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  5. ROBERT A. DAVIS, O.D., P.A.

ROBERT A. DAVIS, O.D., P.A.

Company Details

Entity Name: ROBERT A. DAVIS, O.D., P.A.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Active
Date Filed: 01 Sep 1976 (48 years ago)
Document Number: 513522
FEI/EIN Number 591692925
Address: 1732 N. UNIVERSITY DRIVE, PEMBROKE PINES, FL, 33024, US
Mail Address: 1732 N. UNIVERSITY DRIVE, PEMBROKE PINES, FL, 33024, US
ZIP code: 33024
County: Broward
Place of Formation: FLORIDA

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
ROBERT A DAVIS OD PA 401(K) PROFIT SHARING PLAN & TRUST 2023 591692925 2024-10-09 ROBERT A. DAVIS O.D.P.A. 29
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-01-01
Business code 621320
Sponsor’s telephone number 9544327711
Plan sponsor’s address 1732 N UNIVERSITY DRIVE, PEMBROKE PINES, FL, 33024
ROBERT A DAVIS OD PA 401(K) PROFIT SHARING PLAN & TRUST 2022 591692925 2023-07-20 ROBERT A. DAVIS O.D.P.A. 29
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-01-01
Business code 621320
Sponsor’s telephone number 9544327711
Plan sponsor’s address 1732 N UNIVERSITY DRIVE, PEMBROKE PINES, FL, 33024
ROBERT A DAVIS OD PA 401(K) PROFIT SHARING PLAN & TRUST 2021 591692925 2023-02-14 ROBERT A. DAVIS O.D.P.A. 32
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-01-01
Business code 621320
Sponsor’s telephone number 9544327711
Plan sponsor’s address 1732 N UNIVERSITY DRIVE, PEMBROKE PINES, FL, 33024
EYE CENTER 401(K) PLAN 2011 591692925 2012-05-23 ROBERT A. DAVIS, O.D. P.A. 30
Three-digit plan number (PN) 003
Effective date of plan 2002-01-01
Business code 621320
Sponsor’s telephone number 9544327711
Plan sponsor’s address 1732 N. UNIVERSITY DRIVE, PEMBROKE PINES, FL, 33024

Plan administrator’s name and address
Administrator’s EIN 591692925
Plan administrator’s name ROBERT A. DAVIS, O.D. P.A.
Plan administrator’s address 1732 N. UNIVERSITY DRIVE, PEMBROKE PINES, FL, 33024
Administrator’s telephone number 9544327711

Signature of
Role Plan administrator
Date 2012-05-22
Name of individual signing ROBERT A. DAVIS, O.D.
Valid signature Filed with authorized/valid electronic signature
EYE CENTER 401(K) PLAN 2010 591692925 2011-08-04 ROBERT A. DAVIS, O.D. P.A. 28
File View Page
Three-digit plan number (PN) 003
Effective date of plan 2002-01-01
Business code 621320
Sponsor’s telephone number 9544327711
Plan sponsor’s address 1732 N. UNIVERSITY DRIVE, PEMBROKE PINES, FL, 33024

Plan administrator’s name and address
Administrator’s EIN 591692925
Plan administrator’s name ROBERT A. DAVIS, O.D. P.A.
Plan administrator’s address 1732 N. UNIVERSITY DRIVE, PEMBROKE PINES, FL, 33024
Administrator’s telephone number 9544327711

Signature of
Role Plan administrator
Date 2011-08-04
Name of individual signing ROBERT A. DAVIS, O.D.
Valid signature Filed with authorized/valid electronic signature
EYE CENTER 401(K) PLAN 2009 591692925 2010-06-10 ROBERT A. DAVIS, O.D. P.A. 22
File View Page
Three-digit plan number (PN) 003
Effective date of plan 2002-01-01
Business code 621320
Sponsor’s telephone number 9544327711
Plan sponsor’s address 1732 N. UNIVERSITY DRIVE, PEMBROKE PINES, FL, 33024

Plan administrator’s name and address
Administrator’s EIN 591692925
Plan administrator’s name ROBERT A. DAVIS, O.D. P.A.
Plan administrator’s address 1732 N. UNIVERSITY DRIVE, PEMBROKE PINES, FL, 33024
Administrator’s telephone number 9544327711

Signature of
Role Plan administrator
Date 2010-06-10
Name of individual signing ROBERT A. DAVIS, O.D.
Valid signature Filed with authorized/valid electronic signature
EYE CENTER 401(K) PLAN 2009 591692925 2010-05-25 ROBERT A. DAVIS, O.D. P.A. 22
Three-digit plan number (PN) 003
Effective date of plan 2002-01-01
Business code 621320
Sponsor’s telephone number 9544327711
Plan sponsor’s address 1732 N. UNIVERSITY DRIVE, PEMBROKE PINES, FL, 33024

Plan administrator’s name and address
Administrator’s EIN 591692925
Plan administrator’s name ROBERT A. DAVIS, O.D. P.A.
Plan administrator’s address 1732 N. UNIVERSITY DRIVE, PEMBROKE PINES, FL, 33024
Administrator’s telephone number 9544327711

Signature of
Role Plan administrator
Date 2010-05-25
Name of individual signing ROBERT A. DAVIS, O.D.
Valid signature Filed with incorrect/unrecognized electronic signature

Agent

Name Role Address
DAVIS, ROBERT A. Agent 1732 N. UNIVERSITY DRIVE, PEMBROKE PINES, FL, 33024

Officer

Name Role Address
DAVIS, ROBERT A. Officer 1732 UNIVERSITY DRIVE, PEMBROKE PINES, FL, 33024
Nanasy Amanda Dr. Officer 1732 N. UNIVERSITY DRIVE, PEMBROKE PINES, FL, 33024

Director

Name Role Address
DAVIS, ROBERT A. Director 1732 UNIVERSITY DRIVE, PEMBROKE PINES, FL, 33024
Nanasy Amanda Dr. Director 1732 N. UNIVERSITY DRIVE, PEMBROKE PINES, FL, 33024

Events

Event Type Filed Date Value Description
REINSTATEMENT 2022-12-11 No data No data
ADMIN DISSOLUTION FOR ANNUAL REPORT 2022-09-23 No data No data
REINSTATEMENT 2021-10-03 No data No data
ADMIN DISSOLUTION FOR ANNUAL REPORT 2021-09-24 No data No data

Debts

Document Number Status Case Number Name of Court Date of Entry Expiration Date Amount Due Plaintiff
J13000213224 TERMINATED 1000000459753 BROWARD 2013-01-16 2023-01-23 $ 3,961.73 STATE OF FLORIDA, DEPARTMENT OF REVENUE, CORAL SPRINGS SERVICE CENTER, 3301 N UNIVERSITY DR STE 200, CORAL SPRINGS FL330654149

Related by officers

DAVIS, ROBERT A.

BOURBON STREET CAFE, INC. PALISADES GOLF CLUB, LTD. 4 WHEEL GROVES CO. NAILS BY BRENDA LEE, INC. BRIDGE FINANCIAL SERVICES CORPORATION CLEARWATER POINT DELI, INC. LAKE WILLIAMS, LTD. PEMBROKE PINES BAKERIES, INC. INNVESTORS OF POMPANO, INC. SKYWAYS, LTD.

Related by address

No related companies by address

Date of last update: 01 Jan 2025

Sources: Florida Department of State

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