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  5. NORMAN A. BLOOM, M.D. P.A.

NORMAN A. BLOOM, M.D. P.A.

Company Details

Entity Name: NORMAN A. BLOOM, M.D. P.A.
Jurisdiction: FLORIDA
Filing Type: Florida Profit Corporation
Status: Inactive
Date Filed: 21 Jun 1974 (51 years ago)
Date of dissolution: 22 Sep 2017 (7 years ago)
Last Event: ADMIN DISSOLUTION FOR ANNUAL REPORT
Event Date Filed: 22 Sep 2017 (7 years ago)
Document Number: 451972
FEI/EIN Number 59-1536379
Address: 17220 ne 12 ave, North Miami Beach, FL 33162
Mail Address: 17220 ne 12 Ave., North Miami Beach, FL 33162
ZIP code: 33162
County: Miami-Dade
Place of Formation: FLORIDA

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
NORMAN A. BLOOM, M.D., P.A. PROFIT SHARING PLAN 2015 591536379 2016-06-15 NORMAN A. BLOOM, M.D., P.A. 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1975-06-01
Business code 621111
Sponsor’s telephone number 3057783227
Plan sponsor’s address 17220 NE 12TH AVE, MIAMI, FL, 33162
NORMAN A. BLOOM, M.D., P.A. PROFIT SHARING PLAN 2014 591536379 2015-08-26 NORMAN A. BLOOM, M.D., P.A. 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1975-06-01
Business code 621111
Sponsor’s telephone number 3057783227
Plan sponsor’s address 17220 NE 12TH AVE, MIAMI, FL, 33162

Signature of
Role Plan administrator
Date 2015-08-26
Name of individual signing NORMAN A. BLOOM, M.D.
Valid signature Filed with authorized/valid electronic signature
NORMAN A. BLOOM, M.D., P.A. PROFIT SHARING PLAN 2013 591536379 2014-10-03 NORMAN A. BLOOM, M.D., P.A. 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1975-06-01
Business code 621111
Sponsor’s telephone number 3059316663
Plan sponsor’s address 21097 N.E. 27TH COURT, SUITE 101, AVENTURA, FL, 33180

Signature of
Role Plan administrator
Date 2014-10-03
Name of individual signing NORMAN A. BLOOM, M.D.
Valid signature Filed with authorized/valid electronic signature
NORMAN A. BLOOM, M.D., P.A. PROFIT SHARING PLAN 2012 591536379 2013-10-15 NORMAN A. BLOOM, M.D., P.A. 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1975-06-01
Business code 621111
Sponsor’s telephone number 3059316663
Plan sponsor’s address 21097 N.E. 27TH COURT, SUITE 101, AVENTURA, FL, 33180

Signature of
Role Plan administrator
Date 2013-10-15
Name of individual signing NORMAN A. BLOOM, M.D.
Valid signature Filed with authorized/valid electronic signature
NORMAN A. BLOOM, M.D., P.A. PROFIT SHARING PLAN 2011 591536379 2012-10-12 NORMAN A. BLOOM, M.D., P.A. 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1975-06-01
Business code 621111
Sponsor’s telephone number 3059316663
Plan sponsor’s address 21097 N.E. 27TH COURT, SUITE 101, AVENTURA, FL, 33180

Plan administrator’s name and address
Administrator’s EIN 591536379
Plan administrator’s name NORMAN A. BLOOM, M.D., P.A.
Plan administrator’s address 21097 N.E. 27TH COURT, SUITE 101, AVENTURA, FL, 33180
Administrator’s telephone number 3059316663

Signature of
Role Plan administrator
Date 2012-10-12
Name of individual signing NORMAN A. BLOOM, M.D.
Valid signature Filed with authorized/valid electronic signature
NORMAN A. BLOOM, M.D., P.A. PROFIT SHARING PLAN 2010 591536379 2012-03-05 NORMAN A. BLOOM, M.D., P.A. 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1975-06-01
Business code 621111
Sponsor’s telephone number 3059316663
Plan sponsor’s address 21097 N.E. 27TH COURT, SUITE 101, AVENTURA, FL, 33180

Plan administrator’s name and address
Administrator’s EIN 591536379
Plan administrator’s name NORMAN A. BLOOM, M.D., P.A.
Plan administrator’s address 21097 N.E. 27TH COURT, SUITE 101, AVENTURA, FL, 33180
Administrator’s telephone number 3059316663

Signature of
Role Plan administrator
Date 2012-03-05
Name of individual signing NORMAN A. BLOOM, M.D.
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
BLOOM, NORMAN A. Agent 17220 ne 12 ave, North Miami Beach, FL 33162

President

Name Role Address
BLOOM, NORMAN A President 17220 ne 12 Ave., North Miami Beach, FL 33162

Director

Name Role Address
BLOOM, NORMAN A Director 17220 ne 12 Ave., North Miami Beach, FL 33162

Events

Event Type Filed Date Value Description
ADMIN DISSOLUTION FOR ANNUAL REPORT 2017-09-22 No data No data
CHANGE OF PRINCIPAL ADDRESS 2016-03-09 17220 ne 12 ave, North Miami Beach, FL 33162 No data
CHANGE OF MAILING ADDRESS 2016-03-09 17220 ne 12 ave, North Miami Beach, FL 33162 No data
REGISTERED AGENT ADDRESS CHANGED 2016-03-09 17220 ne 12 ave, North Miami Beach, FL 33162 No data
REGISTERED AGENT NAME CHANGED 1993-05-01 BLOOM, NORMAN A. No data

Documents

Name Date
ANNUAL REPORT 2016-03-09
ANNUAL REPORT 2015-03-12
ANNUAL REPORT 2014-01-07
ANNUAL REPORT 2013-02-17
ANNUAL REPORT 2012-01-03
ANNUAL REPORT 2011-05-15
ANNUAL REPORT 2010-02-26
ANNUAL REPORT 2009-03-11
ANNUAL REPORT 2008-01-18
ANNUAL REPORT 2007-04-18

Related by officers

BLOOM, NORMAN A.

TORAH ACADEMY OF SOUTH FLORIDA, INC.

Related by address

No related companies by address

Date of last update: 06 Feb 2025

Sources: Florida Department of State

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