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  5. MEDSIM INC.

MEDSIM INC.

Company Details

Entity Name: MEDSIM INC.
Jurisdiction: FLORIDA
Filing Type: Foreign Profit Corporation
Status: Inactive
Date Filed: 26 Jan 2007 (18 years ago)
Date of dissolution: 27 Sep 2019 (5 years ago)
Last Event: REVOKED FOR ANNUAL REPORT
Event Date Filed: 27 Sep 2019 (5 years ago)
Document Number: F07000000490
FEI/EIN Number 20-8200919
Address: 1505 NW 159 Avenue, Pembroke Pines, FL 33028
Mail Address: 1505 NW 159 Avenue, Pembroke Pines, FL 33028
ZIP code: 33028
County: Broward
Place of Formation: DELAWARE

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
MEDSIM INC. 401K PROFIT SHARING & RETIREMENT PLA 2014 208200919 2015-04-28 MEDSIM INC. 2
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1999-01-01
Business code 339110
Sponsor’s telephone number 9545630855
Plan sponsor’s address 3215 NW 10TH TERRACE, STE 201, FT. LAUDERDALE, FL, 33309
MEDSIM INC. 401K PROFIT SHARING & RETIREMENT PLA 2013 208200919 2014-06-06 MEDSIM INC. 2
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1999-01-01
Business code 339110
Sponsor’s telephone number 9545630855
Plan sponsor’s address 3215 NW 10TH TERRACE, STE 201, FT. LAUDERDALE, FL, 33309

Signature of
Role Plan administrator
Date 2014-06-06
Name of individual signing TERI KISSEL
Valid signature Filed with authorized/valid electronic signature
MEDSIM INC. 401K PROFIT SHARING & RETIREMENT PLA 2012 208200919 2013-05-27 MEDSIM INC. 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1999-01-01
Business code 339110
Sponsor’s telephone number 9545630855
Plan sponsor’s address 3215 NW 10TH TERRACE, STE 201, FT. LAUDERDALE, FL, 33309

Signature of
Role Plan administrator
Date 2013-05-27
Name of individual signing TERI KISSEL
Valid signature Filed with authorized/valid electronic signature
MEDSIM INC. 401K PROFIT SHARING & RETIREMENT PLA 2011 208200919 2012-06-29 MEDSIM INC. 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1999-01-01
Business code 339110
Sponsor’s telephone number 9545630855
Plan sponsor’s address 3215 NW 10TH TERRACE, STE 201, FT. LAUDERDALE, FL, 33309

Plan administrator’s name and address
Administrator’s EIN 208200919
Plan administrator’s name MEDSIM INC.
Plan administrator’s address 3215 NW 10TH TERRACE, STE 201, FT. LAUDERDALE, FL, 33309
Administrator’s telephone number 9545630855

Signature of
Role Plan administrator
Date 2012-06-29
Name of individual signing TERI KISSEL
Valid signature Filed with authorized/valid electronic signature
MEDSIM INC. 401K PROFIT SHARING & RETIREMENT PLA 2010 208200919 2011-06-30 MEDSIM INC. 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1999-01-01
Business code 339110
Sponsor’s telephone number 9545630855
Plan sponsor’s address 3215 NW 10TH TERRACE, STE 201, FT. LAUDERDALE, FL, 33309

Plan administrator’s name and address
Administrator’s EIN 208200919
Plan administrator’s name MEDSIM INC.
Plan administrator’s address 3215 NW 10TH TERRACE, STE 201, FT. LAUDERDALE, FL, 33309
Administrator’s telephone number 9545630855

Signature of
Role Plan administrator
Date 2011-06-30
Name of individual signing LOTHAR HERRMANN
Valid signature Filed with authorized/valid electronic signature
MEDSIM INC. 401(K) PROFIT SHARING & RETIREMENT PLAN 2009 208200919 2010-09-21 MEDSIM, INC. 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1999-01-01
Business code 339110
Sponsor’s telephone number 9545630855
Plan sponsor’s address 3215 NW 10TH TERRACE, SUITE 201, FT. LAUDERDALE, FL, 33309

Plan administrator’s name and address
Administrator’s EIN 208200919
Plan administrator’s name MEDSIM, INC.
Plan administrator’s address 3215 NW 10TH TERRACE, SUITE 201, FT. LAUDERDALE, FL, 33309
Administrator’s telephone number 9545630855

Signature of
Role Plan administrator
Date 2010-09-21
Name of individual signing MELANIE WILLIAMSON
Valid signature Filed with authorized/valid electronic signature
MEDSIM INC. 401(K) PROFIT SHARING & RETIREMENT PLAN 2009 208200919 2010-07-08 MEDSIM, INC. 3
Three-digit plan number (PN) 001
Effective date of plan 1999-01-01
Business code 339110
Sponsor’s telephone number 9545630855
Plan sponsor’s address 3215 NW 10TH TERRACE, SUITE 201, FT. LAUDERDALE, FL, 33309

Plan administrator’s name and address
Administrator’s EIN 208200919
Plan administrator’s name MEDSIM, INC.
Plan administrator’s address 3215 NW 10TH TERRACE, SUITE 201, FT. LAUDERDALE, FL, 33309
Administrator’s telephone number 9545630855

Signature of
Role Plan administrator
Date 2010-07-08
Name of individual signing LOTHAR HERRMANN
Valid signature Filed with incorrect/unrecognized electronic signature

Agent

Name Role Address
Fixler, Marc A Agent 1505 NW 159 Avenue, Pembroke Pines, FL 33028

Director

Name Role Address
Gera, Avshalom Director 20 Hata'as Street, Beit HaPa'amon Kfar Saba 4442520 IL

Manager

Name Role Address
Green, Andrew J Manager 222 West 15th Street, Apt. 1F New York, NY 10011

Events

Event Type Filed Date Value Description
REVOKED FOR ANNUAL REPORT 2019-09-27 No data No data
CHANGE OF PRINCIPAL ADDRESS 2015-07-06 1505 NW 159 Avenue, Pembroke Pines, FL 33028 No data
CHANGE OF MAILING ADDRESS 2015-07-06 1505 NW 159 Avenue, Pembroke Pines, FL 33028 No data
REGISTERED AGENT NAME CHANGED 2015-07-06 Fixler, Marc A No data
REGISTERED AGENT ADDRESS CHANGED 2015-07-06 1505 NW 159 Avenue, Pembroke Pines, FL 33028 No data

Documents

Name Date
ANNUAL REPORT 2018-05-01
ANNUAL REPORT 2017-04-25
ANNUAL REPORT 2016-02-17
ANNUAL REPORT 2015-07-06
ANNUAL REPORT 2014-01-10
ANNUAL REPORT 2013-06-10
ANNUAL REPORT 2012-04-05
ANNUAL REPORT 2011-01-14
ANNUAL REPORT 2010-01-05
ANNUAL REPORT 2009-01-20

Related by officers

Fixler, Marc A

GLOBAL DOMAIN MEDIA, LLC KOIN NETWORK LLC KOIN VERIFY LLC KOIN MARKETPLACE LLC

Green, Andrew J

1116 LLC

Related by address

No related companies by address

Date of last update: 27 Jan 2025

Sources: Florida Department of State

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