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  5. SEVER, PUSATERI & CORTELLI, M.D., P.A.

SEVER, PUSATERI & CORTELLI, M.D., P.A.

Company Details

Entity Name: SEVER, PUSATERI & CORTELLI, M.D., P.A.
Jurisdiction: FLORIDA
Filing Type: Florida Profit Corporation
Status: Inactive
Date Filed: 14 Nov 1997 (27 years ago)
Date of dissolution: 22 Sep 2017 (7 years ago)
Last Event: ADMIN DISSOLUTION FOR ANNUAL REPORT
Event Date Filed: 22 Sep 2017 (7 years ago)
Document Number: P97000097390
FEI/EIN Number 59-3480874
Address: 13602 NORTH 46TH STREET, TAMPA, FL 33613
Mail Address: 13602 NORTH 46TH STREET, TAMPA, FL 33613
ZIP code: 33613
County: Hillsborough
Place of Formation: FLORIDA

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
SEVER, PUSATERI & CORTELLI, M.D., P.A. 401(K) PLAN 2015 593480874 2016-03-31 SEVER, PUSATERI & CORTELLI, M.D., P.A. 32
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-01-01
Business code 621111
Sponsor’s telephone number 8139724444
Plan sponsor’s address 13602 N. 46TH ST., TAMPA, FL, 336134931

Signature of
Role Plan administrator
Date 2016-03-31
Name of individual signing KIM POWELL
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2016-03-31
Name of individual signing KIM POWELL
Valid signature Filed with authorized/valid electronic signature
SEVER, PUSATERI & CORTELLI, M.D., P.A. 401(K) PLAN 2015 593480874 2016-06-21 SEVER, PUSATERI & CORTELLI, M.D., P.A. 23
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-01-01
Business code 621111
Sponsor’s telephone number 8139724444
Plan sponsor’s address 13602 N. 46TH ST., TAMPA, FL, 336134931

Signature of
Role Plan administrator
Date 2016-06-21
Name of individual signing KIM POWELL
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2016-06-21
Name of individual signing KIM POWELL
Valid signature Filed with authorized/valid electronic signature
SEVER, PUSATERI & CORTELLI, M.D., P.A. 401(K) PLAN 2014 593480874 2015-04-22 SEVER, PUSATERI & CORTELLI, M.D., P.A. 32
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-01-01
Business code 621111
Sponsor’s telephone number 8139724444
Plan sponsor’s address 13602 N. 46TH ST., TAMPA, FL, 336134931

Signature of
Role Plan administrator
Date 2015-04-22
Name of individual signing KIM POWELL
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2015-04-22
Name of individual signing KIM POWELL
Valid signature Filed with authorized/valid electronic signature
SEVER, PUSATERI & CORTELLI, M.D., P.A. 401(K) PLAN 2013 593480874 2014-04-16 SEVER, PUSATERI & CORTELLI, M.D., P.A. 30
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-01-01
Business code 621111
Sponsor’s telephone number 8139724444
Plan sponsor’s address 13602 N. 46TH ST., TAMPA, FL, 336134931

Signature of
Role Plan administrator
Date 2014-04-16
Name of individual signing KIM POWELL
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2014-04-16
Name of individual signing KIM POWELL
Valid signature Filed with authorized/valid electronic signature
SEVER, PUSATERI & CORTELLI, M.D., P.A. 401(K) PLAN 2012 593480874 2013-04-12 SEVER, PUSATERI & CORTELLI, M.D., P.A. 27
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-01-01
Business code 621111
Sponsor’s telephone number 8139724444
Plan sponsor’s address 13602 N. 46TH ST., TAMPA, FL, 336134931

Signature of
Role Plan administrator
Date 2013-04-12
Name of individual signing KIM POWELL
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2013-04-12
Name of individual signing KIM POWELL
Valid signature Filed with authorized/valid electronic signature
SEVER, PUSATERI & CORTELLI, M.D., P.A. 401(K) PLAN 2011 593480874 2012-03-28 SEVER, PUSATERI & CORTELLI, M.D., P.A. 30
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-01-01
Business code 621111
Sponsor’s telephone number 8139724444
Plan sponsor’s address 13602 N. 46TH ST., TAMPA, FL, 336134931

Plan administrator’s name and address
Administrator’s EIN 593480874
Plan administrator’s name SEVER, PUSATERI & CORTELLI, M.D., P.A.
Plan administrator’s address 13602 N. 46TH ST., TAMPA, FL, 336134931
Administrator’s telephone number 8139724444

Signature of
Role Plan administrator
Date 2012-03-28
Name of individual signing KIM POWELL
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2012-03-28
Name of individual signing KIM POWELL
Valid signature Filed with authorized/valid electronic signature
SEVER, PUSATERI & CORTELLI, M.D., P.A. 401(K) PLAN 2010 593480874 2011-03-15 SEVER, PUSATERI & CORTELLI, M.D., P.A. 32
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-01-01
Business code 621111
Sponsor’s telephone number 8139724444
Plan sponsor’s address 13602 N. 46TH ST., TAMPA, FL, 336134931

Plan administrator’s name and address
Administrator’s EIN 593480874
Plan administrator’s name SEVER, PUSATERI & CORTELLI, M.D., P.A.
Plan administrator’s address 13602 N. 46TH ST., TAMPA, FL, 336134931
Administrator’s telephone number 8139724444

Signature of
Role Plan administrator
Date 2011-03-15
Name of individual signing KIM POWELL
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2011-03-15
Name of individual signing KIM POWELL
Valid signature Filed with authorized/valid electronic signature
SEVER, PUSATERI & CORTELLI, M.D., P.A. 401(K) PLAN 2009 593480874 2010-07-19 SEVER, PUSATERI & CORTELLI, M.D., P.A. 32
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-01-01
Business code 621111
Sponsor’s telephone number 8139724444
Plan sponsor’s address 13602 N. 46TH ST., TAMPA, FL, 336134931

Plan administrator’s name and address
Administrator’s EIN 593480874
Plan administrator’s name SEVER, PUSATERI & CORTELLI, M.D., P.A.
Plan administrator’s address 13602 N. 46TH ST., TAMPA, FL, 336134931
Administrator’s telephone number 8139724444

Signature of
Role Plan administrator
Date 2010-07-19
Name of individual signing KIM POWELL
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2010-07-19
Name of individual signing KIM POWELL
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
PUSATERI, THOMAS JMD Agent 13602 N. 46TH STREET, TAMPA, FL 33613

Director

Name Role Address
CORTELLI, LEONARD EMD Director 13602 NORTH 46TH STREET, TAMPA, FL 33613
PUSATERI, THOMAS JMD Director 13602 NORTH 46TH STREET, TAMPA, FL 33613
AREY, MARK LMD Director 13602 NORTH 46TH STREET, TAMPA, FL 33613

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G10000095990 CENTER HEARING EXPIRED 2010-10-20 2015-12-31 No data 13602 N. 46TH ST, TAMPA, FL, 33613

Events

Event Type Filed Date Value Description
ADMIN DISSOLUTION FOR ANNUAL REPORT 2017-09-22 No data No data
REGISTERED AGENT NAME CHANGED 2001-04-11 PUSATERI, THOMAS JMD No data
REGISTERED AGENT ADDRESS CHANGED 1999-05-03 13602 N. 46TH STREET, TAMPA, FL 33613 No data

Documents

Name Date
ANNUAL REPORT 2016-03-09
ANNUAL REPORT 2015-02-05
ANNUAL REPORT 2014-01-28
ANNUAL REPORT 2013-01-31
ANNUAL REPORT 2012-03-19
ANNUAL REPORT 2012-01-11
ANNUAL REPORT 2011-03-16
ANNUAL REPORT 2010-03-09
ANNUAL REPORT 2009-03-05
ANNUAL REPORT 2008-01-14

Related by officers

No related officers

Related by address

13602 NORTH 46TH STREET, TAMPA, FL 33613

MANAGED HEALTH SERVICE, INC.

13602 NORTH 46TH STREET, TAMPA, FL 33613

MANAGED HEALTH SERVICE, INC.

Date of last update: 01 Feb 2025

Sources: Florida Department of State

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