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MICHAEL G. DEGNAN, P.A.

Company Details

Entity Name: MICHAEL G. DEGNAN, P.A.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Inactive
Date Filed: 03 Sep 1999 (25 years ago)
Date of dissolution: 28 Jul 2016 (9 years ago)
Last Event: CONVERSION
Event Date Filed: 28 Jul 2016 (9 years ago)
Document Number: P99000080466
FEI/EIN Number 593599290
Address: 181 WEBB DRIVE, SUITE A, DAVENPORT, FL, 33837
Mail Address: PO BOX 3789, HAINES CITY, FL, 33845
ZIP code: 33837
County: Polk
Place of Formation: FLORIDA

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
MICHAEL G. DEGNAN, P. A. 401(K) PROFIT SHARING PLAN 2017 593599290 2018-05-10 MICHAEL G. DEGNAN, P.A. 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-01-01
Business code 621111
Sponsor’s telephone number 8634191235
Plan sponsor’s address 181 WEBB DRIVE, SUITE A, DAVENPORT, FL, 33837

Signature of

Role Plan administrator
Date 2018-05-10
Name of individual signing MICHAEL G. DEGNAN, M.D.
Valid signature Filed with authorized/valid electronic signature
MICHAEL G. DEGNAN, P. A. 401(K) PROFIT SHARING PLAN 2016 593599290 2017-07-26 MICHAEL G. DEGNAN, P.A. 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-01-01
Business code 621111
Sponsor’s telephone number 8634191235
Plan sponsor’s address 181 WEBB DRIVE, SUITE A, DAVENPORT, FL, 33837

Signature of

Role Plan administrator
Date 2017-07-26
Name of individual signing MICHAEL G. DEGNAN, M.D.
Valid signature Filed with authorized/valid electronic signature
MICHAEL G. DEGNAN, P. A. 401(K) PROFIT SHARING PLAN 2015 593599290 2016-07-29 MICHAEL G. DEGNAN, P.A. 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-01-01
Business code 621111
Sponsor’s telephone number 8634191235
Plan sponsor’s address 181 WEBB DRIVE, SUITE A, DAVENPORT, FL, 33837

Signature of

Role Plan administrator
Date 2016-07-29
Name of individual signing MICHAEL G. DEGNAN, M.D.
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
DEGNAN MICHAEL GPA Agent 181 WEBB DRIVE, DAVENPORT, FL, 33837

Player Agent

Name Role Address
DEGNAN MICHAEL G Player Agent 181 WEBB DRIVE SUITE A, DAVENPORT, FL, 33837

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G10000031523 DEGNAN FAMILY MEDICINE EXPIRED 2010-04-08 2015-12-31 No data PO BOX 3789, HAINES CITY, FL, 33845

Events

Event Type Filed Date Value Description
CONVERSION 2016-07-28 No data CONVERSION MEMBER. RESULTING CORPORATION WAS L16000139833. CONVERSION NUMBER 300000162883
REGISTERED AGENT NAME CHANGED 2013-04-03 DEGNAN, MICHAEL G, PA No data
CHANGE OF PRINCIPAL ADDRESS 2005-01-03 181 WEBB DRIVE, SUITE A, DAVENPORT, FL 33837 No data
REGISTERED AGENT ADDRESS CHANGED 2005-01-03 181 WEBB DRIVE, SUITE A, DAVENPORT, FL 33837 No data
CHANGE OF MAILING ADDRESS 2002-01-15 181 WEBB DRIVE, SUITE A, DAVENPORT, FL 33837 No data

Documents

Name Date
ANNUAL REPORT 2016-04-07
ANNUAL REPORT 2015-04-22
ANNUAL REPORT 2014-03-31
ANNUAL REPORT 2013-04-03
ANNUAL REPORT 2012-02-20
ANNUAL REPORT 2011-03-16
ANNUAL REPORT 2010-02-23
ANNUAL REPORT 2009-04-08
ANNUAL REPORT 2008-01-09
ANNUAL REPORT 2007-04-01

Date of last update: 02 Feb 2025

Sources: Florida Department of State