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  5. PETER C. SMITH, M.D., P.A.

PETER C. SMITH, M.D., P.A.

Company Details

Entity Name: PETER C. SMITH, M.D., P.A.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Inactive
Date Filed: 09 Jun 1997 (28 years ago)
Document Number: P97000050922
FEI/EIN Number 593460970
Address: 610 LAKEVIEW RD, CLEARWATER, FL, 33756, US
Mail Address: 610 LAKEVIEW RD, CLEARWATER, FL, 33756, US
ZIP code: 33756
County: Pinellas
Place of Formation: FLORIDA

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
PETER C. SMITH, M.D., P.A. 401(K) PLAN 2022 593460970 2023-03-03 PETER C. SMITH, M.D., P.A. 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-01-01
Business code 621111
Sponsor’s telephone number 7277896036
Plan sponsor’s address 1931 SADDLE HILL RD N, DUNEDIN, FL, 34698

Signature of
Role Plan administrator
Date 2023-03-03
Name of individual signing PETER CHRISTIAN SMITH
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2023-03-03
Name of individual signing PETER CHRISTIAN SMITH
Valid signature Filed with authorized/valid electronic signature
PETER C. SMITH, M. D. , P. A. 2022 593460970 2023-03-03 PETER C. SMITH, M.D., P.A. 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-01-01
Business code 621111
Sponsor’s telephone number 7277896036
Plan sponsor’s address 1931 SADDLE HILL RD N, DUNEDIN, FL, 34698

Signature of
Role Plan administrator
Date 2023-03-03
Name of individual signing PETER CHRISTIAN SMITH
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2023-03-03
Name of individual signing PETER CHRISTIAN SMITH
Valid signature Filed with authorized/valid electronic signature
PETER C. SMITH, M.D., P.A. 401(K) PLAN 2021 593460970 2022-12-14 PETER C. SMITH, M.D., P.A. 5
Three-digit plan number (PN) 001
Effective date of plan 2003-01-01
Business code 621111
Sponsor’s telephone number 7277896036
Plan sponsor’s address 1931 SADDLE HILL RD N, DUNEDIN, FL, 34698

Signature of
Role Plan administrator
Date 2022-12-14
Name of individual signing PETER CHRISTIAN SMITH
Valid signature Filed with authorized/valid electronic signature
PETER C. SMITH, M.D., P.A. 401(K) PLAN 2021 593460970 2022-05-24 PETER C. SMITH, M.D., P.A. 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-01-01
Business code 621111
Sponsor’s telephone number 7275152677
Plan sponsor’s address 1931 SADDLE HILL RD NORTH, DUNEDIN, FL, 34698

Signature of
Role Plan administrator
Date 2022-05-24
Name of individual signing PETER SMITH
Valid signature Filed with authorized/valid electronic signature
PETER C. SMITH, M.D., P.A. 401(K) PLAN 2020 593460970 2022-05-04 PETER C. SMITH, M.D., P.A. 11
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-01-01
Business code 621111
Sponsor’s telephone number 7277896036
Plan sponsor’s address 1931 SADDLE HILL RD N, DUNEDIN, FL, 34698

Signature of
Role Plan administrator
Date 2022-05-04
Name of individual signing PETER SMITH
Valid signature Filed with authorized/valid electronic signature
PETER C. SMITH, M.D., P.A. 401(K) PLAN 2019 593460970 2020-08-04 PETER C. SMITH, M.D., P.A. 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-01-01
Business code 621111
Sponsor’s telephone number 7277896036
Plan sponsor’s address 1931 SADDLE HILL RD N, DUNEDIN, FL, 34698

Signature of
Role Plan administrator
Date 2020-08-04
Name of individual signing PETER SMITH
Valid signature Filed with authorized/valid electronic signature
PETER C. SMITH, M.D., P.A. 401(K) PLAN 2018 593460970 2019-05-30 PETER C. SMITH, M.D., P.A. 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-01-01
Business code 621111
Sponsor’s telephone number 7277896036
Plan sponsor’s address 1931 SADDLE HILL RD N, DUNEDIN, FL, 34698

Signature of
Role Plan administrator
Date 2019-05-30
Name of individual signing PETER SMITH
Valid signature Filed with authorized/valid electronic signature
PETER C. SMITH, M.D., P.A. 401(K) PLAN 2017 593460970 2018-06-19 PETER C. SMITH, M.D., P.A. 11
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-01-01
Business code 621111
Sponsor’s telephone number 7277896036
Plan sponsor’s address 1931 SADDLE HILL RD N, DUNEDIN, FL, 34698

Signature of
Role Plan administrator
Date 2018-06-19
Name of individual signing PETER SMITH
Valid signature Filed with authorized/valid electronic signature
PETER C. SMITH, M.D., P.A. 401(K) PLAN 2016 593460970 2017-06-17 PETER C. SMITH, M.D., P.A. 11
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-01-01
Business code 621111
Sponsor’s telephone number 7277896036
Plan sponsor’s address 1931 SADDLE HILL RD N, DUNEDIN, FL, 34698

Signature of
Role Plan administrator
Date 2017-06-17
Name of individual signing PETER SMITH
Valid signature Filed with authorized/valid electronic signature
PETER C. SMITH, M.D., P.A. 401(K) PLAN 2015 593460970 2016-06-04 PETER C. SMITH, M.D., P.A. 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-01-01
Business code 621111
Sponsor’s telephone number 7277896036
Plan sponsor’s address 1931 SADDLE HILL RD N, DUNEDIN, FL, 34698

Signature of
Role Plan administrator
Date 2016-06-04
Name of individual signing PETER SMITH
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
SMITH PETER C Agent 1931 SADDLE HILL RD N, DUNEDIN, FL, 34698

Director

Name Role Address
SMITH PETER C Director 610 LAKEVIEW RD, CLEARWATER, FL, 33756

Events

Event Type Filed Date Value Description
ADMIN DISSOLUTION FOR ANNUAL REPORT 2021-09-24 No data No data
REINSTATEMENT 2011-07-06 No data No data
ADMIN DISSOLUTION FOR ANNUAL REPORT 2010-09-24 No data No data

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Related by address

No related companies by address

Date of last update: 01 Jan 2025

Sources: Florida Department of State

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