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SERGIO M. ZAMORA, M.D. PLC

Company Details

Entity Name: SERGIO M. ZAMORA, M.D. PLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Active
Date Filed: 08 May 2002 (23 years ago)
Document Number: L02000011098
FEI/EIN Number 010691514
Address: 1890 LPGA BLVD, STE 150, DAYTONA BEACH, FL, 32117
Mail Address: 1890 LPGA BLVD, STE 150, DAYTONA BEACH, FL, 32117
ZIP code: 32117
County: Volusia
Place of Formation: FLORIDA

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
SERGIO M. ZAMORA, M.D. 401(K) PLAN 2023 010691514 2024-05-30 SERGIO M. ZAMORA, M.D., PLC 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2012-01-01
Business code 621111
Sponsor’s telephone number 3862745557
Plan sponsor’s address 1890 LPGA BLVD., SUITE 150, DAYTONA BEACH, FL, 32117

Signature of

Role Plan administrator
Date 2024-05-30
Name of individual signing DESIREE ZAMORA
Valid signature Filed with authorized/valid electronic signature
SERGIO M. ZAMORA, M.D. 401(K) PLAN 2022 010691514 2023-05-19 SERGIO M. ZAMORA, M.D., PLC 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2012-01-01
Business code 621111
Sponsor’s telephone number 3862745557
Plan sponsor’s address 1890 LPGA BLVD., SUITE 150, DAYTONA BEACH, FL, 32117

Signature of

Role Plan administrator
Date 2023-05-19
Name of individual signing DESIREE ZAMORA
Valid signature Filed with authorized/valid electronic signature
SERGIO M. ZAMORA, M.D. 401(K) PLAN 2021 010691514 2022-06-15 SERGIO M. ZAMORA, M.D., PLC 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2012-01-01
Business code 621111
Sponsor’s telephone number 3862745557
Plan sponsor’s address 1890 LPGA BLVD., SUITE 150, DAYTONA BEACH, FL, 32117

Signature of

Role Plan administrator
Date 2022-06-15
Name of individual signing DESIREE ZAMORA
Valid signature Filed with authorized/valid electronic signature
SERGIO M. ZAMORA, M.D. 401(K) PLAN 2020 010691514 2021-07-01 SERGIO M. ZAMORA, M.D., PLC 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2012-01-01
Business code 621111
Sponsor’s telephone number 3862745557
Plan sponsor’s address 1890 LPGA BLVD., SUITE 150, DAYTONA BEACH, FL, 32117

Signature of

Role Plan administrator
Date 2021-07-01
Name of individual signing DESIREE ZAMORA
Valid signature Filed with authorized/valid electronic signature
SERGIO M. ZAMORA, M.D. CASH BALANCE PLAN 2020 010691514 2021-09-01 SERGIO M. ZAMORA, M.D., PLC 7
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2012-01-01
Business code 621111
Sponsor’s telephone number 3862745557
Plan sponsor’s address 1890 LPGA BLVD., SUITE 150, DAYTONA BEACH, FL, 32117

Signature of

Role Plan administrator
Date 2021-09-01
Name of individual signing DESIREE ZAMORA
Valid signature Filed with authorized/valid electronic signature
SERGIO M. ZAMORA, M.D. 401(K) PLAN 2019 010691514 2020-08-20 SERGIO M. ZAMORA, M.D., PLC 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2012-01-01
Business code 621111
Sponsor’s telephone number 3862745557
Plan sponsor’s address 1890 LPGA BLVD., SUITE 150, DAYTONA BEACH, FL, 32117
SERGIO M. ZAMORA, M.D. CASH BALANCE PLAN 2019 010691514 2020-10-14 SERGIO M. ZAMORA, M.D., PLC 7
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2012-01-01
Business code 621111
Sponsor’s telephone number 3862745557
Plan sponsor’s address 1890 LPGA BLVD., SUITE 150, DAYTONA BEACH, FL, 32117
SERGIO M. ZAMORA, M.D. CASH BALANCE PLAN 2018 010691514 2019-10-15 SERGIO M. ZAMORA, M.D., PLC 7
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2012-01-01
Business code 621111
Sponsor’s telephone number 3862745557
Plan sponsor’s address 1890 LPGA BLVD., SUITE 150, DAYTONA BEACH, FL, 32117
SERGIO M. ZAMORA, M.D. 401(K) PLAN 2018 010691514 2019-09-19 SERGIO M. ZAMORA, M.D., PLC 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2012-01-01
Business code 621111
Sponsor’s telephone number 3862745557
Plan sponsor’s address 1890 LPGA BLVD., SUITE 150, DAYTONA BEACH, FL, 32117
SERGIO M. ZAMORA, M.D. 401(K) PLAN 2017 010691514 2018-06-21 SERGIO M. ZAMORA, M.D., PLC 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2012-01-01
Business code 621111
Sponsor’s telephone number 3862745557
Plan sponsor’s address 1890 LPGA BLVD., SUITE 150, DAYTONA BEACH, FL, 32117

Agent

Name Role Address
ZAMORA DESIREE V Agent 1890 LPGA BLVD., DAYTONA BEACH, FL, 32117

Managing Member

Name Role Address
ZAMORA SERGIO M Managing Member 1890 LPGA BLVD., STE 150, DAYTONA BEACH, FL, 32117

Manager

Name Role Address
ZAMORA DESIREE V Manager 1890 LPGA BLVD, DAYTONA BEACH, FL, 32117

Events

Event Type Filed Date Value Description
REGISTERED AGENT NAME CHANGED 2019-02-11 ZAMORA, DESIREE VINCENT No data
REGISTERED AGENT ADDRESS CHANGED 2019-02-11 1890 LPGA BLVD., STE 150, DAYTONA BEACH, FL 32117 No data
CHANGE OF PRINCIPAL ADDRESS 2009-01-22 1890 LPGA BLVD, STE 150, DAYTONA BEACH, FL 32117 No data
CHANGE OF MAILING ADDRESS 2009-01-22 1890 LPGA BLVD, STE 150, DAYTONA BEACH, FL 32117 No data

Documents

Name Date
ANNUAL REPORT 2025-01-08
ANNUAL REPORT 2024-02-20
ANNUAL REPORT 2023-01-23
ANNUAL REPORT 2022-01-24
ANNUAL REPORT 2021-01-26
ANNUAL REPORT 2020-01-17
ANNUAL REPORT 2019-02-11
ANNUAL REPORT 2018-03-06
ANNUAL REPORT 2017-01-10
ANNUAL REPORT 2016-01-25

Date of last update: 02 Feb 2025

Sources: Florida Department of State