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  5. RABORN, M.D., P.A.

RABORN, M.D., P.A.

Company Details

Entity Name: RABORN, M.D., P.A.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Inactive
Date Filed: 15 Dec 1977 (47 years ago)
Document Number: 556794
FEI/EIN Number 591796952
Address: 206 mariner bay blvd, fort pierce, FL, 34949, US
Mail Address: 206 mariner bay blvd, fort pierce, FL, 34949, US
ZIP code: 34949
County: St. Lucie
Place of Formation: FLORIDA

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
RABORN, M.D., P.A. 401(K) PROFIT SHARING PLAN AND TRUST 2017 591796952 2018-06-10 RABORN, M.D., P.A. 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-01-01
Business code 541990
Sponsor’s telephone number 5613691101
Plan sponsor’s address 2800 S. SEACREST BLVD., SUITE 180, BOYNTON BEACH, FL, 33435

Signature of
Role Plan administrator
Date 2018-06-10
Name of individual signing RICHARD B. RABORN, M.D.
Valid signature Filed with authorized/valid electronic signature
RABORN, M.D., P.A. 401(K) PROFIT SHARING PLAN AND TRUST 2016 591796952 2017-09-29 RABORN, M.D., P.A. 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-01-01
Business code 541990
Sponsor’s telephone number 5613691101
Plan sponsor’s address 2800 S. SEACREST BLVD., SUITE 180, BOYNTON BEACH, FL, 33435

Signature of
Role Plan administrator
Date 2017-09-29
Name of individual signing RICHARD B. RABORN, M.D.
Valid signature Filed with authorized/valid electronic signature
RABORN, M.D., P.A. 401(K) PROFIT SHARING PLAN AND TRUST 2015 591796952 2016-07-29 RABORN, M.D., P.A. 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-01-01
Business code 541990
Sponsor’s telephone number 5613691101
Plan sponsor’s address 2800 S. SEACREST BLVD., SUITE 180, BOYNTON BEACH, FL, 33435

Signature of
Role Plan administrator
Date 2016-07-29
Name of individual signing RICHARD B. RABORN, M.D.
Valid signature Filed with authorized/valid electronic signature
RABORN, M.D., P.A. 401(K) PROFIT SHARING PLAN AND TRUST 2014 591796952 2015-10-09 RABORN, M.D., P.A. 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-01-01
Business code 541990
Sponsor’s telephone number 5615129755
Plan sponsor’s address 2800 S. SEACREST BLVD., SUITE 180, BOYNTON BEACH, FL, 33435

Signature of
Role Plan administrator
Date 2015-10-09
Name of individual signing RICHARD B. RABORN
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
HOLLER BOB Agent 1040 E. PARK AVE, TALLAHASSE, FL, 32301

President

Name Role Address
RABORN RICHARD B President 206 mariner bay blvd, fort pierce, FL, 34949

Secretary

Name Role Address
RABORN BARBARA M Secretary 206 mariner bay blvd, fort pierce, FL, 34949

Events

Event Type Filed Date Value Description
VOLUNTARY DISSOLUTION 2019-07-14 No data No data
NAME CHANGE AMENDMENT 1988-09-28 RABORN, M.D., P.A. No data
NAME CHANGE AMENDMENT 1982-01-21 RABORN, STYPEREK, RABORN, M.D., P.A. No data

Related by officers

RABORN RICHARD B

BOYNTON SIMPLE CELL, LLC RABORN LLC

Related by address

No related companies by address

Date of last update: 02 Jan 2025

Sources: Florida Department of State

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