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  5. VIGAFRA, PLLC

VIGAFRA, PLLC

Company Details

Entity Name: VIGAFRA, PLLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Active
Date Filed: 08 Nov 2004 (20 years ago)
Document Number: L04000080873
FEI/EIN Number 201862196
Address: 2001 Manatee Ave East, Suite 103, BRADENTON, FL, 34208, US
Mail Address: 2001 Manatee Ave East, Suite 103, BRADENTON, FL, 34208, US
ZIP code: 34208
County: Manatee
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1316154958 2007-05-16 2022-06-22 2001 MANATEE AVE E STE 103, BRADENTON, FL, 342081620, US 2105 MANATEE AVENUE EAST, BRADENTON, FL, 342081620, US

Contacts
Phone +1 941-803-8395
Fax 9418038158

Authorized person
Name DR. ROBERT J YCAZA
Role PRESIDENT
Phone 9418038395

Taxonomy
Taxonomy Code 208VP0014X - Interventional Pain Medicine Physician
Is Primary Yes

Other Provider Identifiers
Issuer MEDICAL LICENSE
Number ME66839
State FL

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
VIGAFRA PLLC 401(K) PROFIT SHARING PLAN & TRUST 2023 201862196 2024-05-06 VIGAFRA PLLC 19
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2017-01-01
Business code 541990
Sponsor’s telephone number 9418038395
Plan sponsor’s address 2001 MANATEE AVE E SUITE 103, BRADENTON, FL, 34208

Plan administrator’s name and address
Administrator’s EIN 471637791
Plan administrator’s name ERISA FIDUCIARY SERVICES, INC.
Plan administrator’s address 1373 VETERANS HIGHWAY, SUITE 10, HAUPPAUGE, NY, 11788
Administrator’s telephone number 6312490500

Signature of
Role Plan administrator
Date 2024-05-06
Name of individual signing ERISA FIDUCIARY SERVICES
Valid signature Filed with authorized/valid electronic signature
VIGAFRA PLLC 401(K) PROFIT SHARING PLAN & TRUST 2022 201862196 2023-04-08 VIGAFRA PLLC 14
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2017-01-01
Business code 541990
Sponsor’s telephone number 9418038395
Plan sponsor’s address 2001 MANATEE AVE E SUITE 103, BRADENTON, FL, 34208

Plan administrator’s name and address
Administrator’s EIN 471637791
Plan administrator’s name ERISA FIDUCIARY SERVICES, INC.
Plan administrator’s address 1373 VETERANS HIGHWAY, SUITE 10, HAUPPAUGE, NY, 11788
Administrator’s telephone number 6312490500

Signature of
Role Plan administrator
Date 2023-04-08
Name of individual signing ERISA FIDUCIARY SERVICES
Valid signature Filed with authorized/valid electronic signature
VIGAFRA PLLC 401(K) PROFIT SHARING PLAN & TRUST 2021 201862196 2022-06-14 VIGAFRA PLLC 13
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2017-01-01
Business code 541990
Sponsor’s telephone number 9418038395
Plan sponsor’s address 2001 MANATEE AVE E SUITE 103, BRADENTON, FL, 34208

Plan administrator’s name and address
Administrator’s EIN 471637791
Plan administrator’s name ERISA FIDUCIARY SERVICES, INC.
Plan administrator’s address 1373 VETERANS HIGHWAY, SUITE 10, HAUPPAUGE, NY, 11788
Administrator’s telephone number 6312490500

Signature of
Role Plan administrator
Date 2022-06-14
Name of individual signing ERISA FIDUCIARY SERVICES
Valid signature Filed with authorized/valid electronic signature
VIGAFRA PLLC 401(K) PROFIT SHARING PLAN & TRUST 2020 201862196 2021-06-21 VIGAFRA PLLC 14
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2017-01-01
Business code 541990
Sponsor’s telephone number 9418038395
Plan sponsor’s address 2001 MANATEE AVE E SUITE 103, BRADENTON, FL, 34208

Signature of
Role Plan administrator
Date 2021-06-21
Name of individual signing EDWARD ROJAS
Valid signature Filed with authorized/valid electronic signature
VIGAFRA PLLC 401(K) PROFIT SHARING PLAN & TRUST 2019 201862196 2020-06-29 VIGAFRA PLLC 13
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2017-01-01
Business code 541990
Sponsor’s telephone number 9418038395
Plan sponsor’s address 2105 MANATEE AVE E, BRADENTON, FL, 34208

Signature of
Role Plan administrator
Date 2020-06-29
Name of individual signing EDWARD ROJAS
Valid signature Filed with authorized/valid electronic signature
VIGAFRA PLLC 401 K PROFIT SHARING PLAN TRUST 2018 201862196 2019-04-18 VIGAFRA PLLC 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2017-01-01
Business code 541990
Sponsor’s telephone number 9418038395
Plan sponsor’s address 2105 MANATEE AVE E, BRADENTON, FL, 34208

Plan administrator’s name and address
Administrator’s EIN 264477125
Plan administrator’s name 401K GENERATION
Plan administrator’s address 195 INTERNATIONAL PKWY, S #311, LAKE MARY, FL, 32746
Administrator’s telephone number 8669985879

Signature of
Role Plan administrator
Date 2019-04-18
Name of individual signing EDWARD ROJAS
Valid signature Filed with authorized/valid electronic signature
VIGAFRA PLLC 401 K PROFIT SHARING PLAN TRUST 2017 201862196 2018-05-24 VIGAFRA PLLC 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2017-01-01
Business code 541990
Sponsor’s telephone number 9418038395
Plan sponsor’s address 2105 MANATEE AVE E, BRADENTON, FL, 34208

Signature of
Role Plan administrator
Date 2018-05-24
Name of individual signing EDWARD ROJAS
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
YCAZA ROBERT J Agent 2001 Manatee Ave East, BRADENTON, FL, 34208

Manager

Name Role Address
YCAZA ROBERT J Manager 2001 Manatee Ave East, BRADENTON, FL, 34208

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G06312900271 BRADENTON PAIN & WELLNESS CENTER ACTIVE 2006-11-08 2026-12-31 No data 2001 MANATEE AVE.E., SUITE 103, BRADENTON, FL, 34208

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2020-01-16 2001 Manatee Ave East, Suite 103, BRADENTON, FL 34208 No data
CHANGE OF MAILING ADDRESS 2020-01-16 2001 Manatee Ave East, Suite 103, BRADENTON, FL 34208 No data
REGISTERED AGENT ADDRESS CHANGED 2020-01-16 2001 Manatee Ave East, Suite 103, BRADENTON, FL 34208 No data
REGISTERED AGENT NAME CHANGED 2011-04-12 YCAZA, ROBERT J No data

Documents

Name Date
ANNUAL REPORT 2024-04-04
ANNUAL REPORT 2023-01-30
ANNUAL REPORT 2022-01-26
ANNUAL REPORT 2021-01-11
ANNUAL REPORT 2020-01-16
ANNUAL REPORT 2019-04-02
ANNUAL REPORT 2018-01-16
ANNUAL REPORT 2017-02-13
ANNUAL REPORT 2016-03-27
ANNUAL REPORT 2015-04-12

Related by officers

YCAZA ROBERT J

RYS PROPERTIES, LLC BATACAZO, INC.

Related by address

No related companies by address

Date of last update: 01 Feb 2025

Sources: Florida Department of State

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