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  5. SIDDHARTH H. SHAH, M.D., P.A.

SIDDHARTH H. SHAH, M.D., P.A. - Florida Company Profile

Company Details

Entity Name: SIDDHARTH H. SHAH, M.D., P.A.
Jurisdiction: FLORIDA
Filing Type: Foreign Profit
Status: Active

The business entity is active. This status indicates that the business is currently operating and compliant with state regulations, suggesting a lower risk profile for lenders and potentially better creditworthiness.

Date Filed: 26 Dec 1995 (29 years ago)
Document Number: F95000006297
FEI/EIN Number 593311794

Federal Employer Identification (FEI) Number assigned by the IRS.
Mail Address: 304 TALL OAK TRAIL, TARPON SPRINGS, FL, 34688, US
Address: 304 TALL OAK TRAIL, Tarpon Springs, FL, 34688, US
ZIP code: 34688
County: Pinellas
Place of Formation: MARYLAND

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
SIDDHARTH H. SHAH, M.D., P.A. CASH BALANCE PENSION PLAN AND TRUST 2019 593311794 2020-10-12 SIDDHARTH H. SHAH, M.D., P.A. 3
File View Page
Three-digit plan number (PN) 005
Effective date of plan 2015-01-01
Business code 621111
Sponsor’s telephone number 7278480800
Plan sponsor’s address 304 TALL OAK TRAIL, TARPON SPRINGS, FL, 346887711

Signature of
Role Plan administrator
Date 2020-10-12
Name of individual signing SIDDHARTH H. SHAH
Valid signature Filed with authorized/valid electronic signature
SIDDHARTH H. SHAH, M.D., P.A. 401(K) PROFIT SHARING PLAN AND TRUST 2019 593311794 2021-01-30 SIDDHARTH H. SHAH, M.D., P.A. 5
File View Page
Three-digit plan number (PN) 004
Effective date of plan 2007-01-01
Business code 621111
Sponsor’s telephone number 7278480800
Plan sponsor’s address 304 TALL OAK TRAIL, TARPON SPRINGS, FL, 346887711

Signature of
Role Plan administrator
Date 2021-01-30
Name of individual signing SIDDHARTH H. SHAH
Valid signature Filed with authorized/valid electronic signature
SIDDHARTH H. SHAH, M.D., P.A. 401(K) PROFIT SHARING PLAN AND TRUST 2019 593311794 2020-10-15 SIDDHARTH H. SHAH, M.D., P.A. 5
Three-digit plan number (PN) 004
Effective date of plan 2007-01-01
Business code 621111
Sponsor’s telephone number 7278480800
Plan sponsor’s address 304 TALL OAK TRAIL, TARPON SPRINGS, FL, 346887711

Signature of
Role Plan administrator
Date 2020-10-15
Name of individual signing SIDDHARTH H. SHAH
Valid signature Filed with authorized/valid electronic signature
SIDDHARTH H. SHAH, M.D., P.A. 401(K) PROFIT SHARING PLAN AND TRUST 2018 593311794 2019-09-18 SIDDHARTH H. SHAH, M.D., P.A. 6
File View Page
Three-digit plan number (PN) 004
Effective date of plan 2007-01-01
Business code 621111
Sponsor’s telephone number 7278480800
Plan sponsor’s address 304 TALL OAK TRAIL, TARPON SPRINGS, FL, 346887711

Signature of
Role Plan administrator
Date 2019-09-18
Name of individual signing SIDDHARTH SHAH
Valid signature Filed with authorized/valid electronic signature
SIDDHARTH H. SHAH, M.D., P.A. CASH BALANCE PENSION PLAN AND TRUST 2018 593311794 2019-09-18 SIDDHARTH H. SHAH, M.D., P.A. 6
File View Page
Three-digit plan number (PN) 005
Effective date of plan 2015-01-01
Business code 621111
Sponsor’s telephone number 7278480800
Plan sponsor’s address 304 TALL OAK TRAIL, TARPON SPRINGS, FL, 346887711

Signature of
Role Plan administrator
Date 2019-09-18
Name of individual signing SIDDHARTH SHAH
Valid signature Filed with authorized/valid electronic signature
SIDDHARTH H. SHAH, M.D., P.A. CASH BALANCE PENSION PLAN AND TRUST 2017 593311794 2018-09-24 SIDDHARTH H. SHAH, M.D., P.A. 7
File View Page
Three-digit plan number (PN) 005
Effective date of plan 2015-01-01
Business code 621111
Sponsor’s telephone number 7278480800
Plan sponsor’s address 304 TALL OAK TRAIL, TARPON SPRINGS, FL, 346887711
SIDDHARTH H. SHAH, M.D., P.A. 401(K) PROFIT SHARING PLAN AND TRUST 2017 593311794 2018-07-25 SIDDHARTH H. SHAH, M.D., P.A. 7
File View Page
Three-digit plan number (PN) 004
Effective date of plan 2007-01-01
Business code 621111
Sponsor’s telephone number 7278480800
Plan sponsor’s address 304 TALL OAK TRAIL, TARPON SPRINGS, FL, 346887711
SIDDHARTH H. SHAH, M.D., P.A. CASH BALANCE PENSION PLAN AND TRUST 2016 593311794 2017-10-06 SIDDHARTH H. SHAH, M.D., P.A. 5
File View Page
Three-digit plan number (PN) 005
Effective date of plan 2015-01-01
Business code 621111
Sponsor’s telephone number 7278480800
Plan sponsor’s address 304 TALL OAK TRAIL, TARPON SPRINGS, FL, 346887711
SIDDHARTH H. SHAH, M.D., P.A. 401(K) PROFIT SHARING PLAN AND TRUST 2016 593311794 2017-07-10 SIDDHARTH H. SHAH, M.D., P.A. 7
File View Page
Three-digit plan number (PN) 004
Effective date of plan 2007-01-01
Business code 621111
Sponsor’s telephone number 7278480800
Plan sponsor’s address 304 TALL OAK TRAIL, TARPON SPRINGS, FL, 346887711
SIDDHARTH H. SHAH, M.D., P.A. CASH BALANCE PENSION PLAN AND TRUST 2015 593311794 2016-10-06 SIDDHARTH H. SHAH, M.D., P.A. 4
File View Page
Three-digit plan number (PN) 005
Effective date of plan 2015-01-01
Business code 621111
Sponsor’s telephone number 7278480800
Plan sponsor’s address 304 TALL OAK TRAIL, TARPON SPRINGS, FL, 346887711

Key Officers & Management

Name Role Address
SHAH SIDDHARTH H Chairman 304 TALL OAK TRAIL., TARPON SPRINGS, FL, 34688
SHAH SIDDHARTH H President 304 TALL OAK TRAIL., TARPON SPRINGS, FL, 34688
SHAH SIDDHARTH H Agent 304 TALL OAK TRAIL., TARPON SPRINGS, FL, 34688
SHAH SIDDHARTH H Director 304 TALL OAK TRAIL., TARPON SPRINGS, FL, 34688

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2023-05-01 304 TALL OAK TRAIL, Tarpon Springs, FL 34688 -
REGISTERED AGENT ADDRESS CHANGED 2007-03-31 304 TALL OAK TRAIL., TARPON SPRINGS, FL 34688 -
CHANGE OF MAILING ADDRESS 2002-02-24 304 TALL OAK TRAIL, Tarpon Springs, FL 34688 -

Documents

Name Date
ANNUAL REPORT 2024-04-24
ANNUAL REPORT 2023-05-01
ANNUAL REPORT 2022-04-27
ANNUAL REPORT 2021-04-25
ANNUAL REPORT 2020-04-27
ANNUAL REPORT 2019-03-21
ANNUAL REPORT 2018-04-19
ANNUAL REPORT 2017-01-10
ANNUAL REPORT 2016-02-22
ANNUAL REPORT 2015-01-09

Paycheck Protection Program

Loan Number Loan Funded Date SBA Origination Office Code Loan Delivery Method Borrower Street Address
1770157702 2020-05-01 0455 PPP 304 tall oak trail, TARPON SPRINGS, FL, 34688
Loan Status Date 2021-08-20
Loan Status Paid in Full
Loan Maturity in Months 24
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 64670
Loan Approval Amount (current) 64670
Undisbursed Amount 0
Franchise Name -
Lender Location ID 48270
Servicing Lender Name JPMorgan Chase Bank, National Association
Servicing Lender Address 1111 Polaris Pkwy, COLUMBUS, OH, 43240-2031
Rural or Urban Indicator U
Hubzone N
LMI N
Business Age Description Existing or more than 2 years old
Project Address TARPON SPRINGS, PINELLAS, FL, 34688-0001
Project Congressional District FL-13
Number of Employees 6
NAICS code 621111
Borrower Race Unanswered
Borrower Ethnicity Unknown/NotStated
Business Type Subchapter S Corporation
Originating Lender ID 194093
Originating Lender Name JPMorgan Chase Bank, National Association
Originating Lender Address CHICAGO, IL
Gender Unanswered
Veteran Unanswered
Forgiveness Amount 65442.84
Forgiveness Paid Date 2021-07-15

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Companies related by address

304 TALL OAK TRAIL, TARPON SPRINGS, FL, 34688, US

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Date of last update: 02 Apr 2025

Sources: Florida Department of State

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