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GURKIRPAL S. SHERGILL, M.D., P.A.

Company Details

Entity Name: GURKIRPAL S. SHERGILL, M.D., P.A.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Inactive
Date Filed: 23 Aug 1999 (25 years ago)
Date of dissolution: 05 Nov 2012 (12 years ago)
Last Event: CONVERSION
Event Date Filed: 05 Nov 2012 (12 years ago)
Document Number: P99000075038
FEI/EIN Number 593595579
Address: 295 PATTERSON RD, SUITE A, HAINES CITY, FL, 33844
Mail Address: 295 PATTERSON RD, SUITE A, HAINES CITY, FL, 33844
ZIP code: 33844
County: Polk
Place of Formation: FLORIDA

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
GURKIRPAL S SHERGILL M D P A 2015 593595579 2018-06-25 GURKIRPAL S SHERGILL, M D P A 5
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2004-01-01
Business code 621111
Sponsor’s telephone number 4077978511
Plan sponsor’s DBA name GURKIRPAL S SHERGILL
Plan sponsor’s address 9215 SOUTHERN BREEZE DR, ORLANDO, FL, 328365055

Signature of

Role Plan administrator
Date 2018-06-25
Name of individual signing GURKIRPAL GILL
Valid signature Filed with authorized/valid electronic signature
GURKIRPAL S SHERGILL M D P A 401 K PROFIT SHARING PLAN TRUST 2014 593595579 2015-07-28 GURKIRPAL S SHERGILL M D P A 8
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2004-01-01
Business code 621111
Sponsor’s telephone number 8634224338
Plan sponsor’s address 295 PATTERSON RD, HAINES CITY, FL, 338446247

Signature of

Role Plan administrator
Date 2015-07-28
Name of individual signing MEENU GILL
Valid signature Filed with authorized/valid electronic signature
GURKIRPAL S SHERGILL M D P A 401 K PROFIT SHARING PLAN TRUST 2013 593595579 2014-07-31 GURKIRPAL S SHERGILL M D P A 11
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2004-01-01
Business code 621111
Sponsor’s telephone number 4077978511
Plan sponsor’s address 9215 SOUTHERN BREEZE DRIVE, ORLANDO, FL, 32836

Signature of

Role Plan administrator
Date 2014-07-31
Name of individual signing MEENU GILL
Valid signature Filed with authorized/valid electronic signature
GURKIRPAL S SHERGILL M D P A 401 K PROFIT SHARING PLAN TRUST 2011 593595579 2012-07-26 GURKIRPAL S SHERGILL M D P A 6
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2004-01-01
Business code 621111
Sponsor’s telephone number 8634224338
Plan sponsor’s address 295 PATTERSON RD, HAINES CITY, FL, 338446247

Plan administrator’s name and address

Administrator’s EIN 593595579
Plan administrator’s name GURKIRPAL S SHERGILL M D P A
Plan administrator’s address 295 PATTERSON RD, HAINES CITY, FL, 338446247
Administrator’s telephone number 8634224338

Signature of

Role Plan administrator
Date 2012-07-26
Name of individual signing GURKIRPAL S SHERGILL M D P A
Valid signature Filed with authorized/valid electronic signature
GURKIRPAL S SHERGILL M D P A 401 K PROFIT SHARING PLAN TRUST 2010 593595579 2012-07-26 GURKIRPAL S SHERGILL M D P A 7
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2004-01-01
Business code 621111
Sponsor’s telephone number 8634224338
Plan sponsor’s address 295 PATTERSON ROAD, HAINES CITY, FL, 33844

Plan administrator’s name and address

Administrator’s EIN 593595579
Plan administrator’s name GURKIRPAL S SHERGILL M D P A
Plan administrator’s address 295 PATTERSON ROAD, HAINES CITY, FL, 33844
Administrator’s telephone number 8634224338

Signature of

Role Plan administrator
Date 2012-07-26
Name of individual signing GURKIRPAL S SHERGILL M D P A
Valid signature Filed with authorized/valid electronic signature
GURKIRPAL S SHERGILL M D P A 2009 593595579 2010-07-30 GURKIRPAL S SHERGILL M D P A 6
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2004-01-01
Business code 621111
Sponsor’s telephone number 8634224338
Plan sponsor’s address 295 PATTERSON ROAD, HAINES CITY, FL, 33844

Plan administrator’s name and address

Administrator’s EIN 593595579
Plan administrator’s name GURKIRPAL S SHERGILL M D P A
Plan administrator’s address 295 PATTERSON ROAD, HAINES CITY, FL, 33844
Administrator’s telephone number 8634224338

Signature of

Role Plan administrator
Date 2010-07-30
Name of individual signing GURKIRPAL S SHERGILL M D P A
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
SHERGILL GURKIRPAL S Agent 295 PATTERSON RD, HAINES CITY, FL, 33844

President

Name Role Address
SHERGILL GURKIRPAL S President 295 PATTERSON RD, HAINES CITY, FL, 33844

Secretary

Name Role Address
SHERGILL GURKIRPAL S Secretary 295 PATTERSON RD, HAINES CITY, FL, 33844
GILL MEENU K Secretary 295 PATTERSON ROAD, HAINES CITY, FL, 33844

Treasurer

Name Role Address
SHERGILL GURKIRPAL S Treasurer 295 PATTERSON RD, HAINES CITY, FL, 33844

Director

Name Role Address
SHERGILL GURKIRPAL S Director 295 PATTERSON RD, HAINES CITY, FL, 33844

Events

Event Type Filed Date Value Description
CONVERSION 2012-11-05 No data CONVERSION MEMBER. RESULTING CORPORATION WAS L12000143004. CONVERSION NUMBER 300000126653
REGISTERED AGENT ADDRESS CHANGED 2010-03-02 295 PATTERSON RD, SUITE A, HAINES CITY, FL 33844 No data
CHANGE OF PRINCIPAL ADDRESS 2006-05-15 295 PATTERSON RD, SUITE A, HAINES CITY, FL 33844 No data
CHANGE OF MAILING ADDRESS 2006-05-15 295 PATTERSON RD, SUITE A, HAINES CITY, FL 33844 No data
REINSTATEMENT 2000-10-19 No data No data
ADMIN DISSOLUTION FOR ANNUAL REPORT 2000-09-22 No data No data

Documents

Name Date
ANNUAL REPORT 2012-04-05
ANNUAL REPORT 2011-03-16
ANNUAL REPORT 2010-03-02
ANNUAL REPORT 2009-04-30
ANNUAL REPORT 2008-08-21
ANNUAL REPORT 2007-06-19
ANNUAL REPORT 2006-05-15
ANNUAL REPORT 2005-05-04
ANNUAL REPORT 2004-09-08
ANNUAL REPORT 2003-04-17

Date of last update: 02 Feb 2025

Sources: Florida Department of State