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  5. ISSA F. BAROUDI, M.D., P.A.

ISSA F. BAROUDI, M.D., P.A.

Company Details

Entity Name: ISSA F. BAROUDI, M.D., P.A.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Active
Date Filed: 29 Jul 1982 (42 years ago)
Document Number: F92498
FEI/EIN Number 592206084
Address: ISSA F. BAROUDI, M.D., 3222 TAMIAMI TRAIL, PORT CHARLOTTE, FL, 33952, US
Mail Address: ISSA F. BAROUDI, M.D., 3222 TAMIAMI TRAIL, PORT CHARLOTTE, FL, 33952, US
ZIP code: 33952
County: Charlotte
Place of Formation: FLORIDA

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
ISSA F. BAROUDI MD PA/PROMENADES SURGERY CENTER 401(K) PROFIT SHARING PLAN AND TRUST 2023 592206084 2024-06-26 ISSA F. BAROUDI, M.D., P.A. 8
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2003-01-01
Business code 621111
Sponsor’s telephone number 9416275155
Plan sponsor’s address 3222 TAMIAMI TRL, PORT CHARLOTTE, FL, 339528048

Signature of
Role Plan administrator
Date 2024-06-14
Name of individual signing ISSA BAROUDI
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2024-06-14
Name of individual signing ISSA BAROUDI
Valid signature Filed with authorized/valid electronic signature
ISSA F. BAROUDI MD PA/PROMENADES SURGERY CENTER 401(K) PROFIT SHARING PLAN AND TRUST 2022 592206084 2023-07-03 ISSA F. BAROUDI, M.D., P.A. 9
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2003-01-01
Business code 621111
Sponsor’s telephone number 9416275155
Plan sponsor’s address 3222 TAMIAMI TR, PORT CHARLOTTE, FL, 33952

Signature of
Role Plan administrator
Date 2023-06-08
Name of individual signing ISSA BAROUDI
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2023-06-08
Name of individual signing ISSA BAROUDI
Valid signature Filed with authorized/valid electronic signature
ISSA F. BAROUDI MD PA/PROMENADES SURGERY CENTER 401(K) PROFIT SHARING PLAN AND TRUST 2021 592206084 2022-08-16 ISSA F. BAROUDI, M.D., P.A. 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-01-01
Business code 621111
Sponsor’s telephone number 9416275155
Plan sponsor’s address 3222 TAMIAMI TRL, PORT CHARLOTTE, FL, 33952

Signature of
Role Plan administrator
Date 2022-06-15
Name of individual signing ISSA BAROUDI
Valid signature Filed with authorized/valid electronic signature
ISSA F. BAROUDI MD PA/PROMENADES SURGERY CENTER 401(K) PROFIT SHARING PLAN AND TRUST 2020 592206084 2021-07-26 ISSA F. BAROUDI, M.D., P.A. 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-01-01
Business code 621111
Sponsor’s telephone number 9416275155
Plan sponsor’s address 3222 TAMIAMI TRL, PORT CHARLOTTE, FL, 33952

Signature of
Role Plan administrator
Date 2021-07-26
Name of individual signing ISSA BAROUDI
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2021-07-26
Name of individual signing ISSA BAROUDI
Valid signature Filed with authorized/valid electronic signature
ISSA F. BAROUDI MD PA/PROMENADES SURGERY CENTER 2019 592206084 2020-07-14 ISSA F. BAROUDI, M.D., P.A. 8
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2003-01-01
Business code 621111
Sponsor’s telephone number 9416275155
Plan sponsor’s address 3222 TAMIAMI TRL, PORT CHARLOTTE, FL, 33952

Signature of
Role Plan administrator
Date 2020-07-14
Name of individual signing ISSA BAROUDI
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2020-07-14
Name of individual signing ISSA BAROUDI
Valid signature Filed with authorized/valid electronic signature
ISSA F. BAROUDI MD PA/PROMENADES SURGERY CENTER 2018 592206084 2019-08-02 ISSA F. BAROUDI, M.D., P.A. 9
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2003-01-01
Business code 621111
Sponsor’s telephone number 9416275155
Plan sponsor’s address 3222 TAMIAMI TR, PORT CHARLOTTE, FL, 33952

Signature of
Role Plan administrator
Date 2019-08-02
Name of individual signing ISSA BAROUDI
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2019-08-02
Name of individual signing ISSA BAROUDI
Valid signature Filed with authorized/valid electronic signature
ISSA F. BAROUDI MD PA/PROMENADES SURGERY CENTER 2017 592206084 2019-08-27 ISSA F. BAROUDI, M.D., P.A. 4
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2003-01-01
Business code 621111
Sponsor’s telephone number 9416275155
Plan sponsor’s address 3222 TAMIAMI TR, PORT CHARLOTTE, FL, 33952

Signature of
Role Plan administrator
Date 2019-08-27
Name of individual signing ISSA BAROUDI
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2019-08-27
Name of individual signing ISSA BAROUDI
Valid signature Filed with authorized/valid electronic signature
ISSA F. BAROUDI MD PA 401(K) PROFIT SHARING PLAN 2016 592206084 2017-10-23 ISSA F. BAROUDI, M.D., P.A. 5
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2003-01-01
Business code 621111
Sponsor’s telephone number 9416275155
Plan sponsor’s address 3222 TAMIAMI TRL, PORT CHARLOTTE, FL, 33952

Signature of
Role Plan administrator
Date 2017-10-23
Name of individual signing ISSA BAROUDI
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2017-10-23
Name of individual signing ISSA BAROUDI
Valid signature Filed with authorized/valid electronic signature
ISSA F. BAROUDI MD PA 401(K) PROFIT SHARING PLAN 2015 592206084 2016-03-23 ISSA F. BAROUDI, M.D., P.A. 5
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2003-01-01
Business code 621111
Sponsor’s telephone number 9416275155
Plan sponsor’s address 3222 TAMIAMI TR, PORT CHARLOTTE, FL, 33952

Signature of
Role Plan administrator
Date 2016-03-23
Name of individual signing ISSA BAROUDI
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2016-03-23
Name of individual signing ISSA BAROUDI
Valid signature Filed with authorized/valid electronic signature
ISSA F BAROUDI MD PA PROMENADES SURGERY 2014 592206084 2015-06-11 ISSA F. BAROUDI, M.D., P.A. 5
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2003-01-01
Business code 621111
Sponsor’s telephone number 9416275155
Plan sponsor’s address 3222 TAMIAMI TRAIL, PORT CHARLOTTE, FL, 33952

Signature of
Role Plan administrator
Date 2015-06-11
Name of individual signing ISSA BAROUDI
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
HACKETT JACK OII Agent FARR LAW FIRM, PUNTA GORDA, FL, 33950

President

Name Role Address
BAROUDI, ISSA F President 3222 TAMIAMI TR, PT CHARLOTTE, FL, 33952

Secretary

Name Role Address
BAROUDI, ISSA F Secretary 3222 TAMIAMI TR, PT CHARLOTTE, FL, 33952

Treasurer

Name Role Address
BAROUDI, ISSA F Treasurer 3222 TAMIAMI TR, PT CHARLOTTE, FL, 33952

Director

Name Role Address
BAROUDI, ISSA F Director 3222 TAMIAMI TR, PT CHARLOTTE, FL, 33952

Busi

Name Role Address
BAROUDI LINA Busi 3222 TAMIAMI TRAIL, PORT CHARLOTTE, FL, 33952

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G05066900287 BAROUDI COSMETIC & PLASTIC SURGERY ACTIVE 2005-03-07 2025-12-31 No data C/O ISSA F. BAROUDI M.D., 3222 TAMIAMI TRAIL, PORT CHARLOTTE, FL, 33952

Related by officers

BAROUDI, ISSA F

SABAL INVESTMENT PROPERTIES, LLC SAMAK, LLC DB PUNTA GORDA, LLC DB PUNTA GORDA II, LLC BAROUDI INVESTMENTS, LLC

BAROUDI LINA

PROMENADES SURGERY CENTER LLC

HACKETT JACK OII

FEDERACION AMERICANA DE SOCIEDADES AGROQUIMICAS, INC. WESOTO INVESTMENTS, LLC FACT PROPERTIES, LLC NP PAN AM CENTER LLC D-R ENGLEWOOD PROPERTIES, LLC KINGS HIGHWAY CONDOMINIUM ASSOCIATION, INC. POMEGRANATE & FIG GIFT BOUTIQUE, LLC CAIRNS COVE, LLC SOBER TOBERS, LLC POLY VIRTUAL OCCLUSION, LLC

Related by address

No related companies by address

Date of last update: 03 Jan 2025

Sources: Florida Department of State

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