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  5. S. MANJULA JEGASOTHY, M.D., P.A.

S. MANJULA JEGASOTHY, M.D., P.A.

Company Details

Entity Name: S. MANJULA JEGASOTHY, M.D., P.A.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Active
Date Filed: 25 Apr 2000 (25 years ago)
Document Number: P00000041575
FEI/EIN Number 651004642
Address: 135 San Lorenzo Ave., Coral Gables, FL, 33146, US
Mail Address: 135 San Lorenzo Ave., Coral Gables, FL, 33146, US
ZIP code: 33146
County: Miami-Dade
Place of Formation: FLORIDA

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
S MANJULA JEGASOTHY, M.D., P.A. 401(K) PLAN 2023 651004642 2024-05-21 S MANJULA JEGASOTHY, M.D., P.A. 2
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2023-01-01
Business code 621111
Sponsor’s telephone number 3055690067
Plan sponsor’s address 135 SAN LORENZO AVE, SUITE 870, CORAL GABLES, FL, 33146

Signature of
Role Plan administrator
Date 2024-05-21
Name of individual signing S.MANJULA JEGASOTHY
Valid signature Filed with authorized/valid electronic signature
S. MANJULA JEGASOTHY M.D., P.A. 401(K) PROFIT SHARING PLAN 2010 651004642 2010-06-28 S. MANJULA JEGASOTHY M.D., P.A. 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 621111
Sponsor’s telephone number 3053770677
Plan sponsor’s address 444 BRICKELL AVE., SUITE 403, MIAMI, FL, 33131

Plan administrator’s name and address
Administrator’s EIN 651004642
Plan administrator’s name S. MANJULA JEGASOTHY M.D., P.A.
Plan administrator’s address 444 BRICKELL AVE., SUITE 403, MIAMI, FL, 33131
Administrator’s telephone number 3053770677

Signature of
Role Plan administrator
Date 2010-06-28
Name of individual signing SHEVANTI MANJULA JEGASOTHY
Valid signature Filed with authorized/valid electronic signature
S. MANJULA JEGASOTHY M.D., P.A. 401(K) PROFIT SHARING PLAN 2010 651004642 2010-06-24 S. MANJULA JEGASOTHY M.D., P.A. 4
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 621111
Sponsor’s telephone number 3053770677
Plan sponsor’s address 444 BRICKELL AVE., SUITE 403, MIAMI, FL, 33131

Plan administrator’s name and address
Administrator’s EIN 651004642
Plan administrator’s name S. MANJULA JEGASOTHY M.D., P.A.
Plan administrator’s address 444 BRICKELL AVE., SUITE 403, MIAMI, FL, 33131
Administrator’s telephone number 3053770677

Signature of
Role Employer/plan sponsor
Date 2010-06-23
Name of individual signing SHEVANTI MANJULA JEGASOTHY
Valid signature Filed with authorized/valid electronic signature
S. MANJULA JEGASOTHY M.D., P.A. 401 (K) PROFIT SHARING PLAN 2009 651004642 2010-06-23 S. MANJULA JEGASOTHY M.D., P.A. 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 621111
Sponsor’s telephone number 3053770067
Plan sponsor’s address 444 BRICKELL AVE., STE 403, MIAMI, FL, 33131

Plan administrator’s name and address
Administrator’s EIN 651004642
Plan administrator’s name S. MANJULA JEGASOTHY M.D., P.A.
Plan administrator’s address 444 BRICKELL AVE., STE 403, MIAMI, FL, 33131
Administrator’s telephone number 3053770067

Signature of
Role Plan administrator
Date 2010-06-23
Name of individual signing S. MANJULA JEGASOTHY, M.D.
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2010-06-23
Name of individual signing S. MANJULA JEGASOTHY, M.D.
Valid signature Filed with authorized/valid electronic signature
S. MANJULA JEGASOTHY M.D., P.A. 401 (K) PROFIT SHARING PLAN 2009 651004642 2010-06-16 S. MANJULA JEGASOTHY M.D., P.A. 4
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 621111
Sponsor’s telephone number 3053770067
Plan sponsor’s address 444 BRICKELL AVE., STE 403, MIAMI, FL, 33131

Plan administrator’s name and address
Administrator’s EIN 651004642
Plan administrator’s name S. MANJULA JEGASOTHY M.D., P.A.
Plan administrator’s address 444 BRICKELL AVE., STE 403, MIAMI, FL, 33131
Administrator’s telephone number 3053770067

Signature of
Role Plan administrator
Date 2010-06-16
Name of individual signing S. MANJULA JEGASOTHY M.D.
Valid signature Filed with incorrect/unrecognized electronic signature

Agent

Name Role Address
JEGASOTHY S. MANJULA M Agent 808 BRICKELL KEY DR., MIAMI, FL, 33131

Director

Name Role Address
JEGASOTHY S. MANJULA M Director 808 BRICKELL KEY DR., #905, MIAMI, FL, 33131

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G17000002456 MIAMI SKIN INSTITUTE ACTIVE 2017-01-06 2027-12-31 No data 135 SAN LORENZO AVE., PH 870, CORAL GABLES, FL, 33146

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2015-01-21 135 San Lorenzo Ave., PH 870, Coral Gables, FL 33146 No data
CHANGE OF MAILING ADDRESS 2015-01-21 135 San Lorenzo Ave., PH 870, Coral Gables, FL 33146 No data
REGISTERED AGENT ADDRESS CHANGED 2003-01-31 808 BRICKELL KEY DR., #905, MIAMI, FL 33131 No data

Documents

Name Date
ANNUAL REPORT 2024-03-05
ANNUAL REPORT 2023-02-01
ANNUAL REPORT 2022-01-31
ANNUAL REPORT 2021-01-27
ANNUAL REPORT 2020-01-23
ANNUAL REPORT 2019-02-14
ANNUAL REPORT 2018-01-12
ANNUAL REPORT 2017-01-09
ANNUAL REPORT 2016-03-09
ANNUAL REPORT 2015-01-21

Related by officers

No related officers

Related by address

135 San Lorenzo Ave., Coral Gables, FL, 33146, US

FITNESS INNOVATIONS LLC ALAYON CORAL WAY PROPERTY, LLC NEPTUNO CORP. II MANUEL GARCIA-FRANGIE, MD, PA NEPTUNO CORP. III

135 San Lorenzo Ave., Coral Gables, FL, 33146, US

FITNESS INNOVATIONS LLC ALAYON CORAL WAY PROPERTY, LLC NEPTUNO CORP. II MANUEL GARCIA-FRANGIE, MD, PA NEPTUNO CORP. III

Date of last update: 02 Feb 2025

Sources: Florida Department of State

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