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  5. SHAFFER ANIMAL HOSPITAL, P.A.

SHAFFER ANIMAL HOSPITAL, P.A.

Company Details

Entity Name: SHAFFER ANIMAL HOSPITAL, P.A.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Inactive
Date Filed: 12 Oct 1998 (26 years ago)
Date of dissolution: 23 Sep 2022 (2 years ago)
Last Event: ADMIN DISSOLUTION FOR ANNUAL REPORT
Event Date Filed: 23 Sep 2022 (2 years ago)
Document Number: P98000087183
FEI/EIN Number 593537538
Address: 4501 Chuluota Road, Orlando, FL, 32820, US
Mail Address: 4501 CHULUOTA ROAD, ORLANDO, FL, 32820
ZIP code: 32820
County: Orange
Place of Formation: FLORIDA

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
SHAFFER ANIMAL HOSPITAL, P.A. PROFIT SHARING AND 401K PLAN 2017 593537538 2018-10-08 SHAFFER ANIMAL HOSPITAL, P.A. 36
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2001-01-01
Business code 541940
Sponsor’s telephone number 4075995900
Plan sponsor’s address 4501 CHULUOTA ROAD, ORLANDO, FL, 32820

Signature of
Role Plan administrator
Date 2018-10-08
Name of individual signing JEFFREY SHAFFER, D.V.M.
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2018-10-08
Name of individual signing JEFFREY SHAFFER, D.V.M.
Valid signature Filed with authorized/valid electronic signature
SHAFFER ANIMAL HOSPITAL, P.A. PROFIT SHARING AND 401K PLAN 2016 593537538 2017-10-04 SHAFFER ANIMAL HOSPITAL, P.A. 30
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2001-01-01
Business code 541940
Sponsor’s telephone number 4075995900
Plan sponsor’s address 4501 CHULUOTA ROAD, ORLANDO, FL, 32820
SHAFFER ANIMAL HOSPITAL, P.A. PROFIT SHARING AND 401K PLAN 2016 593537538 2017-10-02 SHAFFER ANIMAL HOSPITAL, P.A. 30
Three-digit plan number (PN) 001
Effective date of plan 2001-01-01
Business code 541940
Sponsor’s telephone number 4075995900
Plan sponsor’s address 4501 CHULUOTA ROAD, ORLANDO, FL, 32820

Signature of
Role Plan administrator
Date 2017-10-02
Name of individual signing JEFFREY SHAFFER, D.V.M.
SHAFFER ANIMAL HOSPITAL, P.A. PROFIT SHARING AND 401K PLAN 2015 593537538 2016-09-02 SHAFFER ANIMAL HOSPITAL, P.A. 23
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2001-01-01
Business code 541940
Sponsor’s telephone number 4075995900
Plan sponsor’s address 1475 EAST MITCHELL HAMMOCK ROAD, OVIEDO, FL, 32765

Signature of
Role Plan administrator
Date 2016-09-02
Name of individual signing JEFFREY SHAFFER, D.V.M.
Valid signature Filed with authorized/valid electronic signature
SHAFFER ANIMAL HOSPITAL, P.A. PROFIT SHARING AND 401K PLAN 2014 593537538 2015-05-21 SHAFFER ANIMAL HOSPITAL, P.A. 31
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2001-01-01
Business code 541940
Sponsor’s telephone number 4075995900
Plan sponsor’s address 1475 EAST MITCHELL HAMMOCK ROAD, OVIEDO, FL, 32765

Signature of
Role Plan administrator
Date 2015-05-21
Name of individual signing JEFFREY SHAFFER, D.V.M.
Valid signature Filed with authorized/valid electronic signature
SHAFFER ANIMAL HOSPITAL, P.A. PROFIT SHARING AND 401K PLAN 2013 593537538 2014-07-18 SHAFFER ANIMAL HOSPITAL, P.A. 36
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2001-01-01
Business code 541940
Sponsor’s telephone number 4075995900
Plan sponsor’s address 1475 EAST MITCHELL HAMMOCK ROAD, OVIEDO, FL, 32765

Signature of
Role Plan administrator
Date 2014-07-18
Name of individual signing JEFFREY SHAFFER, D.V.M.
Valid signature Filed with authorized/valid electronic signature
SHAFFER ANIMAL HOSPITAL, P.A. PROFIT SHARING AND 401K PLAN 2012 593537538 2013-05-13 SHAFFER ANIMAL HOSPITAL, P.A. 34
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2001-01-01
Business code 541940
Sponsor’s telephone number 4075995900
Plan sponsor’s address 1475 EAST MITCHELL HAMMOCK ROAD, OVIEDO, FL, 32765

Signature of
Role Plan administrator
Date 2013-05-13
Name of individual signing JEFFREY SHAFFER, D.V.M.
Valid signature Filed with authorized/valid electronic signature
SHAFFER ANIMAL HOSPITAL, P.A. PROFIT SHARING AND 401K PLAN 2011 593537538 2012-05-30 SHAFFER ANIMAL HOSPITAL, P.A. 35
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2001-01-01
Business code 541940
Sponsor’s telephone number 4075995900
Plan sponsor’s address 1475 EAST MITCHELL HAMMOCK ROAD, OVIEDO, FL, 32765

Plan administrator’s name and address
Administrator’s EIN 593537538
Plan administrator’s name SHAFFER ANIMAL HOSPITAL, P.A.
Plan administrator’s address 1475 EAST MITCHELL HAMMOCK ROAD, OVIEDO, FL, 32765
Administrator’s telephone number 4075995900

Signature of
Role Plan administrator
Date 2012-05-30
Name of individual signing JEFFREY SHAFFER, D.V.M.
Valid signature Filed with authorized/valid electronic signature
SHAFFER ANIMAL HOSPITAL, P.A. PROFIT SHARING AND 401K PLAN 2010 593537538 2011-06-09 SHAFFER ANIMAL HOSPITAL, P.A. 32
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2001-01-01
Business code 541940
Sponsor’s telephone number 4075995900
Plan sponsor’s address 1475 EAST MITCHELL HAMMOCK ROAD, OVIEDO, FL, 32765

Plan administrator’s name and address
Administrator’s EIN 593537538
Plan administrator’s name SHAFFER ANIMAL HOSPITAL, P.A.
Plan administrator’s address 1475 EAST MITCHELL HAMMOCK ROAD, OVIEDO, FL, 32765
Administrator’s telephone number 4075995900

Signature of
Role Plan administrator
Date 2011-06-09
Name of individual signing JEFFREY SHAFFER, D.V.M.
Valid signature Filed with authorized/valid electronic signature
SHAFFER ANIMAL HOSPITAL, P.A. PROFIT SHARING AND 401K PLAN 2009 593537538 2010-10-05 SHAFFER ANIMAL HOSPITAL, P.A. 25
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2001-01-01
Business code 541940
Sponsor’s telephone number 4075995900
Plan sponsor’s address 1475 EAST MITCHELL HAMMOCK ROAD, OVIEDO, FL, 32765

Plan administrator’s name and address
Administrator’s EIN 593537538
Plan administrator’s name SHAFFER ANIMAL HOSPITAL, P.A.
Plan administrator’s address 1475 EAST MITCHELL HAMMOCK ROAD, OVIEDO, FL, 32765
Administrator’s telephone number 4075995900

Signature of
Role Plan administrator
Date 2010-10-05
Name of individual signing JEFFREY SHAFFER, D.V.M.
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
SHAFFER KENDRA W Agent 4501 CHULUOTA ROAD, ORLANDO, FL, 32820

President

Name Role Address
SHAFFER JEFFREY A President 4501 CHULUOTA ROAD, ORLANDO, FL, 32820

Secretary

Name Role Address
SHAFFER KENDRA W Secretary 4501 CHULUOTA ROAD, ORLANDO, FL, 32820

Treasurer

Name Role Address
SHAFFER KENDRA W Treasurer 4501 CHULUOTA ROAD, ORLANDO, FL, 32820

Events

Event Type Filed Date Value Description
ADMIN DISSOLUTION FOR ANNUAL REPORT 2022-09-23 No data No data
CHANGE OF PRINCIPAL ADDRESS 2017-04-24 4501 Chuluota Road, Orlando, FL 32820 No data
REGISTERED AGENT ADDRESS CHANGED 2017-04-24 4501 CHULUOTA ROAD, ORLANDO, FL 32820 No data
CHANGE OF MAILING ADDRESS 2009-04-23 4501 Chuluota Road, Orlando, FL 32820 No data

Documents

Name Date
ANNUAL REPORT 2021-04-08
ANNUAL REPORT 2020-04-28
ANNUAL REPORT 2019-04-18
ANNUAL REPORT 2018-04-24
ANNUAL REPORT 2017-04-24
ANNUAL REPORT 2016-04-22
ANNUAL REPORT 2015-04-22
ANNUAL REPORT 2014-04-22
ANNUAL REPORT 2013-04-23
ANNUAL REPORT 2012-04-23

Related by officers

SHAFFER JEFFREY A

JEFFREY A. SHAFFER, P.A.

Related by address

No related companies by address

Date of last update: 01 Feb 2025

Sources: Florida Department of State

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