| Entity Name: | DUBLIS & DUBLIS, M.D., P.A. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Profit Corporation |
| Status: | Inactive |
| Date Filed: | 08 Jul 1977 (48 years ago) |
| Date of dissolution: | 08 Jun 2012 (13 years ago) |
| Last Event: | VOLUNTARY DISSOLUTION |
| Event Date Filed: | 08 Jun 2012 (13 years ago) |
| Document Number: | 538939 |
| FEI/EIN Number | 59-1748206 |
| Address: | 2875 N.E. 36 ST., FT. LAUDERDALE, FL 33308 |
| Mail Address: | 2875 N.E. 36 ST., FT. LAUDERDALE, FL 33308 |
| ZIP code: | 33308 |
| County: | Broward |
| Place of Formation: | FLORIDA |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| DUBLIS & DUBLIS, M.D., P.A. SECOND RESTATED MONEY PURCHASE PENSION PLAN | 2011 | 591748206 | 2012-06-30 | DUBLIS & DUBLIS, M.D., P.A. | 2 | |||||||||||||||||||||||||||||||||||||||||||||
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| Administrator’s EIN | 591794281 |
| Plan administrator’s name | ADMINISTRATIVE COMMITTEE |
| Plan administrator’s address | 2875 N.E. 36 STREET, FORT LAUDERDALE, FL, 33308 |
| Administrator’s telephone number | 9545681777 |
Number of participants as of the end of the plan year
| Active participants | 0 |
| Retired or separated participants receiving benefits | 0 |
| Other retired or separated participants entitled to future benefits | 0 |
| Deceased participants whose beneficiaries are receiving or are entitled to receive benefits | 0 |
| Number of participants with account balances as of the end of the plan year | 0 |
| Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested | 0 |
Signature of
| Role | Plan administrator |
| Date | 2012-06-30 |
| Name of individual signing | ROBERT DUBLIS |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 002 |
| Effective date of plan | 1977-07-01 |
| Business code | 621112 |
| Sponsor’s telephone number | 9545681777 |
| Plan sponsor’s mailing address | 2875 N.E. 36 STREET, FORT LAUDERDALE, FL, 33308 |
| Plan sponsor’s address | 2875 N.E. 36 STREET, FORT LAUDERDALE, FL, 33308 |
Plan administrator’s name and address
| Administrator’s EIN | 591794281 |
| Plan administrator’s name | ADMINISTRATIVE COMMITTEE |
| Plan administrator’s address | 2875 N.E. 36 STREET, FORT LAUDERDALE, FL, 33308 |
| Administrator’s telephone number | 9545681777 |
Number of participants as of the end of the plan year
| Active participants | 2 |
| Retired or separated participants receiving benefits | 0 |
| Other retired or separated participants entitled to future benefits | 0 |
| Deceased participants whose beneficiaries are receiving or are entitled to receive benefits | 0 |
| Number of participants with account balances as of the end of the plan year | 2 |
| Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested | 0 |
Signature of
| Role | Plan administrator |
| Date | 2011-08-15 |
| Name of individual signing | ROBERT DUBLIS |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 002 |
| Effective date of plan | 1977-07-01 |
| Business code | 621112 |
| Sponsor’s telephone number | 9545681777 |
| Plan sponsor’s mailing address | 2875 N.E. 36 STREET, FORT LAUDERDALE, FL, 33308 |
| Plan sponsor’s address | 2875 N.E. 36 STREET, FORT LAUDERDALE, FL, 33308 |
Plan administrator’s name and address
| Administrator’s EIN | 591794281 |
| Plan administrator’s name | ADMINISTRATIVE COMMITTEE |
| Plan administrator’s address | 2875 N.E. 36 STREET, FORT LAUDERDALE, FL, 33308 |
| Administrator’s telephone number | 9545681777 |
Number of participants as of the end of the plan year
| Active participants | 2 |
| Retired or separated participants receiving benefits | 0 |
| Other retired or separated participants entitled to future benefits | 0 |
| Deceased participants whose beneficiaries are receiving or are entitled to receive benefits | 0 |
| Number of participants with account balances as of the end of the plan year | 2 |
| Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested | 0 |
Signature of
| Role | Plan administrator |
| Date | 2010-08-25 |
| Name of individual signing | ROBERT DUBLIS |
| Valid signature | Filed with authorized/valid electronic signature |
| Name | Role | Address |
|---|---|---|
| DUBLIS, ROBERT ADR. | Agent | 2875 NE 36 STREET, FT. LAUDERDALE, FL 33308 |
| Name | Role | Address |
|---|---|---|
| DUBLIS, ROBERT A. | President | 2875 NE 36 ST, FT. LAUDERDALE FL |
| Name | Role | Address |
|---|---|---|
| DUBLIS, ROBERT A. | Director | 2875 NE 36 ST, FT. LAUDERDALE FL |
| DUBLIS, ASTRID M. | Director | 2875 NE 36 ST, FT. LAUDERDALE FL |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| VOLUNTARY DISSOLUTION | 2012-06-08 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2010-01-05 | DUBLIS, ROBERT ADR. | No data |
| CHANGE OF PRINCIPAL ADDRESS | 1990-02-15 | 2875 N.E. 36 ST., FT. LAUDERDALE, FL 33308 | No data |
| CHANGE OF MAILING ADDRESS | 1990-02-15 | 2875 N.E. 36 ST., FT. LAUDERDALE, FL 33308 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 1989-02-17 | 2875 NE 36 STREET, FT. LAUDERDALE, FL 33308 | No data |
| NAME CHANGE AMENDMENT | 1979-08-14 | DUBLIS & DUBLIS, M.D., P.A. | No data |
| Name | Date |
|---|---|
| Voluntary Dissolution | 2012-06-08 |
| ANNUAL REPORT | 2012-01-07 |
| ANNUAL REPORT | 2011-01-04 |
| ANNUAL REPORT | 2010-01-05 |
| ANNUAL REPORT | 2009-01-19 |
| ANNUAL REPORT | 2008-01-28 |
| ANNUAL REPORT | 2007-02-12 |
| ANNUAL REPORT | 2006-02-06 |
| ANNUAL REPORT | 2005-02-03 |
| ANNUAL REPORT | 2004-02-13 |
Date of last update: 05 Feb 2025
Sources: Florida Department of State
