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  5. MAYRA L. LORENZO, M.D., P.A.

MAYRA L. LORENZO, M.D., P.A.

Company Details

Entity Name: MAYRA L. LORENZO, M.D., P.A.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Inactive
Date Filed: 16 Aug 1999 (25 years ago)
Date of dissolution: 19 Feb 2023 (2 years ago)
Last Event: VOLUNTARY DISSOLUTION
Event Date Filed: 19 Feb 2023 (2 years ago)
Document Number: P99000074657
FEI/EIN Number 593591961
Address: 12150 SEMINOLE BOULEVARD, LARGO, FL, 33778
Mail Address: 12150 SEMINOLE BOULEVARD, LARGO, FL, 33778
ZIP code: 33778
County: Pinellas
Place of Formation: FLORIDA

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
MAYRA L. LORENZO, M.D., P.A. 401(K) PLAN 2015 593591961 2016-10-07 MAYRA L. LORENZO, M.D., P.A. 15
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-01-01
Business code 621111
Sponsor’s telephone number 7273192953
Plan sponsor’s address 300 BEACH DR NE, APT 2902, ST. PETERSBURG, FL, 33701

Signature of
Role Plan administrator
Date 2016-10-07
Name of individual signing MAYRA L. LORENZO
Valid signature Filed with authorized/valid electronic signature
MAYRA L. LORENZO, M.D., P.A. CASH BALANCE PENSION PLAN 2015 593591961 2016-10-07 MAYRA L. LORENZO, M.D., P.A. 15
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2008-01-01
Business code 621111
Sponsor’s telephone number 7273192953
Plan sponsor’s address 9677 SEMINOLE BLVD., SEMINOLE, FL, 33772

Signature of
Role Plan administrator
Date 2016-10-07
Name of individual signing MAYRA L. LORENZO
Valid signature Filed with authorized/valid electronic signature
MAYRA L. LORENZO, M.D., P.A. 401(K) PLAN 2014 593591961 2015-10-13 MAYRA L. LORENZO, M.D., P.A. 15
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-01-01
Business code 621111
Sponsor’s telephone number 7273192953
Plan sponsor’s address 300 BEACH DR NE, APT 2902, ST. PETERSBURG, FL, 33701

Signature of
Role Plan administrator
Date 2015-10-13
Name of individual signing MAYRA L. LORENZO
Valid signature Filed with authorized/valid electronic signature
MAYRA L. LORENZO, M.D., P.A. CASH BALANCE PENSION PLAN 2014 593591961 2015-10-13 MAYRA L. LORENZO, M.D., P.A. 16
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2008-01-01
Business code 621111
Sponsor’s telephone number 7273192953
Plan sponsor’s address 9677 SEMINOLE BLVD., SEMINOLE, FL, 33772

Signature of
Role Plan administrator
Date 2015-10-13
Name of individual signing MAYRA L. LORENZO
Valid signature Filed with authorized/valid electronic signature
MAYRA L. LORENZO, M.D., P.A. CASH BALANCE PENSION PLAN 2013 593591961 2014-10-03 MAYRA L. LORENZO, M.D., P.A. 14
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2008-01-01
Business code 621111
Sponsor’s telephone number 7273192953
Plan sponsor’s address 9677 SEMINOLE BLVD., SEMINOLE, FL, 33772

Signature of
Role Plan administrator
Date 2014-10-03
Name of individual signing MAYRA L. LORENZO
Valid signature Filed with authorized/valid electronic signature
MAYRA L. LORENZO, M.D., P.A. 401(K) PLAN 2013 593591961 2014-10-03 MAYRA L. LORENZO, M.D., P.A. 17
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-01-01
Business code 621111
Sponsor’s telephone number 7273192953
Plan sponsor’s address 2808 KIPPS COLONY DRIVE, GULFPORT, FL, 33707

Signature of
Role Plan administrator
Date 2014-10-03
Name of individual signing MAYRA L. LORENZO
Valid signature Filed with authorized/valid electronic signature
MAYRA L. LORENZO, M.D., P.A. CASH BALANCE PENSION PLAN 2012 593591961 2013-05-07 MAYRA L. LORENZO, M.D., P.A. 15
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2008-01-01
Business code 621111
Sponsor’s telephone number 7273192953
Plan sponsor’s address 9677 SEMINOLE BLVD., SEMINOLE, FL, 33772

Signature of
Role Plan administrator
Date 2013-05-07
Name of individual signing MAYRA L. LORENZO
Valid signature Filed with authorized/valid electronic signature
MAYRA L. LORENZO, M.D., P.A. 401(K) PLAN 2012 593591961 2013-04-09 MAYRA L. LORENZO, M.D., P.A. 15
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-01-01
Business code 621111
Sponsor’s telephone number 7273192953
Plan sponsor’s address 2808 KIPPS COLONY DRIVE, GULFPORT, FL, 33707

Signature of
Role Plan administrator
Date 2013-04-09
Name of individual signing MAYRA L. LORENZO
Valid signature Filed with authorized/valid electronic signature
MAYRA L. LORENZO, M.D., P.A. 401(K) PLAN 2011 593591961 2012-07-28 MAYRA L. LORENZO, M.D., P.A. 13
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-01-01
Business code 621111
Sponsor’s telephone number 7273192953
Plan sponsor’s address 2808 KIPPS COLONY DRIVE, GULFPORT, FL, 33707

Plan administrator’s name and address
Administrator’s EIN 593591961
Plan administrator’s name MAYRA L. LORENZO, M.D., P.A.
Plan administrator’s address 2808 KIPPS COLONY DRIVE, GULFPORT, FL, 33707
Administrator’s telephone number 7273192953

Signature of
Role Plan administrator
Date 2012-07-28
Name of individual signing MAYRA L. LORENZO
Valid signature Filed with authorized/valid electronic signature
MAYRA L. LORENZO, M.D., P.A. CASH BALANCE PENSION PLAN 2011 593591961 2012-07-05 MAYRA L. LORENZO, M.D., P.A. 12
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2008-01-01
Business code 621111
Sponsor’s telephone number 7273192953
Plan sponsor’s address 9677 SEMINOLE BLVD., SEMINOLE, FL, 33772

Plan administrator’s name and address
Administrator’s EIN 593591961
Plan administrator’s name MAYRA L. LORENZO, M.D., P.A.
Plan administrator’s address 9677 SEMINOLE BLVD., SEMINOLE, FL, 33772
Administrator’s telephone number 7273192953

Signature of
Role Plan administrator
Date 2012-07-05
Name of individual signing MAYRA L. LORENZO
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
LORENZO WILFREDO D Agent 6700 CROSSWIND DRIVE, ST. PETERSBURG, FL, 33710

Director

Name Role Address
LORENZO MAYRA L Director 12150 SEMINOLE BOULEVARD, LARGO, FL, 33778

Events

Event Type Filed Date Value Description
VOLUNTARY DISSOLUTION 2023-02-19 No data No data
CHANGE OF PRINCIPAL ADDRESS 2010-04-06 12150 SEMINOLE BOULEVARD, LARGO, FL 33778 No data
CHANGE OF MAILING ADDRESS 2010-04-06 12150 SEMINOLE BOULEVARD, LARGO, FL 33778 No data
REGISTERED AGENT NAME CHANGED 2006-01-08 LORENZO, WILFREDO DR No data

Documents

Name Date
VOLUNTARY DISSOLUTION 2023-02-19
ANNUAL REPORT 2022-02-06
ANNUAL REPORT 2021-01-27
ANNUAL REPORT 2020-01-22
ANNUAL REPORT 2019-02-17
ANNUAL REPORT 2018-01-14
ANNUAL REPORT 2017-01-15
ANNUAL REPORT 2016-01-27
ANNUAL REPORT 2015-01-06
ANNUAL REPORT 2014-01-14

Related by officers

No related officers

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Date of last update: 02 Feb 2025

Sources: Florida Department of State

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