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FRANK I. MENDELBLATT M. D., P.A.

Company Details

Entity Name: FRANK I. MENDELBLATT M. D., P.A.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Active
Date Filed: 31 Dec 1968 (56 years ago)
Document Number: 600741
FEI/EIN Number 59-1225824
Address: 600 6TH ST SOUTH, ST PETERSBURG, FL, 33701, US
Mail Address: 600 6TH ST SOUTH, ST PETERSBURG, FL, 33701, US
ZIP code: 33701
County: Pinellas
Place of Formation: FLORIDA

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
MENDELBLATT 401(K) PROFIT SHARING PLAN 2022 591225824 2023-10-13 FRANK I. MENDELBLATT, M. D. , P. A. 7
File View Page
Three-digit plan number (PN) 003
Effective date of plan 2019-01-01
Business code 621111
Sponsor’s telephone number 7278226763
Plan sponsor’s address 600 6TH STREET SOUTH, ST. PETERSBURG, FL, 33701
FRANK I. MENDELBLATT, M. D. , P. A. 401(K) PLAN 2018 591225824 2019-12-17 FRANK I. MENDELBLATT, M. D. , P. A. 7
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2005-01-01
Business code 621111
Sponsor’s telephone number 7278226763
Plan sponsor’s address 600 6TH STREET SOUTH, ST. PETERSBURG, FL, 33701
FRANK I. MENDELBLATT, M. D. , P. A. 401(K) PLAN 2018 591225824 2019-09-17 FRANK I. MENDELBLATT, M. D. , P. A. 8
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2005-01-01
Business code 621111
Sponsor’s telephone number 7278226763
Plan sponsor’s address 600 6TH STREET SOUTH, ST. PETERSBURG, FL, 33701
FRANK I. MENDELBLATT, M. D. , P. A. 401(K) PLAN 2017 591225824 2018-09-05 FRANK I. MENDELBLATT, M. D. , P. A. 8
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2005-01-01
Business code 621111
Sponsor’s telephone number 7278226763
Plan sponsor’s address 600 6TH STREET SOUTH, ST. PETERSBURG, FL, 33701
FRANK I. MENDELBLATT, M. D. , P. A. 401(K) PLAN 2016 591225824 2018-01-12 FRANK I. MENDELBLATT, M. D. , P. A. 9
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2005-01-01
Business code 621111
Sponsor’s telephone number 7278226763
Plan sponsor’s address 600 6TH STREET SOUTH, ST. PETERSBURG, FL, 337014813
FRANK I. MENDELBLATT, M. D. , P. A. 401(K) PLAN 2015 591225824 2016-12-27 FRANK I. MENDELBLATT, M. D. , P. A. 8
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2005-01-01
Business code 621111
Sponsor’s telephone number 7278226763
Plan sponsor’s address 600 6TH STREET SOUTH, ST. PETERSBURG, FL, 337014813

Signature of

Role Plan administrator
Date 2016-12-27
Name of individual signing PAUL GALBRAITH
Valid signature Filed with authorized/valid electronic signature
FRANK I. MENDELBLATT, M. D. , P. A. 401(K) PLAN 2015 591225824 2016-10-07 FRANK I. MENDELBLATT, M. D. , P. A. 8
Three-digit plan number (PN) 002
Effective date of plan 2005-01-01
Business code 621111
Sponsor’s telephone number 7278226763
Plan sponsor’s address 600 6TH STREET SOUTH, ST. PETERSBURG, FL, 337014813

Signature of

Role Plan administrator
Date 2016-10-07
Name of individual signing PAUL GALBRAITH
Valid signature Filed with authorized/valid electronic signature
FRANK I. MENDELBLATT, M. D. , P. A. 401(K) PLAN 2014 591225824 2015-10-14 FRANK I. MENDELBLATT, M. D. , P. A. 7
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2005-01-01
Business code 621111
Sponsor’s telephone number 7278226763
Plan sponsor’s address 600 6TH STREET SOUTH, ST. PETERSBURG, FL, 337014813

Signature of

Role Plan administrator
Date 2015-10-14
Name of individual signing FRANK I. MENDELBLATT, M.D.
Valid signature Filed with authorized/valid electronic signature
FRANK I. MENDELBLATT, M.D., P.A. 401(K) PLAN 2013 591225824 2014-10-15 FRANK I. MENDELBLATT, M.D., P.A. 7
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2005-01-01
Business code 621111
Sponsor’s telephone number 7278226763
Plan sponsor’s address 600 6TH STREET SOUTH, ST. PETERSBURG, FL, 337014813

Signature of

Role Plan administrator
Date 2014-10-15
Name of individual signing FRANK I. MENDELBLATT
Valid signature Filed with authorized/valid electronic signature
FRANK I. MENDELBLATT, M.D., P.A. 401(K) PLAN 2012 591225824 2013-10-15 FRANK I. MENDELBLATT, M.D., P.A. 7
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2005-01-01
Business code 621111
Sponsor’s telephone number 7278226763
Plan sponsor’s address 600 6TH STREET SOUTH, ST. PETERSBURG, FL, 337014813

Signature of

Role Plan administrator
Date 2013-10-15
Name of individual signing DAVID J. MENDELBLATT
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
MENDELBLATT DAVID J Agent 600 6 ST S, ST PETERSBURG, FL, 33701

President

Name Role Address
MENDELBLATT, DAVID J President 600 6 TH ST SOUTH, ST PETERSBURG, FL, 33701

Events

Event Type Filed Date Value Description
REINSTATEMENT 2011-03-14 No data No data
ADMIN DISSOLUTION FOR ANNUAL REPORT 2010-09-24 No data No data

Date of last update: 01 Feb 2025

Sources: Florida Department of State