| Entity Name: | AMIR H. FATEMI, M.D., I P.L. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Inactive |
| Date Filed: | 11 May 2009 (16 years ago) |
| Date of dissolution: | 28 Apr 2021 (4 years ago) |
| Last Event: | VOLUNTARY DISSOLUTION |
| Event Date Filed: | 28 Apr 2021 (4 years ago) |
| Document Number: | L09000046413 |
| FEI/EIN Number | 592191237 |
| Address: | 6934 ST. AUGUSTINE ROAD, JACKSONVILLE, FL, 32217 |
| Mail Address: | 6934 ST. AUGUSTINE ROAD, JACKSONVILLE, FL, 32217 |
| ZIP code: | 32217 |
| County: | Duval |
| Place of Formation: | FLORIDA |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| AMIR H. FATEMI, M.D.P.A. PROFIT SHARING PLAN | 2012 | 592191237 | 2013-11-22 | AMIR H. FATEMI, M.D.I.P.L | 1 | |||||||||||||||||||||||||||||||||
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| Administrator’s EIN | 592191237 |
| Plan administrator’s name | AMIR H FATEMI MD IPL |
| Plan administrator’s address | 6934 ST AUGUSTINE ROAD, JACKSONVILLE, FL, 32217 |
Number of participants as of the end of the plan year
| Active participants | 0 |
| Number of participants with account balances as of the end of the plan year | 0 |
Signature of
| Role | Plan administrator |
| Date | 2013-11-20 |
| Name of individual signing | AMIR H FATEMI MD |
| Valid signature | Filed with authorized/valid electronic signature |
| Name | Role | Address |
|---|---|---|
| FATEMI AMIR HDr. | Agent | 6934 ST. AUGUSTINE ROAD, JACKSONVILLE, FL, 32217 |
| Name | Role | Address |
|---|---|---|
| FATEMI MAHSHID P | Manager | 6934 ST. AUGUSTINE RD., JACKSONVILLE, FL, 32217 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| VOLUNTARY DISSOLUTION | 2021-04-28 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2017-04-24 | FATEMI, AMIR H, Dr. | No data |
| REINSTATEMENT | 2010-10-14 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2010-09-24 | No data | No data |
| CONVERSION | 2009-05-11 | No data | CORPORATION WAS A CONVERSION RESULT. CONVERTING CORPORATION WAS F77105. CONVERSION NUMBER 700000096647 |
| Name | Date |
|---|---|
| VOLUNTARY DISSOLUTION | 2021-04-28 |
| ANNUAL REPORT | 2020-06-15 |
| ANNUAL REPORT | 2019-04-05 |
| ANNUAL REPORT | 2018-04-23 |
| ANNUAL REPORT | 2017-04-24 |
| ANNUAL REPORT | 2016-04-21 |
| ANNUAL REPORT | 2015-04-30 |
| ANNUAL REPORT | 2014-04-16 |
| ANNUAL REPORT | 2013-03-05 |
| ANNUAL REPORT | 2012-04-12 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
