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  5. LAKELAND EYE CLINIC, P.A.

LAKELAND EYE CLINIC, P.A.

Company Details

Entity Name: LAKELAND EYE CLINIC, P.A.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Inactive
Date Filed: 08 Dec 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: P98000102147
FEI/EIN Number 593545177
Address: 1247 LAKELAND HILLS BLVD., LAKELAND, FL, 33805
Mail Address: 1247 LAKELAND HILLS BLVD., LAKELAND, FL, 33805
ZIP code: 33805
County: Polk
Place of Formation: FLORIDA

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
LAKELAND EYE CLINIC, P.A. RETIREMENT PLAN 2022 593545177 2023-06-28 LAKELAND EYE CLINIC, P.A. 99
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1976-07-01
Business code 621111
Sponsor’s telephone number 8636885604
Plan sponsor’s address 1247 LAKELAND HILLS BLVD., LAKELAND, FL, 33805

Signature of
Role Plan administrator
Date 2023-06-28
Name of individual signing KEVIN A. DORSETT
Valid signature Filed with authorized/valid electronic signature
LAKELAND EYE CLINIC, P.A. RETIREMENT PLAN 2021 593545177 2022-10-04 LAKELAND EYE CLINIC, P.A. 87
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1976-07-01
Business code 621111
Sponsor’s telephone number 8636885604
Plan sponsor’s address 1247 LAKELAND HILLS BLVD., LAKELAND, FL, 33805

Signature of
Role Plan administrator
Date 2022-10-04
Name of individual signing KEVIN A. DORSETT
Valid signature Filed with authorized/valid electronic signature
LAKELAND EYE CLINIC, P.A. RETIREMENT PLAN 2020 593545177 2021-10-12 LAKELAND EYE CLINIC, P.A. 90
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1976-07-01
Business code 621111
Sponsor’s telephone number 8636885604
Plan sponsor’s address 1247 LAKELAND HILLS BLVD., LAKELAND, FL, 33805

Signature of
Role Plan administrator
Date 2021-10-12
Name of individual signing KEVIN A. DORSETT
Valid signature Filed with authorized/valid electronic signature
LAKELAND EYE CLINIC, P.A. RETIREMENT PLAN 2019 593545177 2020-10-08 LAKELAND EYE CLINIC, P.A. 77
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1976-07-01
Business code 621111
Sponsor’s telephone number 8636885604
Plan sponsor’s address 1247 LAKELAND HILLS BLVD., LAKELAND, FL, 33805

Signature of
Role Plan administrator
Date 2020-10-08
Name of individual signing KEVIN A. DORSETT
Valid signature Filed with authorized/valid electronic signature
LAKELAND EYE CLINIC, P.A. RETIREMENT PLAN 2018 593545177 2019-07-11 LAKELAND EYE CLINIC, P.A. 63
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1976-07-01
Business code 621111
Sponsor’s telephone number 8636885604
Plan sponsor’s address 1247 LAKELAND HILLS BLVD., LAKELAND, FL, 33805

Signature of
Role Plan administrator
Date 2019-07-11
Name of individual signing KEVIN A. DORSETT
Valid signature Filed with authorized/valid electronic signature
LAKELAND EYE CLINIC, P.A. RETIREMENT PLAN 2017 593545177 2018-10-09 LAKELAND EYE CLINIC, P.A. 63
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1976-07-01
Business code 621111
Sponsor’s telephone number 8636885604
Plan sponsor’s address 1247 LAKELAND HILLS BLVD., LAKELAND, FL, 33805

Signature of
Role Plan administrator
Date 2018-10-09
Name of individual signing KEVIN A. DORSETT
Valid signature Filed with authorized/valid electronic signature
LAKELAND EYE CLINIC, P.A. RETIREMENT PLAN 2016 593545177 2017-10-12 LAKELAND EYE CLINIC, P.A. 67
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1976-07-01
Business code 621111
Sponsor’s telephone number 8636885604
Plan sponsor’s address 1247 LAKELAND HILLS BLVD., LAKELAND, FL, 33805
LAKELAND EYE CLINIC, P.A. RETIREMENT PLAN 2015 593545177 2016-09-27 LAKELAND EYE CLINIC, P.A. 70
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1976-07-01
Business code 621111
Sponsor’s telephone number 8636885604
Plan sponsor’s address 1247 LAKELAND HILLS BLVD., LAKELAND, FL, 33805

Signature of
Role Plan administrator
Date 2016-09-27
Name of individual signing KEVIN A. DORSETT
Valid signature Filed with authorized/valid electronic signature
LAKELAND EYE CLINIC, P.A. RETIREMENT PLAN 2014 593545177 2015-09-22 LAKELAND EYE CLINIC, P.A. 63
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1976-07-01
Business code 621111
Sponsor’s telephone number 8636885604
Plan sponsor’s address 1247 LAKELAND HILLS BLVD., LAKELAND, FL, 33805

Plan administrator’s name and address
Administrator’s EIN 593545177
Plan administrator’s name LAKELAND EYE CLINIC, P.A.
Plan administrator’s address 1247 LAKELAND HILLS BLVD., LAKELAND, FL, 33805
Administrator’s telephone number 8636885604

Signature of
Role Plan administrator
Date 2015-09-22
Name of individual signing KEVIN A. DORSETT
Valid signature Filed with authorized/valid electronic signature
LAKELAND EYE CLINIC, P.A. RETIREMENT PLAN 2013 593545177 2014-06-10 LAKELAND EYE CLINIC, P.A. 42
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1976-07-01
Business code 621111
Sponsor’s telephone number 8636885604
Plan sponsor’s address 1247 LAKELAND HILLS BLVD., LAKELAND, FL, 33805

Plan administrator’s name and address
Administrator’s EIN 593545177
Plan administrator’s name LAKELAND EYE CLINIC, P.A.
Plan administrator’s address 1247 LAKELAND HILLS BLVD., LAKELAND, FL, 33805
Administrator’s telephone number 8636885604

Signature of
Role Plan administrator
Date 2014-06-10
Name of individual signing KEVIN A. DORSETT
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
DORSETT KEVIN A Agent 1247 LAKELAND HILLS BLVD., LAKELAND, FL, 32805

President

Name Role Address
DORSETT KEVIN A President 1247 LAKELAND HILLS BLVD, LAKELAND, FL, 33805

Events

Event Type Filed Date Value Description
ADMIN DISSOLUTION FOR ANNUAL REPORT 2022-09-23 No data No data
REGISTERED AGENT NAME CHANGED 2009-01-09 DORSETT, KEVIN A No data
REGISTERED AGENT ADDRESS CHANGED 1999-02-26 1247 LAKELAND HILLS BLVD., LAKELAND, FL 32805 No data

Documents

Name Date
ANNUAL REPORT 2021-01-29
ANNUAL REPORT 2020-02-26
ANNUAL REPORT 2019-04-11
ANNUAL REPORT 2018-03-12
ANNUAL REPORT 2017-03-15
ANNUAL REPORT 2016-03-04
ANNUAL REPORT 2015-01-15
ANNUAL REPORT 2014-03-10
ANNUAL REPORT 2013-02-11
ANNUAL REPORT 2012-01-04

Related by officers

DORSETT KEVIN A

SURGICARE OF LAKELAND, LLC DORDUG PROPERTIES INC FAR SIGHT SAILING, LLC FAR SIGHT ADVENTURES, LLC

Related by address

1247 LAKELAND HILLS BLVD., LAKELAND, FL, 33805

LAKELAND EYE PROPERTIES, LLC

1247 LAKELAND HILLS BLVD., LAKELAND, FL, 33805

LAKELAND EYE PROPERTIES, LLC

Date of last update: 02 Feb 2025

Sources: Florida Department of State

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