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  5. YEHUDA FISHFELD, M.D., P.A.

YEHUDA FISHFELD, M.D., P.A.

Company Details

Entity Name: YEHUDA FISHFELD, M.D., P.A.
Jurisdiction: FLORIDA
Filing Type: Florida Profit Corporation
Status: Active
Date Filed: 18 Jul 1986 (39 years ago)
Last Event: REINSTATEMENT
Event Date Filed: 15 Mar 2023 (2 years ago)
Document Number: J24658
FEI/EIN Number 59-2691773
Address: 440 E SAMPLE ROAD, SUITE 101, POMPANO BEACH, FL 33064
Mail Address: 440 E SAMPLE ROAD, SUITE 101, POMPANO BEACH, FL 33064
ZIP code: 33064
County: Broward
Place of Formation: FLORIDA

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
YEHUDA FISHFELD, M.D., P.A. RETIREMENT PLAN 2015 592691773 2016-06-16 YEHUDA FISHFELD, M.D., P.A. 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1993-01-01
Business code 621111
Sponsor’s telephone number 9544299047
Plan sponsor’s address 450 E. HILLSBORO BLVD., DEERFIELD BEACH, FL, 33441

Signature of
Role Plan administrator
Date 2016-06-16
Name of individual signing YEHUDA FISHFELD
Valid signature Filed with authorized/valid electronic signature
YEHUDA FISHFELD, M.D., P.A. RETIREMENT PLAN 2014 592691773 2015-10-07 YEHUDA FISHFELD, M.D., P.A. 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1993-01-01
Business code 621111
Sponsor’s telephone number 9544299047
Plan sponsor’s address 450 E. HILLSBORO BLVD., DEERFIELD BEACH, FL, 33441

Signature of
Role Plan administrator
Date 2015-10-07
Name of individual signing YEHUDA FISHFELD
Valid signature Filed with authorized/valid electronic signature
YEHUDA FISHFELD, M.D., P.A. RETIREMENT PLAN 2013 592691773 2014-10-06 YEHUDA FISHFELD, M.D., P.A. 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1993-01-01
Business code 621111
Sponsor’s telephone number 9544299047
Plan sponsor’s address 450 E. HILLSBORO BLVD., DEERFIELD BEACH, FL, 33441

Signature of
Role Plan administrator
Date 2014-10-06
Name of individual signing YEHUDA FISHFELD
Valid signature Filed with authorized/valid electronic signature
YEHUDA FISHFELD, M.D., P.A. RETIREMENT PLAN 2012 592691773 2013-10-03 YEHUDA FISHFELD, M.D., P.A. 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1993-01-01
Business code 621111
Sponsor’s telephone number 9544299047
Plan sponsor’s address 450 E. HILLSBORO BLVD., DEERFIELD BEACH, FL, 33441

Signature of
Role Plan administrator
Date 2013-10-03
Name of individual signing YEHUDA FISHFELD
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2013-10-03
Name of individual signing YEHUDA FISHFELD
Valid signature Filed with authorized/valid electronic signature
YEHUDA FISHFELD, M.D., P.A. RETIREMENT PLAN 2011 592691773 2012-10-09 YEHUDA FISHFELD, M.D., P.A. 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1993-01-01
Business code 621111
Sponsor’s telephone number 9544299047
Plan sponsor’s address 450 E. HILLSBORO BLVD., DEERFIELD BEACH, FL, 33441

Plan administrator’s name and address
Administrator’s EIN 592691773
Plan administrator’s name YEHUDA FISHFELD, M.D., P.A.
Plan administrator’s address 450 E. HILLSBORO BLVD., DEERFIELD BEACH, FL, 33441
Administrator’s telephone number 9544299047

Signature of
Role Plan administrator
Date 2012-10-09
Name of individual signing ANDREA FISHFELD
Valid signature Filed with authorized/valid electronic signature
YEHUDA FISHFELD, M.D., P.A. RETIREMENT PLAN 2010 592691773 2011-09-26 YEHUDA FISHFELD,M,D., P.A. 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1993-01-01
Business code 621111
Sponsor’s telephone number 9544299047
Plan sponsor’s address 450 E. HILLSBORO BLVD., DEERFIELD BEACH, FL, 33441

Plan administrator’s name and address
Administrator’s EIN 592691773
Plan administrator’s name YEHUDA FISHFELD,M,D., P.A.
Plan administrator’s address 450 E. HILLSBORO BLVD., DEERFIELD BEACH, FL, 33441
Administrator’s telephone number 9544299047

Signature of
Role Plan administrator
Date 2011-09-25
Name of individual signing YEHUDA FISHFELD MD
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
Fishfeld, Andrea E, RN Agent 6090 NW 23 TERR, BOCA RATON, FL 33496

Manager

Name Role Address
FISHFELD, YEHUDA Manager 440 E SAMPLE ROAD, SUITE 101 POMPANO BEACH, FL 33064

Director

Name Role Address
FISHFELD, YEHUDA Director 440 E SAMPLE ROAD, SUITE 101 POMPANO BEACH, FL 33064

Events

Event Type Filed Date Value Description
CHANGE OF MAILING ADDRESS 2023-03-15 440 E SAMPLE ROAD, SUITE 101, POMPANO BEACH, FL 33064 No data
REINSTATEMENT 2023-03-15 No data No data
ADMIN DISSOLUTION FOR ANNUAL REPORT 2022-09-23 No data No data
REGISTERED AGENT NAME CHANGED 2021-01-10 Fishfeld, Andrea E, RN No data
CHANGE OF PRINCIPAL ADDRESS 2020-03-11 440 E SAMPLE ROAD, SUITE 101, POMPANO BEACH, FL 33064 No data
REINSTATEMENT 2020-03-11 No data No data
ADMIN DISSOLUTION FOR ANNUAL REPORT 2019-09-27 No data No data
REINSTATEMENT 2018-04-02 No data No data
ADMIN DISSOLUTION FOR ANNUAL REPORT 2017-09-22 No data No data
REGISTERED AGENT ADDRESS CHANGED 2003-10-17 6090 NW 23 TERR, BOCA RATON, FL 33496 No data

Documents

Name Date
ANNUAL REPORT 2024-02-17
REINSTATEMENT 2023-03-15
ANNUAL REPORT 2021-01-10
REINSTATEMENT 2020-03-11
REINSTATEMENT 2018-04-02
ANNUAL REPORT 2016-01-22
ANNUAL REPORT 2015-01-13
ANNUAL REPORT 2014-01-08
ANNUAL REPORT 2013-01-24
ANNUAL REPORT 2012-02-07

Related by officers

FISHFELD, YEHUDA

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Related by address

No related companies by address

Date of last update: 04 Feb 2025

Sources: Florida Department of State

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