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M. JARRAH, M.D., P.A.

Company Details

Entity Name: M. JARRAH, M.D., P.A.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Active
Date Filed: 20 Jun 1983 (42 years ago)
Document Number: G44399
FEI/EIN Number 592305765
Address: 2525 HARBOR BLVD, SUITE 202, PORT CHARLOTTE, FL, 33952, US
Mail Address: 2525 HARBOR BLVD, SUITE 202, 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
MAMOON JARRAH, M.D., P.A. 401(K) PROFIT SHARING PLAN 2015 592305765 2016-10-17 M. JARRAH, M.D., P.A. 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-01-01
Business code 621111
Sponsor’s telephone number 9416133773
Plan sponsor’s address 2525 HARBOR BLVD., SUITE 202, PORT CHARLOTTE, FL, 33952

Signature of

Role Plan administrator
Date 2016-10-17
Name of individual signing MAMOON J. JARRAH, M.D.
Valid signature Filed with authorized/valid electronic signature
MAMOON JARRAH, M.D., P.A. 401(K) PROFIT SHARING PLAN 2014 592305765 2015-09-28 M. JARRAH, M.D., P.A. 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-01-01
Business code 621111
Sponsor’s telephone number 9416133773
Plan sponsor’s address 2525 HARBOR BLVD., SUITE 202, PORT CHARLOTTE, FL, 33952

Signature of

Role Plan administrator
Date 2015-09-28
Name of individual signing MAMOON J. JARRAH, M.D.
Valid signature Filed with authorized/valid electronic signature
MAMOON JARRAH, M.D., P.A. 401(K) PROFIT SHARING PLAN 2013 592305765 2014-10-09 M. JARRAH, M.D., P.A. 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-01-01
Business code 621111
Sponsor’s telephone number 9416133773
Plan sponsor’s address 2525 HARBOR BLVD., SUITE 202, PORT CHARLOTTE, FL, 33952

Signature of

Role Plan administrator
Date 2014-10-09
Name of individual signing MAMOON J. JARRAH, M.D.
Valid signature Filed with authorized/valid electronic signature
MAMOON JARRAH, M.D., P.A. 401(K) PROFIT SHARING PLAN 2012 592305765 2013-09-30 M. JARRAH, M.D., P.A. 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-01-01
Business code 621111
Sponsor’s telephone number 9416133773
Plan sponsor’s address 2525 HARBOR BLVD., SUITE 202, PORT CHARLOTTE, FL, 33952

Signature of

Role Plan administrator
Date 2013-09-30
Name of individual signing MAMOON J. JARRAH, M.D.
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
JARRAH, M., M.D. Agent 2525 HARBOR BLVD, PORT CHARLOTTE, FL, 33952

President

Name Role Address
JARRAH, MAMOON President 2525 HARBOR BLVD SUITE 202, PORT CHARLOTTE, FL, 33952

Manager

Name Role Address
SMITH KRISTY Manager 2525 HARBOR BLVD SUITE 202, PORT CHARLOTTE, FL, 33952

Events

Event Type Filed Date Value Description
REINSTATEMENT 2019-10-14 No data No data
ADMIN DISSOLUTION FOR ANNUAL REPORT 2019-09-27 No data No data
REINSTATEMENT 1999-10-25 No data No data
ADMIN DISSOLUTION FOR ANNUAL REPORT 1999-09-24 No data No data
REINSTATEMENT 1994-10-10 No data No data
ADMIN DISSOLUTION FOR ANNUAL REPORT 1994-08-26 No data No data

Date of last update: 03 Jan 2025

Sources: Florida Department of State