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  5. ROBERT P. COLLETTE, M.D., P.A.

ROBERT P. COLLETTE, M.D., P.A.

Company Details

Entity Name: ROBERT P. COLLETTE, M.D., P.A.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Active
Date Filed: 19 May 1997 (28 years ago)
Last Event: REINSTATEMENT
Event Date Filed: 01 Oct 2012 (12 years ago)
Document Number: P97000044274
FEI/EIN Number 593466213
Address: 763 HARLEY STRICKLAND BLVD, ORANGE CITY, FL, 32763
Mail Address: 763 HARLEY STRICKLAND BLVD, ORANGE CITY, FL, 32763
ZIP code: 32763
County: Volusia
Place of Formation: FLORIDA

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
ROBERT P. COLLETTE, M.D., P.A. 401(K) PROFIT SHARING PLAN 2023 593466213 2024-03-13 ROBERT P. COLLETTE, M.D., P.A. 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1999-01-01
Business code 621111
Sponsor’s telephone number 3867754467
Plan sponsor’s address 763 HARLEY STRICKLAND BLVD., ORANGE CITY, FL, 32763

Signature of
Role Plan administrator
Date 2024-03-13
Name of individual signing ROBERT P. COLLETTE, M.D.
Valid signature Filed with authorized/valid electronic signature
ROBERT P. COLLETTE, M.D., P.A. CASH BALANCE PENSION PLAN 2023 593466213 2024-03-14 ROBERT P. COLLETTE, M.D., P.A. 5
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2012-01-01
Business code 621111
Sponsor’s telephone number 3867754467
Plan sponsor’s address 763 HARLEY STRICKLAND BLVD., ORANGE CITY, FL, 32763

Signature of
Role Plan administrator
Date 2024-03-14
Name of individual signing ROBERT P. COLLETTE, M.D.
Valid signature Filed with authorized/valid electronic signature
ROBERT P. COLLETTE, M.D., P.A. CASH BALANCE PENSION PLAN 2022 593466213 2023-06-29 ROBERT P. COLLETTE, M.D., P.A. 5
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2012-01-01
Business code 621111
Sponsor’s telephone number 3867754467
Plan sponsor’s address 763 HARLEY STRICKLAND BLVD., ORANGE CITY, FL, 32763

Signature of
Role Plan administrator
Date 2023-06-29
Name of individual signing ROBERT P. COLLETTE, M.D.
Valid signature Filed with authorized/valid electronic signature
ROBERT P. COLLETTE, M.D., P.A. 401(K) PROFIT SHARING PLAN 2022 593466213 2023-06-29 ROBERT P. COLLETTE, M.D., P.A. 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1999-01-01
Business code 621111
Sponsor’s telephone number 3867754467
Plan sponsor’s address 763 HARLEY STRICKLAND BLVD., ORANGE CITY, FL, 32763

Signature of
Role Plan administrator
Date 2023-06-29
Name of individual signing ROBERT P. COLLETTE, M.D.
Valid signature Filed with authorized/valid electronic signature
ROBERT P. COLLETTE, M.D., P.A. 401(K) PROFIT SHARING PLAN 2021 593466213 2022-07-25 ROBERT P. COLLETTE, M.D., P.A. 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1999-01-01
Business code 621111
Sponsor’s telephone number 3867754467
Plan sponsor’s address 763 HARLEY STRICKLAND BLVD., ORANGE CITY, FL, 32763

Signature of
Role Plan administrator
Date 2022-07-25
Name of individual signing ROBERT P. COLLETTE, M.D.
Valid signature Filed with authorized/valid electronic signature
ROBERT P. COLLETTE, M.D., P.A. CASH BALANCE PENSION PLAN 2021 593466213 2022-07-25 ROBERT P. COLLETTE, M.D., P.A. 5
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2012-01-01
Business code 621111
Sponsor’s telephone number 3867754467
Plan sponsor’s address 763 HARLEY STRICKLAND BLVD., ORANGE CITY, FL, 32763

Signature of
Role Plan administrator
Date 2022-07-25
Name of individual signing ROBERT P. COLLETTE, M.D.
Valid signature Filed with authorized/valid electronic signature
ROBERT P. COLLETTE, M.D., P.A. CASH BALANCE PENSION PLAN 2020 593466213 2021-10-08 ROBERT P. COLLETTE, M.D., P.A. 5
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2012-01-01
Business code 621111
Sponsor’s telephone number 3867754467
Plan sponsor’s address 763 HARLEY STRICKLAND BLVD., ORANGE CITY, FL, 32763

Signature of
Role Plan administrator
Date 2021-10-08
Name of individual signing ROBERT P. COLLETTE, M.D.
Valid signature Filed with authorized/valid electronic signature
ROBERT P. COLLETTE, M.D., P.A. 401(K) PROFIT SHARING PLAN 2020 593466213 2021-10-06 ROBERT P. COLLETTE, M.D., P.A. 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1999-01-01
Business code 621111
Sponsor’s telephone number 3867754467
Plan sponsor’s address 763 HARLEY STRICKLAND BLVD., ORANGE CITY, FL, 32763

Signature of
Role Plan administrator
Date 2021-10-06
Name of individual signing ROBERT P. COLLETTE, M.D.
Valid signature Filed with authorized/valid electronic signature
ROBERT P. COLLETTE, M.D., P.A. 401(K) PROFIT SHARING PLAN 2019 593466213 2020-08-05 ROBERT P. COLLETTE, M.D., P.A. 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1999-01-01
Business code 621111
Sponsor’s telephone number 3867754467
Plan sponsor’s address 763 HARLEY STRICKLAND BLVD., ORANGE CITY, FL, 32763

Signature of
Role Plan administrator
Date 2020-08-05
Name of individual signing ROBERT P. COLLETTE, M.D.
Valid signature Filed with authorized/valid electronic signature
ROBERT P. COLLETTE, M.D., P.A. CASH BALANCE PENSION PLAN 2019 593466213 2020-10-15 ROBERT P. COLLETTE, M.D., P.A. 4
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2012-01-01
Business code 621111
Sponsor’s telephone number 3867754467
Plan sponsor’s address 763 HARLEY STRICKLAND BLVD., ORANGE CITY, FL, 32763

Signature of
Role Plan administrator
Date 2020-10-15
Name of individual signing ROBERT P. COLLETTE, M.D.
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
COLLETTE ROBERT P Agent 763 HARLEY STRICKLAND BLVD, ORANGE CITY, FL, 32763

Director

Name Role Address
COLLETTE ROBERT P Director 763 HARLEY STRICKLAND BLVD, ORANGE CITY, FL, 32763

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G22000062991 ADVANCED SINUS EAR NOSE & THROAT ACTIVE 2022-05-19 2027-12-31 No data 763 HARLEY STRICKLAND BLVD, ORANGE CITY, FL, 32763
G22000062994 ORLANDO SINUS SURGERY ACTIVE 2022-05-19 2027-12-31 No data 763 HARLEY STRICKLAND BLVD, ORANGE CITY, FL, 32763

Events

Event Type Filed Date Value Description
REINSTATEMENT 2012-10-01 No data No data
ADMIN DISSOLUTION FOR ANNUAL REPORT 2012-09-28 No data No data
PENDING REINSTATEMENT 2011-09-30 No data No data
REINSTATEMENT 2011-09-29 No data No data
ADMIN DISSOLUTION FOR ANNUAL REPORT 2010-09-24 No data No data
CHANGE OF PRINCIPAL ADDRESS 2004-02-02 763 HARLEY STRICKLAND BLVD, ORANGE CITY, FL 32763 No data
CHANGE OF MAILING ADDRESS 2004-02-02 763 HARLEY STRICKLAND BLVD, ORANGE CITY, FL 32763 No data
REGISTERED AGENT ADDRESS CHANGED 2004-02-02 763 HARLEY STRICKLAND BLVD, ORANGE CITY, FL 32763 No data

Documents

Name Date
ANNUAL REPORT 2024-02-24
ANNUAL REPORT 2023-03-02
ANNUAL REPORT 2022-04-12
ANNUAL REPORT 2021-03-17
ANNUAL REPORT 2020-03-05
ANNUAL REPORT 2019-01-16
ANNUAL REPORT 2018-01-17
ANNUAL REPORT 2017-03-14
ANNUAL REPORT 2016-01-24
ANNUAL REPORT 2015-03-10

Related by officers

COLLETTE ROBERT P

COLLETTE FAMILY LLLP COLLETTE ORANGE CITY LLLP

Related by address

763 HARLEY STRICKLAND BLVD, ORANGE CITY, FL, 32763

TEMPLE LAW, PLLC

763 HARLEY STRICKLAND BLVD, ORANGE CITY, FL, 32763

TEMPLE LAW, PLLC

Date of last update: 02 Feb 2025

Sources: Florida Department of State

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