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ANTONIO BELTRAN, M.D., P.A.

Company Details

Entity Name: ANTONIO BELTRAN, M.D., P.A.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Active
Date Filed: 13 Oct 2000 (24 years ago)
Last Event: REINSTATEMENT
Event Date Filed: 18 Sep 2007 (17 years ago)
Document Number: P00000096803
FEI/EIN Number 651044690
Address: 8044 woodslanding trail, west palm beach, FL, 33411, US
Mail Address: 8044 woodslanding, west palm beach, FL, 33411, US
ZIP code: 33411
County: Palm Beach
Place of Formation: FLORIDA

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
ANTONIO BELTRAN, M.D., P.A. 401(K) PROFIT SHARING PLAN 2013 651044690 2014-04-02 ANTONIO BELTRAN, M.D., P.A. 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-01-01
Business code 621111
Sponsor’s telephone number 7728726120
Plan sponsor’s address 2220 S. E. OCEAN BLVD., SUITE 203, STUART, FL, 34996

Signature of

Role Plan administrator
Date 2014-04-02
Name of individual signing ANTONIO BELTRAN, M.D.
Valid signature Filed with authorized/valid electronic signature
ANTONIO BELTRAN, M.D., P.A. 401(K) PROFIT SHARING PLAN 2012 651044690 2013-08-27 ANTONIO BELTRAN, M.D., P.A. 12
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-01-01
Business code 621111
Sponsor’s telephone number 7728726120
Plan sponsor’s address 2220 S. E. OCEAN BLVD., SUITE 203, STUART, FL, 34996

Signature of

Role Plan administrator
Date 2013-08-27
Name of individual signing ANTONIO BELTRAN, M.D.
Valid signature Filed with authorized/valid electronic signature
ANTONIO BELTRAN, M.D., P.A. 401(K) PROFIT SHARING PLAN 2012 651044690 2013-06-07 ANTONIO BELTRAN, M.D., P.A. 12
Three-digit plan number (PN) 001
Effective date of plan 2002-01-01
Business code 621111
Sponsor’s telephone number 7728726120
Plan sponsor’s address 2220 S. E. OCEAN BLVD., SUITE 203, STUART, FL, 34996

Signature of

Role Plan administrator
Date 2013-06-07
Name of individual signing ANTONIO BELTRAN, M.D.
Valid signature Filed with authorized/valid electronic signature
ANTONIO BELTRAN, M.D., P.A. 401(K) PROFIT SHARING PLAN 2011 651044690 2012-06-05 ANTONIO BELTRAN, M.D., P.A. 12
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-01-01
Business code 621111
Sponsor’s telephone number 7728726120
Plan sponsor’s address 2220 S. E. OCEAN BLVD., SUITE 203, STUART, FL, 34996

Plan administrator’s name and address

Administrator’s EIN 651044690
Plan administrator’s name ANTONIO BELTRAN, M.D., P.A.
Plan administrator’s address 2220 S. E. OCEAN BLVD., SUITE 203, STUART, FL, 34996
Administrator’s telephone number 7728726120

Signature of

Role Plan administrator
Date 2012-06-05
Name of individual signing ANTONIO BELTRAN, M.D.
Valid signature Filed with authorized/valid electronic signature
ANTONIO BELTRAN, M.D., P.A. 401(K) PROFIT SHARING PLAN 2010 651044690 2011-07-22 ANTONIO BELTRAN, M.D., P.A. 12
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-01-01
Business code 621111
Sponsor’s telephone number 7728726120
Plan sponsor’s address 2220 S. E. OCEAN BLVD., SUITE 203, STUART, FL, 34996

Plan administrator’s name and address

Administrator’s EIN 651044690
Plan administrator’s name ANTONIO BELTRAN, M.D., P.A.
Plan administrator’s address 2220 S. E. OCEAN BLVD., SUITE 203, STUART, FL, 34996
Administrator’s telephone number 7728726120

Signature of

Role Plan administrator
Date 2011-07-22
Name of individual signing ANTONIO BELTRAN, M.D.
Valid signature Filed with authorized/valid electronic signature
ANTONIO BELTRAN, M.D., P.A. 401(K) PROFIT SHARING PLAN 2009 651044690 2010-07-15 ANTONIO BELTRAN, M.D., P.A. 12
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-01-01
Business code 621111
Sponsor’s telephone number 7728726120
Plan sponsor’s address 2220 S. E. OCEAN BLVD., SUITE 203, STUART, FL, 34996

Plan administrator’s name and address

Administrator’s EIN 651044690
Plan administrator’s name ANTONIO BELTRAN, M.D., P.A.
Plan administrator’s address 2220 S. E. OCEAN BLVD., SUITE 203, STUART, FL, 34996
Administrator’s telephone number 7728726120

Signature of

Role Plan administrator
Date 2010-07-15
Name of individual signing ANTONIO BELTRAN, M.D.
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
BELTRAN ANTONIO Agent 8044 woodslanding trail, west palm beach, FL, 33411

President

Name Role Address
BELTRAN ANTONIO President 8044 woodslanding, west palm beach, FL, 33411

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2023-01-07 8044 woodslanding trail, west palm beach, FL 33411 No data
CHANGE OF MAILING ADDRESS 2023-01-07 8044 woodslanding trail, west palm beach, FL 33411 No data
REGISTERED AGENT ADDRESS CHANGED 2023-01-07 8044 woodslanding trail, west palm beach, FL 33411 No data
REINSTATEMENT 2007-09-18 No data No data
ADMIN DISSOLUTION FOR ANNUAL REPORT 2007-09-14 No data No data

Documents

Name Date
ANNUAL REPORT 2024-04-04
ANNUAL REPORT 2023-01-07
ANNUAL REPORT 2022-05-01
ANNUAL REPORT 2021-04-10
ANNUAL REPORT 2020-01-19
ANNUAL REPORT 2019-05-19
ANNUAL REPORT 2018-02-26
ANNUAL REPORT 2017-04-22
ANNUAL REPORT 2016-08-30
ANNUAL REPORT 2015-01-26

Date of last update: 01 Feb 2025

Sources: Florida Department of State