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STAR SPORTS MEDICINE, P.A.

Company Details

Entity Name: STAR SPORTS MEDICINE, P.A.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Inactive
Date Filed: 01 Dec 1998 (26 years ago)
Date of dissolution: 27 Sep 2013 (11 years ago)
Last Event: ADMIN DISSOLUTION FOR ANNUAL REPORT
Event Date Filed: 27 Sep 2013 (11 years ago)
Document Number: P98000100004
FEI/EIN Number 593545034
Address: 9400 UNIVERSITY PARKWAY, 309, PENSACOLA, FL, 32514
Mail Address: 9400 UNIVERSITY PARKWAY, 309, PENSACOLA, FL, 32514
ZIP code: 32514
County: Escambia
Place of Formation: FLORIDA

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
STAR SPORTS MEDICINE, P.A. 401(K) PLAN 2012 593545034 2013-10-11 STAR SPORTS MEDICINE, P.A. 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-01-01
Business code 621111
Sponsor’s telephone number 8504449777
Plan sponsor’s address 9400 UNIVERSITY PARKWAY, SUITE 309, PENSACOLA, FL, 32514

Signature of

Role Plan administrator
Date 2013-10-11
Name of individual signing JULIET DE CAMPOS
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2013-10-11
Name of individual signing JULIET DE CAMPOS
Valid signature Filed with authorized/valid electronic signature
STAR SPORTS MEDICINE, P.A. 401(K) PLAN 2011 593545034 2012-10-12 STAR SPORTS MEDICINE, P.A. 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-01-01
Business code 621111
Sponsor’s telephone number 8504449777
Plan sponsor’s address 9400 UNIVERSITY PARKWAY, SUITE 309, PENSACOLA, FL, 32514

Plan administrator’s name and address

Administrator’s EIN 593545034
Plan administrator’s name STAR SPORTS MEDICINE, P.A.
Plan administrator’s address 9400 UNIVERSITY PARKWAY, SUITE 309, PENSACOLA, FL, 32514
Administrator’s telephone number 8504449777

Signature of

Role Plan administrator
Date 2012-10-12
Name of individual signing JULIET DE CAMPOS
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2012-10-12
Name of individual signing JULIET DE CAMPOS
Valid signature Filed with authorized/valid electronic signature
STAR SPORTS MEDICINE, P.A. 401(K) PLAN 2010 593545034 2011-10-17 STAR SPORTS MEDICINE, P.A. 11
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-01-01
Business code 621111
Sponsor’s telephone number 8504449777
Plan sponsor’s address 9400 UNIVERSITY PARKWAY, SUITE 309, PENSACOLA, FL, 32514

Plan administrator’s name and address

Administrator’s EIN 593545034
Plan administrator’s name STAR SPORTS MEDICINE, P.A.
Plan administrator’s address 9400 UNIVERSITY PARKWAY, SUITE 309, PENSACOLA, FL, 32514
Administrator’s telephone number 8504449777

Signature of

Role Plan administrator
Date 2011-10-17
Name of individual signing JULIET DE CAMPOS
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2011-10-17
Name of individual signing JULIET DE CAMPOS
Valid signature Filed with authorized/valid electronic signature
STAR SPORTS MEDICINE, P.A. 401(K) PLAN 2009 593545034 2010-10-12 STAR SPORTS MEDICINE, P.A. 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-01-01
Business code 621111
Sponsor’s telephone number 8504449777
Plan sponsor’s address 9400 UNIVERSITY PARKWAY, SUITE 309, PENSACOLA, FL, 32514

Plan administrator’s name and address

Administrator’s EIN 593545034
Plan administrator’s name STAR SPORTS MEDICINE, P.A.
Plan administrator’s address 9400 UNIVERSITY PARKWAY, SUITE 309, PENSACOLA, FL, 32514
Administrator’s telephone number 8504449777

Signature of

Role Plan administrator
Date 2010-10-12
Name of individual signing JULIET DE CAMPOS
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2010-10-12
Name of individual signing JULIET DE CAMPOS
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
DECAMPOS JULIET M Agent 9400 UNIVERSITY PARKWAY, PENSACOLA, FL, 32514

Director

Name Role Address
DECAMPOS JULIET M Director 9400 UNIVERSITY PARKWAY, PENSACOLA, FL, 32514

Chief Financial Officer

Name Role Address
KUNDAHL KEITH M Chief Financial Officer 9400 UNIVERSITY PARKWAY #309, PENSACOLA, FL, 32514

Events

Event Type Filed Date Value Description
ADMIN DISSOLUTION FOR ANNUAL REPORT 2013-09-27 No data No data
REINSTATEMENT 2004-03-15 No data No data
CHANGE OF PRINCIPAL ADDRESS 2004-03-15 9400 UNIVERSITY PARKWAY, 309, PENSACOLA, FL 32514 No data
CHANGE OF MAILING ADDRESS 2004-03-15 9400 UNIVERSITY PARKWAY, 309, PENSACOLA, FL 32514 No data
REGISTERED AGENT ADDRESS CHANGED 2004-03-15 9400 UNIVERSITY PARKWAY, 309, PENSACOLA, FL 32514 No data
ADMIN DISSOLUTION FOR ANNUAL REPORT 2003-09-19 No data No data

Debts

Document Number Status Case Number Name of Court Date of Entry Expiration Date Amount Due Plaintiff
J13001653394 TERMINATED 1000000547456 ESCAMBIA 2013-10-16 2023-11-07 $ 478.42 STATE OF FLORIDA, DEPARTMENT OF REVENUE, PENSACOLA SERVICE CENTER, 3670 N L ST STE C, PENSACOLA FL325055254
J13001492363 TERMINATED 1000000536600 ESCAMBIA 2013-09-18 2023-10-03 $ 762.74 STATE OF FLORIDA, DEPARTMENT OF REVENUE, PENSACOLA SERVICE CENTER, 3670 N L ST STE C, PENSACOLA FL325055254

Documents

Name Date
ANNUAL REPORT 2012-02-24
ANNUAL REPORT 2011-02-24
ANNUAL REPORT 2010-02-19
ANNUAL REPORT 2009-04-03
ANNUAL REPORT 2008-07-05
ANNUAL REPORT 2007-05-30
ANNUAL REPORT 2006-04-27
ANNUAL REPORT 2005-04-29
REINSTATEMENT 2004-03-15
ANNUAL REPORT 2002-04-02

Date of last update: 01 Feb 2025

Sources: Florida Department of State