’s address 11373 CORTEZ BOULEVARD, SUITE 305, BROOKSVILLE, FL, 346135411
Administrator’s telephone number 3525968348

Signature of

Role Plan administrator
Date 2012-07-05
Name of individual signing CHARLES M. MILLER
Valid signature Filed with authorized/valid electronic signature
FOOT & ANKLE ASSOCIATES OF WEST FLORIDA, P.A. 401(K) PLAN 2010 593321025 2011-09-25 FOOT & ANKLE ASSOCIATES OF WEST FLORIDA, P.A. 3
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1994-01-01
Business code 621391
Sponsor’s telephone number 3525968348
Plan sponsor’s address 11373 CORTEZ BOULEVARD, SUITE 305, BROOKSVILLE, FL, 346135411

Plan administrator’s name and address

Administrator’s EIN 593321025
Plan administrator’s name FOOT & ANKLE ASSOCIATES OF WEST FLORIDA, P.A.
Plan administrator’s address 11373 CORTEZ BOULEVARD, SUITE 305, BROOKSVILLE, FL, 346135411
Administrator’s telephone number 3525968348

Signature of

Role Plan administrator
Date 2011-09-25
Name of individual signing CHARLES M. MILLER
Valid signature Filed with authorized/valid electronic signature
FOOT & ANKLE ASSOCIATES OF WEST FLORIDA, P.A. 401(K) PLAN 2009 593321025 2010-07-08 FOOT & ANKLE ASSOCIATES OF WEST FLORIDA, P.A. 3
Three-digit plan number (PN) 002
Effective date of plan 1994-01-01
Business code 621391
Sponsor’s telephone number 3525968348
Plan sponsor’s address 11373 CORTEZ BOULEVARD, SUITE 305, BROOKSVILLE, FL, 346135411

Plan administrator’s name and address

Administrator’s EIN 593321025
Plan administrator’s name FOOT & ANKLE ASSOCIATES OF WEST FLORIDA, P.A.
Plan administrator’s address 11373 CORTEZ BOULEVARD, SUITE 305, BROOKSVILLE, FL, 346135411
Administrator’s telephone number 3525968348

Signature of

Role Plan administrator
Date 2010-07-08
Name of individual signing CHARLES M. MILLER
Valid signature Filed with incorrect/unrecognized electronic signature
FOOT & ANKLE ASSOCIATES OF WEST FLORIDA, P.A. 401(K) PLAN 2009 593321025 2010-07-11 FOOT & ANKLE ASSOCIATES OF WEST FLORIDA, P.A. 3
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1994-01-01
Business code 621391
Sponsor’s telephone number 3525968348
Plan sponsor’s address 11373 CORTEZ BOULEVARD, SUITE 305, BROOKSVILLE, FL, 346135411

Plan administrator’s name and address

Administrator’s EIN 593321025
Plan administrator’s name FOOT & ANKLE ASSOCIATES OF WEST FLORIDA, P.A.
Plan administrator’s address 11373 CORTEZ BOULEVARD, SUITE 305, BROOKSVILLE, FL, 346135411
Administrator’s telephone number 3525968348

Signature of

Role Plan administrator
Date 2010-07-11
Name of individual signing CHARLES M. MILLER
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
GONZALES, LARRY J Agent 6645 RIDGE RD, PORT RICHEY, FL 34668

DPM

Name Role Address
MILLER, CHARLES M DPM 11373 CORTEZ BLVD, BROOKSVILLE, FL 34613

Events

Event Type Filed Date Value Description
ADMIN DISSOLUTION FOR ANNUAL REPORT 2014-09-26 No data No data
CHANGE OF PRINCIPAL ADDRESS 2009-02-25 11373 CORTEZ BLVD, SUITE 305, BROOKSVILLE, FL 34613 No data
CHANGE OF MAILING ADDRESS 2009-02-25 11373 CORTEZ BLVD, SUITE 305, BROOKSVILLE, FL 34613 No data

Documents

Name Date
ANNUAL REPORT 2013-04-24
ANNUAL REPORT 2012-02-02
ANNUAL REPORT 2011-01-18
ANNUAL REPORT 2010-04-13
ANNUAL REPORT 2009-02-25
ANNUAL REPORT 2008-01-24
ANNUAL REPORT 2007-01-25
ANNUAL REPORT 2006-03-24
ANNUAL REPORT 2005-02-28
ANNUAL REPORT 2004-03-15

Date of last update: 02 Feb 2025

Sources: Florida Department of State