| Entity Name: | MANUEL M. PENA, M.D., P.A. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 28 Sep 1989 (35 years ago) |
| Document Number: | L18932 |
| FEI/EIN Number | 650145602 |
| Address: | 6370 PINE RIDGE RD., NAPLES, FL, 34119 |
| Mail Address: | 6370 PINE RIDGE RD., NAPLES, FL, 34119 |
| ZIP code: | 34119 |
| County: | Collier |
| Place of Formation: | FLORIDA |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| MANUEL M. PENA, M.D., P.A. PROFIT SHARING PLAN | 2010 | 650145602 | 2010-08-10 | MANUEL M. PENA, M.D., P.A. | 16 | |||||||||||||||||||||||||||||||
|
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| Administrator’s EIN | 650145602 |
| Plan administrator’s name | MANUEL M. PENA, M.D., P.A. |
| Plan administrator’s address | 6370 PINE RIDGE ROAD, SUITE 101, NAPLES, FL, 34119 |
| Administrator’s telephone number | 2393487362 |
Signature of
| Role | Plan administrator |
| Date | 2010-08-10 |
| Name of individual signing | MANUEL PENA |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 1992-01-01 |
| Business code | 621399 |
| Sponsor’s telephone number | 2393487362 |
| Plan sponsor’s address | 6370 PINE RIDGE ROAD, SUITE 101, NAPLES, FL, 34119 |
Plan administrator’s name and address
| Administrator’s EIN | 650145602 |
| Plan administrator’s name | MANUEL M. PENA, M.D., P.A. |
| Plan administrator’s address | 6370 PINE RIDGE ROAD, SUITE 101, NAPLES, FL, 34119 |
| Administrator’s telephone number | 2393487362 |
Signature of
| Role | Plan administrator |
| Date | 2010-08-10 |
| Name of individual signing | MANUEL PENA |
| Valid signature | Filed with authorized/valid electronic signature |
| Name | Role | Address |
|---|---|---|
| PENA, MANUEL M. | Agent | 6370 PINE RIDGE RD., NAPLES, FL, 34119 |
| Name | Role | Address |
|---|---|---|
| PENA, MANUEL M. | President | 210 TUPELO RD, NAPLES, FL, 34108 |
| Name | Role | Address |
|---|---|---|
| PENA, REGINA C. | Secretary | 210 TUPELO RD, NAPLES, FL, 34108 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G09000139784 | PENA WEIGHT MANAGEMENT & WELLNESS | EXPIRED | 2009-07-28 | 2014-12-31 | No data | 6370 PINE RIDGE ROAD, SUITE 101, NAPLES, FL, 34119 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REINSTATEMENT | 2024-11-20 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2024-09-27 | No data | No data |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
