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  5. LEE A. FISCHER, M.D., P.A.

LEE A. FISCHER, M.D., P.A.

Company Details

Entity Name: LEE A. FISCHER, M.D., P.A.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Active
Date Filed: 23 Mar 1979 (46 years ago)
Document Number: 615108
FEI/EIN Number 591885770
Address: 3098 Forest Hill Blvd, Ste 1, Palm Springs, FL, 33406, US
Mail Address: 509 N ATLANTIC DR, LANTANA, FL, 33462, US
ZIP code: 33406
County: Palm Beach
Place of Formation: FLORIDA

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
LEE A. FISCHER, M. D., P.A. 401(K) PLAN 2023 591885770 2024-05-24 LEE A. FISCHER, M. D., P.A. 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-01-01
Business code 621111
Sponsor’s telephone number 5619687600
Plan sponsor’s address 2669 FORREST HILL BLVD, WEST PALM BEACH, FL, 33406

Signature of
Role Plan administrator
Date 2024-05-24
Name of individual signing SHARON THRUSH
Valid signature Filed with authorized/valid electronic signature
LEE A. FISCHER, M. D., P.A. 401(K) PLAN 2021 591885770 2022-08-15 LEE A. FISCHER, M. D., P.A. 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-01-01
Business code 621111
Sponsor’s telephone number 5619687600
Plan sponsor’s address 3098 FORREST HILL BLVD, PALM SPRINGS, FL, 33406

Signature of
Role Plan administrator
Date 2022-08-15
Name of individual signing SHARON THRUSH
Valid signature Filed with authorized/valid electronic signature
LEE A. FISCHER, M. D., P.A. 401(K) PLAN 2019 591885770 2020-10-22 LEE A. FISCHER, M. D., P.A. 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-01-01
Business code 621111
Sponsor’s telephone number 5619687600
Plan sponsor’s address 2669 FORREST HILL BLVD, WEST PALM BEACH, FL, 33406

Signature of
Role Plan administrator
Date 2020-10-22
Name of individual signing MICHELLE SCHAEFER
Valid signature Filed with authorized/valid electronic signature
LEE A. FISCHER, M. D., P.A. 401(K) PLAN 2018 591885770 2019-05-23 LEE A. FISCHER, M. D., P.A. 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-01-01
Business code 621111
Sponsor’s telephone number 5619687600
Plan sponsor’s address 2669 FORREST HILL BLVD, WEST PALM BEACH, FL, 33406

Signature of
Role Plan administrator
Date 2019-05-23
Name of individual signing MICHELLE SCHAEFER
Valid signature Filed with authorized/valid electronic signature
LEE A. FISCHER, M. D., P.A. 401(K) PLAN 2017 591885770 2018-08-16 LEE A. FISCHER, M. D., P.A. 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-01-01
Business code 621111
Sponsor’s telephone number 5619687600
Plan sponsor’s address 2669 FORREST HILL BLVD, WEST PALM BEACH, FL, 33406

Signature of
Role Plan administrator
Date 2018-08-16
Name of individual signing MICHELLE SCHAEFER
Valid signature Filed with authorized/valid electronic signature
LEE A. FISCHER, M. D., P.A. 401(K) PLAN 2016 591885770 2017-06-15 LEE A. FISCHER, M. D., P.A. 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-01-01
Business code 621111
Sponsor’s telephone number 5619687600
Plan sponsor’s address 2669 FORREST HILL BLVD, WEST PALM BEACH, FL, 33406

Signature of
Role Plan administrator
Date 2017-06-15
Name of individual signing MICHELLE SCHAEFER
Valid signature Filed with authorized/valid electronic signature
LEE A. FISCHER, M. D., P.A. 401(K) PLAN 2015 591885770 2016-08-02 LEE A. FISCHER, M. D., P.A. 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-01-01
Business code 621111
Sponsor’s telephone number 5619687600
Plan sponsor’s address 2669 FORREST HILL BLVD, WEST PALM BEACH, FL, 33406

Signature of
Role Plan administrator
Date 2016-08-02
Name of individual signing MICHELLE SCHAEFER
Valid signature Filed with authorized/valid electronic signature
LEE A. FISCHER M.D. P.A. 401(K) PLAN 2013 591885770 2014-10-10 LEE A. FISCHER M.D. P.A. 2
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-01-01
Business code 621111
Sponsor’s telephone number 5619687600
Plan sponsor’s DBA name PALM BEACH FAMILY PHYSICIANS
Plan sponsor’s address 2669 FOREST HILL BLVD., WEST PALM BEACH, FL, 33406

Signature of
Role Plan administrator
Date 2014-10-10
Name of individual signing MICHELLE SCHAEFER
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2014-10-10
Name of individual signing MICHELLE SCHAEFER
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
AHMED MUJAHED M Agent 509 N ATLANTIC DR, LANTANA, FL, 33462

Director

Name Role Address
AHMED MUJAHED M Director 509 N ATLANTIC DR, LANTANA, FL, 33462

President

Name Role Address
AHMED MUJAHED M President 509 N ATLANTIC DR, LANTANA, FL, 33462

Secretary

Name Role Address
AHMED MUJAHED M Secretary 509 N ATLANTIC DR, LANTANA, FL, 33462

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G21000082686 PALM BEACH FAMILY PHYSICIANS ACTIVE 2021-06-21 2026-12-31 No data 3098 FOREST HILL BLVD, UNIT 1, PALM SPRINGS, FL, 33406

Events

Event Type Filed Date Value Description
CANCEL ADM DISS/REV 2007-10-05 No data No data
ADMIN DISSOLUTION FOR ANNUAL REPORT 2007-09-14 No data No data

Related by officers

AHMED MUJAHED M

MUJAHED M. AHMED, M.D., P.A. THE EAGLES' WINGS FOUNDATION, INC.

Related by address

No related companies by address

Date of last update: 03 Jan 2025

Sources: Florida Department of State

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