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  5. CATHERINE A. CLAYTON, M.D., P.A.

CATHERINE A. CLAYTON, M.D., P.A.

Company Details

Entity Name: CATHERINE A. CLAYTON, M.D., P.A.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Active
Date Filed: 19 Dec 1996 (28 years ago)
Document Number: P96000102537
FEI/EIN Number 593418238
Address: 2900 West Bay To Bay Blvd, Tampa, FL, 33629, US
Mail Address: 2900 West Bay To Bay Blvd, Tampa, FL, 33629, US
ZIP code: 33629
County: Hillsborough
Place of Formation: FLORIDA

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
CATHERINE A. CLAYTON, M.D.P.A. PROFIT SHARING PLAN 2015 593418238 2016-06-06 CATHERINE A. CLAYTON, M.D.P.A. 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1994-01-01
Business code 621111
Sponsor’s telephone number 8137522812
Plan sponsor’s mailing address 3206 POLO PL, PLANT CITY, FL, 335666700
Plan sponsor’s address 3206 POLO PL, PLANT CITY, FL, 335666700

Number of participants as of the end of the plan year
Active participants 0
Retired or separated participants receiving benefits 0
Number of participants with account balances as of the end of the plan year 0
Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 0

Signature of
Role Plan administrator
Date 2016-06-06
Name of individual signing CATHERINE CLAYTON
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2016-06-06
Name of individual signing CATHERINE CLAYTON
Valid signature Filed with authorized/valid electronic signature
CATHERINE A. CLAYTON, M.D.P.A. PROFIT SHARING PLAN 2014 593418238 2015-07-01 CATHERINE A. CLAYTON, M.D.P.A. 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1994-01-01
Business code 621111
Sponsor’s telephone number 8137522812
Plan sponsor’s mailing address 3206 POLO PLACE, PLANT CITY, FL, 33566
Plan sponsor’s address 3206 POLO PLACE, PLANT CITY, FL, 33566

Number of participants as of the end of the plan year
Active participants 5
Number of participants with account balances as of the end of the plan year 5
Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 0

Signature of
Role Plan administrator
Date 2015-07-01
Name of individual signing CATHERINE CLAYTON
Valid signature Filed with authorized/valid electronic signature
CATHERINE A. CLAYTON, M.D.P.A. PROFIT SHARING PLAN 2013 593418238 2014-06-30 CATHERINE A. CLAYTON, M.D. P.A. 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1994-01-01
Business code 621111
Sponsor’s telephone number 8137522812
Plan sponsor’s mailing address 110 SOUTHERN OAKS DRIVE, PLANT CITY, FL, 33563
Plan sponsor’s address 110 SOUTHERN OAKS DRIVE, PLANT CITY, FL, 33563

Number of participants as of the end of the plan year
Active participants 5
Retired or separated participants receiving benefits 1
Number of participants with account balances as of the end of the plan year 5
Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 0

Signature of
Role Plan administrator
Date 2014-06-30
Name of individual signing CATHERINE CLAYTON
Valid signature Filed with authorized/valid electronic signature
CATHERINE A. CLAYTON, M.D.P.A. PROFIT SHARING PLAN 2012 593418238 2013-07-11 CATHERINE A. CLAYTON, M.D., P. A. 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1994-01-01
Business code 621111
Plan sponsor’s mailing address 110 SOUTHERN OAKS DRIVE, PLANT CITY, FL, 33563
Plan sponsor’s address 110 SOUTHERN OAKS DRIVE, PLANT CITY, FL, 33563

Number of participants as of the end of the plan year
Active participants 4
Retired or separated participants receiving benefits 1
Other retired or separated participants entitled to future benefits 0
Number of participants with account balances as of the end of the plan year 5
Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 0

Signature of
Role Plan administrator
Date 2013-07-11
Name of individual signing CATHERINE CLAYTON
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2013-07-11
Name of individual signing CATHERINE CLAYTON
Valid signature Filed with authorized/valid electronic signature
CATHERINE A. CLAYTON, M.D., P.A. PROFIT SHARING PLAN 2011 593418238 2013-07-11 CATHERINE A. CLAYTON, M.D., P.A. 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1994-01-01
Business code 621111
Plan sponsor’s mailing address 110 SOUTHERN OAKS DRIVE, PLANT CITY, FL, 33563
Plan sponsor’s address 110 SOUTHERN OAKS DRIVE, PLANT CITY, FL, 33563

Plan administrator’s name and address
Administrator’s EIN 593418238
Plan administrator’s name CATHERINE A. CLAYTON, M.D., P.A.
Plan administrator’s address 110 SOUTHERN OAKS DRIVE, PLANT CITY, FL, 33563

Number of participants as of the end of the plan year
Active participants 4
Retired or separated participants receiving benefits 2
Other retired or separated participants entitled to future benefits 0
Deceased participants whose beneficiaries are receiving or are entitled to receive benefits 0
Number of participants with account balances as of the end of the plan year 4
Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 0

Signature of
Role Plan administrator
Date 2013-07-11
Name of individual signing CATHERINE CLAYTON
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2013-07-11
Name of individual signing CATHERINE CLAYTON
Valid signature Filed with authorized/valid electronic signature
CATHERINE A. CLAYTON, M.D., P.A. PROFIT SHARING PLAN 2011 593418238 2013-07-11 CATHERINE A. CLAYTON, M.D., P.A. 4
Three-digit plan number (PN) 001
Effective date of plan 1994-01-01
Business code 621111
Plan sponsor’s mailing address 110 SOUTHERN OAKS DRIVE, PLANT CITY, FL, 33563
Plan sponsor’s address 110 SOUTHERN OAKS DRIVE, PLANT CITY, FL, 33563

Plan administrator’s name and address
Administrator’s EIN 593418238
Plan administrator’s name CATHERINE A. CLAYTON, M.D., P.A.
Plan administrator’s address 110 SOUTHERN OAKS DRIVE, PLANT CITY, FL, 33563

Number of participants as of the end of the plan year
Active participants 4
Retired or separated participants receiving benefits 2
Other retired or separated participants entitled to future benefits 0
Deceased participants whose beneficiaries are receiving or are entitled to receive benefits 0
Number of participants with account balances as of the end of the plan year 4
Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 0

Signature of
Role Plan administrator
Date 2013-07-11
Name of individual signing CATHERINE CLAYTON
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2013-07-11
Name of individual signing CATHERINE CLAYTON
Valid signature Filed with authorized/valid electronic signature
CATHERINE A. CLAYTON, M.D., P.A. PROFIT SHARING PLAN 2010 593418238 2011-07-11 CATHERINE A. CLAYTON, M.D., P.A. 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1994-01-01
Business code 621111
Sponsor’s telephone number 8137520757
Plan sponsor’s mailing address 110 SOUTHERN OAKS DRIVE, PLANT CITY, FL, 33563
Plan sponsor’s address 110 SOUTHERN OAKS DRIVE, PLANT CITY, FL, 33563

Plan administrator’s name and address
Administrator’s EIN 593418238
Plan administrator’s name CATHERINE A. CLAYTON, M.D., P.A.
Plan administrator’s address 110 SOUTHERN OAKS DRIVE, PLANT CITY, FL, 33563
Administrator’s telephone number 8137520757

Number of participants as of the end of the plan year
Active participants 4
Retired or separated participants receiving benefits 0
Other retired or separated participants entitled to future benefits 0
Number of participants with account balances as of the end of the plan year 4
Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 0

Signature of
Role Plan administrator
Date 2011-07-11
Name of individual signing CATHERINE CLAYTON
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
CLAYTON CATHERINE AMD Agent 2900 West Bay To Bay Blvd, Tampa, FL, 33629

Director

Name Role Address
CLAYTON CATHERINE AMD Director 2900 West Bay To Bay Blvd, Tampa, FL, 33629

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2024-01-29 2900 West Bay To Bay Blvd, Unit 1201, Tampa, FL 33629 No data
CHANGE OF MAILING ADDRESS 2024-01-29 2900 West Bay To Bay Blvd, Unit 1201, Tampa, FL 33629 No data
REGISTERED AGENT ADDRESS CHANGED 2024-01-29 2900 West Bay To Bay Blvd, Unit 1201, Tampa, FL 33629 No data
REGISTERED AGENT NAME CHANGED 2013-01-30 CLAYTON, CATHERINE A, MD No data

Documents

Name Date
ANNUAL REPORT 2025-02-01
ANNUAL REPORT 2024-01-29
ANNUAL REPORT 2023-01-30
ANNUAL REPORT 2022-01-26
ANNUAL REPORT 2021-01-19
ANNUAL REPORT 2020-03-31
ANNUAL REPORT 2019-02-13
ANNUAL REPORT 2018-02-07
ANNUAL REPORT 2017-01-10
ANNUAL REPORT 2016-02-01

Related by officers

No related officers

Related by address

No related companies by address

Date of last update: 02 Feb 2025

Sources: Florida Department of State

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