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

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

Company Details

Entity Name: SIDDHARTH H. SHAH, M.D., P.A.
Jurisdiction: FLORIDA
Filing Type: Foreign Profit
Status: Active
Date Filed: 26 Dec 1995 (29 years ago)
Document Number: F95000006297
FEI/EIN Number 593311794
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

Agent

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

Director

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

Chairman

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

President

Name Role Address
SHAH SIDDHARTH H President 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 No data
REGISTERED AGENT ADDRESS CHANGED 2007-03-31 304 TALL OAK TRAIL., TARPON SPRINGS, FL 34688 No data
CHANGE OF MAILING ADDRESS 2002-02-24 304 TALL OAK TRAIL, Tarpon Springs, FL 34688 No data

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

Related by officers

SHAH SIDDHARTH H

TEEN DEVI SHAH LLC KAHAN LLC

Related by address

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

JAIN SWADHYAY MANDIR SONGADH, INC. TEEN DEVI SHAH LLC KAHAN LLC SAMAY, LLC

Date of last update: 02 Feb 2025

Sources: Florida Department of State

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