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FLORIDA SPORTS MEDICINE INSTITUTE, INC. - Florida Company Profile

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Company Details

Entity Name: FLORIDA SPORTS MEDICINE INSTITUTE, INC.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit

FLORIDA SPORTS MEDICINE INSTITUTE, INC. is structured as a Domestic Profit Corporation, which, in Florida signifies a Profit Corporation (also known as a C-Corporation). This business structure is recognized as a separate legal entity from its owners. This offers shareholders the benefit of limited liability protection, safeguarding their personal assets from the corporation's debts and obligations, and facilitates raising capital through the issuance of stock. In Florida, Domestic Profit Corporations are governed by Title XXXVI, Chapter 607, Florida Statutes – Florida Business Corporation Act.

Status: Inactive

The business entity is inactive. This status may signal operational issues or voluntary closure, raising concerns about the business's ability to repay loans and requiring careful risk assessment by lenders.

Date Filed: 24 Sep 1997 (28 years ago)
Date of dissolution: 28 Sep 2018 (7 years ago)
Last Event: ADMIN DISSOLUTION FOR ANNUAL REPORT
Event Date Filed: 28 Sep 2018 (7 years ago)
Document Number: P97000082801
FEI/EIN Number 593463989

Federal Employer Identification (FEI) Number assigned by the IRS.

Address: 150 SOUTHPARK BLVD., SUITE 102, SAINT AUGUSTINE, FL, 32086, US
Mail Address: 150 SOUTHPARK BLVD., SUITE 102, SAINT AUGUSTINE, FL, 32086, US
ZIP code: 32086
County: St. Johns
Place of Formation: FLORIDA

Key Officers & Management

Name Role Address
HALL & EDWARDS, PA Agent -
HASELTINE KAREN L Chief Executive Officer 150 SOUTHPARK BLVD., STE 102, SAINT AUGUSTINE, FL, 32086

National Provider Identifier

NPI Number:
1467621003

Authorized Person:

Name:
MS. KAREN LYNN HASELTINE
Role:
CEO
Phone:

Taxonomy:

Selected Taxonomy:
207XX0005X - Sports Medicine (Orthopaedic Surgery) Physician
Is Primary:
Yes

Contacts:

Fax:
9044290318

Form 5500 Series

Employer Identification Number (EIN):
593463989
Plan Year:
2015
Number Of Participants:
19
Sponsors Telephone Number:
Plan Year:
2014
Number Of Participants:
23
Sponsors Telephone Number:
Plan Year:
2013
Number Of Participants:
21
Sponsors Telephone Number:
Plan Year:
2012
Number Of Participants:
24
Sponsors Telephone Number:
Plan Year:
2011
Number Of Participants:
28
Sponsors Telephone Number:

Events

Event Type Filed Date Value Description
ADMIN DISSOLUTION FOR ANNUAL REPORT 2018-09-28 - -
REGISTERED AGENT ADDRESS CHANGED 2014-04-29 3791 A1A SOUTH, SUITE B, ST. AUGUSTINE, FL 32080 -
REGISTERED AGENT NAME CHANGED 2014-04-29 HALL & EDWARDS, PA -
CHANGE OF PRINCIPAL ADDRESS 2003-04-14 150 SOUTHPARK BLVD., SUITE 102, SAINT AUGUSTINE, FL 32086 -
CHANGE OF MAILING ADDRESS 2003-04-14 150 SOUTHPARK BLVD., SUITE 102, SAINT AUGUSTINE, FL 32086 -
REINSTATEMENT 1999-10-14 - -
ADMIN DISSOLUTION FOR ANNUAL REPORT 1999-09-24 - -
AMENDMENT AND NAME CHANGE 1997-12-15 FLORIDA SPORTS MEDICINE INSTITUTE, INC. -

Debts

Document Number Status Case Number Name of Court Date of Entry Expiration Date Amount Due Plaintiff
J19000174563 TERMINATED 1000000817771 DUVAL 2019-03-04 2029-03-06 $ 514.54 STATE OF FLORIDA, DEPARTMENT OF REVENUE, JACKSONVILLE SERVICE CENTER, 921 N DAVIS ST STE 250A, JACKSONVILLE FL322096825
J18000198556 ACTIVE 1000000781865 ST JOHNS 2018-05-17 2028-05-23 $ 757.28 STATE OF FLORIDA, DEPARTMENT OF REVENUE, JACKSONVILLE SERVICE CENTER, 921 N DAVIS ST STE 250A, JACKSONVILLE FL322096825
J12000137474 TERMINATED 1000000252191 ST JOHNS 2012-02-21 2032-03-01 $ 21,961.62 STATE OF FLORIDA, DEPARTMENT OF REVENUE, OUT OF STATE/CENTRAL COLLECTIONS UNIT, 5050 W TENNESSEE ST, TALLAHASSEE FL323996586

Documents

Name Date
ANNUAL REPORT 2017-05-15
ANNUAL REPORT 2016-04-26
ANNUAL REPORT 2015-04-24
ANNUAL REPORT 2014-04-29
ANNUAL REPORT 2013-04-12
ANNUAL REPORT 2012-04-27
ANNUAL REPORT 2011-04-22
ANNUAL REPORT 2010-04-23
ANNUAL REPORT 2009-04-29
ANNUAL REPORT 2008-04-25

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Date of last update: 01 Jun 2025

Sources: Florida Department of State