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JEFFREY L. HORSTMYER, M.D., P.A.

Company Details

Entity Name: JEFFREY L. HORSTMYER, M.D., P.A.
Jurisdiction: FLORIDA
Filing Type: Florida Profit Corporation
Status: Active
Date Filed: 01 Oct 1976 (48 years ago)
Last Event: NAME CHANGE AMENDMENT
Event Date Filed: 17 Sep 2004 (20 years ago)
Document Number: 513901
FEI/EIN Number 59-1691799
Address: 3661 SOUTH MIAMI AVE, SUITE 209, MIAMI, FL 33133
Mail Address: 3661 SOUTH MIAMI AVE, SUITE 209, MIAMI, FL 33133
ZIP code: 33133
County: Miami-Dade
Place of Formation: FLORIDA

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
JEFFREY L. HORSTMYER, M.D., P.A. 401(K) PLAN 2023 591691799 2024-10-14 JEFFREY L. HORSTMYER, M.D., P.A. 11
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2020-01-01
Business code 621111
Sponsor’s telephone number 3058568942
Plan sponsor’s address 3661 SOUTH MIAMI AVENUE, SUITE 209, MIAMI, FL, 331334233
JEFFREY L. HORSTMYER, M.D., P.A. CASH BALANCE PLAN 2023 591691799 2024-10-11 JEFFREY L. HORSTMYER, M.D., P.A. 9
File View Page
Three-digit plan number (PN) 003
Effective date of plan 2020-01-01
Business code 621111
Sponsor’s telephone number 3058568942
Plan sponsor’s address 3661 SOUTH MIAMI AVENUE, SUITE 209, MIAMI, FL, 331334233
JEFFREY L. HORSTMYER, M.D., P.A. 401(K) PLAN 2022 591691799 2023-10-10 JEFFREY L. HORSTMYER, M.D., P.A. 8
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2020-01-01
Business code 621111
Sponsor’s telephone number 3058568942
Plan sponsor’s address 3661 SOUTH MIAMI AVENUE, SUITE 209, MIAMI, FL, 331334233
JEFFREY L. HORSTMYER, M.D., P.A. CASH BALANCE PLAN 2022 591691799 2023-09-29 JEFFREY L. HORSTMYER, M.D., P.A. 7
File View Page
Three-digit plan number (PN) 003
Effective date of plan 2020-01-01
Business code 621111
Sponsor’s telephone number 3058568942
Plan sponsor’s address 3661 SOUTH MIAMI AVENUE, SUITE 209, MIAMI, FL, 331334233
JEFFREY L. HORSTMYER, M.D., P.A. 401(K) PLAN 2021 591691799 2022-07-22 JEFFREY L. HORSTMYER, M.D., P.A. 8
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2020-01-01
Business code 621111
Sponsor’s telephone number 3058568942
Plan sponsor’s address 3661 SOUTH MIAMI AVENUE, SUITE 209, MIAMI, FL, 331334233
JEFFREY L. HORSTMYER, M.D., P.A. CASH BALANCE PLAN 2021 591691799 2022-07-22 JEFFREY L. HORSTMYER, M.D., P.A. 8
File View Page
Three-digit plan number (PN) 003
Effective date of plan 2020-01-01
Business code 621111
Sponsor’s telephone number 3058568942
Plan sponsor’s address 3661 SOUTH MIAMI AVENUE, SUITE 209, MIAMI, FL, 331334233
JEFFREY L. HORSTMYER, M.D., P.A. 401(K) PLAN 2020 591691799 2021-07-29 JEFFREY L. HORSTMYER, M.D., P.A. 9
Three-digit plan number (PN) 002
Effective date of plan 2020-01-01
Business code 621111
Sponsor’s telephone number 3058568942
Plan sponsor’s address 3661 SOUTH MIAMI AVENUE, SUITE 209, MIAMI, FL, 331334233
JEFFREY L. HORSTMYER, M.D., P.A. 401(K) PLAN 2020 591691799 2022-07-22 JEFFREY L. HORSTMYER, M.D., P.A. 9
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2020-01-01
Business code 621111
Sponsor’s telephone number 3058568942
Plan sponsor’s address 3661 SOUTH MIAMI AVENUE, SUITE 209, MIAMI, FL, 331334233
JEFFREY L. HORSTMYER, M.D., P.A. CASH BALANCE PLAN 2020 591691799 2021-07-28 JEFFREY L. HORSTMYER, M.D., P.A. 9
File View Page
Three-digit plan number (PN) 003
Effective date of plan 2020-01-01
Business code 621111
Sponsor’s telephone number 3058568942
Plan sponsor’s address 3661 SOUTH MIAMI AVENUE, SUITE 209, MIAMI, FL, 331334233
THE ACCUMULATOR 401(K) PLAN 2020 591691799 2022-05-24 JEFFREY L. HORSTMYER, M.D., P.A. 2
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2010-10-01
Business code 621498
Sponsor’s telephone number 3058568942
Plan sponsor’s address 3661 S. MIAMI AVENUE, SUITE 209, MIAMI, FL, 33133

Plan administrator’s name and address

Administrator’s EIN 451739578
Plan administrator’s name TPS ANCILLARY SERVICES
Plan administrator’s address 1226 OMAR ROAD, WEST PALM BEACH, FL, 33405

Signature of

Role Plan administrator
Date 2022-05-24
Name of individual signing MELANIE WILLIAMSON
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2022-05-24
Name of individual signing JEFFREY HORSTMYER
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
LACHTERMAN, STEVEN ESQ Agent 2655 Le Jeune Road, Suite 1-D, MIAMI, FL 33134

President

Name Role Address
HORSTMYER, JEFFREY L President 3661 S MIAMI AVE, SUITE 209 MIAMI, FL 33133

Director

Name Role Address
HORSTMYER, JEFFREY L Director 3661 S MIAMI AVE, SUITE 209 MIAMI, FL 33133
Fox, Domitila Director 3661 SOUTH MIAMI AVE, SUITE 209 MIAMI, FL 33133

Events

Event Type Filed Date Value Description
REGISTERED AGENT ADDRESS CHANGED 2015-03-30 2655 Le Jeune Road, Suite 1-D, MIAMI, FL 33134 No data
NAME CHANGE AMENDMENT 2004-09-17 JEFFREY L. HORSTMYER, M.D., P.A. No data
REGISTERED AGENT NAME CHANGED 2004-07-01 LACHTERMAN, STEVEN ESQ No data
CHANGE OF PRINCIPAL ADDRESS 2002-03-25 3661 SOUTH MIAMI AVE, SUITE 209, MIAMI, FL 33133 No data
CHANGE OF MAILING ADDRESS 2002-03-25 3661 SOUTH MIAMI AVE, SUITE 209, MIAMI, FL 33133 No data
NAME CHANGE AMENDMENT 1994-11-22 LOPEZ & HORSTMYER, M.D., P.A. No data
NAME CHANGE AMENDMENT 1976-11-12 RAUL I. LOPEZ, M.D., P.A. No data

Documents

Name Date
ANNUAL REPORT 2025-01-02
ANNUAL REPORT 2024-01-29
ANNUAL REPORT 2023-03-08
ANNUAL REPORT 2022-01-29
ANNUAL REPORT 2021-02-10
ANNUAL REPORT 2020-02-21
ANNUAL REPORT 2019-04-01
ANNUAL REPORT 2018-03-29
ANNUAL REPORT 2017-03-04
ANNUAL REPORT 2016-03-04

Date of last update: 06 Feb 2025

Sources: Florida Department of State