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  5. CENTRAL FLORIDA UROLOGY ASSOCIATES, P.A.

CENTRAL FLORIDA UROLOGY ASSOCIATES, P.A.

Company Details

Entity Name: CENTRAL FLORIDA UROLOGY ASSOCIATES, P.A.
Jurisdiction: FLORIDA
Filing Type: Florida Profit Corporation
Status: Inactive
Date Filed: 01 Sep 1981 (43 years ago)
Date of dissolution: 23 Sep 2022 (2 years ago)
Last Event: ADMIN DISSOLUTION FOR ANNUAL REPORT
Event Date Filed: 23 Sep 2022 (2 years ago)
Document Number: F42246
FEI/EIN Number 59-2117012
Address: 4106 W. Lake Mary Blvd., Suite 215, LAKE MARY, FL 32746
Mail Address: 4106 W. Lake Mary Blvd., Suite 215, LAKE MARY, FL 32746
ZIP code: 32746
County: Seminole
Place of Formation: FLORIDA

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
CENTRAL FLORIDA UROLOGY ASSOCIATES, P.A. 401(K) PLAN 2012 592117012 2013-08-09 CENTRAL FLORIDA UROLOGY ASSOCIATES, P.A. 15
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1981-09-01
Business code 621111
Sponsor’s telephone number 3212750333
Plan sponsor’s address 210 RINEHART ROAD, SUITE 1000, LAKE MARY, FL, 327462548

Signature of
Role Plan administrator
Date 2013-08-09
Name of individual signing MICHAEL FRIEDMAN, MD
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2013-08-09
Name of individual signing MICHAEL FRIEDMAN, MD
Valid signature Filed with authorized/valid electronic signature
CENTRAL FLORIDA UROLOGY ASSOCIATES, P.A. 401(K) PLAN 2011 592117012 2012-06-07 CENTRAL FLORIDA UROLOGY ASSOCIATES, P.A. 18
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1981-09-01
Business code 621111
Sponsor’s telephone number 3212750333
Plan sponsor’s address 210 RINEHART ROAD, SUITE 1000, LAKE MARY, FL, 327462548

Plan administrator’s name and address
Administrator’s EIN 592117012
Plan administrator’s name CENTRAL FLORIDA UROLOGY ASSOCIATES, P.A.
Plan administrator’s address 210 RINEHART ROAD, SUITE 1000, LAKE MARY, FL, 327462548
Administrator’s telephone number 3212750333

Signature of
Role Plan administrator
Date 2012-06-07
Name of individual signing MICHAEL FRIEDMAN, MD
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2012-06-07
Name of individual signing MICHAEL FRIEDMAN, MD
Valid signature Filed with authorized/valid electronic signature
CENTRAL FLORIDA UROLOGY ASSOCIATES, P.A. 401(K) PLAN 2010 592117012 2011-07-06 CENTRAL FLORIDA UROLOGY ASSOCIATES, P.A. 23
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1981-09-01
Business code 621111
Sponsor’s telephone number 3212750333
Plan sponsor’s address 210 RINEHART ROAD, SUITE 1000, LAKE MARY, FL, 327462548

Plan administrator’s name and address
Administrator’s EIN 592117012
Plan administrator’s name CENTRAL FLORIDA UROLOGY ASSOCIATES, P.A.
Plan administrator’s address 210 RINEHART ROAD, SUITE 1000, LAKE MARY, FL, 327462548
Administrator’s telephone number 3212750333

Signature of
Role Plan administrator
Date 2011-07-06
Name of individual signing MICHAEL FRIEDMAN, MD
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2011-07-06
Name of individual signing MICHAEL FRIEDMAN, MD
Valid signature Filed with authorized/valid electronic signature
CENTRAL FLORIDA UROLOGY ASSOCIATES, P.A. 401(K) PLAN 2009 592117012 2010-07-26 CENTRAL FLORIDA UROLOGY ASSOCIATES, P.A. 24
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1981-09-01
Business code 621111
Sponsor’s telephone number 3212750333
Plan sponsor’s address 210 RINEHART ROAD, SUITE 1000, LAKE MARY, FL, 327462548

Plan administrator’s name and address
Administrator’s EIN 592117012
Plan administrator’s name CENTRAL FLORIDA UROLOGY ASSOCIATES, P.A.
Plan administrator’s address 210 RINEHART ROAD, SUITE 1000, LAKE MARY, FL, 327462548
Administrator’s telephone number 3212750333

Signature of
Role Plan administrator
Date 2010-07-26
Name of individual signing MICHAEL FRIEDMAN, MD
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2010-07-26
Name of individual signing MICHAEL FRIEDMAN, MD
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
Witten, Charles N Agent 4106 W. Lake Mary Blvd., Suite 215, LAKE MARY, FL 32746

President

Name Role Address
FRIEDMAN, MICHAEL D, Dr. President 4106 W. Lake Mary Blvd., Suite 215 LAKE MARY, FL 32746

Director

Name Role Address
FRIEDMAN, MICHAEL D, Dr. Director 4106 W. Lake Mary Blvd., Suite 215 LAKE MARY, FL 32746
WITTEN, CHARLES M.D. Director 4106 W. Lake Mary Blvd., Suite 215 LAKE MARY, FL 32746

Secretary

Name Role Address
WITTEN, CHARLES M.D. Secretary 4106 W. Lake Mary Blvd., Suite 215 LAKE MARY, FL 32746

Treasurer

Name Role Address
WITTEN, CHARLES M.D. Treasurer 4106 W. Lake Mary Blvd., Suite 215 LAKE MARY, FL 32746

Events

Event Type Filed Date Value Description
ADMIN DISSOLUTION FOR ANNUAL REPORT 2022-09-23 No data No data
REINSTATEMENT 2021-09-28 No data No data
ADMIN DISSOLUTION FOR ANNUAL REPORT 2021-09-24 No data No data
REGISTERED AGENT NAME CHANGED 2019-02-12 Witten, Charles N No data
CHANGE OF PRINCIPAL ADDRESS 2018-04-05 4106 W. Lake Mary Blvd., Suite 215, LAKE MARY, FL 32746 No data
REGISTERED AGENT ADDRESS CHANGED 2018-04-05 4106 W. Lake Mary Blvd., Suite 215, LAKE MARY, FL 32746 No data
CHANGE OF MAILING ADDRESS 2018-04-05 4106 W. Lake Mary Blvd., Suite 215, LAKE MARY, FL 32746 No data
REINSTATEMENT 2013-10-07 No data No data
ADMIN DISSOLUTION FOR ANNUAL REPORT 2013-09-27 No data No data
NAME CHANGE AMENDMENT 1990-06-07 CENTRAL FLORIDA UROLOGY ASSOCIATES, P.A. No data

Documents

Name Date
REINSTATEMENT 2021-09-28
ANNUAL REPORT 2020-03-22
ANNUAL REPORT 2019-02-12
ANNUAL REPORT 2018-04-05
ANNUAL REPORT 2017-03-22
ANNUAL REPORT 2016-09-13
ANNUAL REPORT 2015-03-26
ANNUAL REPORT 2014-03-13
REINSTATEMENT 2013-10-07
ANNUAL REPORT 2012-04-10

Related by officers

No related officers

Related by address

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Date of last update: 05 Feb 2025

Sources: Florida Department of State

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