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CARROLLWOOD SURGICAL ASSOCIATES, P.A. - Florida Company Profile

Company Details

Entity Name: CARROLLWOOD SURGICAL ASSOCIATES, P.A.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit

CARROLLWOOD SURGICAL ASSOCIATES, P.A. 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: 04 Sep 1991 (34 years ago)
Date of dissolution: 28 Sep 2018 (7 years ago)
Last Event: ADMIN DISSOLUTION FOR ANNUAL REPORT
Event Date Filed: 28 Sep 2018 (7 years ago)
Document Number: S78251
FEI/EIN Number 593084472

Federal Employer Identification (FEI) Number assigned by the IRS.

Address: 6919 N DALE MABRY HWY, TAMPA, FL, 33614, US
Mail Address: 6919 N DALE MABRY HWY, TAMPA, FL, 33614, US
ZIP code: 33614
County: Hillsborough
Place of Formation: FLORIDA

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
CARROLLWOOD SURGICAL ASSOCIATES, P.A. 401(K) PLAN 2016 593084472 2018-01-11 CARROLLWOOD SURGICAL ASSOCIATES, P.A. 10
File View Page
Three-digit plan number (PN) 003
Effective date of plan 2011-01-01
Business code 621111
Sponsor’s telephone number 8139333324
Plan sponsor’s address 6919 N. DALE MABRY, SUITE 200, TAMPA, FL, 336143972

Signature of

Role Plan administrator
Date 2018-01-11
Name of individual signing RAVINDRA PATEL, M.D.
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2018-01-11
Name of individual signing RAVINDRA PATEL, MD
Valid signature Filed with authorized/valid electronic signature
CARROLLWOOD SURGICAL ASSOCIATES, P.A. 401(K) PLAN 2015 593084472 2016-09-13 CARROLLWOOD SURGICAL ASSOCIATES, P.A. 10
File View Page
Three-digit plan number (PN) 003
Effective date of plan 2011-01-01
Business code 621111
Sponsor’s telephone number 8139333324
Plan sponsor’s address 6919 N. DALE MABRY, SUITE 200, TAMPA, FL, 336143972

Signature of

Role Plan administrator
Date 2016-09-13
Name of individual signing RAVINDRA PATEL, M.D.
Valid signature Filed with authorized/valid electronic signature
CARROLLWOOD SURGICAL ASSOCIATES, P.A. 401(K) PLAN 2013 593084472 2014-07-22 CARROLLWOOD SURGICAL ASSOCIATES, P.A. 7
File View Page
Three-digit plan number (PN) 003
Effective date of plan 2011-01-01
Business code 621111
Sponsor’s telephone number 8139333324
Plan sponsor’s address 6919 N. DALE MABRY, SUITE 200, TAMPA, FL, 336143972

Signature of

Role Plan administrator
Date 2014-07-22
Name of individual signing RAVINDRA PATEL, M.D.
Valid signature Filed with authorized/valid electronic signature
CARROLLWOOD SURGICAL ASSOCIATES, P.A. 401(K) PLAN 2012 593084472 2013-05-22 CARROLLWOOD SURGICAL ASSOCIATES, P.A. 7
File View Page
Three-digit plan number (PN) 003
Effective date of plan 2011-01-01
Business code 621111
Sponsor’s telephone number 8139333324
Plan sponsor’s address 7171 N. DALE MABRY, SUITE 402, TAMPA, FL, 336142630

Signature of

Role Plan administrator
Date 2013-05-22
Name of individual signing RAVINDRA PATEL, M.D.
Valid signature Filed with authorized/valid electronic signature
CARROLLWOOD SURGICAL ASSOCIATES, P.A. PENSION PLAN 2011 593084472 2012-11-28 CARROLLWOOD SURGICAL ASSOCIATES, P.A. 7
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2003-01-01
Business code 621111
Sponsor’s telephone number 8139333324
Plan sponsor’s address 7171 N. DALE MABRY, SUITE 402, TAMPA, FL, 336142630

Plan administrator’s name and address

Administrator’s EIN 593084472
Plan administrator’s name CARROLLWOOD SURGICAL ASSOCIATES, P.A.
Plan administrator’s address 7171 N. DALE MABRY, SUITE 402, TAMPA, FL, 336142630
Administrator’s telephone number 8139333324

Signature of

Role Plan administrator
Date 2012-11-28
Name of individual signing RAVINDRA R. PATEL
Valid signature Filed with authorized/valid electronic signature
CARROLLWOOD SURGICAL ASSOCIATES, P.A. PENSION PLAN 2011 593084472 2012-10-04 CARROLLWOOD SURGICAL ASSOCIATES, P.A. 7
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2003-01-01
Business code 621111
Sponsor’s telephone number 8139333324
Plan sponsor’s address 7171 N. DALE MABRY, SUITE 402, TAMPA, FL, 336142630

Plan administrator’s name and address

Administrator’s EIN 593084472
Plan administrator’s name CARROLLWOOD SURGICAL ASSOCIATES, P.A.
Plan administrator’s address 7171 N. DALE MABRY, SUITE 402, TAMPA, FL, 336142630
Administrator’s telephone number 8139333324

Signature of

Role Plan administrator
Date 2012-10-04
Name of individual signing RAVINDRA R. PATEL
Valid signature Filed with authorized/valid electronic signature
CARROLLWOOD SURGICAL ASSOCIATES, P.A. 401(K) PLAN 2011 593084472 2012-10-08 CARROLLWOOD SURGICAL ASSOCIATES, P.A. 7
File View Page
Three-digit plan number (PN) 003
Effective date of plan 2011-01-01
Business code 621111
Sponsor’s telephone number 8139333324
Plan sponsor’s address 7171 N. DALE MABRY, SUITE 402, TAMPA, FL, 336142630

Plan administrator’s name and address

Administrator’s EIN 593084472
Plan administrator’s name CARROLLWOOD SURGICAL ASSOCIATES, P.A.
Plan administrator’s address 7171 N. DALE MABRY, SUITE 402, TAMPA, FL, 336142630
Administrator’s telephone number 8139333324

Signature of

Role Plan administrator
Date 2012-10-08
Name of individual signing RAVINDRA PATEL, M.D.
Valid signature Filed with authorized/valid electronic signature
CARROLLWOOD SURGICAL ASSOCIATES, P.A. PENSION PLAN 2010 593084472 2011-09-20 CARROLLWOOD SURGICAL ASSOCIATES, P.A. 7
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2003-01-01
Business code 621111
Sponsor’s telephone number 8139333324
Plan sponsor’s address 7171 N. DALE MABRY, SUITE 402, TAMPA, FL, 336142630

Plan administrator’s name and address

Administrator’s EIN 593084472
Plan administrator’s name CARROLLWOOD SURGICAL ASSOCIATES, P.A.
Plan administrator’s address 7171 N. DALE MABRY, SUITE 402, TAMPA, FL, 336142630
Administrator’s telephone number 8139333324

Signature of

Role Plan administrator
Date 2011-09-20
Name of individual signing RAVINDRA R. PATEL
Valid signature Filed with authorized/valid electronic signature
CARROLLWOOD SURGICAL ASSOCIATES, P.A. PENSION PLAN 2009 593084472 2010-10-04 CARROLLWOOD SURGICAL ASSOCIATES, P.A. 7
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2003-01-01
Business code 621111
Sponsor’s telephone number 8139333384
Plan sponsor’s address 7171 N. DALE MABRY, SUITE 402, TAMPA, FL, 336142630

Plan administrator’s name and address

Administrator’s EIN 593084472
Plan administrator’s name CARROLLWOOD SURGICAL ASSOCIATES, P.A.
Plan administrator’s address 7171 N. DALE MABRY, SUITE 402, TAMPA, FL, 336142630
Administrator’s telephone number 8139333384

Signature of

Role Plan administrator
Date 2010-10-04
Name of individual signing RAVINDRA R. PATEL
Valid signature Filed with authorized/valid electronic signature

Key Officers & Management

Name Role Address
PATEL SHARAD I Vice President 3111 MOSSVALE LANE, TAMPA, FL, 33618
PATEL RAVINDRA R President 16606 VILLALENDA DE AVILA, TAMPA, FL, 33613
Patel Ajay P Secretary 179737 Deer Lake Rd, Lutz, FL, 33548
Patel Ajay P Director 179737 Deer Lake Rd, Lutz, FL, 33548
PATEL RAVINDRA Agent 16606 Villalenda De Avila, TAMPA, FL, 33613

Events

Event Type Filed Date Value Description
ADMIN DISSOLUTION FOR ANNUAL REPORT 2018-09-28 - -
REINSTATEMENT 2017-02-02 - -
REGISTERED AGENT NAME CHANGED 2017-02-02 PATEL, RAVINDRA -
ADMIN DISSOLUTION FOR ANNUAL REPORT 2016-09-23 - -
CHANGE OF PRINCIPAL ADDRESS 2014-04-30 6919 N DALE MABRY HWY, Suite 200, TAMPA, FL 33614 -
CHANGE OF MAILING ADDRESS 2014-04-30 6919 N DALE MABRY HWY, Suite 200, TAMPA, FL 33614 -
REGISTERED AGENT ADDRESS CHANGED 2013-04-25 16606 Villalenda De Avila, TAMPA, FL 33613 -
CANCEL ADM DISS/REV 2004-05-21 - -
ADMIN DISSOLUTION FOR ANNUAL REPORT 2002-10-04 - -

Documents

Name Date
REINSTATEMENT 2017-02-02
ANNUAL REPORT 2015-04-22
ANNUAL REPORT 2014-04-30
ANNUAL REPORT 2013-04-25
ANNUAL REPORT 2012-04-27
ANNUAL REPORT 2011-04-20
ANNUAL REPORT 2010-03-29
ANNUAL REPORT 2009-03-25
ANNUAL REPORT 2008-07-08
ANNUAL REPORT 2007-02-06

Date of last update: 01 Apr 2025

Sources: Florida Department of State