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  5. DAVID A. GOLDMAN MD, LLC

DAVID A. GOLDMAN MD, LLC

Company Details

Entity Name: DAVID A. GOLDMAN MD, LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Active
Date Filed: 22 May 2008 (17 years ago)
Document Number: L08000051391
FEI/EIN Number 26-2671922
Address: 3502 Kyoto Gardens Dr, Suite #B, PALM BEACH GARDENS, FL, 33410, US
Mail Address: 3502 Kyoto Gardens Dr, Suite B, PALM BEACH GARDENS, FL, 33410, US
ZIP code: 33410
County: Palm Beach
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1801144183 2012-08-17 2018-05-24 3502 KYOTO GARDENS DR STE B, PALM BEACH GARDENS, FL, 334102899, US 3502 KYOTO GARDENS DR STE B, PALM BEACH GARDENS, FL, 33410, US

Contacts
Phone +1 561-630-7120
Fax 5616307122

Authorized person
Name DAVID A GOLDMAN
Role MGMR
Phone 5616307120

Taxonomy
Taxonomy Code 207W00000X - Ophthalmology Physician
License Number ME95657
State FL
Is Primary Yes

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
GOLDMAN EYE CASH BALANCE PLAN 2023 262671922 2024-10-05 DAVID A. GOLDMAN MD, LLC 14
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2017-01-01
Business code 621111
Sponsor’s telephone number 5616307120
Plan sponsor’s address 3502 KYOTO GARDENS DR, SUITE B, PALM BEACH GARDENS, FL, 33410

Signature of
Role Plan administrator
Date 2024-10-05
Name of individual signing DAVID A GOLDMAN
Valid signature Filed with authorized/valid electronic signature
GOLDMAN EYE 401(K) PLAN 2023 262671922 2024-10-05 DAVID A. GOLDMAN MD, LLC 17
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2017-01-01
Business code 621320
Sponsor’s telephone number 5616307120
Plan sponsor’s address 3502 KYOTO GARDENS, SUITE B, PALM BEACH GARDENS, FL, 33410

Signature of
Role Plan administrator
Date 2024-10-05
Name of individual signing DAVID A. GOLDMAN
Valid signature Filed with authorized/valid electronic signature
GOLDMAN EYE CASH BALANCE PLAN 2022 262671922 2023-10-08 DAVID A. GOLDMAN MD, LLC 12
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2017-01-01
Business code 621111
Sponsor’s telephone number 5616307120
Plan sponsor’s address 3502 KYOTO GARDENS DR, SUITE B, PALM BEACH GARDENS, FL, 33410

Signature of
Role Plan administrator
Date 2023-10-09
Name of individual signing DAVID A GOLDMAN
Valid signature Filed with authorized/valid electronic signature
GOLDMAN EYE 401(K) PLAN 2022 262671922 2023-10-08 DAVID A. GOLDMAN MD, LLC 12
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2017-01-01
Business code 621320
Sponsor’s telephone number 5616307120
Plan sponsor’s address 3502 KYOTO GARDENS, SUITE B, PALM BEACH GARDENS, FL, 33410

Signature of
Role Plan administrator
Date 2023-10-09
Name of individual signing DAVID A. GOLDMAN
Valid signature Filed with authorized/valid electronic signature
GOLDMAN EYE 401(K) PLAN 2021 262671922 2022-10-13 DAVID A. GOLDMAN MD, LLC 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2017-01-01
Business code 621320
Sponsor’s telephone number 5616307120
Plan sponsor’s address 3502 KYOTO GARDENS, SUITE B, PALM BEACH GARDENS, FL, 33410

Signature of
Role Plan administrator
Date 2022-10-13
Name of individual signing DAVID A. GOLDMAN
Valid signature Filed with authorized/valid electronic signature
GOLDMAN EYE CASH BALANCE PLAN 2021 262671922 2022-10-13 DAVID A. GOLDMAN MD, LLC 12
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2017-01-01
Business code 621111
Sponsor’s telephone number 5616307120
Plan sponsor’s address 3502 KYOTO GARDENS DR, SUITE B, PALM BEACH GARDENS, FL, 33410

Signature of
Role Plan administrator
Date 2022-10-13
Name of individual signing DAVID A GOLDMAN
Valid signature Filed with authorized/valid electronic signature
GOLDMAN EYE CASH BALANCE PLAN 2020 262671922 2021-10-10 DAVID A. GOLDMAN MD, LLC 9
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2017-01-01
Business code 621111
Sponsor’s telephone number 5616307120
Plan sponsor’s address 3502 KYOTO GARDENS DR, SUITE B, PALM BEACH GARDENS, FL, 33410

Signature of
Role Plan administrator
Date 2021-10-10
Name of individual signing DAVID A GOLDMAN
Valid signature Filed with authorized/valid electronic signature
GOLDMAN EYE 401(K) PLAN 2020 262671922 2021-09-26 DAVID A. GOLDMAN MD, LLC 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2017-01-01
Business code 621320
Sponsor’s telephone number 5616307120
Plan sponsor’s address 3502 KYOTO GARDENS, SUITE B, PALM BEACH GARDENS, FL, 33410

Signature of
Role Plan administrator
Date 2021-09-26
Name of individual signing DAVID A. GOLDMAN
Valid signature Filed with authorized/valid electronic signature
GOLDMAN EYE 401(K) PLAN 2019 262671922 2020-07-13 DAVID A. GOLDMAN MD, LLC 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2017-01-01
Business code 621320
Sponsor’s telephone number 5616307120
Plan sponsor’s address 3502 KYOTO GARDENS DR., SUITE B, PALM BEACH GARDENS, FL, 33410
GOLDMAN EYE CASH BALANCE PLAN 2019 262671922 2020-10-14 DAVID A. GOLDMAN MD, LLC 9
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2017-01-01
Business code 621111
Sponsor’s telephone number 5616307120
Plan sponsor’s address 3502 KYOTO GARDENS DR, SUITE B, PALM BEACH GARDENS, FL, 33410

Agent

Name Role Address
GOLDMAN DAVID A Agent 420 SAVOIE DR, PALM BEACH GARDENS, FL, 33410

Managing Member

Name Role Address
GOLDMAN DAVID A Managing Member 420 SAVOIE DR, PALM BEACH GARDENS, FL, 33410

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G24000151971 OPHTHALMIC CONSULTANTS OF STUART ACTIVE 2024-12-15 2029-12-31 No data 440 SE OSCEOLA ST, STUART, FL, 34994
G12000111949 GOLDMAN EYE ACTIVE 2012-11-20 2027-12-31 No data 3502 KYOTO GARDENS DR, STE B, PALM BEACH GARDENS, FL, 33410

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2018-04-25 3502 Kyoto Gardens Dr, Suite #B, PALM BEACH GARDENS, FL 33410 No data
CHANGE OF MAILING ADDRESS 2018-04-25 3502 Kyoto Gardens Dr, Suite #B, PALM BEACH GARDENS, FL 33410 No data
REGISTERED AGENT ADDRESS CHANGED 2013-04-12 420 SAVOIE DR, PALM BEACH GARDENS, FL 33410 No data

Documents

Name Date
ANNUAL REPORT 2024-03-03
ANNUAL REPORT 2023-01-24
ANNUAL REPORT 2022-01-23
ANNUAL REPORT 2021-01-10
ANNUAL REPORT 2020-06-06
ANNUAL REPORT 2019-06-12
ANNUAL REPORT 2018-04-25
ANNUAL REPORT 2017-01-16
ANNUAL REPORT 2016-01-25
ANNUAL REPORT 2015-02-20

Related by officers

GOLDMAN DAVID A

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Related by address

No related companies by address

Date of last update: 01 Feb 2025

Sources: Florida Department of State

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