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  5. B. RAI GUPTA, M.D., P.A.

B. RAI GUPTA, M.D., P.A.

Company Details

Entity Name: B. RAI GUPTA, M.D., P.A.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Active
Date Filed: 28 Mar 2000 (25 years ago)
Last Event: CANCEL ADM DISS/REV
Event Date Filed: 08 Feb 2005 (20 years ago)
Document Number: P00000031611
FEI/EIN Number 593640999
Address: 3300 W. Lake Mary Blvd., Lake Mary, FL, 32746, US
Mail Address: 3300 W. Lake Mary Blvd., Lake Mary, FL, 32746, US
ZIP code: 32746
County: Seminole
Place of Formation: FLORIDA

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
B. RAI GUPTA, M.D., P.A. RETIREMENT PLAN 2023 593640999 2024-10-11 B. RAI GUPTA, M.D., P.A. 6
File View Page
Three-digit plan number (PN) 003
Effective date of plan 2009-01-01
Business code 621111
Sponsor’s telephone number 4073171111
Plan sponsor’s address 3300 W. LAKE MARY BLVD. SUITE 220, LAKE MARY, FL, 32746
B. RAI GUPTA, M.D., P.A. RETIREMENT PLAN 2022 593640999 2023-08-29 B. RAI GUPTA, M.D., P.A. 5
File View Page
Three-digit plan number (PN) 003
Effective date of plan 2009-01-01
Business code 621111
Sponsor’s telephone number 4073217111
Plan sponsor’s address 3300 W. LAKE MARY BLVD., SUITE 220, LAKE MARY, FL, 327463499

Plan administrator’s name and address
Administrator’s EIN 593640999
Plan administrator’s name B. RAI GUPTA, M.D., P.A.
Plan administrator’s address 3300 W. LAKE MARY BLVD., SUITE 220, LAKE MARY, FL, 327463499
Administrator’s telephone number 4073217111

Signature of
Role Plan administrator
Date 2023-08-29
Name of individual signing B. RAI GUPTA
Valid signature Filed with authorized/valid electronic signature
B. RAI GUPTA, M.D., P.A. RETIREMENT PLAN 2021 593640999 2022-10-11 B. RAI GUPTA, M.D., P.A. 6
File View Page
Three-digit plan number (PN) 003
Effective date of plan 2009-01-01
Business code 621111
Sponsor’s telephone number 4073217111
Plan sponsor’s address 3300 W. LAKE MARY BLVD., SUITE 220, LAKE MARY, FL, 327463499

Plan administrator’s name and address
Administrator’s EIN 593640999
Plan administrator’s name B. RAI GUPTA, M.D., P.A.
Plan administrator’s address 3300 W. LAKE MARY BLVD., SUITE 220, LAKE MARY, FL, 327463499
Administrator’s telephone number 4073217111

Signature of
Role Plan administrator
Date 2022-10-11
Name of individual signing B. RAI GUPTA
Valid signature Filed with authorized/valid electronic signature
B. RAI GUPTA, M.D., P.A. RETIREMENT PLAN 2020 593640999 2021-10-11 B. RAI GUPTA, M.D., P.A. 6
File View Page
Three-digit plan number (PN) 003
Effective date of plan 2009-01-01
Business code 621111
Sponsor’s telephone number 4073217111
Plan sponsor’s address 3300 W. LAKE MARY BLVD., SUITE 220, LAKE MARY, FL, 327463499

Plan administrator’s name and address
Administrator’s EIN 593640999
Plan administrator’s name B. RAI GUPTA, M.D., P.A.
Plan administrator’s address 3300 W. LAKE MARY BLVD., SUITE 220, LAKE MARY, FL, 327463499
Administrator’s telephone number 4073217111

Signature of
Role Plan administrator
Date 2021-10-11
Name of individual signing B. RAI GUPTA
Valid signature Filed with authorized/valid electronic signature
B. RAI GUPTA, M.D., P.A. DEFINED BENEFIT PLAN 2020 593640999 2021-07-27 B. RAI GUPTA, M.D., P.A. 5
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2009-01-01
Business code 621111
Sponsor’s telephone number 4073217111
Plan sponsor’s address 3300 W. LAKE MARY BLVD., SUITE 220, LAKE MARY, FL, 327463499

Plan administrator’s name and address
Administrator’s EIN 593640999
Plan administrator’s name B. RAI GUPTA, M.D., P.A.
Plan administrator’s address 3300 W. LAKE MARY BLVD., SUITE 220, LAKE MARY, FL, 327463499
Administrator’s telephone number 4073217111

Signature of
Role Plan administrator
Date 2021-07-27
Name of individual signing B. RAI GUPTA
Valid signature Filed with authorized/valid electronic signature
B. RAI GUPTA, M.D., P.A. RETIREMENT PLAN 2019 593640999 2020-10-13 B. RAI GUPTA, M.D., P.A. 6
File View Page
Three-digit plan number (PN) 003
Effective date of plan 2009-01-01
Business code 621111
Sponsor’s telephone number 4073217111
Plan sponsor’s address 3300 W. LAKE MARY BLVD., SUITE 220, LAKE MARY, FL, 327463499

Plan administrator’s name and address
Administrator’s EIN 593640999
Plan administrator’s name B. RAI GUPTA, M.D., P.A.
Plan administrator’s address 3300 W. LAKE MARY BLVD., SUITE 220, LAKE MARY, FL, 327463499
Administrator’s telephone number 4073217111

Signature of
Role Plan administrator
Date 2020-10-13
Name of individual signing B. RAI GUPTA
Valid signature Filed with authorized/valid electronic signature
B. RAI GUPTA, M.D., P.A. DEFINED BENEFIT PLAN 2019 593640999 2020-10-13 B. RAI GUPTA, M.D., P.A. 5
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2009-01-01
Business code 621111
Sponsor’s telephone number 4073217111
Plan sponsor’s address 3300 W. LAKE MARY BLVD., SUITE 220, LAKE MARY, FL, 327463499

Plan administrator’s name and address
Administrator’s EIN 593640999
Plan administrator’s name B. RAI GUPTA, M.D., P.A.
Plan administrator’s address 3300 W. LAKE MARY BLVD., SUITE 220, LAKE MARY, FL, 327463499
Administrator’s telephone number 4073217111

Signature of
Role Plan administrator
Date 2020-10-13
Name of individual signing B. RAI GUPTA
Valid signature Filed with authorized/valid electronic signature
B. RAI GUPTA, M.D., P.A. RETIREMENT PLAN 2018 593640999 2019-10-15 B. RAI GUPTA, M.D., P.A. 6
File View Page
Three-digit plan number (PN) 003
Effective date of plan 2009-01-01
Business code 621111
Sponsor’s telephone number 4073217111
Plan sponsor’s address 3300 W. LAKE MARY BLVD., SUITE 220, LAKE MARY, FL, 327463499

Plan administrator’s name and address
Administrator’s EIN 593640999
Plan administrator’s name B. RAI GUPTA, M.D., P.A.
Plan administrator’s address 3300 W. LAKE MARY BLVD., SUITE 220, LAKE MARY, FL, 327463499
Administrator’s telephone number 4073217111

Signature of
Role Plan administrator
Date 2019-10-15
Name of individual signing B. RAI GUPTA
Valid signature Filed with authorized/valid electronic signature
B. RAI GUPTA, M.D., P.A. DEFINED BENEFIT PLAN 2018 593640999 2019-10-15 B. RAI GUPTA, M.D., P.A. 5
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2009-01-01
Business code 621111
Sponsor’s telephone number 4073217111
Plan sponsor’s address 3300 W. LAKE MARY BLVD., SUITE 220, LAKE MARY, FL, 327463499

Plan administrator’s name and address
Administrator’s EIN 593640999
Plan administrator’s name B. RAI GUPTA, M.D., P.A.
Plan administrator’s address 3300 W. LAKE MARY BLVD., SUITE 220, LAKE MARY, FL, 327463499
Administrator’s telephone number 4073217111

Signature of
Role Plan administrator
Date 2019-10-15
Name of individual signing B. RAI GUPTA
Valid signature Filed with authorized/valid electronic signature
B. RAI GUPTA, M.D., P.A. DEFINED BENEFIT PLAN 2017 593640999 2018-10-09 B. RAI GUPTA, M.D., P.A. 5
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2009-01-01
Business code 621111
Sponsor’s telephone number 4073217111
Plan sponsor’s address 3300 W. LAKE MARY BLVD., SUITE 220, LAKE MARY, FL, 327463499

Plan administrator’s name and address
Administrator’s EIN 593640999
Plan administrator’s name B. RAI GUPTA, M.D., P.A.
Plan administrator’s address 3300 W. LAKE MARY BLVD., SUITE 220, LAKE MARY, FL, 327463499
Administrator’s telephone number 4073217111

Signature of
Role Plan administrator
Date 2018-10-09
Name of individual signing B. RAI GUPTA
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
GUPTA B. RAI Agent 3300 W. Lake Mary Blvd., Lake Mary, FL, 32746

Director

Name Role Address
Gupta B RDr. Director 3300 W. Lake Mary Blvd., Lake Mary, FL, 32746

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G19000135593 FLORIDA CENTER FOR PLASTIC & HAND SURGERY ACTIVE 2019-12-23 2029-12-31 No data 3300 W. LAKE MARY BLVD., SUITE 220, LAKE MARY, FL, 32746

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2023-04-22 3300 W. Lake Mary Blvd., Suite 220, Lake Mary, FL 32746 No data
CHANGE OF MAILING ADDRESS 2023-04-22 3300 W. Lake Mary Blvd., Suite 220, Lake Mary, FL 32746 No data
REGISTERED AGENT ADDRESS CHANGED 2023-04-22 3300 W. Lake Mary Blvd., Suite 220, Lake Mary, FL 32746 No data
CANCEL ADM DISS/REV 2005-02-08 No data No data
ADMIN DISSOLUTION FOR ANNUAL REPORT 2004-10-01 No data No data

Documents

Name Date
ANNUAL REPORT 2024-03-31
AMENDED ANNUAL REPORT 2023-04-22
ANNUAL REPORT 2023-04-20
ANNUAL REPORT 2022-01-21
ANNUAL REPORT 2021-04-02
ANNUAL REPORT 2020-04-04
ANNUAL REPORT 2019-04-06
ANNUAL REPORT 2018-03-06
ANNUAL REPORT 2017-04-28
ANNUAL REPORT 2016-04-30

Related by officers

GUPTA B. RAI

DEWAN PROPERTIES, LLC MAYA ASSOCIATES, LLC

Related by address

No related companies by address

Date of last update: 01 Feb 2025

Sources: Florida Department of State

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