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  5. JORGE R. GUZMAN, M.D., P.A.

JORGE R. GUZMAN, M.D., P.A.

Company Details

Entity Name: JORGE R. GUZMAN, M.D., P.A.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Inactive
Date Filed: 31 Jul 2000 (25 years ago)
Date of dissolution: 25 Sep 2015 (9 years ago)
Last Event: ADMIN DISSOLUTION FOR ANNUAL REPORT
Event Date Filed: 25 Sep 2015 (9 years ago)
Document Number: P00000072698
FEI/EIN Number 651027528
Address: 3501 HEALTH CENTER BLVD STE 2160, BONITA SPRINGS, FL, 34135
Mail Address: ERA FINANCIAL GROUP LLC, 20424 Larino Loop, Estero, FL, 33928, US
ZIP code: 34135
County: Lee
Place of Formation: FLORIDA

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
JORGE R. GUZMAN, M.D., P.A. 401(K) PROFIT SHARING PLAN 2013 651027528 2014-03-20 JORGE R. GUZMAN, M.D., P.A. 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-01-01
Business code 621111
Sponsor’s telephone number 2394053525
Plan sponsor’s address 3501 HEALTH CENTER BLVD., #2160, BONITA SPRINGS, FL, 34135

Signature of
Role Plan administrator
Date 2014-03-20
Name of individual signing JORGE R GUZMAN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2014-03-20
Name of individual signing JORGE R GUZMAN
Valid signature Filed with authorized/valid electronic signature
JORGE R. GUZMAN, M.D., P.A. 401(K) PROFIT SHARING PLAN 2012 651027528 2013-05-29 JORGE R. GUZMAN, M.D., P.A. 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-01-01
Business code 621111
Sponsor’s telephone number 2394053525
Plan sponsor’s address 3501 HEALTH CENTER BLVD., #2160, BONITA SPRINGS, FL, 34135

Signature of
Role Plan administrator
Date 2013-05-28
Name of individual signing JORGE GUZMAN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2013-05-28
Name of individual signing JORGE GUZMAN
Valid signature Filed with authorized/valid electronic signature
JORGE R. GUZMAN, M.D., P.A. 401(K) PROFIT SHARING PLAN 2011 651027528 2012-06-13 JORGE R. GUZMAN, M.D., P.A. 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-01-01
Business code 621111
Sponsor’s telephone number 2399484470
Plan sponsor’s address 3501 HEALTH CENTER BOULEVARD, BONITA SPRINGS, FL, 34135

Plan administrator’s name and address
Administrator’s EIN 651027528
Plan administrator’s name JORGE R. GUZMAN, M.D., P.A.
Plan administrator’s address 3501 HEALTH CENTER BOULEVARD, BONITA SPRINGS, FL, 34135
Administrator’s telephone number 2399484470

Signature of
Role Plan administrator
Date 2012-06-13
Name of individual signing JORGE GUZMAN
Valid signature Filed with authorized/valid electronic signature
JORGE R. GUZMAN, M.D., P.A. 401(K) PROFIT SHARING PLAN 2010 651027528 2011-06-15 JORGE R. GUZMAN, M.D., P.A. 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-01-01
Business code 621111
Sponsor’s telephone number 2399484470
Plan sponsor’s address 3501 HEALTH CENTER BOULEVARD, BONITA SPRINGS, FL, 34135

Plan administrator’s name and address
Administrator’s EIN 651027528
Plan administrator’s name JORGE R. GUZMAN, M.D., P.A.
Plan administrator’s address 3501 HEALTH CENTER BOULEVARD, BONITA SPRINGS, FL, 34135
Administrator’s telephone number 2399484470

Signature of
Role Plan administrator
Date 2011-06-15
Name of individual signing JORGE GUZMAN
Valid signature Filed with authorized/valid electronic signature
JORGE R. GUZMAN, M.D., P.A. 401(K) PROFIT SHARING PLAN 2009 651027528 2010-08-13 JORGE R. GUZMAN, M.D., P.A. 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-01-01
Business code 621111
Sponsor’s telephone number 2399484470
Plan sponsor’s address 3501 HEALTH CENTER BOULEVARD, BONITA SPRINGS, FL, 34135

Plan administrator’s name and address
Administrator’s EIN 651027528
Plan administrator’s name JORGE R. GUZMAN, M.D., P.A.
Plan administrator’s address 3501 HEALTH CENTER BOULEVARD, BONITA SPRINGS, FL, 34135
Administrator’s telephone number 2399484470

Signature of
Role Plan administrator
Date 2010-08-13
Name of individual signing DR. JORGE R. GUZMAN
Valid signature Filed with authorized/valid electronic signature
JORGE R. GUZMAN, M.D., P.A. 401(K) PROFIT SHARING PLAN 2009 651027528 2010-08-03 JORGE R. GUZMAN, M.D., P.A. 5
Three-digit plan number (PN) 001
Effective date of plan 2005-01-01
Business code 621111
Sponsor’s telephone number 2399484470
Plan sponsor’s address 3501 HEALTH CENTER BOULEVARD, BONITA SPRINGS, FL, 34135

Plan administrator’s name and address
Administrator’s EIN 651027528
Plan administrator’s name JORGE R. GUZMAN, M.D., P.A.
Plan administrator’s address 3501 HEALTH CENTER BOULEVARD, BONITA SPRINGS, FL, 34135
Administrator’s telephone number 2399484470

Agent

Name Role Address
RALLI STEPHEN Agent ERA FINANCIAL GROUP LLC, Estero, FL, 33928

Director

Name Role Address
GUZMAN JORGE R Director 27257 ARROYAL RD, BONITA SPRINGS, FL, 34135
PEREZ NELLY M Director 27257 ARROYAL RD, BONITA SPRINGS, FL, 34135

Events

Event Type Filed Date Value Description
ADMIN DISSOLUTION FOR ANNUAL REPORT 2015-09-25 No data No data
CHANGE OF MAILING ADDRESS 2014-02-26 3501 HEALTH CENTER BLVD STE 2160, BONITA SPRINGS, FL 34135 No data
REGISTERED AGENT ADDRESS CHANGED 2014-02-26 ERA FINANCIAL GROUP LLC, 20424 Larino Loop, Estero, FL 33928 No data
REGISTERED AGENT NAME CHANGED 2010-03-08 RALLI, STEPHEN No data
CHANGE OF PRINCIPAL ADDRESS 2001-01-31 3501 HEALTH CENTER BLVD STE 2160, BONITA SPRINGS, FL 34135 No data

Documents

Name Date
ANNUAL REPORT 2014-02-26
ANNUAL REPORT 2013-02-25
ANNUAL REPORT 2012-02-07
ANNUAL REPORT 2011-03-07
Reg. Agent Change 2010-03-08
ANNUAL REPORT 2010-03-01
ANNUAL REPORT 2009-04-29
ANNUAL REPORT 2008-01-06
ANNUAL REPORT 2007-01-10
ANNUAL REPORT 2006-01-05

Related by officers

PEREZ NELLY M

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RALLI STEPHEN

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Related by address

No related companies by address

Date of last update: 02 Feb 2025

Sources: Florida Department of State

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