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  5. BASIL C. THEODOTOU, M.D., P.A.

BASIL C. THEODOTOU, M.D., P.A.

Company Details

Entity Name: BASIL C. THEODOTOU, M.D., P.A.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Active
Date Filed: 02 Jan 1998 (27 years ago)
Document Number: P98000000488
FEI/EIN Number 593487006
Address: 32 SUNTREE PLACE, MELBOURNE, FL, 32940
Mail Address: 32 SUNTREE PLACE, MELBOURNE, FL, 32940
ZIP code: 32940
County: Brevard
Place of Formation: FLORIDA

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
BASIL C. THEODOTOU, M.D., P.A. PROFIT SHARING PLAN 2021 593487006 2022-10-17 BASIL C. THEODOTOU, M.D., P.A. 1
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1994-07-01
Business code 621111
Sponsor’s telephone number 3219510022
Plan sponsor’s address 32 SUNTREE PLACE, MELBOURNE, FL, 32940

Signature of
Role Plan administrator
Date 2022-10-13
Name of individual signing BASIL C. THEODOTOU, MD
Valid signature Filed with authorized/valid electronic signature
BASIL C. THEODOTOU, M.D., P.A. PROFIT SHARING PLAN 2020 593487006 2021-10-27 BASIL C. THEODOTOU, M.D., P.A. 2
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1994-07-01
Business code 621111
Sponsor’s telephone number 3219510022
Plan sponsor’s address 32 SUNTREE PLACE, MELBOURNE, FL, 32940

Signature of
Role Plan administrator
Date 2021-10-27
Name of individual signing BASIL C. THEODOTOU, MD
Valid signature Filed with authorized/valid electronic signature
BASIL C. THEODOTOU, M.D., P.A. PROFIT SHARING PLAN 2019 593487006 2021-01-06 BASIL C. THEODOTOU, M.D., P.A. 2
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1994-07-01
Business code 621111
Sponsor’s telephone number 3219510022
Plan sponsor’s address 32 SUNTREE PLACE, MELBOURNE, FL, 32940

Signature of
Role Plan administrator
Date 2021-01-05
Name of individual signing BASIL C. THEODOTOU, MD
Valid signature Filed with authorized/valid electronic signature
BASIL C. THEODOTOU, M.D., P.A. PROFIT SHARING PLAN 2018 593487006 2019-10-14 BASIL C. THEODOTOU, M.D., P.A. 2
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1994-07-01
Business code 621111
Sponsor’s telephone number 3219510022
Plan sponsor’s address 32 SUNTREE PLACE, MELBOURNE, FL, 32940

Signature of
Role Plan administrator
Date 2019-10-10
Name of individual signing BASIL C. THEODOTOU, MD
Valid signature Filed with authorized/valid electronic signature
BASIL C. THEODOTOU, M.D., P.A. PROFIT SHARING PLAN 2017 593487006 2018-07-26 BASIL C. THEODOTOU, M.D., P.A. 2
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1994-07-01
Business code 621111
Sponsor’s telephone number 3219510022
Plan sponsor’s address 32 SUNTREE PLACE, MELBOURNE, FL, 32940

Signature of
Role Plan administrator
Date 2018-07-26
Name of individual signing BASIL C. THEODOTOU, MD
Valid signature Filed with authorized/valid electronic signature
BASIL C. THEODOTOU, M.D., P.A. PROFIT SHARING PLAN 2016 593487006 2018-01-31 BASIL C. THEODOTOU, M.D., P.A. 2
Three-digit plan number (PN) 001
Effective date of plan 1994-07-01
Business code 621111
Sponsor’s telephone number 3219510022
Plan sponsor’s address 32 SUNTREE PLACE, MELBOURNE, FL, 32940

Signature of
Role Plan administrator
Date 2018-01-31
Name of individual signing BASIL C. THEODOTOU, MD
Valid signature Filed with authorized/valid electronic signature
BASIL C. THEODOTOU, M.D., P.A. PROFIT SHARING PLAN 2016 593487006 2018-07-26 BASIL C. THEODOTOU, M.D., P.A. 2
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1994-07-01
Business code 621111
Sponsor’s telephone number 3219510022
Plan sponsor’s address 32 SUNTREE PLACE, MELBOURNE, FL, 32940

Signature of
Role Plan administrator
Date 2018-07-26
Name of individual signing BASIL C. THEODOTOU, MD
Valid signature Filed with authorized/valid electronic signature
BASIL C. THEODOTOU, M.D., P.A. PROFIT SHARING PLAN 2015 593487006 2016-10-17 BASIL C. THEODOTOU, M.D., P.A. 2
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1994-07-01
Business code 621111
Sponsor’s telephone number 3219510022
Plan sponsor’s address 32 SUNTREE PLACE, MELBOURNE, FL, 32940

Signature of
Role Plan administrator
Date 2016-10-17
Name of individual signing BASIL C. THEODOTOU, MD
Valid signature Filed with authorized/valid electronic signature
BASIL C THEODOTOU MD PA PROFIT SHARING PLAN 2014 593487006 2015-10-15 BASIL C. THEODOTOU, M.D., P.A. 2
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1994-07-01
Business code 621111
Sponsor’s telephone number 3219510022
Plan sponsor’s address 32 SUNTREE PLACE, MELBOURNE, FL, 32940

Signature of
Role Plan administrator
Date 2015-10-13
Name of individual signing BASIL C. THEODOTOU, MD
Valid signature Filed with authorized/valid electronic signature
BASIL C. THEODOTOU, M.D., P.A. PROFIT SHARING PLAN 2013 593487006 2014-10-14 BASIL C. THEODOTOU, M.D., P.A. 2
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1994-07-01
Business code 621111
Sponsor’s telephone number 3217527001
Plan sponsor’s address 32 SUNTREE PLACE, MELBOURNE, FL, 32940

Signature of
Role Plan administrator
Date 2014-10-14
Name of individual signing BASIL C. THEODOTOU, MD
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
ANDERSON J. PATRICK Agent 2200 FRONT STREET, MELBOURNE, FL, 32901

Director

Name Role Address
THEODOTOU BASIL C Director 32 SUNTREE PLACE, MELBOURNE, FL, 32940

Events

Event Type Filed Date Value Description
REGISTERED AGENT ADDRESS CHANGED 2012-04-10 2200 FRONT STREET, SUITE 301, MELBOURNE, FL 32901 No data
CHANGE OF PRINCIPAL ADDRESS 2001-03-14 32 SUNTREE PLACE, MELBOURNE, FL 32940 No data
CHANGE OF MAILING ADDRESS 2001-03-14 32 SUNTREE PLACE, MELBOURNE, FL 32940 No data

Documents

Name Date
ANNUAL REPORT 2024-03-15
ANNUAL REPORT 2023-04-07
ANNUAL REPORT 2022-04-12
ANNUAL REPORT 2021-04-07
ANNUAL REPORT 2020-04-13
ANNUAL REPORT 2019-04-17
ANNUAL REPORT 2018-04-16
ANNUAL REPORT 2017-04-12
ANNUAL REPORT 2016-04-25
ANNUAL REPORT 2015-04-27

Related by officers

THEODOTOU BASIL C

THEODOTOU TILE & CARPET FLOORING INC SUNTREE CIRCLE, L.L.C.

ANDERSON J. PATRICK

DEMOCRACY DRIVE, LLC APPLIED INTELLIGENCE, LLC WILLIAM C. KEYES, D.M.D., P.A. JAMES S. GAGEN, D.O., P.A. VILLON BRANDS, LLC NAPLES CITY BALLET COMPANY BREVARD COUNTY MEDICAL DIRECTORS ASSOCIATION, LLC ILSE W. BERUBE, D.M.D., P.A. CRE8IVE CR8ON, INC. LE' FOAM, LLC

Related by address

32 SUNTREE PLACE, MELBOURNE, FL, 32940

NEUROSURGEONS, LLC SUNTREE CIRCLE, L.L.C.

32 SUNTREE PLACE, MELBOURNE, FL, 32940

NEUROSURGEONS, LLC SUNTREE CIRCLE, L.L.C.

Date of last update: 03 Feb 2025

Sources: Florida Department of State

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