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  5. MARK A. EBERBACH, M.D., P.A.

MARK A. EBERBACH, M.D., P.A.

Company Details

Entity Name: MARK A. EBERBACH, M.D., P.A.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Active
Date Filed: 12 May 1989 (36 years ago)
Document Number: K87909
FEI/EIN Number 592951217
Address: 18009 Crawley Rd, Odessa, FL, 33556, US
Mail Address: 18009 Crawley Rd, Odessa, FL, 33556, US
ZIP code: 33556
County: Hillsborough
Place of Formation: FLORIDA

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
EBERBACH PLASTIC SURGERY 401(K) PLAN 2014 592951217 2015-06-01 MARK A. EBERBACH, M.D., P.A. 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-01-01
Business code 621111
Sponsor’s telephone number 7278684490
Plan sponsor’s address 14012 U.S. HWY 19, HUDSON, FL, 34667

Signature of
Role Plan administrator
Date 2015-06-01
Name of individual signing MARK EBERBACH
Valid signature Filed with authorized/valid electronic signature
EBERBACH PLASTIC SURGERY 401(K) PLAN 2013 592951217 2014-06-13 MARK A. EBERBACH, M.D., P.A. 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-01-01
Business code 621111
Sponsor’s telephone number 7278684490
Plan sponsor’s address 14012 U.S. HWY 19, HUDSON, FL, 34667

Signature of
Role Plan administrator
Date 2014-06-13
Name of individual signing MARK EBERBACH
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2014-06-13
Name of individual signing MARK EBERBACH
Valid signature Filed with authorized/valid electronic signature
EBERBACH PLASTIC SURGERY 401(K) PLAN 2013 592951217 2014-06-13 MARK A. EBERBACH, M.D., P.A. 8
Three-digit plan number (PN) 001
Effective date of plan 2003-01-01
Business code 621111
Sponsor’s telephone number 7278684490
Plan sponsor’s address 14012 U.S. HWY 19, HUDSON, FL, 34667

Signature of
Role Plan administrator
Date 2014-06-13
Name of individual signing MARK EBERBACH
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2014-06-13
Name of individual signing MARK EBERBACH
Valid signature Filed with authorized/valid electronic signature
EBERBACH PLASTIC SURGERY 401K PLAN 2010 592951217 2011-10-05 MARK A. EBERBACH, M.D., P.A. 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-01-01
Business code 621111
Sponsor’s telephone number 7278687770
Plan sponsor’s address 14012 U.S. HIGHWAY 19, HUDSON, FL, 346671165

Plan administrator’s name and address
Administrator’s EIN 592951217
Plan administrator’s name MARK A. EBERBACH, M.D., P.A.
Plan administrator’s address 14012 U.S. HIGHWAY 19, HUDSON, FL, 346671165
Administrator’s telephone number 7278687770

Signature of
Role Plan administrator
Date 2011-10-05
Name of individual signing MARK EBERBACH
Valid signature Filed with authorized/valid electronic signature
EBERBACH PLASTIC SURGERY 401K PLAN 2009 592951217 2010-09-20 MARK A. EBERBACH, M.D., P.A. 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-01-01
Business code 621111
Sponsor’s telephone number 7278687770
Plan sponsor’s address 14012 U.S. HIGHWAY 19, HUDSON, FL, 346671165

Plan administrator’s name and address
Administrator’s EIN 592951217
Plan administrator’s name MARK A. EBERBACH, M.D., P.A.
Plan administrator’s address 14012 U.S. HIGHWAY 19, HUDSON, FL, 346671165
Administrator’s telephone number 7278687770

Signature of
Role Plan administrator
Date 2010-09-20
Name of individual signing MARK EBERBACH
Valid signature Filed with authorized/valid electronic signature
EBERBACH PLASTIC SURGERY 401K PLAN 2009 592951217 2010-09-20 MARK A. EBERBACH, M.D., P.A. 7
Three-digit plan number (PN) 001
Effective date of plan 2003-01-01
Business code 621111
Sponsor’s telephone number 7278687770
Plan sponsor’s address 14012 U.S. HIGHWAY 19, HUDSON, FL, 346671165

Plan administrator’s name and address
Administrator’s EIN 592951217
Plan administrator’s name MARK A. EBERBACH, M.D., P.A.
Plan administrator’s address 14012 U.S. HIGHWAY 19, HUDSON, FL, 346671165
Administrator’s telephone number 7278687770

Signature of
Role Employer/plan sponsor
Date 2010-09-20
Name of individual signing MARK EBERBACH
Valid signature Filed with authorized/valid electronic signature
EBERBACH PLASTIC SURGERY 401K PLAN 2009 592951217 2010-08-24 MARK A. EBERBACH, M.D., P.A. 7
Three-digit plan number (PN) 001
Effective date of plan 2003-01-01
Business code 621111
Sponsor’s telephone number 7278687770
Plan sponsor’s address 14012 U.S. HIGHWAY 19, HUDSON, FL, 346671165

Plan administrator’s name and address
Administrator’s EIN 592951217
Plan administrator’s name MARK A. EBERBACH, M.D., P.A.
Plan administrator’s address 14012 U.S. HIGHWAY 19, HUDSON, FL, 346671165
Administrator’s telephone number 7278687770

Signature of
Role Employer/plan sponsor
Date 2010-08-24
Name of individual signing MARK EBERBACH
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
EBERBACH MARK A Agent 18009 Crawley Rd, Odessa, FL, 33556

President

Name Role Address
EBERBACH MARK AMD President 18009 Crawley Rd, Odessa, FL, 33556

Related by officers

EBERBACH MARK A

FOUR POINT PRODUCTS, INC. FOUR POINT INNOVATIONS, INC. KEYSTONE BOATING, LLC FOUR POINT ENTERPRISES, LLC SWAK, LLC

Related by address

18009 Crawley Rd, Odessa, FL, 33556, US

FOUR POINT INNOVATIONS, INC.

18009 Crawley Rd, Odessa, FL, 33556, US

FOUR POINT INNOVATIONS, INC.

Date of last update: 03 Jan 2025

Sources: Florida Department of State

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