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  5. JEFFREY L. LEBOW, D.O., P.A.

JEFFREY L. LEBOW, D.O., P.A.

Company Details

Entity Name: JEFFREY L. LEBOW, D.O., P.A.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Inactive
Date Filed: 16 Nov 1981 (43 years ago)
Document Number: F53725
FEI/EIN Number 592140030
Address: C/O JEFFREY L. LEBOW, D.O., 3435 N.E. 163RD ST., NORTH MIAMI BEACH, FL, 33160
Mail Address: C/O JEFFREY L. LEBOW, D.O., 3435 N.E. 163RD ST., NORTH MIAMI BEACH, FL, 33160
ZIP code: 33160
County: Miami-Dade
Place of Formation: FLORIDA

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
JEFFREY L. LEBOW, D.O., P.A. 401(K) PROFIT SHARING PLAN 2020 592140030 2021-10-05 JEFFREY L. LEBOW, D.O., P.A. 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1982-03-01
Business code 621111
Sponsor’s telephone number 3059473700
Plan sponsor’s address 3435 NE 163RD ST., NORTH MIAMI BEACH, FL, 33160

Plan administrator’s name and address
Administrator’s EIN 592140030
Plan administrator’s name JEFFREY L. LEBOW, D.O., P.A.
Plan administrator’s address 3435 NE 163RD ST., NORTH MIAMI BEACH, FL, 33160
Administrator’s telephone number 3059473700
JEFFREY L. LEBOW, D.O., P.A. 401(K) PROFIT SHARING PLAN 2019 592140030 2020-07-14 JEFFREY L. LEBOW, D.O., P.A. 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1982-03-01
Business code 621111
Sponsor’s telephone number 3059473700
Plan sponsor’s address 3435 NE 163RD ST., NORTH MIAMI BEACH, FL, 33160

Plan administrator’s name and address
Administrator’s EIN 592140030
Plan administrator’s name JEFFREY L. LEBOW, D.O., P.A.
Plan administrator’s address 3435 NE 163RD ST., NORTH MIAMI BEACH, FL, 33160
Administrator’s telephone number 3059473700

Signature of
Role Plan administrator
Date 2020-07-14
Name of individual signing JEFFREY LEBOW
Valid signature Filed with authorized/valid electronic signature
JEFFREY L. LEBOW, D.O., P.A. 401(K) PROFIT SHARING PLAN 2018 592140030 2019-08-09 JEFFREY L. LEBOW, D.O., P.A. 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1982-03-01
Business code 621111
Sponsor’s telephone number 3059473700
Plan sponsor’s address 3435 NE 163RD ST., NORTH MIAMI BEACH, FL, 33160

Plan administrator’s name and address
Administrator’s EIN 592140030
Plan administrator’s name JEFFREY L. LEBOW, D.O., P.A.
Plan administrator’s address 3435 NE 163RD ST., NORTH MIAMI BEACH, FL, 33160
Administrator’s telephone number 3059473700

Signature of
Role Plan administrator
Date 2019-08-09
Name of individual signing JEFFREY LEBOW
Valid signature Filed with authorized/valid electronic signature
JEFFREY L. LEBOW, D.O., P.A. 401(K) PROFIT SHARING PLAN 2017 592140030 2018-07-12 JEFFREY L. LEBOW, D.O., P.A. 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1982-03-01
Business code 621111
Sponsor’s telephone number 3059473700
Plan sponsor’s address 3435 NE 163RD ST., NORTH MIAMI BEACH, FL, 33160

Plan administrator’s name and address
Administrator’s EIN 592140030
Plan administrator’s name JEFFREY L. LEBOW, D.O., P.A.
Plan administrator’s address 3435 NE 163RD ST., NORTH MIAMI BEACH, FL, 33160
Administrator’s telephone number 3059473700

Signature of
Role Plan administrator
Date 2018-07-12
Name of individual signing JEFFREY LEBOW
Valid signature Filed with authorized/valid electronic signature
JEFFREY L. LEBOW, D.O., P.A. 401(K) PROFIT SHARING PLAN 2016 592140030 2017-03-10 JEFFREY L. LEBOW, D.O., P.A. 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1982-03-01
Business code 621111
Sponsor’s telephone number 3059473700
Plan sponsor’s address 3435 NE 163RD ST., NORTH MIAMI BEACH, FL, 33160

Plan administrator’s name and address
Administrator’s EIN 592140030
Plan administrator’s name JEFFREY L. LEBOW, D.O., P.A.
Plan administrator’s address 3435 NE 163RD ST., NORTH MIAMI BEACH, FL, 33160
Administrator’s telephone number 3059473700

Signature of
Role Plan administrator
Date 2017-03-10
Name of individual signing JEFFREY LEBOW
Valid signature Filed with authorized/valid electronic signature
JEFFREY L. LEBOW, D.O., P.A. 401(K) PROFIT SHARING PLAN 2015 592140030 2016-06-02 JEFFREY L. LEBOW, D.O., P.A. 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1982-03-01
Business code 621111
Sponsor’s telephone number 3059473700
Plan sponsor’s address 3435 NE 163RD ST., NORTH MIAMI BEACH, FL, 33160

Plan administrator’s name and address
Administrator’s EIN 592140030
Plan administrator’s name JEFFREY L. LEBOW, D.O., P.A.
Plan administrator’s address 3435 NE 163RD ST., NORTH MIAMI BEACH, FL, 33160
Administrator’s telephone number 3059473700

Signature of
Role Plan administrator
Date 2016-06-02
Name of individual signing JEFFREY LEBOW
Valid signature Filed with authorized/valid electronic signature
JEFFREY L. LEBOW, D.O., P.A. 401(K) PROFIT SHARING PLAN 2014 592140030 2015-07-02 JEFFREY L. LEBOW, D.O., P.A. 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1982-03-01
Business code 621111
Sponsor’s telephone number 3059473700
Plan sponsor’s address 3435 NE 163RD ST., NORTH MIAMI BEACH, FL, 33160

Plan administrator’s name and address
Administrator’s EIN 592140030
Plan administrator’s name JEFFREY L. LEBOW, D.O., P.A.
Plan administrator’s address 3435 NE 163RD ST., NORTH MIAMI BEACH, FL, 33160
Administrator’s telephone number 3059473700

Signature of
Role Plan administrator
Date 2015-07-02
Name of individual signing JEFFREY LEBOW
Valid signature Filed with authorized/valid electronic signature
JEFFREY L. LEBOW, D.O., P.A. 401(K) PROFIT SHARING PLAN 2013 592140030 2014-04-18 JEFFREY L. LEBOW, D.O., P.A. 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1982-03-01
Business code 621111
Sponsor’s telephone number 3059473700
Plan sponsor’s address 3435 NE 163RD ST., NORTH MIAMI BEACH, FL, 33160

Plan administrator’s name and address
Administrator’s EIN 592140030
Plan administrator’s name JEFFREY L. LEBOW, D.O., P.A.
Plan administrator’s address 3435 NE 163RD ST., NORTH MIAMI BEACH, FL, 33160
Administrator’s telephone number 3059473700

Signature of
Role Plan administrator
Date 2014-04-18
Name of individual signing JEFFREY LEBOW
Valid signature Filed with authorized/valid electronic signature
JEFFREY L. LEBOW, D.O., P.A. 401(K) PROFIT SHARING PLAN 2012 592140030 2013-04-30 JEFFREY L. LEBOW, D.O., P.A. 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1982-03-01
Business code 621111
Sponsor’s telephone number 3059473700
Plan sponsor’s address 3435 NE 163RD ST., NORTH MIAMI BEACH, FL, 33160

Plan administrator’s name and address
Administrator’s EIN 592140030
Plan administrator’s name JEFFREY L. LEBOW, D.O., P.A.
Plan administrator’s address 3435 NE 163RD ST., NORTH MIAMI BEACH, FL, 33160
Administrator’s telephone number 3059473700

Signature of
Role Plan administrator
Date 2013-04-30
Name of individual signing JEFFREY LEBOW
Valid signature Filed with authorized/valid electronic signature
JEFFREY L. LEBOW, D.O., P.A. 401(K) PROFIT SHARING PLAN 2011 592140030 2012-05-15 JEFFREY L. LEBOW, D.O., P.A. 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1982-03-01
Business code 621111
Plan sponsor’s address 3435 NE 163RD ST., NORTH MIAMI BEACH, FL, 33160

Plan administrator’s name and address
Administrator’s EIN 592140030
Plan administrator’s name JEFFREY L. LEBOW, D.O., P.A.
Plan administrator’s address 3435 NE 163RD ST., NORTH MIAMI BEACH, FL, 33160
Administrator’s telephone number 3059473700

Signature of
Role Plan administrator
Date 2012-05-15
Name of individual signing JEFFREY LEBOW
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
LEBOW, JEFFREY L. Agent 3435 N.E. 163RD ST., NORTH MIAMI BEACH, FL, 33160

President

Name Role Address
LEBOW, JEFFREY L President 3435 N E 163RD ST, N MIAMI BEACH, FL, 33160

Director

Name Role Address
LEBOW, JEFFREY L Director 3435 N E 163RD ST, N MIAMI BEACH, FL, 33160

Events

Event Type Filed Date Value Description
VOLUNTARY DISSOLUTION 2022-01-25 No data No data

Related by officers

LEBOW, JEFFREY L

EASTERN SHORES MERCHANT ASSOCIATION, 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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