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  5. FEIT & GOLDBERG FOOT SPECIALISTS, P.A.

FEIT & GOLDBERG FOOT SPECIALISTS, P.A.

Company Details

Entity Name: FEIT & GOLDBERG FOOT SPECIALISTS, P.A.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Inactive
Date Filed: 05 Oct 1984 (40 years ago)
Document Number: H24171
FEI/EIN Number 592481565
Address: 21679 STATE RD 7, BOCA RATON, FL, 33428, US
Mail Address: 4620 NW 28TH WAY, BOCA RATON, FL, 33434, US
ZIP code: 33428
County: Palm Beach
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1164625349 2007-06-06 2015-12-28 21679 STATE ROAD 7, BOCA RATON, FL, 334281812, US 21679 STATE ROAD 7, BOCA RATON, FL, 334281812, US

Contacts
Phone +1 561-482-3338
Fax 5614828024

Authorized person
Name MS. MARJORIE BELLIARD
Role BILLING MANAGER
Phone 5614823338

Taxonomy
Taxonomy Code 213E00000X - Podiatrist
Is Primary Yes

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
FEIT & GOLDBERG, FOOT SPECIALISTS, P.A. 401(K) PR FIT SHARING PLAN 2013 592481565 2014-03-17 FEIT & GOLDBERG, FOOT SPECIALISTS, P.A. 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-01-01
Business code 621391
Sponsor’s telephone number 5614823338
Plan sponsor’s address 21679 STATE ROAD 7, BOCA RATON, FL, 33428

Signature of
Role Plan administrator
Date 2014-03-17
Name of individual signing JASON S. FEIT
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2014-03-17
Name of individual signing JASON S. FEIT
Valid signature Filed with authorized/valid electronic signature
FEIT & GOLDBERG, FOOT SPECIALISTS, P.A. 401(K) PR FIT SHARING PLAN 2012 592481565 2013-07-30 FEIT & GOLDBERG, FOOT SPECIALISTS, P.A. 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-01-01
Business code 621391
Sponsor’s telephone number 5614823338
Plan sponsor’s address 21679 STATE ROAD 7, BOCA RATON, FL, 33428

Signature of
Role Plan administrator
Date 2013-07-30
Name of individual signing JASON S. FEIT
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2013-07-30
Name of individual signing JASON S. FEIT
Valid signature Filed with authorized/valid electronic signature
FEIT & GOLDBERG, FOOT SPECIALISTS, P.A. 401(K) PR FIT SHARING PLAN 2011 592481565 2012-03-25 FEIT & GOLDBERG, FOOT SPECIALISTS, P.A. 12
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-01-01
Business code 621391
Sponsor’s telephone number 5614823338
Plan sponsor’s address 21679 STATE ROAD 7, BOCA RATON, FL, 33428

Plan administrator’s name and address
Administrator’s EIN 592481565
Plan administrator’s name FEIT & GOLDBERG, FOOT SPECIALISTS, P.A.
Plan administrator’s address 21679 STATE ROAD 7, BOCA RATON, FL, 33428
Administrator’s telephone number 5614823338

Signature of
Role Plan administrator
Date 2012-03-25
Name of individual signing JASON S FEIT
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2012-03-25
Name of individual signing JASON S. FEIT
Valid signature Filed with authorized/valid electronic signature
FEIT & GOLDBERG, FOOT SPECIALISTS, P.A. 401(K) PR FIT SHARING PLAN 2010 592481565 2011-05-03 FEIT & GOLDBERG, FOOT SPECIALISTS, P.A. 13
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-01-01
Business code 621391
Sponsor’s telephone number 5614823338
Plan sponsor’s address 21679 STATE ROAD 7, BOCA RATON, FL, 33428

Plan administrator’s name and address
Administrator’s EIN 592481565
Plan administrator’s name FEIT & GOLDBERG, FOOT SPECIALISTS, P.A.
Plan administrator’s address 21679 STATE ROAD 7, BOCA RATON, FL, 33428
Administrator’s telephone number 5614823338

Signature of
Role Plan administrator
Date 2011-05-03
Name of individual signing JASON S FEIT
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2011-05-03
Name of individual signing JASON S. FEIT
Valid signature Filed with authorized/valid electronic signature
FEIT & GOLDBERG, FOOT SPECIALISTS, P.A. 401(K) PR FIT SHARING PLAN 2009 592481565 2010-06-24 FEIT & GOLDBERG, FOOT SPECIALISTS, P.A. 13
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-01-01
Business code 621391
Sponsor’s telephone number 5614823338
Plan sponsor’s address 21679 STATE ROAD 7, BOCA RATON, FL, 33428

Plan administrator’s name and address
Administrator’s EIN 592481565
Plan administrator’s name FEIT & GOLDBERG, FOOT SPECIALISTS, P.A.
Plan administrator’s address 21679 STATE ROAD 7, BOCA RATON, FL, 33428
Administrator’s telephone number 5614823338

Signature of
Role Plan administrator
Date 2010-06-23
Name of individual signing JASON S FEIT
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2010-06-23
Name of individual signing JASON S. FEIT
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
GOLDBERG-FEIT SUSAN C Agent 4620 N.W. 28TH WAY, BOCA RATON, FL, 33434

President

Name Role Address
GOLDBERG SUSAN C President 21679 STATE RD 7, BOCA RATON, FL, 33428

Events

Event Type Filed Date Value Description
ADMIN DISSOLUTION FOR ANNUAL REPORT 2020-09-25 No data No data
AMENDMENT 2017-07-20 No data No data

Related by officers

No related officers

Related by address

No related companies by address

Date of last update: 01 Feb 2025

Sources: Florida Department of State

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