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  5. MEDSTAT BILLING COMPANY

MEDSTAT BILLING COMPANY

Company Details

Entity Name: MEDSTAT BILLING COMPANY
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Inactive
Date Filed: 25 Sep 1996 (28 years ago)
Date of dissolution: 01 Aug 2024 (7 months ago)
Last Event: VOLUNTARY DISSOLUTION
Event Date Filed: 01 Aug 2024 (7 months ago)
Document Number: P96000079529
FEI/EIN Number 593403215
Address: 2311 Buckingham Avenue, Lakeland, FL, 33803, US
Mail Address: 2311 Buckingham Avenue, Lakeland, FL, 33803, US
ZIP code: 33803
County: Polk
Place of Formation: FLORIDA

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
MEDSTAT BILLING COMPANY 401K PROFIT SHARING PLAN 2019 593403215 2020-07-22 MEDSTAT BILLING COMPANY 11
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2011-09-01
Business code 561110
Sponsor’s telephone number 8137547756
Plan sponsor’s address 102 S EVERS STREET, SUITE 104, PLANT CITY, FL, 33563

Signature of
Role Plan administrator
Date 2020-07-22
Name of individual signing MARY HEYSEK
Valid signature Filed with authorized/valid electronic signature
MEDSTAT BILLING COMPANY 401K PROFIT SHARING PLAN 2018 593403215 2019-09-25 MEDSTAT BILLING COMPANY 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2011-09-01
Business code 561110
Sponsor’s telephone number 8137547756
Plan sponsor’s address 102 S EVERS STREET, SUITE 104, PLANT CITY, FL, 33563

Signature of
Role Plan administrator
Date 2019-09-25
Name of individual signing MARY HEYSEK
Valid signature Filed with authorized/valid electronic signature
MEDSTAT BILLING COMPANY 401K PROFIT SHARING PLAN 2017 593403215 2018-07-30 MEDSTAT BILLING COMPANY 12
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2011-09-01
Business code 561110
Sponsor’s telephone number 8137547756
Plan sponsor’s address 102 S EVERS STREET, SUITE 104, PLANT CITY, FL, 33563

Signature of
Role Plan administrator
Date 2018-07-30
Name of individual signing MARY HEYSEK
Valid signature Filed with authorized/valid electronic signature
MEDSTAT BILLING COMPANY 401K PROFIT SHARING PLAN 2016 593403215 2017-06-15 MEDSTAT BILLING COMPANY 12
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2011-09-01
Business code 561110
Sponsor’s telephone number 8137547756
Plan sponsor’s address 102 S EVERS STREET, SUITE 104, PLANT CITY, FL, 33563

Signature of
Role Plan administrator
Date 2017-06-15
Name of individual signing MARY HEYSEK
Valid signature Filed with authorized/valid electronic signature
MEDSTAT BILLING COMPANY 401K PROFIT SHARING PLAN 2015 593403215 2016-06-08 MEDSTAT BILLING COMPANY 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2011-09-01
Business code 561110
Sponsor’s telephone number 8137547756
Plan sponsor’s address 1514 S ALEXANDER ST STE 204, PLANT CITY, FL, 33563

Signature of
Role Plan administrator
Date 2016-06-08
Name of individual signing MARY HEYSEK
Valid signature Filed with authorized/valid electronic signature
MEDSTAT BILLING COMPANY 401K PROFIT SHARING PLAN 2014 593403215 2015-10-12 MEDSTAT BILLING COMPANY 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2011-09-01
Business code 561110
Sponsor’s telephone number 8137634660
Plan sponsor’s address 1514 S ALEXANDER ST STE 204, PLANT CITY, FL, 33566

Signature of
Role Plan administrator
Date 2015-10-12
Name of individual signing MARY HEYSEK
Valid signature Filed with authorized/valid electronic signature
MEDSTAT BILLING COMPANY 401K PROFIT SHARING PLAN 2013 593403215 2015-10-12 MEDSTAT BILLING COMPANY 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2011-09-01
Sponsor’s telephone number 8137634660
Plan sponsor’s address 1514 S ALEXANDER ST STE 204, PLANT CITY, FL, 33566

Signature of
Role Plan administrator
Date 2015-10-12
Name of individual signing MARY HEYSEK
Valid signature Filed with authorized/valid electronic signature
MEDSTAT BILLING COMPANY 401K PROFIT SHARING PLAN 2012 593403215 2015-10-12 MEDSTAT BILLING COMPANY 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2011-09-01
Sponsor’s telephone number 8137634660
Plan sponsor’s address 1514 S ALEXANDER ST STE 204, PLANT CITY, FL, 33566

Signature of
Role Plan administrator
Date 2015-10-12
Name of individual signing MARY HEYSEK
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
CASTAGNO JOSEPH Agent 2311 Buckingham Avenue, Lakeland, FL, 33803

Manager

Name Role Address
CASTAGNO JOSEPH Manager 2311 Buckingham Avenue, Lakeland, FL, 33803

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G20000155029 MEDSTAT HEALTHCARE SERVICES ACTIVE 2020-12-07 2025-12-31 No data 102 S EVERS ST, STE 104, PLANT CITY, FL, 33563

Events

Event Type Filed Date Value Description
VOLUNTARY DISSOLUTION 2024-08-01 No data No data
REGISTERED AGENT ADDRESS CHANGED 2023-04-19 2311 Buckingham Avenue, Lakeland, FL 33803 No data
CHANGE OF PRINCIPAL ADDRESS 2023-04-19 2311 Buckingham Avenue, Lakeland, FL 33803 No data
CHANGE OF MAILING ADDRESS 2023-04-19 2311 Buckingham Avenue, Lakeland, FL 33803 No data
REINSTATEMENT 2011-04-20 No data No data
ADMIN DISSOLUTION FOR ANNUAL REPORT 2010-09-24 No data No data
REGISTERED AGENT NAME CHANGED 2006-01-17 CASTAGNO, JOSEPH No data
AMENDED AND RESTATEDARTICLES 2006-01-17 No data No data

Documents

Name Date
VOLUNTARY DISSOLUTION 2024-08-01
ANNUAL REPORT 2024-04-22
ANNUAL REPORT 2023-04-19
ANNUAL REPORT 2022-03-25
ANNUAL REPORT 2021-03-15
AMENDED ANNUAL REPORT 2020-08-07
ANNUAL REPORT 2020-04-17
ANNUAL REPORT 2019-02-22
ANNUAL REPORT 2018-01-17
ANNUAL REPORT 2017-03-17

Related by officers

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Related by address

No related companies by address

Date of last update: 03 Feb 2025

Sources: Florida Department of State

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