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  5. JEROME WEITZEN, O.D., P.A.

JEROME WEITZEN, O.D., P.A.

Company Details

Entity Name: JEROME WEITZEN, O.D., P.A.
Jurisdiction: FLORIDA
Filing Type: Florida Profit Corporation
Status: Active
Date Filed: 31 Jul 1970 (55 years ago)
Last Event: REINSTATEMENT
Event Date Filed: 04 Oct 2021 (3 years ago)
Document Number: 602305
FEI/EIN Number 59-1297834
Address: 213 LAURA ST, JACKSONVILLE, FL 32202
Mail Address: 213 LAURA ST, JACKSONVILLE, FL 32202
ZIP code: 32202
County: Duval
Place of Formation: FLORIDA

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
WEITZEN EMPLOYEES PROFIT SHARING PLAN 2022 591297834 2023-07-19 JEROME WEITZEN O.D., P.A. 1
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1975-08-01
Business code 621111
Sponsor’s telephone number 9043551813
Plan sponsor’s address 213 LAURA STREET, JACKSONVILLE, FL, 32202

Signature of
Role Plan administrator
Date 2023-07-19
Name of individual signing JEROME WEITZEN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2023-07-19
Name of individual signing JEROME WEITZEN OD PA
Valid signature Filed with authorized/valid electronic signature
WEITZEN EMPLOYEES PROFIT SHARING PLAN 2021 591297834 2023-02-15 JEROME WEITZEN O.D., P.A. 1
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1975-08-01
Business code 621111
Sponsor’s telephone number 9043551813
Plan sponsor’s address 213 LAURA STREET, JACKSONVILLE, FL, 32202

Signature of
Role Plan administrator
Date 2023-02-15
Name of individual signing JEROME WEITZEN
Valid signature Filed with authorized/valid electronic signature
WEITZEN EMPLOYEES PROFIT SHARING PLAN 2020 591297834 2021-10-18 JEROME WEITZEN O.D., P.A. 1
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1975-08-01
Business code 621111
Sponsor’s telephone number 9043551813
Plan sponsor’s address 213 LAURA STREET, JACKSONVILLE, FL, 32202

Signature of
Role Plan administrator
Date 2021-10-15
Name of individual signing JEROME WEITZEN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2021-10-18
Name of individual signing JEROME WEITZEN OD PA
Valid signature Filed with authorized/valid electronic signature
WEITZEN EMPLOYEES PROFIT SHARING PLAN 2019 591297834 2020-09-16 JEROME WEITZEN O.D., P.A. 1
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1975-08-01
Business code 621111
Sponsor’s telephone number 9043551813
Plan sponsor’s address 213 LAURA STREET, JACKSONVILLE, FL, 32202

Signature of
Role Plan administrator
Date 2020-09-14
Name of individual signing JEROME WEITZEN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2020-09-16
Name of individual signing JEROME WEITZEN OD PA
Valid signature Filed with authorized/valid electronic signature
WEITZEN EMPLOYEES PROFIT SHARING PLAN 2018 591297834 2019-07-17 JEROME WEITZEN O.D., P.A. 1
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1975-08-01
Business code 621111
Sponsor’s telephone number 9043551813
Plan sponsor’s address 213 LAURA STREET, JACKSONVILLE, FL, 32202

Signature of
Role Plan administrator
Date 2019-07-09
Name of individual signing JEROME WEITZEN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2019-07-17
Name of individual signing JEROME WEITZEN OD PA
Valid signature Filed with authorized/valid electronic signature
WEITZEN EMPLOYEES PROFIT SHARING PLAN 2017 591297834 2018-06-21 JEROME WEITZEN O.D., P.A. 1
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1975-08-01
Business code 621111
Sponsor’s telephone number 9043551813
Plan sponsor’s address 213 LAURA STREET, JACKSONVILLE, FL, 32202

Signature of
Role Plan administrator
Date 2018-06-18
Name of individual signing JEROME WEITZEN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2018-06-21
Name of individual signing JEROME WEITZEN OD PA
Valid signature Filed with authorized/valid electronic signature
WEITZEN EMPLOYEES PROFIT SHARING PLAN 2016 591297834 2017-07-24 JEROME WEITZEN O.D., P.A. 2
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1975-08-01
Business code 621111
Sponsor’s telephone number 9043551813
Plan sponsor’s address 213 LAURA STREET, JACKSONVILLE, FL, 32202

Signature of
Role Plan administrator
Date 2017-07-20
Name of individual signing JEROME WEITZEN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2017-07-24
Name of individual signing JEROME WEITZEN OD PA
Valid signature Filed with authorized/valid electronic signature
WEITZEN EMPLOYEES PROFIT SHARING PLAN 2015 591297834 2016-05-05 JEROME WEITZEN O.D., P.A. 2
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1975-08-01
Business code 621111
Sponsor’s telephone number 9043551813
Plan sponsor’s address 213 LAURA STREET, JACKSONVILLE, FL, 32202

Signature of
Role Plan administrator
Date 2016-05-03
Name of individual signing JEROME WEITZEN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2016-05-05
Name of individual signing JEROME WEITZEN OD PA
Valid signature Filed with authorized/valid electronic signature
WEITZEN EMPLOYEES PROFIT SHARING PLAN 2014 591297834 2015-07-07 JEROME WEITZEN O.D., P.A. 2
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1975-08-01
Business code 621111
Sponsor’s telephone number 9043551813
Plan sponsor’s address 213 LAURA STREET, JACKSONVILLE, FL, 32202

Signature of
Role Plan administrator
Date 2015-06-29
Name of individual signing JEROME WEITZEN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2015-07-07
Name of individual signing JEROME WEITZEN OD PA
Valid signature Filed with authorized/valid electronic signature
WEITZEN EMPLOYEES PROFIT SHARING PLAN 2013 591297834 2014-07-17 JEROME WEITZEN O.D., P.A. 2
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1975-08-01
Business code 621111
Sponsor’s telephone number 9043551813
Plan sponsor’s address 213 LAURA STREET, JACKSONVILLE, FL, 32202

Signature of
Role Plan administrator
Date 2014-07-15
Name of individual signing JEROME WEITZEN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2014-07-17
Name of individual signing JEROME WEITZEN OD PA
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
DR JEROME WEITZEN OD PA Agent 213 LAURA ST, JACKSONVILLE, FL 32202

President

Name Role Address
WEITZEN, JEROME President 213 LAURA ST, JACKSONVILLE, FL 32202

Director

Name Role Address
WEITZEN, JEROME Director 213 LAURA ST, JACKSONVILLE, FL 32202

Vice President

Name Role Address
WEITZEN, AMANDA BETH Vice President 213 LAURA ST, JACKSONVILLE, FL 32202

Events

Event Type Filed Date Value Description
REGISTERED AGENT NAME CHANGED 2021-10-04 DR JEROME WEITZEN OD PA No data
REINSTATEMENT 2021-10-04 No data No data
ADMIN DISSOLUTION FOR ANNUAL REPORT 2021-09-24 No data No data
AMENDMENT 2013-11-25 No data No data
CHANGE OF PRINCIPAL ADDRESS 2010-01-28 213 LAURA ST, JACKSONVILLE, FL 32202 No data
CHANGE OF MAILING ADDRESS 2010-01-28 213 LAURA ST, JACKSONVILLE, FL 32202 No data
REGISTERED AGENT ADDRESS CHANGED 1984-03-05 213 LAURA ST, JACKSONVILLE, FL 32202 No data

Documents

Name Date
ANNUAL REPORT 2025-01-03
ANNUAL REPORT 2024-02-02
ANNUAL REPORT 2023-01-24
ANNUAL REPORT 2022-03-08
REINSTATEMENT 2021-10-04
ANNUAL REPORT 2020-03-19
ANNUAL REPORT 2019-03-05
ANNUAL REPORT 2018-01-15
ANNUAL REPORT 2017-04-21
ANNUAL REPORT 2016-02-15

Related by officers

No related officers

Related by address

No related companies by address

Date of last update: 06 Feb 2025

Sources: Florida Department of State

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