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  5. VITREORETINAL ASSOCIATES, P.A.

VITREORETINAL ASSOCIATES, P.A.

Company Details

Entity Name: VITREORETINAL ASSOCIATES, P.A.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Active
Date Filed: 01 Feb 1981 (44 years ago)
Document Number: F05997
FEI/EIN Number 592046817
Address: 4340 NEWBERRY RD, SUITE 202, GAINESVILLE, FL, 32607, US
Mail Address: 4340 NEWBERRY RD, SUITE 202, GAINESVILLE, FL, 32607, US
ZIP code: 32607
County: Alachua
Place of Formation: FLORIDA

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
VITREORETINAL ASSOCIATES, P.A. 401(K) PROFIT SHARING PLAN 2023 592046817 2024-08-20 VITREORETINAL ASSOCIATES, P.A. 25
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2001-01-01
Business code 621111
Sponsor’s telephone number 3523712800
Plan sponsor’s address 4340 NEWBERRY ROAD SUITE 202, GAINESVILLE, FL, 32607

Signature of
Role Plan administrator
Date 2024-08-20
Name of individual signing LARRY MALOTT
Valid signature Filed with authorized/valid electronic signature
VITREORETINAL ASSOCIATES, P.A. 401(K) PROFIT SHARING PLAN 2022 592046817 2023-09-05 VITREORETINAL ASSOCIATES, P.A. 27
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2001-01-01
Business code 621111
Sponsor’s telephone number 3523712800
Plan sponsor’s address 4340 W NEWBERRY RD, STE 202 STE 202, GAINESVILLE, FL, 32607

Signature of
Role Plan administrator
Date 2023-09-05
Name of individual signing LARRY MALOTT
Valid signature Filed with authorized/valid electronic signature
VITREORETINAL ASSOCIATES, P.A. 401(K) PROFIT SHARING PLAN 2021 592046817 2022-07-28 VITREORETINAL ASSOCIATES, P.A. 32
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2001-01-01
Business code 621111
Sponsor’s telephone number 3523712800
Plan sponsor’s address 4340 W NEWBERRY RD STE 202, GAINESVILLE, FL, 32607

Signature of
Role Plan administrator
Date 2022-07-28
Name of individual signing LARRY MALOTT
Valid signature Filed with authorized/valid electronic signature
VITREORETINAL ASSOCIATES, P.A. 401(K) PROFIT SHARING PLAN 2020 592046817 2021-05-19 VITREORETINAL ASSOCIATES, P.A. 29
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2001-01-01
Business code 621111
Sponsor’s telephone number 3523712800
Plan sponsor’s address 4340 W NEWBERRY, STE 202 202, GAINESVILLE, FL, 32607

Signature of
Role Plan administrator
Date 2021-05-19
Name of individual signing LARRY MALOTT
Valid signature Filed with authorized/valid electronic signature
VITREORETINAL ASSOCIATES, P.A. 401(K) PROFIT SHARING PLAN 2019 592046817 2020-06-08 VITREORETINAL ASSOCIATES, P.A. 28
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2001-01-01
Business code 621111
Sponsor’s telephone number 3525195616
Plan sponsor’s address 4340 NEWBERRY ROAD SUITE 202, GAINESVILLE, FL, 32607

Signature of
Role Plan administrator
Date 2020-06-08
Name of individual signing LARRY MALOTT
Valid signature Filed with authorized/valid electronic signature
VITREORETINAL ASSOCIATES, P.A. 401(K) PROFIT SHARING PLAN 2018 592046817 2019-08-01 VITREORETINAL ASSOCIATES, P.A. 22
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2001-01-01
Business code 621111
Sponsor’s telephone number 3523712800
Plan sponsor’s address 4340 NEWBERRY ROAD SUITE 202, GAINESVILLE, FL, 32607

Signature of
Role Plan administrator
Date 2019-08-01
Name of individual signing KAUSHIK HAZARIWALA
Valid signature Filed with authorized/valid electronic signature
VITREORETINAL ASSOCIATES, P.A. 401(K) PROFIT SHARING PLAN 2017 592046817 2018-06-12 VITREORETINAL ASSOCIATES, P.A. 23
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2001-01-01
Business code 621111
Sponsor’s telephone number 3523712800
Plan sponsor’s address 4340 NEWBERRY ROAD SUITE 202, GAINESVILLE, FL, 32607

Signature of
Role Plan administrator
Date 2018-06-12
Name of individual signing KAUSHIK HAZARIWALA
Valid signature Filed with authorized/valid electronic signature
VITREORETINAL ASSOCIATES, P.A. 401(K) PROFIT SHARING PLAN 2016 592046817 2017-07-18 VITREORETINAL ASSOCIATES, P.A. 23
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2001-01-01
Business code 621111
Sponsor’s telephone number 3523712800
Plan sponsor’s address 4340 NEWBERRY ROAD SUITE 202, GAINESVILLE, FL, 32607

Signature of
Role Plan administrator
Date 2017-07-18
Name of individual signing KAUSHIK HAZARIWALA
Valid signature Filed with authorized/valid electronic signature
VITREORETINAL ASSOCIATES, P.A. 401(K) PROFIT SHARING PLAN 2015 592046817 2016-06-21 VITREORETINAL ASSOCIATES, P.A. 18
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2001-01-01
Business code 621111
Sponsor’s telephone number 3523712800
Plan sponsor’s address 4340 NEWBERRY ROAD SUITE 202, GAINESVILLE, FL, 32607

Signature of
Role Plan administrator
Date 2016-06-21
Name of individual signing KAUSHIK HAZARIWALA
Valid signature Filed with authorized/valid electronic signature
VITREORETINAL ASSOCIATES, P.A. 401(K) PROFIT SHARING PLAN 2014 592046817 2015-05-13 VITREORETINAL ASSOCIATES, P.A. 18
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2001-01-01
Business code 621111
Sponsor’s telephone number 3523712800
Plan sponsor’s address 4340 NEWBERRY ROAD SUITE 202, GAINESVILLE, FL, 32607

Signature of
Role Plan administrator
Date 2015-05-13
Name of individual signing KAUSHIK HAZARIWALA
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
Malott Larry AMBA Agent 4340 NEWBERRY RD, GAINESVILLE, FL, 32607

President

Name Role Address
HAZARIWALA KAUSHIK MM.D. President 4340 NEWBERRY RD SUITE 202, GAINESVILLE, FL, 32607

Vice President

Name Role Address
Kay Christine N Vice President 4340 NEWBERRY RD, GAINESVILLE, FL, 32607

Treasurer

Name Role Address
Parrott Michael B Treasurer 4340 NEWBERRY RD, GAINESVILLE, FL, 32607

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G15000051457 VITREO RETINAL ASSOCIATES ACTIVE 2015-05-26 2025-12-31 No data 4340 NEWBERRY ROAD, STE 202, GAINESVILLE, FL, 32607
G15000051474 VITREO RETINAL ASSOCIATES, P.A. ACTIVE 2015-05-26 2025-12-31 No data 4340 NEWBERRY ROAD, STE 202, GAINESVILLE, FL, 32607
G15000051476 VITREO RETINAL ASSOCIATES PA ACTIVE 2015-05-26 2025-12-31 No data 4340 NEWBERRY ROAD, STE 202, GAINESVILLE, FL, 32607

Events

Event Type Filed Date Value Description
NAME CHANGE AMENDMENT 1989-09-14 VITREORETINAL ASSOCIATES, P.A. No data

Related by officers

No related officers

Related by address

No related companies by address

Date of last update: 02 Jan 2025

Sources: Florida Department of State

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