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KENNETH A. ROSEN, M.D., P.A.

Company Details

Entity Name: KENNETH A. ROSEN, M.D., P.A.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Active
Date Filed: 03 Jan 1977 (48 years ago)
Document Number: 521706
FEI/EIN Number 591707209
Address: 10300 S.W. 72nd Street, MIAMI, FL, 33173, US
Mail Address: 10300 S.W. 72nd Street, MIAMI, FL, 33173, US
ZIP code: 33173
County: Miami-Dade
Place of Formation: FLORIDA

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
KENNETH A. ROSEN, M.D., PROFIT SHARING PLAN 2011 591707209 2012-08-10 KENNETH A. ROSEN, M.D., P.A. 5
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1977-01-01
Business code 621111
Sponsor’s telephone number 3052796013
Plan sponsor’s address 9000 S.W. 87TH COURT, SUITE 202, MIAMI, FL, 33176

Plan administrator’s name and address

Administrator’s EIN 591707209
Plan administrator’s name KENNETH A. ROSEN, M.D., P.A.
Plan administrator’s address 9000 S.W. 87TH COURT, SUITE 202, MIAMI, FL, 33176
Administrator’s telephone number 3052796013

Signature of

Role Plan administrator
Date 2012-08-10
Name of individual signing KENNETH ROSEN
Valid signature Filed with authorized/valid electronic signature
KENNETH A. ROSEN, M.D., PROFIT SHARING PLAN 2011 591707209 2012-08-10 KENNETH A. ROSEN, M.D., P.A. 15
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1977-01-01
Business code 621111
Sponsor’s telephone number 3052796013
Plan sponsor’s address 9000 S.W. 87TH COURT, SUITE 202, MIAMI, FL, 33176

Plan administrator’s name and address

Administrator’s EIN 591707209
Plan administrator’s name KENNETH A. ROSEN, M.D., P.A.
Plan administrator’s address 9000 S.W. 87TH COURT, SUITE 202, MIAMI, FL, 33176
Administrator’s telephone number 3052796013

Signature of

Role Plan administrator
Date 2012-08-10
Name of individual signing KENNETH ROSEN
Valid signature Filed with authorized/valid electronic signature
KENNETH A. ROSEN, M.D., PROFIT SHARING PLAN 2010 591707209 2011-09-21 KENNETH A. ROSEN, M.D., P.A. 9
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1977-01-01
Business code 621111
Sponsor’s telephone number 3052796013
Plan sponsor’s address 9000 S.W. 87TH COURT, SUITE 202, MIAMI, FL, 33176

Plan administrator’s name and address

Administrator’s EIN 591707209
Plan administrator’s name KENNETH A. ROSEN, M.D., P.A.
Plan administrator’s address 9000 S.W. 87TH COURT, SUITE 202, MIAMI, FL, 33176
Administrator’s telephone number 3052796013

Signature of

Role Plan administrator
Date 2011-09-21
Name of individual signing KENNETH A ROSEN MD
Valid signature Filed with authorized/valid electronic signature
KENNETH A. ROSEN, M.D., PROFIT SHARING PLAN 2009 591707209 2010-09-29 KENNETH A. ROSEN, M.D., P.A. 9
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1977-01-01
Business code 621111
Sponsor’s telephone number 3052796013
Plan sponsor’s address 9000 S.W. 87TH COURT, SUITE 202, MIAMI, FL, 33176

Plan administrator’s name and address

Administrator’s EIN 591707209
Plan administrator’s name KENNETH A. ROSEN, M.D., P.A.
Plan administrator’s address 9000 S.W. 87TH COURT, SUITE 202, MIAMI, FL, 33176
Administrator’s telephone number 3052796013

Signature of

Role Plan administrator
Date 2010-09-29
Name of individual signing KENNETH ROSEN
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
ROSEN KENNETH A Agent 10300 S.W. 72nd Street, MIAMI, FL, 33173

President

Name Role Address
ROSEN, KENNETH A. President 9120 SW 103 CT, MIAMI, FL, 33176

Secretary

Name Role Address
ROSEN, KENNETH A. Secretary 9120 SW 103 CT, MIAMI, FL, 33176

Director

Name Role Address
ROSEN, KENNETH A. Director 9120 SW 103 CT, MIAMI, FL, 33176

Vice President

Name Role Address
ROSEN, KENNETH A. Vice President 9120 SW 103 ST, MIAMI, FL, 33176
Rosen Francis Vice President 9120 S.W. 103 St, Miami, FL, 33176

Treasurer

Name Role Address
ROSEN, KENNETH A. Treasurer 9120 SW 103 ST, MIAMI, FL, 33176

Events

Event Type Filed Date Value Description
REINSTATEMENT 2024-04-29 No data No data
ADMIN DISSOLUTION FOR ANNUAL REPORT 2023-09-22 No data No data

Date of last update: 02 Jan 2025

Sources: Florida Department of State