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  5. DR. FRED E. ALTMAN, PLLC

DR. FRED E. ALTMAN, PLLC

Company Details

Entity Name: DR. FRED E. ALTMAN, PLLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Inactive
Date Filed: 12 Jun 2003 (22 years ago)
Date of dissolution: 27 Sep 2013 (11 years ago)
Last Event: ADMIN DISSOLUTION FOR ANNUAL REPORT
Event Date Filed: 27 Sep 2013 (11 years ago)
Document Number: L03000021196
FEI/EIN Number 300184283
Address: 5258 LINTON BLVD., SUITE 304, DELRAY BEACH, FL, 33484
Mail Address: 5258 LINTON BLVD., SUITE 304, DELRAY BEACH, FL, 33484
ZIP code: 33484
County: Palm Beach
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1356445431 2006-09-11 2020-08-22 5258 LINTON BLVD, SUITE 304, DELRAY BEACH, FL, 334846540, US 5258 LINTON BLVD, SUITE 304, DELRAY BEACH, FL, 334846540, US

Contacts
Phone +1 561-495-4186
Fax 5614954186

Authorized person
Name FREDRIC E ALTMAN
Role OWNER/PRESIDENT
Phone 5314954186

Taxonomy
Taxonomy Code 207RC0000X - Cardiovascular Disease Physician
Is Primary Yes

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
DR. FRED E. ALTMAN, PLLC 401(K) PLAN 2014 300184283 2015-01-30 DR. FRED E. ALTMAN, PLLC 2
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1987-01-01
Business code 621111
Sponsor’s telephone number 5614954186
Plan sponsor’s address 5258 LINTON BLVD. SUITE 304, DELRAY BEACH, FL, 33484

Plan administrator’s name and address
Administrator’s EIN 300184283
Plan administrator’s name DR. FRED E. ALTMAN, PLLC
Plan administrator’s address 5258 LINTON BLVD. SUITE 304, DELRAY BEACH, FL, 33484
Administrator’s telephone number 5614954186

Signature of
Role Plan administrator
Date 2015-01-30
Name of individual signing BETH ALTMAN
Valid signature Filed with authorized/valid electronic signature
DR. FRED E. ALTMAN, PLLC 401(K) PLAN 2013 300184283 2014-01-23 DR. FRED E. ALTMAN, PLLC 1
Three-digit plan number (PN) 001
Effective date of plan 1987-01-01
Business code 621111
Sponsor’s telephone number 5614954186
Plan sponsor’s address 5258 LINTON BLVD. SUITE 304, DELRAY BEACH, FL, 33484

Plan administrator’s name and address
Administrator’s EIN 300184283
Plan administrator’s name DR. FRED E. ALTMAN, PLLC
Plan administrator’s address 5258 LINTON BLVD. SUITE 304, DELRAY BEACH, FL, 33484
Administrator’s telephone number 5614954186

Signature of
Role Plan administrator
Date 2014-01-23
Name of individual signing BETH ALTMAN
Valid signature Filed with authorized/valid electronic signature
DR. FRED E. ALTMAN, PLLC 401(K) PLAN 2013 300184283 2014-01-24 DR. FRED E. ALTMAN, PLLC 1
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1987-01-01
Business code 621111
Sponsor’s telephone number 5614954186
Plan sponsor’s address 5258 LINTON BLVD. SUITE 304, DELRAY BEACH, FL, 33484

Plan administrator’s name and address
Administrator’s EIN 300184283
Plan administrator’s name DR. FRED E. ALTMAN, PLLC
Plan administrator’s address 5258 LINTON BLVD. SUITE 304, DELRAY BEACH, FL, 33484
Administrator’s telephone number 5614954186

Signature of
Role Plan administrator
Date 2014-01-24
Name of individual signing BETH ALTMAN
Valid signature Filed with authorized/valid electronic signature
DR. FRED E. ALTMAN, PLLC 401(K) PLAN 2012 300184283 2013-09-04 DR. FRED E. ALTMAN, PLLC 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1987-01-01
Business code 621111
Sponsor’s telephone number 5614954186
Plan sponsor’s address 5258 LINTON BLVD. SUITE 304, DELRAY BEACH, FL, 33484

Plan administrator’s name and address
Administrator’s EIN 300184283
Plan administrator’s name DR. FRED E. ALTMAN, PLLC
Plan administrator’s address 5258 LINTON BLVD. SUITE 304, DELRAY BEACH, FL, 33484
Administrator’s telephone number 5614954186

Signature of
Role Plan administrator
Date 2013-09-04
Name of individual signing DR. FRED E. ALTMAN
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
ARLEN ROBERT M Agent C/O ROBERT M. ARLEN, P.A., DELRAY BEACH, FL, 33483

Manager

Name Role Address
ALTMAN BETH Manager 5258 LINTON BLVD., SUITE 304, DELRAY BEACH, FL, 33484

Events

Event Type Filed Date Value Description
ADMIN DISSOLUTION FOR ANNUAL REPORT 2013-09-27 No data No data
LC AMENDMENT 2012-08-01 No data No data
REGISTERED AGENT NAME CHANGED 2012-08-01 ARLEN, ROBERT M No data
REGISTERED AGENT ADDRESS CHANGED 2012-08-01 C/O ROBERT M. ARLEN, P.A., 101 S.E. 6TH AVE., SUITE D, DELRAY BEACH, FL 33483 No data
CHANGE OF PRINCIPAL ADDRESS 2006-02-22 5258 LINTON BLVD., SUITE 304, DELRAY BEACH, FL 33484 No data
CHANGE OF MAILING ADDRESS 2006-02-22 5258 LINTON BLVD., SUITE 304, DELRAY BEACH, FL 33484 No data

Documents

Name Date
LC Amendment 2012-08-01
ANNUAL REPORT 2012-01-04
ANNUAL REPORT 2011-01-18
ANNUAL REPORT 2010-03-02
ANNUAL REPORT 2009-01-12
ANNUAL REPORT 2008-01-07
ANNUAL REPORT 2007-01-11
ANNUAL REPORT 2006-02-22
ANNUAL REPORT 2005-01-31
ANNUAL REPORT 2004-01-30

Related by officers

ARLEN ROBERT M

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Related by address

No related companies by address

Date of last update: 02 Feb 2025

Sources: Florida Department of State

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