| Entity Name: | KATHERINE L. BILLINGSLEY, MD, PA |
| Jurisdiction: | FLORIDA |
| Filing Type: |
Domestic Profit
KATHERINE L. BILLINGSLEY, MD, PA is structured as a Domestic Profit Corporation, which, in Florida signifies a Profit Corporation (also known as a C-Corporation). This business structure is recognized as a separate legal entity from its owners. This offers shareholders the benefit of limited liability protection, safeguarding their personal assets from the corporation's debts and obligations, and facilitates raising capital through the issuance of stock. In Florida, Domestic Profit Corporations are governed by Title XXXVI, Chapter 607, Florida Statutes – Florida Business Corporation Act. |
| Status: |
Inactive
The business entity is inactive. This status may signal operational issues or voluntary closure, raising concerns about the business's ability to repay loans and requiring careful risk assessment by lenders. |
| Date Filed: | 03 May 1999 (26 years ago) |
| Date of dissolution: | 21 Jan 2015 (10 years ago) |
| Last Event: | VOLUNTARY DISSOLUTION |
| Event Date Filed: | 21 Jan 2015 (10 years ago) |
| Document Number: | P99000041249 |
| FEI/EIN Number |
593577609
Federal Employer Identification (FEI) Number assigned by the IRS. |
| Address: | 12276-401 SAN JOSE BLVD, JACKSONVILLE, FL, 32223 |
| Mail Address: | 12276-401 SAN JOSE BLVD, JACKSONVILLE, FL, 32223 |
| ZIP code: | 32223 |
| County: | Duval |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1790868073 | 2006-10-23 | 2012-02-02 | 12276 SAN JOSE BLVD, SUITE 401, JACKSONVILLE, FL, 322238628, US | 12276 SAN JOSE BLVD, SUITE 401, JACKSONVILLE, FL, 322238628, US | |||||||||||||||
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| Phone | +1 904-268-5506 |
| Fax | 9042929170 |
Authorized person
| Name | KATHERINE L BILLINGSLEY |
| Role | OWNERS/MD |
| Phone | 9042685506 |
Taxonomy
| Taxonomy Code | 207Q00000X - Family Medicine Physician |
| Is Primary | Yes |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| KATHERINE L BILLINGSLEY MD PA 401 K PROFIT SHARING PLAN TRUST | 2013 | 593577609 | 2014-07-17 | KATHERINE L BILLINGSLEY MD PA | 9 | |||||||||||||||||||||||||||||||
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| Role | Plan administrator |
| Date | 2014-07-17 |
| Name of individual signing | KATHERINE L. BILLINGSLEY |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 002 |
| Effective date of plan | 2008-01-01 |
| Business code | 621111 |
| Sponsor’s telephone number | 9042685506 |
| Plan sponsor’s address | 12276 SAN JOSE BLVD STE 401, JACKSONVILLE, FL, 322238660 |
Signature of
| Role | Plan administrator |
| Date | 2013-06-14 |
| Name of individual signing | KATHERINE L BILLINGSLEY MD PA |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 002 |
| Effective date of plan | 2008-01-01 |
| Business code | 621111 |
| Sponsor’s telephone number | 9042685506 |
| Plan sponsor’s address | 12276 SAN JOSE BLVD STE 401, JACKSONVILLE, FL, 322238660 |
Plan administrator’s name and address
| Administrator’s EIN | 593577609 |
| Plan administrator’s name | KATHERINE L BILLINGSLEY MD PA |
| Plan administrator’s address | 12276 SAN JOSE BLVD STE 401, JACKSONVILLE, FL, 322238660 |
| Administrator’s telephone number | 9042685506 |
Signature of
| Role | Plan administrator |
| Date | 2012-07-24 |
| Name of individual signing | KATHERINE L BILLINGSLEY MD PA |
| Valid signature | Filed with authorized/valid electronic signature |
| Name | Role | Address |
|---|---|---|
| BILLINGSLEY KATHERINE L | President | 12276-401 SAN JOSE BLVD, JACKSONVILLE, FL, 32223 |
| BILLINGSLEY KATHERINE L | Secretary | 12276-401 SAN JOSE BLVD, JACKSONVILLE, FL, 32223 |
| BILLINGSLEY KATHERINE L | Treasurer | 12276-401 SAN JOSE BLVD, JACKSONVILLE, FL, 32223 |
| BILLINGSLEY KATHERINE L | Agent | 12276-401 SAN JOSE BLVD, JACKSONVILLE, FL, 32223 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| VOLUNTARY DISSOLUTION | 2015-01-21 | - | - |
| REGISTERED AGENT ADDRESS CHANGED | 2005-04-04 | 12276-401 SAN JOSE BLVD, JACKSONVILLE, FL 32223 | - |
| CHANGE OF PRINCIPAL ADDRESS | 2004-05-06 | 12276-401 SAN JOSE BLVD, JACKSONVILLE, FL 32223 | - |
| CHANGE OF MAILING ADDRESS | 2004-05-06 | 12276-401 SAN JOSE BLVD, JACKSONVILLE, FL 32223 | - |
| Name | Date |
|---|---|
| Voluntary Dissolution | 2015-01-21 |
| ANNUAL REPORT | 2014-04-02 |
| ANNUAL REPORT | 2013-04-19 |
| ANNUAL REPORT | 2012-02-29 |
| ANNUAL REPORT | 2011-04-20 |
| ANNUAL REPORT | 2010-04-13 |
| ANNUAL REPORT | 2009-03-27 |
| ANNUAL REPORT | 2008-04-24 |
| ANNUAL REPORT | 2007-04-17 |
| ANNUAL REPORT | 2006-04-19 |
Date of last update: 03 Apr 2025
Sources: Florida Department of State
