| Entity Name: | ORANGE PARK PEDIATRIC ASSOCIATES, P.A. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Inactive |
| Date Filed: | 28 Aug 1998 (26 years ago) |
| Date of dissolution: | 22 Sep 2023 (a year ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 22 Sep 2023 (a year ago) |
| Document Number: | P98000075388 |
| FEI/EIN Number | 593527988 |
| Address: | 2140 SMITH STREET, ORANGE PARK, FL, 32073 |
| Mail Address: | 2140 SMITH ST, ORANGE PARK, FL, 32073 |
| ZIP code: | 32073 |
| County: | Clay |
| Place of Formation: | FLORIDA |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| ORANGE PARK PEDIATRIC ASSOCIATES, P.A. 401(K) PLAN | 2010 | 593527988 | 2010-11-17 | ORANGE PARK PEDIATRIC ASSOCIATES, P.A. | 3 | |||||||||||||||||||||||||||||||
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| Administrator’s EIN | 593527988 |
| Plan administrator’s name | ORANGE PARK PEDIATRIC ASSOCIATES, P.A. |
| Plan administrator’s address | 2140 SMITH STREET, ORANGE PARK, FL, 320735554 |
| Administrator’s telephone number | 9042692145 |
Signature of
| Role | Plan administrator |
| Date | 2010-11-17 |
| Name of individual signing | DAN R. SPEARMAN |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 1999-01-01 |
| Business code | 621111 |
| Sponsor’s telephone number | 9042692145 |
| Plan sponsor’s address | 2140 SMITH STREET, ORANGE PARK, FL, 320735554 |
Plan administrator’s name and address
| Administrator’s EIN | 593527988 |
| Plan administrator’s name | ORANGE PARK PEDIATRIC ASSOCIATES, P.A. |
| Plan administrator’s address | 2140 SMITH STREET, ORANGE PARK, FL, 320735554 |
| Administrator’s telephone number | 9042692145 |
Signature of
| Role | Plan administrator |
| Date | 2010-10-15 |
| Name of individual signing | DAN R. SPEARMAN |
| Valid signature | Filed with authorized/valid electronic signature |
| Name | Role | Address |
|---|---|---|
| Macy Margaret G | Agent | 2140 SMITH STREET, ORANGE PARK, FL, 32073 |
| Name | Role | Address |
|---|---|---|
| SPEARMAN DAN R | Director | 2140 SMITH ST, ORANGE PARK, FL, 32073 |
| CHAN JOHN J | Director | 2140 SMITH STREET, ORANGE PARK, FL, 32073 |
| SAUER SHIREE | Director | 2140 SMITH ST., ORANGE PARK, FL, 32073 |
| BEDARD MARK D | Director | 2140 SMITH STREET, ORANGE PARK, FL, 32073 |
| Name | Role | Address |
|---|---|---|
| BEDARD MARK D | Treasurer | 2140 SMITH STREET, ORANGE PARK, FL, 32073 |
| Name | Role | Address |
|---|---|---|
| CHAN JOHN J | Secretary | 2140 SMITH STREET, ORANGE PARK, FL, 32073 |
| Name | Role | Address |
|---|---|---|
| SPEARMAN DAN R | Vice President | 2140 SMITH ST, ORANGE PARK, FL, 32073 |
| Name | Role | Address |
|---|---|---|
| SAUER SHIREE | President | 2140 SMITH ST., ORANGE PARK, FL, 32073 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G08102900011 | ORANGE PARK PEDIATRIC ASSOCIATES | EXPIRED | 2008-04-11 | 2013-12-31 | No data | 2140 SMITH STREET, ORANGE PARK, FL, 32073, US |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2023-09-22 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2021-03-12 | Macy, Margaret G | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2021-03-12 | 2140 SMITH STREET, ORANGE PARK, FL 32073 | No data |
| CHANGE OF MAILING ADDRESS | 2010-02-04 | 2140 SMITH STREET, ORANGE PARK, FL 32073 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2003-04-23 | 2140 SMITH STREET, ORANGE PARK, FL 32073 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2022-03-09 |
| ANNUAL REPORT | 2021-03-12 |
| ANNUAL REPORT | 2020-03-04 |
| Reg. Agent Change | 2019-07-09 |
| ANNUAL REPORT | 2019-01-22 |
| ANNUAL REPORT | 2018-01-30 |
| ANNUAL REPORT | 2017-01-25 |
| ANNUAL REPORT | 2016-01-29 |
| ANNUAL REPORT | 2015-01-30 |
| ANNUAL REPORT | 2014-02-14 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
