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  5. EDWARD G. MACKAY, M.D., P.A.

EDWARD G. MACKAY, M.D., P.A.

Company Details

Entity Name: EDWARD G. MACKAY, M.D., P.A.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Active
Date Filed: 10 Jun 1999 (26 years ago)
Document Number: P99000052457
FEI/EIN Number 593580628
Address: 2863 ALT 19 NORTH, PALM HARBOR, FL, 34683, US
Mail Address: 2863 ALT 19 NORTH, PALM HARBOR, FL, 34683, US
ZIP code: 34683
County: Pinellas
Place of Formation: FLORIDA

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
EDWARD G. MACKAY, M.D., P.A. 401(K) PROFIT SHARING PLAN AND TRUST 2015 593580628 2016-08-29 EDWARD G. MACKAY, M.D., P.A. 24
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2000-07-01
Business code 621111
Sponsor’s telephone number 7277815652
Plan sponsor’s address 2863 ALTERNATE 19, PALM HARBOR, FL, 346831926

Signature of
Role Plan administrator
Date 2016-08-29
Name of individual signing EDWARD G. MACKAY
Valid signature Filed with authorized/valid electronic signature
EDWARD G. MACKAY, M.D., P.A. 401(K) PROFIT SHARING PLAN AND TRUST 2014 593580628 2015-09-02 EDWARD G. MACKAY, M.D., P.A. 20
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2000-07-01
Business code 621111
Sponsor’s telephone number 7277815652
Plan sponsor’s address 2863 ALTERNATE 19, PALM HARBOR, FL, 346831926

Signature of
Role Plan administrator
Date 2015-09-02
Name of individual signing EDWARD G. MACKAY
Valid signature Filed with authorized/valid electronic signature
EDWARD G. MACKAY, M.D., P.A. 401(K) PROFIT SHARING PLAN AND TRUST 2013 593580628 2014-08-26 EDWARD G. MACKAY, M.D., P.A. 16
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2000-07-01
Business code 621111
Sponsor’s telephone number 7277815652
Plan sponsor’s address 2863 ALTERNATE 19, PALM HARBOR, FL, 346831926

Signature of
Role Plan administrator
Date 2014-08-26
Name of individual signing EDWARD G. MACKAY
Valid signature Filed with authorized/valid electronic signature
EDWARD G. MACKAY, M.D., P.A. 401(K) PROFIT SHARING PLAN AND TRUST 2012 593580628 2013-08-27 EDWARD G. MACKAY, M.D., P.A. 15
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2000-07-01
Business code 621111
Sponsor’s telephone number 7277815652
Plan sponsor’s address 2863 ALTERNATE 19, PALM HARBOR, FL, 346831926

Signature of
Role Plan administrator
Date 2013-08-27
Name of individual signing EDWARD G. MACKAY
Valid signature Filed with authorized/valid electronic signature
EDWARD G. MACKAY, M.D., P.A. 401(K) PROFIT SHARING PLAN AND TRUST 2011 593580628 2012-04-02 EDWARD G. MACKAY, M.D., P.A. 13
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2000-07-01
Business code 621111
Sponsor’s telephone number 7277815652
Plan sponsor’s address 2863 ALTERNATE 19, PALM HARBOR, FL, 346831926

Plan administrator’s name and address
Administrator’s EIN 593580628
Plan administrator’s name EDWARD G. MACKAY, M.D., P.A.
Plan administrator’s address 2863 ALTERNATE 19, PALM HARBOR, FL, 346831926
Administrator’s telephone number 7277815652

Signature of
Role Plan administrator
Date 2012-04-02
Name of individual signing EDWARD G. MACKAY
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2012-04-02
Name of individual signing EDWARD G. MACKAY
Valid signature Filed with authorized/valid electronic signature
EDWARD G. MACKAY, M.D., P.A. 401(K) PROFIT SHARING PLAN AND TRUST 2010 593580628 2011-05-26 EDWARD G. MACKAY, M.D., P.A. 15
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2000-07-01
Business code 621111
Sponsor’s telephone number 7277815652
Plan sponsor’s address 2863 ALTERNATE 19, PALM HARBOR, FL, 346831926

Plan administrator’s name and address
Administrator’s EIN 593580628
Plan administrator’s name EDWARD G. MACKAY, M.D., P.A.
Plan administrator’s address 2863 ALTERNATE 19, PALM HARBOR, FL, 346831926
Administrator’s telephone number 7277815652

Signature of
Role Plan administrator
Date 2011-05-26
Name of individual signing EDWARD G. MACKAY
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2011-05-26
Name of individual signing EDWARD G. MACKAY
Valid signature Filed with authorized/valid electronic signature
EDWARD G. MACKAY, M.D., P.A. 401(K) PROFIT SHARING PLAN AND TRUST 2009 593580628 2010-09-09 EDWARD G. MACKAY, M.D., P.A. 13
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2000-07-01
Business code 621111
Sponsor’s telephone number 7277815652
Plan sponsor’s address 2863 ALTERNATE 19, PALM HARBOR, FL, 346831926

Plan administrator’s name and address
Administrator’s EIN 593580628
Plan administrator’s name EDWARD G. MACKAY, M.D., P.A.
Plan administrator’s address 2863 ALTERNATE 19, PALM HARBOR, FL, 346831926
Administrator’s telephone number 7277815652

Signature of
Role Plan administrator
Date 2010-09-09
Name of individual signing EDWARD G. MACKAY
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2010-09-09
Name of individual signing EDWARD G. MACKAY
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
MACKAY EDWARD G Agent 607 PALM DRIVE, LARGO, FL, 33770

President

Name Role Address
MACKAY EDWARD G President 607 PALM DR, LARGO, FL, 33770

Related by officers

MACKAY EDWARD G

FLORIDA INDEPENDENT SURGICAL ASSOCIATION, INC. VEIN CLINIC OF WEST FLORIDA, P.A.

Related by address

No related companies by address

Date of last update: 02 Jan 2025

Sources: Florida Department of State

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