| Entity Name: | CHARLES PERNICIARO, M.D., P.A. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 28 Oct 1998 (26 years ago) |
| Document Number: | P98000091623 |
| FEI/EIN Number | 593539638 |
| Address: | 10406 Seaside Way, Attn: C. Perniciaro, Tampa, FL, 33615, US |
| Mail Address: | 10406 Seaside Way, Attn: C. Perniciaro, Tampa, FL, 33615, US |
| ZIP code: | 33615 |
| County: | Hillsborough |
| Place of Formation: | FLORIDA |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| CHARLES PERNICIARO M D P A 401 K PROFIT SHARING PLAN TRUST | 2010 | 593539638 | 2011-02-28 | CHARLES PERNICIARO M D P A | 1 | |||||||||||||||||||||||||||||||
|
||||||||||||||||||||||||||||||||||||
| Administrator’s EIN | 593539638 |
| Plan administrator’s name | CHARLES PERNICIARO M D P A |
| Plan administrator’s address | 1750 BEACH AVE, ATLANTIC BEACH, FL, 32233 |
| Administrator’s telephone number | 9122652142 |
Signature of
| Role | Plan administrator |
| Date | 2011-02-28 |
| Name of individual signing | CHARLES PERNICIARO M D P A |
| Valid signature | Filed with authorized/valid electronic signature |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2002-01-01 |
| Business code | 541990 |
| Sponsor’s telephone number | 9122652142 |
| Plan sponsor’s address | 1750 BEACH AVE, ATLANTIC BEACH, FL, 32233 |
Plan administrator’s name and address
| Administrator’s EIN | 593539638 |
| Plan administrator’s name | CHARLES PERNICIARO M D P A |
| Plan administrator’s address | 1750 BEACH AVE, ATLANTIC BEACH, FL, 32233 |
| Administrator’s telephone number | 9122652142 |
Signature of
| Role | Plan administrator |
| Date | 2011-02-28 |
| Name of individual signing | CHARLES PERNICIARO M D P A |
| Valid signature | Filed with incorrect/unrecognized electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2002-01-01 |
| Business code | 541990 |
| Sponsor’s telephone number | 9042460908 |
| Plan sponsor’s address | 1750 BEACH AVE, ATLANTIC BEACH, FL, 32233 |
Plan administrator’s name and address
| Administrator’s EIN | 593539638 |
| Plan administrator’s name | CHARLES PERNICIARO M D P A |
| Plan administrator’s address | 1750 BEACH AVE, ATLANTIC BEACH, FL, 32233 |
| Administrator’s telephone number | 9042460908 |
Signature of
| Role | Plan administrator |
| Date | 2010-05-29 |
| Name of individual signing | CHARLES PERNICIARO M D P A |
| Valid signature | Filed with authorized/valid electronic signature |
| Name | Role | Address |
|---|---|---|
| PERNICIARO CHARLES M | Agent | 10406 Seaside Way, Tampa, FL, 33615 |
| Name | Role | Address |
|---|---|---|
| PERNICIARO CHARLES M | Director | 10406 Seaside Way, Tampa, FL, 33615 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2018-01-21 | 10406 Seaside Way, Attn: C. Perniciaro, Tampa, FL 33615 | No data |
| CHANGE OF MAILING ADDRESS | 2018-01-21 | 10406 Seaside Way, Attn: C. Perniciaro, Tampa, FL 33615 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2018-01-21 | 10406 Seaside Way, Attn: C. Perniciaro, Tampa, FL 33615 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-04 |
| ANNUAL REPORT | 2023-02-24 |
| ANNUAL REPORT | 2022-01-25 |
| ANNUAL REPORT | 2021-01-17 |
| ANNUAL REPORT | 2020-02-13 |
| ANNUAL REPORT | 2019-01-31 |
| ANNUAL REPORT | 2018-01-21 |
| ANNUAL REPORT | 2017-01-14 |
| ANNUAL REPORT | 2016-01-26 |
| ANNUAL REPORT | 2015-02-21 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
