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EYE PHYSICIANS OF CENTRAL FLORIDA, P.A.

Company Details

Entity Name: EYE PHYSICIANS OF CENTRAL FLORIDA, P.A.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Inactive
Date Filed: 01 Oct 1984 (40 years ago)
Document Number: H23362
FEI/EIN Number 592450360
Address: 249 MORAY LANE, WINTER PARK, FL, 32792
Mail Address: 225 W. SR 434, STE 111, LONGWOOD, FL, 32750
ZIP code: 32792
County: Orange
Place of Formation: FLORIDA

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
EYE PHYSICIANS OF CENTRAL FLORIDA, P.A. 401(K) PROFIT SHARING PLAN 2010 592450360 2011-09-21 EYE PHYSICIANS OF CENTRAL FLORIDA, P.A. 30
Three-digit plan number (PN) 001
Effective date of plan 1984-10-01
Business code 621111
Sponsor’s telephone number 4077676411
Plan sponsor’s address 790 CONCOURSE PKWY SOUTH, SUITE 200, MAITLAND, FL, 32751

Plan administrator’s name and address

Administrator’s EIN 592450360
Plan administrator’s name EYE PHYSICIANS OF CENTRAL FLORIDA, P.A.
Plan administrator’s address 790 CONCOURSE PKWY SOUTH, SUITE 200, MAITLAND, FL, 32751
Administrator’s telephone number 4077676411

Signature of

Role Plan administrator
Date 2011-09-21
Name of individual signing CHARLA FERCHOW
Valid signature Filed with incorrect/unrecognized electronic signature
Role Employer/plan sponsor
Date 2011-09-21
Name of individual signing CHARLA FERCHOW
Valid signature Filed with incorrect/unrecognized electronic signature
EYE PHYSICIANS OF CENTRAL FLORIDA, P.A. 401(K) PROFIT SHARING PLAN 2010 592450360 2011-09-22 EYE PHYSICIANS OF CENTRAL FLORIDA, P.A. 30
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1984-10-01
Business code 621111
Sponsor’s telephone number 4077676411
Plan sponsor’s address 790 CONCOURSE PKWY SOUTH, SUITE 200, MAITLAND, FL, 32751

Plan administrator’s name and address

Administrator’s EIN 592450360
Plan administrator’s name EYE PHYSICIANS OF CENTRAL FLORIDA, P.A.
Plan administrator’s address 790 CONCOURSE PKWY SOUTH, SUITE 200, MAITLAND, FL, 32751
Administrator’s telephone number 4077676411

Signature of

Role Plan administrator
Date 2011-09-22
Name of individual signing CHARLA FERCHOW
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2011-09-22
Name of individual signing CHARLA FERCHOW
Valid signature Filed with authorized/valid electronic signature
EYE PHYSICIANS OF CENTRAL FLORIDA, P.A. 401(K) PROFIT SHARING PLAN 2010 592450360 2011-09-21 EYE PHYSICIANS OF CENTRAL FLORIDA, P.A. 30
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1984-10-01
Business code 621111
Sponsor’s telephone number 4077676411
Plan sponsor’s address 790 CONCOURSE PKWY SOUTH, SUITE 200, MAITLAND, FL, 32751

Plan administrator’s name and address

Administrator’s EIN 592450360
Plan administrator’s name EYE PHYSICIANS OF CENTRAL FLORIDA, P.A.
Plan administrator’s address 790 CONCOURSE PKWY SOUTH, SUITE 200, MAITLAND, FL, 32751
Administrator’s telephone number 4077676411

Signature of

Role Plan administrator
Date 2011-09-21
Name of individual signing CHARLA FERCHOW
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2011-09-21
Name of individual signing CHARLA FERCHOW
Valid signature Filed with authorized/valid electronic signature
EYE PHYSICIANS OF CENTRAL FLORIDA, P.A. 401(K) PROFIT SHARING PLAN 2009 592450360 2010-09-30 EYE PHYSICIANS OF CENTRAL FLORIDA, P.A. 34
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1984-10-01
Business code 621111
Sponsor’s telephone number 4077676411
Plan sponsor’s address 225 WEST STATE ROAD 434, SUITE 111, LONGWOOD, FL, 32750

Plan administrator’s name and address

Administrator’s EIN 592450360
Plan administrator’s name EYE PHYSICIANS OF CENTRAL FLORIDA, P.A.
Plan administrator’s address 225 WEST STATE ROAD 434, SUITE 111, LONGWOOD, FL, 32750
Administrator’s telephone number 4077676411

Signature of

Role Plan administrator
Date 2010-09-30
Name of individual signing ROBERT GOLD
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2010-09-30
Name of individual signing ROBERT GOLD
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
GOLD ROBERT S Agent 249 MORAY LANE, WINTER PARK, FL, 32792

President

Name Role Address
GOLD, ROBERT, S President 249 MORAY LANE, WINTER PARK, FL, 32792

Director

Name Role Address
GOLD, ROBERT, S Director 249 MORAY LANE, WINTER PARK, FL, 32792
AUERBACH DAVID B Director 249 MORAY LANE, WINTER PARK, FL, 32792
BLUMENFELD LOUIS Director 249 MORAY LANE, WINTER PARK, FL, 32792

Vice President

Name Role Address
AUERBACH DAVID B Vice President 249 MORAY LANE, WINTER PARK, FL, 32792

Secretary

Name Role Address
BLUMENFELD LOUIS Secretary 249 MORAY LANE, WINTER PARK, FL, 32792

Treasurer

Name Role Address
BLUMENFELD LOUIS Treasurer 249 MORAY LANE, WINTER PARK, FL, 32792

Events

Event Type Filed Date Value Description
CONVERSION 2010-04-21 No data CONVERSION MEMBER. RESULTING CORPORATION WAS L10000042629. CONVERSION NUMBER 100000104431
NAME CHANGE AMENDMENT 2003-03-18 EYE PHYSICIANS OF CENTRAL FLORIDA, P.A. No data
NAME CHANGE AMENDMENT 1988-05-10 EYE PHYSICIANS, P.A. No data

Date of last update: 01 Feb 2025

Sources: Florida Department of State