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  5. DAVID SHUTER, M.D.P.A.

DAVID SHUTER, M.D.P.A.

Company Details

Entity Name: DAVID SHUTER, M.D.P.A.
Jurisdiction: FLORIDA
Filing Type: Florida Profit Corporation
Status: Active
Date Filed: 10 Aug 1990 (35 years ago)
Document Number: L93979
FEI/EIN Number 65-0205078
Address: 106 Playa Rienta Way, Palm Beach Gardens, FL 33418
Mail Address: 106 Playa Rienta Way, Palm Beach Gardens, FL 33418
ZIP code: 33418
County: Palm Beach
Place of Formation: FLORIDA

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
DAVID SHUTER, M.D., P.A., 401(K) PROFIT SHARING PLAN 2020 650205078 2021-04-07 DAVID SHUTER, M.D., P.A. 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1991-01-01
Business code 621111
Sponsor’s telephone number 5616242279
Plan sponsor’s address P.O. BOX 30533, PALM BEACH GARDENS, FL, 33420

Signature of
Role Plan administrator
Date 2021-04-07
Name of individual signing DAVID SHUTER
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2021-04-07
Name of individual signing DAVID SHUTER
Valid signature Filed with authorized/valid electronic signature
DAVID SHUTER, M.D., P.A., 401(K) PROFIT SHARING PLAN 2019 650205078 2020-09-02 DAVID SHUTER, M.D., P.A. 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1991-01-01
Business code 621111
Sponsor’s telephone number 5616242279
Plan sponsor’s address P.O. BOX 30533, PALM BEACH GARDENS, FL, 33420

Signature of
Role Plan administrator
Date 2020-09-02
Name of individual signing DAVID SHUTER
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2020-09-02
Name of individual signing DAVID SHUTER
Valid signature Filed with authorized/valid electronic signature
DAVID SHUTER, M.D., P.A., 401(K) PROFIT SHARING PLAN 2018 650205078 2019-05-02 DAVID SHUTER, M.D., P.A. 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1991-01-01
Business code 621111
Sponsor’s telephone number 5616242279
Plan sponsor’s address P.O. BOX 30533, PALM BEACH GARDENS, FL, 33420

Signature of
Role Plan administrator
Date 2019-05-02
Name of individual signing D SHUTER
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2019-05-02
Name of individual signing D SHUTER
Valid signature Filed with authorized/valid electronic signature
DAVID SHUTER, M.D., P.A., 401(K) PROFIT SHARING PLAN 2017 650205078 2018-05-21 DAVID SHUTER, M.D., P.A. 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1991-01-01
Business code 621111
Sponsor’s telephone number 5616242279
Plan sponsor’s address P.O. BOX 30533, PALM BEACH GARDENS, FL, 33420

Signature of
Role Plan administrator
Date 2018-05-21
Name of individual signing DAVID SHUTER
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2018-05-21
Name of individual signing DAVID SHUTER
Valid signature Filed with authorized/valid electronic signature
DAVID SHUTER, M.D., P.A., 401(K) PROFIT SHARING PLAN 2016 650205078 2017-05-20 DAVID SHUTER, M.D., P.A. 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1991-01-01
Business code 621111
Sponsor’s telephone number 5616242279
Plan sponsor’s address P.O. BOX 30533, PALM BEACH GARDENS, FL, 33420

Signature of
Role Plan administrator
Date 2017-05-20
Name of individual signing DAVID SHUTER
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2017-05-20
Name of individual signing DAVID SHUTER
Valid signature Filed with authorized/valid electronic signature
DAVID SHUTER, M.D., P.A., 401(K) PROFIT SHARING PLAN 2015 650205078 2016-05-25 DAVID SHUTER, M.D., P.A. 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1991-01-01
Business code 621111
Sponsor’s telephone number 5616242279
Plan sponsor’s address P.O. BOX 30533, PALM BEACH GARDENS, FL, 33420

Signature of
Role Plan administrator
Date 2016-05-25
Name of individual signing DAVID SHUTER
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2016-05-25
Name of individual signing DAVID SHUTER
Valid signature Filed with authorized/valid electronic signature
DAVID SHUTER, M.D., P.A., 401(K) PROFIT SHARING PLAN 2014 650205078 2015-03-10 DAVID SHUTER, M.D., P.A. 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1991-01-01
Business code 621111
Sponsor’s telephone number 5616242279
Plan sponsor’s address P.O. BOX 30533, PALM BEACH GARDENS, FL, 33420

Signature of
Role Plan administrator
Date 2015-03-10
Name of individual signing DAVID SHUTER
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2015-03-10
Name of individual signing DAVID SHUTER
Valid signature Filed with authorized/valid electronic signature
DAVID SHUTER, M.D., P.A., 401(K) PROFIT SHARING PLAN 2013 650205078 2014-05-21 DAVID SHUTER, M.D., P.A. 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1991-01-01
Business code 621111
Sponsor’s telephone number 5616242279
Plan sponsor’s address P.O. BOX 30533, PALM BEACH GARDENS, FL, 33420

Signature of
Role Plan administrator
Date 2014-05-21
Name of individual signing DAVID SHUTER
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2014-05-21
Name of individual signing DAVID SHUTER
Valid signature Filed with authorized/valid electronic signature
DAVID SHUTER, M.D., P.A., 401(K) PROFIT SHARING PLAN 2012 650205078 2013-06-30 DAVID SHUTER, M.D., P.A. 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1991-01-01
Business code 621111
Sponsor’s telephone number 5616242279
Plan sponsor’s address P.O. BOX 30533, PALM BEACH GARDENS, FL, 33420

Signature of
Role Plan administrator
Date 2013-06-30
Name of individual signing DAVID SHUTER
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2013-06-30
Name of individual signing DAVID SHUTER
Valid signature Filed with authorized/valid electronic signature
DAVID SHUTER, M.D., P.A., 401(K) PROFIT SHARING PLAN 2011 650205078 2012-05-29 DAVID SHUTER, M.D., P.A. 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1991-01-01
Business code 621111
Sponsor’s telephone number 5616242279
Plan sponsor’s address P.O. BOX 30533, PALM BEACH GARDENS, FL, 33420

Plan administrator’s name and address
Administrator’s EIN 650205078
Plan administrator’s name DAVID SHUTER, M.D., P.A.
Plan administrator’s address P.O. BOX 30533, PALM BEACH GARDENS, FL, 33420
Administrator’s telephone number 5616242279

Signature of
Role Plan administrator
Date 2012-05-29
Name of individual signing I DAVID SHUTER
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2012-05-29
Name of individual signing I DAVID SHUTER
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
Comiter, Singer, Baseman & Braun, LLP Agent 3825 PGA BLVD, SUITE 701, PALM BEACH GARDENS, FL 33410

President

Name Role Address
SHUTER, DAVID M.D. President 106 Playa Rienta Way, Palm Beach Gardens, FL 33418

Director

Name Role Address
SHUTER, DAVID M.D. Director 106 Playa Rienta Way, Palm Beach Gardens, FL 33418

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2021-04-12 106 Playa Rienta Way, Palm Beach Gardens, FL 33418 No data
CHANGE OF MAILING ADDRESS 2021-04-12 106 Playa Rienta Way, Palm Beach Gardens, FL 33418 No data
REGISTERED AGENT NAME CHANGED 2020-03-25 Comiter, Singer, Baseman & Braun, LLP No data
REGISTERED AGENT ADDRESS CHANGED 2020-03-25 3825 PGA BLVD, SUITE 701, PALM BEACH GARDENS, FL 33410 No data

Documents

Name Date
ANNUAL REPORT 2024-04-04
ANNUAL REPORT 2023-04-17
ANNUAL REPORT 2022-04-29
ANNUAL REPORT 2021-04-12
ANNUAL REPORT 2020-03-25
ANNUAL REPORT 2019-02-13
ANNUAL REPORT 2018-03-12
ANNUAL REPORT 2017-02-27
ANNUAL REPORT 2016-03-17
ANNUAL REPORT 2015-02-23

Related by officers

Comiter, Singer, Baseman & Braun, LLP

KONA NGU, LLC LEVIN FAMILY TRUSTS, LLC WHITE FAMILY FOUNDATION, INC. JSF PE, LLC JSF ART GP, LLC JSF ART LPI, LLC JSF CRE LPI, LLC BARON CAPITAL GP, LLC BARON CAPITAL, LLLP JSF HOLDINGS, LLC

Related by address

No related companies by address

Date of last update: 03 Feb 2025

Sources: Florida Department of State

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