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  5. NORMAN H. ANDERSON, M.D., P.A.

NORMAN H. ANDERSON, M.D., P.A.

Company Details

Entity Name: NORMAN H. ANDERSON, M.D., P.A.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Active
Date Filed: 01 May 1979 (46 years ago)
Document Number: 619554
FEI/EIN Number 591901972
Address: 2020 S.E. 17TH STREET, OCALA, FL, 34471, US
Mail Address: 2020 S.E. 17TH STREET, OCALA, FL, 34471, US
ZIP code: 34471
County: Marion
Place of Formation: FLORIDA

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
NORMAN H. ANDERSON, M. D. , P. A. 401(K) PLAN 2019 591901972 2020-12-05 NORMAN H. ANDERSON, M.D., P.A. 122
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1990-01-01
Business code 621111
Sponsor’s telephone number 3528610440
Plan sponsor’s mailing address 2020 S.E. 17TH STREET, OCALA, FL, 34471
Plan sponsor’s address 2020 S.E. 17TH STREET, OCALA, FL, 34471

Number of participants as of the end of the plan year
Active participants 117
Retired or separated participants receiving benefits 2
Other retired or separated participants entitled to future benefits 3
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 122
Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 116

Signature of
Role Plan administrator
Date 2020-12-05
Name of individual signing KERRI ROY
Valid signature Filed with authorized/valid electronic signature
NORMAN H. ANDERSON, M.D., P.A. 401(K) PLAN 2018 591901972 2019-09-18 NORMAN H. ANDERSON, M.D., P.A. 116
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1990-01-01
Business code 621111
Sponsor’s telephone number 3528610440
Plan sponsor’s address 2020 S.E. 17TH STREET, OCALA, FL, 34471
NORMAN H. ANDERSON, M.D., P.A. 401(K) PLAN 2017 591901972 2018-10-02 NORMAN H. ANDERSON, M.D., P.A. 118
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1990-01-01
Business code 621111
Sponsor’s telephone number 3528610440
Plan sponsor’s address 2020 S.E. 17TH STREET, OCALA, FL, 34471
NORMAN H. ANDERSON, M.D., P.A. 401(K) PLAN 2016 591901972 2017-11-14 NORMAN H. ANDERSON, M.D., P.A. 101
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1990-01-01
Business code 621111
Sponsor’s telephone number 3528610440
Plan sponsor’s address 2020 S.E. 17TH STREET, OCALA, FL, 34471
NORMAN H. ANDERSON, M.D., P.A. 401(K) PLAN 2015 591901972 2016-09-30 NORMAN H. ANDERSON, M.D., P.A. 94
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1990-01-01
Business code 621111
Sponsor’s telephone number 3528610440
Plan sponsor’s address 2020 S.E. 17TH STREET, OCALA, FL, 34471
NORMAN H. ANDERSON, M.D., P.A. 401(K) PLAN 2014 591901972 2015-08-21 NORMAN H. ANDERSON, M.D., P.A. 111
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1990-01-01
Business code 621111
Sponsor’s telephone number 3528610440
Plan sponsor’s address 2020 S.E. 17TH STREET, OCALA, FL, 34471
NORMAN H. ANDERSON, M.D., P.A. 401(K) PLAN 2013 591901972 2014-10-14 NORMAN H. ANDERSON, M.D,. P.A. 113
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1990-01-01
Business code 621111
Sponsor’s telephone number 3528610440
Plan sponsor’s address 2020 S.E. 17TH STREET, OCALA, FL, 34471
NORMAN H. ANDERSON, M.D., P.A. 401(K) PLAN 2012 591901972 2013-04-30 NORMAN H. ANDERSON, M.D,. P.A. 101
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1990-01-01
Business code 621111
Sponsor’s telephone number 3528610440
Plan sponsor’s address 2020 S.E. 17TH STREET, OCALA, FL, 34471

Signature of
Role Plan administrator
Date 2013-04-30
Name of individual signing MIKE HILL
Valid signature Filed with authorized/valid electronic signature
NORMAN H. ANDERSON, M.D., P.A. 401(K) PLAN 2011 591901972 2012-08-24 NORMAN H. ANDERSON, M.D,. P.A. 106
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1990-01-01
Business code 621111
Sponsor’s telephone number 3528610440
Plan sponsor’s address 2020 S.E. 17TH STREET, OCALA, FL, 34471

Plan administrator’s name and address
Administrator’s EIN 591901972
Plan administrator’s name NORMAN H. ANDERSON, M.D,. P.A.
Plan administrator’s address 2020 S.E. 17TH STREET, OCALA, FL, 34471
Administrator’s telephone number 3528610440

Signature of
Role Plan administrator
Date 2012-08-24
Name of individual signing MIKE HILL
Valid signature Filed with authorized/valid electronic signature
NORMAN H. ANDERSON, M.D., P.A. 401(K) PLAN 2010 591901972 2011-05-09 NORMAN H. ANDERSON, M.D,. P.A. 101
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1990-01-01
Business code 621111
Sponsor’s telephone number 3528610440
Plan sponsor’s address 2020 S.E. 17TH STREET, OCALA, FL, 34471

Plan administrator’s name and address
Administrator’s EIN 591901972
Plan administrator’s name NORMAN H. ANDERSON, M.D,. P.A.
Plan administrator’s address 2020 S.E. 17TH STREET, OCALA, FL, 34471
Administrator’s telephone number 3528610440

Signature of
Role Plan administrator
Date 2011-05-09
Name of individual signing MIKE HILL
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
Glenn R Padgett PA Agent 1452 N US 1, Ormond Beach, FL, 32174

PDM

Name Role Address
ANDERSON NORMAN H PDM 2020 S.E. 17TH STREET, OCALA, FL, 34471

Vice President

Name Role Address
BENNETT, JR C. JOSEPH M Vice President 2020 S.E. 17TH STREET, OCALA, FL, 34471
BRANT TIMOTHY A Vice President 2020 SE 17TH STREET, OCALA, FL, 34471
BUCY G. STEVEN M Vice President 2020 S.E. 17TH STREET, OCALA, FL, 34471

Director

Name Role Address
BENNETT, JR C. JOSEPH M Director 2020 S.E. 17TH STREET, OCALA, FL, 34471
BRANT TIMOTHY A Director 2020 SE 17TH STREET, OCALA, FL, 34471
BUCY G. STEVEN M Director 2020 S.E. 17TH STREET, OCALA, FL, 34471

Secretary

Name Role Address
PADGETT GLENN R Secretary 2020 S.E. 17TH STREET, OCALA, FL, 34471

Assi

Name Role Address
Haley Robin H Assi 2020 S.E. 17TH STREET, OCALA, FL, 34471

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G16000051678 PROSTATE EVALUATION CENTER ACTIVE 2016-05-24 2026-12-31 No data 808 HWY 466, LADY LAKE, FL, 32159
G96177900038 ROBERT BOISSONEAULT ONCOLOGY INSTITUTE ACTIVE 1996-06-25 2026-12-31 No data 2020 SE 17TH STREET, OCALA, FL, 34471

Events

Event Type Filed Date Value Description
AMENDED AND RESTATEDARTICLES 2010-01-25 No data No data
MERGER 2004-06-23 No data CORPORATION WAS A MERGER RESULT. TOTAL NUMBER OF QUALIFIED CORPORATION(S) INVOLVED WAS 1. MERGER NUMBER 900000049479
RESTATED ARTICLES 1991-10-21 No data No data
NAME CHANGE AMENDMENT 1989-06-01 NORMAN H. ANDERSON, M.D., P.A. No data

Related by officers

ANDERSON NORMAN H

HIWAY 19 PROPERTY, INC. COORDINATED ONCOLOGY LLC CITRUS COUNTY MEDICAL GROUP, LLC TIMBER RIDGE HOLDINGS, LLC N & M ANDERSON HOLDINGS, LLC PLANET WIRELESS, INC. MEDICAL MANAGEMENT ASSOCIATES OF CENTRAL FLORIDA, INC.

PADGETT GLENN R

GLENN R PADGETT, P.A. SPEEDPLEX 1, LLC L.D.C. FINANCE TRANSFEREE, LLC TIMBER RIDGE HOLDINGS, LLC THE BRANT RANCH LLC DR. NHA, LLC EVENT EQUIPMENT LEASING, INC. FIN HEAD PRODUCTIONS, INC. EVENTEMPS SERVICES, INC. SAND TREASURES, INC.

BRANT TIMOTHY A

HIGHWAY 19 MEDICAL OFFICES DEVELOPER, LLC CITRUS COUNTY MEDICAL GROUP, LLC THE BRANT RANCH LLC MEDICAL MANAGEMENT ASSOCIATES OF CENTRAL FLORIDA, INC. FLORIDA DOCTORS, INC.

Haley Robin H

SOUTHWEST CITRUS COUNTY PROPERTY, LLC INVERNESS MEDICAL JOINT VENTURE, LLC. 17TH STREET VENTURE, LLC

Glenn R Padgett PA

SOUTHWEST CITRUS COUNTY PROPERTY, LLC L.D.C. FINANCE CORPORATION GWF, INC. WE CAN WEEKEND, INC. OCEAN WALK RESORT CONDOMINIUM ASSOCIATION, INC. 17TH STREET VENTURE, LLC

BUCY G. STEVEN M

MEDICAL MANAGEMENT ASSOCIATES OF CENTRAL FLORIDA, INC.

Related by address

No related companies by address

Date of last update: 02 Feb 2025

Sources: Florida Department of State

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