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  5. SCOTT D. SMOLLER, M.D., P.A.

SCOTT D. SMOLLER, M.D., P.A.

Company Details

Entity Name: SCOTT D. SMOLLER, M.D., P.A.
Jurisdiction: FLORIDA
Filing Type: Florida Profit Corporation
Status: Active
Date Filed: 12 May 1988 (37 years ago)
Last Event: CANCEL ADM DISS/REV
Event Date Filed: 24 Nov 2009 (15 years ago)
Document Number: K23722
FEI/EIN Number 65-0063092
Address: 260 SW 84TH AVENUE, SUITE B, PLANTATION, FL 33324
Mail Address: 260 SW 84TH AVENUE, SUITE B, PLANTATION, FL 33324
ZIP code: 33324
County: Broward
Place of Formation: FLORIDA

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
SCOTT D. SMOLLER, M.D., P.A. 401(K) PROFIT SHARING PLAN 2018 650063092 2019-10-02 SCOTT D. SMOLLER, M.D., P.A. 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1989-01-01
Business code 621111
Sponsor’s telephone number 9544525188
Plan sponsor’s address 180 SW 84TH AVENUE, SUITE C, PLANTATION, FL, 33324
SCOTT D. SMOLLER, M.D., P.A. 401(K) PROFIT SHARING PLAN 2017 650063092 2018-07-30 SCOTT D. SMOLLER, M.D., P.A. 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1989-01-01
Business code 621111
Sponsor’s telephone number 9544525188
Plan sponsor’s address 180 SW 84TH AVENUE, SUITE C, PLANTATION, FL, 33324
SCOTT D. SMOLLER, M.D., P.A. 401(K) PROFIT SHARING PLAN 2016 650063092 2017-07-17 SCOTT D. SMOLLER, M.D., P.A. 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1989-01-01
Business code 621111
Sponsor’s telephone number 9544525188
Plan sponsor’s address 180 SW 84TH AVE., STE C, PLANTATION, FL, 33324
SCOTT D. SMOLLER, M.D., P.A. 401K PROFIT SHARING 2015 650063092 2016-10-05 SCOTT D. SMOLLER, M.D., P.A. 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1989-01-01
Business code 621111
Sponsor’s telephone number 9544525188
Plan sponsor’s address 180 SW 84TH AVENUE, STE C, PLANTATION, FL, 33324
SCOTT D. SMOLLER, M.D., P.A. 401K PROFIT SHARING 2014 650063092 2015-07-01 SCOTT D. SMOLLER, M.D., P.A. 5
Three-digit plan number (PN) 001
Effective date of plan 1989-01-01
Business code 621111
Sponsor’s telephone number 9544525188
Plan sponsor’s address 180 SW 84TH AVENUE, STE C, PLANTATION, FL, 33324

Signature of
Role Plan administrator
Name of individual signing JANET SMOLLER
SCOTT D. SMOLLER, M.D., P.A. 401K PROFIT SHARING 2014 650063092 2015-07-01 SCOTT D. SMOLLER, M.D., P.A. 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1989-01-01
Business code 621111
Sponsor’s telephone number 9544525188
Plan sponsor’s address 180 SW 84TH AVENUE, STE C, PLANTATION, FL, 33324
SCOTT D. SMOLLER, M.D., P.A. 401K PROFIT SHARING 2013 650063092 2014-07-08 SCOTT D. SMOLLER, M.D., P.A. 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1989-01-01
Business code 621111
Sponsor’s telephone number 9544525188
Plan sponsor’s address 180 SW 84TH AVENUE, STE C, PLANTATION, FL, 33324
SCOTT D. SMOLLER, M.D., P.A. 401K PROFIT SHARING 2012 650063092 2013-07-10 SCOTT D. SMOLLER, M.D., P.A. 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1989-01-01
Business code 621111
Sponsor’s telephone number 9544525188
Plan sponsor’s address 180 SW 84TH AVENUE, STE C, PLANTATION, FL, 33324

Signature of
Role Plan administrator
Date 2013-07-10
Name of individual signing SCOTT D. SMOLLER, M.D.
Valid signature Filed with authorized/valid electronic signature
SCOTT D. SMOLLER, M.D., P.A. 401K PROFIT SHARING 2011 650063092 2012-07-22 SCOTT D. SMOLLER, M.D., P.A. 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1989-01-01
Business code 621111
Sponsor’s telephone number 9544525188
Plan sponsor’s address 180 SW 84TH AVENUE, STE C, PLANTATION, FL, 33324

Plan administrator’s name and address
Administrator’s EIN 650063092
Plan administrator’s name SCOTT D. SMOLLER, M.D., P.A.
Plan administrator’s address 180 SW 84TH AVENUE, STE C, PLANTATION, FL, 33324
Administrator’s telephone number 9544525188

Signature of
Role Plan administrator
Date 2012-07-22
Name of individual signing SCOTT D. SMOLLER, M.D.
Valid signature Filed with authorized/valid electronic signature
SCOTT D. SMOLLER, M.D., P.A. 401K PROFIT SHARING 2010 650063092 2011-07-29 SCOTT D. SMOLLER, M.D., P.A. 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1989-01-01
Business code 621111
Sponsor’s telephone number 9544525188
Plan sponsor’s address 180 SW 84TH AVENUE, STE C, PLANTATION, FL, 33324

Plan administrator’s name and address
Administrator’s EIN 650063092
Plan administrator’s name SCOTT D. SMOLLER, M.D., P.A.
Plan administrator’s address 180 SW 84TH AVENUE, STE C, PLANTATION, FL, 33324
Administrator’s telephone number 9544525188

Signature of
Role Plan administrator
Date 2011-07-29
Name of individual signing SCOTT D. SMOLLER, M.D.
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
SOBEL, STUART H. Agent %SIEGFRIED RIVERA/LERNER DELA TORRE, 201 ALHAMBRA CIRCLE STE 1102, CORAL GABLES, FL 33134

DR.

Name Role Address
SMOLLER, SCOTT D. DR. 260 SW 84TH AVENUE, SUITE B, PLANTATION, FL 33324

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2021-02-05 260 SW 84TH AVENUE, SUITE B, PLANTATION, FL 33324 No data
CHANGE OF MAILING ADDRESS 2021-02-05 260 SW 84TH AVENUE, SUITE B, PLANTATION, FL 33324 No data
CANCEL ADM DISS/REV 2009-11-24 No data No data
ADMIN DISSOLUTION FOR ANNUAL REPORT 2009-09-25 No data No data
REGISTERED AGENT ADDRESS CHANGED 1997-07-21 %SIEGFRIED RIVERA/LERNER DELA TORRE, 201 ALHAMBRA CIRCLE STE 1102, CORAL GABLES, FL 33134 No data

Documents

Name Date
ANNUAL REPORT 2024-02-22
ANNUAL REPORT 2023-03-08
ANNUAL REPORT 2022-02-27
ANNUAL REPORT 2021-02-05
ANNUAL REPORT 2020-01-26
ANNUAL REPORT 2019-02-09
ANNUAL REPORT 2018-01-20
ANNUAL REPORT 2017-03-31
ANNUAL REPORT 2016-02-02
ANNUAL REPORT 2015-03-12

Related by officers

SOBEL, STUART H.

THE VANGUARD AGENCY, INC. FLANAGAN ENTERPRISES, INC. KJS KIDS, CORP. HAYSALE WHOLESALE, INC. LA COSTA BEACH CLUB REALTY, INC. A TWENTY-FIRST CENTURY PLUMBING CO., INC. INTERNATIONAL VACATION PROPERTIES, INC. ARROW TRAILER LEASING, INC. THE PR NETWORK, INC. BSR LEASING, INC.

Related by address

No related companies by address

Date of last update: 04 Feb 2025

Sources: Florida Department of State

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