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  5. PRIMARY CARE PHYSICIANS OF HOLLYWOOD, P.A.

PRIMARY CARE PHYSICIANS OF HOLLYWOOD, P.A.

Company Details

Entity Name: PRIMARY CARE PHYSICIANS OF HOLLYWOOD, P.A.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Inactive
Date Filed: 07 Jun 1977 (48 years ago)
Document Number: 536531
FEI/EIN Number 591757296
Address: CAPRICCIO PLAZA, 2488 N. UNIVERSITY DR, PEMBROKE PINES, FL, 33024, US
Mail Address: CAPRICCIO PLAZA, 2488 N. UNIVERSITY DR, 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
PRIMARY CARE PHYSICIANS OF HOLLYWOOD, P.A. 401(K) PROFIT SHARING PLAN & TRUST 2016 591757296 2018-11-01 PRIMARY CARE PHYSICIANS OF HOLLYWOOD, P.A. 39
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-01-15
Business code 621111
Sponsor’s telephone number 9549839191
Plan sponsor’s address 2488 N. UNIVERSITY DRIVE, PEMBROKE PINES, FL, 33024
PRIMARY CARE PHYSICIANS OF HOLLYWOOD, P.A. CASH BALANCE PENSION PLAN AND TRUST 2015 591757296 2016-10-17 PRIMARY CARE PHYSICIANS OF HOLLYWOOD, P.A. 2
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2006-01-01
Business code 621111
Sponsor’s telephone number 9549839191
Plan sponsor’s address 2488 N. UNIVERSITY DRIVE, PEMBROKE PINES, FL, 33024
PRIMARY CARE PHYSICIANS OF HOLLYWOOD, P.A. CASH BALANCE PENSION PLAN AND TRUST 2015 591757296 2016-10-17 PRIMARY CARE PHYSICIANS OF HOLLYWOOD, P.A. 56
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2006-01-01
Business code 621111
Sponsor’s telephone number 9549839191
Plan sponsor’s address 2488 N. UNIVERSITY DRIVE, PEMBROKE PINES, FL, 33024
PRIMARY CARE PHYSICIANS OF HOLLYWOOD, P.A. 401(K) PROFIT SHARING PLAN & TRUST 2015 591757296 2018-11-01 PRIMARY CARE PHYSICIANS OF HOLLYWOOD, P.A. 39
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-01-15
Business code 621111
Sponsor’s telephone number 9549839191
Plan sponsor’s address 2488 N. UNIVERSITY DRIVE, PEMBROKE PINES, FL, 33024
PRIMARY CARE PHYSICIANS OF HOLLYWOOD, P.A. CASH BALANCE PENSION PLAN AND TRUST 2014 591757296 2015-10-15 PRIMARY CARE PHYSICIANS OF HOLLYWOOD, P.A. 52
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2006-01-01
Business code 621111
Sponsor’s telephone number 9549839191
Plan sponsor’s address 2488 N. UNIVERSITY DRIVE, PEMBROKE PINES, FL, 33024
PRIMARY CARE PHYSICIANS OF HOLLYWOOD, P.A. 401(K) PROFIT SHARING PLAN AND TRUST 2014 591757296 2018-11-01 PRIMARY CARE PHYSICIANS OF HOLLYWOOD, P.A. 53
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-01-15
Business code 621111
Sponsor’s telephone number 9549839191
Plan sponsor’s address 2488 N. UNIVERSITY DRIVE, PEMBROKE PINES, FL, 33024
PRIMARY CARE PHYSICIANS OF HOLLYWOOD, P.A. 401(K) PROFIT SHARING PLAN AND TRUST 2014 591757296 2015-02-11 PRIMARY CARE PHYSICIANS OF HOLLYWOOD, P.A. 53
Three-digit plan number (PN) 001
Effective date of plan 2002-01-15
Business code 621111
Sponsor’s telephone number 9549839191
Plan sponsor’s address 2488 N. UNIVERSITY DRIVE, PEMBROKE PINES, FL, 33024
PRIMARY CARE PHYSICIANS OF HOLLYWOOD, P.A. CASH BALANCE PENSION PLAN AND TRUST 2013 591757296 2014-10-13 PRIMARY CARE PHYSICIANS OF HOLLYWOOD, P.A. 41
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2006-01-01
Business code 621111
Sponsor’s telephone number 9549839191
Plan sponsor’s address 2488 N. UNIVERSITY DRIVE, PEMBROKE PINES, FL, 33024
PRIMARY CARE PHYSICIANS OF HOLLYWOOD, P.A. 401(K) PROFIT SHARING PLAN AND TRUST 2013 591757296 2014-10-09 PRIMARY CARE PHYSICIANS OF HOLLYWOOD, P.A. 47
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-01-15
Business code 621111
Sponsor’s telephone number 9549839191
Plan sponsor’s address 2488 N. UNIVERSITY DRIVE, PEMBROKE PINES, FL, 33024
PRIMARY CARE PHYSICIANS OF HOLLYWOOD, P.A. CASH BALANCE PENSION PLAN AND TRUST 2012 591757296 2013-11-20 PRIMARY CARE PHYSICIANS OF HOLLYWOOD, P.A. 35
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2006-01-01
Business code 621111
Sponsor’s telephone number 9549839191
Plan sponsor’s address 2488 N. UNIVERSITY DRIVE, PEMBROKE PINES, FL, 33024

Signature of
Role Plan administrator
Date 2013-11-20
Name of individual signing MOISES ISSA
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
PAUL SALVER Agent 2721 EXECUTIVE PARK DRIVE, WESTON, FL, 33331

Director

Name Role Address
ISSA MOISES M Director CAPRICCIO PLAZA, 2488 N. UNIVERSITY DR, PEMBROKE PINES, FL, 33024
FERNANDEZ-BLAY ROBERTO C Director 2488 N. UNIVERSITY DR., PEMBROKE PINES, FL, 33024

Events

Event Type Filed Date Value Description
CONVERSION 2012-06-13 No data CONVERSION MEMBER. RESULTING CORPORATION WAS L12000089677. CONVERSION NUMBER 700000123907
REINSTATEMENT 2010-10-01 No data No data
ADMIN DISSOLUTION FOR ANNUAL REPORT 2010-09-24 No data No data
AMENDMENT 2009-09-28 No data No data
AMENDMENT 2007-05-23 No data No data
CANCEL ADM DISS/REV 2004-11-19 No data No data
NAME CHANGE AMENDMENT 2004-11-19 PRIMARY CARE PHYSICIANS OF HOLLYWOOD, P.A. No data
ADMIN DISSOLUTION FOR ANNUAL REPORT 2004-10-01 No data No data
AMENDMENT 2004-01-16 No data No data

Related by officers

ISSA MOISES M

BLASSA MSO, CORP.

FERNANDEZ-BLAY ROBERTO C

FERNANDEZ-BLAY. M.D, P.A. PRIMARY CARE PHYSICIANS OF WEST BROWARD, P.A.

PAUL SALVER

COLLECTIBLE LLC ADVANCED WINNERS INVESTORS, LLC

Related by address

No related companies by address

Date of last update: 01 Feb 2025

Sources: Florida Department of State

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