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  5. WILLY CHUA, M.D., P.A.

WILLY CHUA, M.D., P.A.

Company Details

Entity Name: WILLY CHUA, M.D., P.A.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Inactive
Date Filed: 29 Nov 2000 (24 years ago)
Date of dissolution: 25 Sep 2020 (4 years ago)
Last Event: ADMIN DISSOLUTION FOR ANNUAL REPORT
Event Date Filed: 25 Sep 2020 (4 years ago)
Document Number: P00000110526
FEI/EIN Number 651057801
Address: 78 SW 13TH AVE, suite 202, miami, FL, 33135, US
Mail Address: 11450 N BAYSHORE DR, MIAMI, FL, 33181-3214
ZIP code: 33135
County: Miami-Dade
Place of Formation: FLORIDA

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
WILLY CHUA, M.D., P.A. 401(K) RETIREMENT SAVINGS PLAN 2018 651057801 2019-07-09 WILLY CHUA, M.D., P.A. 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-01-01
Business code 621111
Sponsor’s telephone number 7862291336
Plan sponsor’s address 11450 BAYSHORE DRIVE, MIAMI, FL, 33181

Signature of
Role Plan administrator
Date 2019-07-09
Name of individual signing WILLY CHUA
Valid signature Filed with authorized/valid electronic signature
WILLY CHUA, M.D., P.A. 401(K) RETIREMENT SAVINGS PLAN 2017 651057801 2018-10-08 WILLY CHUA, M.D., P.A. 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-01-01
Business code 621111
Sponsor’s telephone number 7862291336
Plan sponsor’s address 11450 BAYSHORE DRIVE, MIAMI, FL, 33181

Signature of
Role Plan administrator
Date 2018-10-08
Name of individual signing WILLY CHUA
Valid signature Filed with authorized/valid electronic signature
WILLY CHUA, M.D., P.A. 401(K) RETIREMENT SAVINGS PLAN 2016 651057801 2017-08-25 WILLY CHUA, M.D., P.A. 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-01-01
Business code 621111
Sponsor’s telephone number 7862291336
Plan sponsor’s address 11450 BAYSHORE DRIVE, MIAMI, FL, 33181

Signature of
Role Plan administrator
Date 2017-08-25
Name of individual signing WILLY CHUA
Valid signature Filed with authorized/valid electronic signature
WILLY CHUA, M.D., P.A. 401(K) RETIREMENT SAVINGS PLAN 2015 651057801 2016-08-24 WILLY CHUA, M.D., P.A. 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-01-01
Business code 621111
Sponsor’s telephone number 7862291336
Plan sponsor’s address 11450 BAYSHORE DRIVE, MIAMI, FL, 33181

Signature of
Role Plan administrator
Date 2016-08-24
Name of individual signing WILLY CHUA
Valid signature Filed with authorized/valid electronic signature
WILLY CHUA, M.D., P.A. 401(K) RETIREMENT SAVINGS PLAN 2014 651057801 2015-08-30 WILLY CHUA, M.D., P.A. 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-01-01
Business code 621111
Sponsor’s telephone number 7862291336
Plan sponsor’s address 11450 BAYSHORE DRIVE, MIAMI, FL, 33181

Signature of
Role Plan administrator
Date 2015-08-30
Name of individual signing WILLY CHUA
Valid signature Filed with authorized/valid electronic signature
WILLY CHUA, M.D., P.A. 401(K) RETIREMENT SAVINGS PLAN 2013 651057801 2014-08-08 WILLY CHUA, M.D., P.A. 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-01-01
Business code 621111
Sponsor’s telephone number 7862291336
Plan sponsor’s address 11450 BAYSHORE DRIVE, MIAMI, FL, 33181

Signature of
Role Plan administrator
Date 2014-08-08
Name of individual signing WILLY CHUA
Valid signature Filed with authorized/valid electronic signature
WILLY CHUA, M.D., P.A. 401(K) RETIREMENT SAVINGS PLAN 2012 651057801 2013-04-21 WILLY CHUA, M.D., P.A. 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-01-01
Business code 621111
Sponsor’s telephone number 7862291336
Plan sponsor’s address 11450 BAYSHORE DRIVE, MIAMI, FL, 33181

Plan administrator’s name and address
Administrator’s EIN 651057801
Plan administrator’s name WILLY CHUA, M.D., P.A.
Plan administrator’s address 11450 BAYSHORE DRIVE, MIAMI, FL, 33181
Administrator’s telephone number 7862291336

Signature of
Role Plan administrator
Date 2013-04-21
Name of individual signing WILLY CHUA
Valid signature Filed with authorized/valid electronic signature
WILLY CHUA, M.D., P.A. 401(K) RETIREMENT SAVINGS PLAN 2011 651057801 2012-07-24 WILLY CHUA, M.D., P.A. 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-01-01
Business code 621111
Sponsor’s telephone number 7862291336
Plan sponsor’s address 11450 BAYSHORE DRIVE, MIAMI, FL, 33181

Plan administrator’s name and address
Administrator’s EIN 651057801
Plan administrator’s name WILLY CHUA, M.D., P.A.
Plan administrator’s address 11450 BAYSHORE DRIVE, MIAMI, FL, 33181
Administrator’s telephone number 7862291336

Signature of
Role Plan administrator
Date 2012-07-24
Name of individual signing WILLY CHUA
Valid signature Filed with authorized/valid electronic signature
WILLY CHUA, M.D., P.A. 401(K) RETIREMENT SAVINGS PLAN 2010 651057801 2011-03-08 WILLY CHUA, M.D., P.A. 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-01-01
Business code 621111
Sponsor’s telephone number 7862291336
Plan sponsor’s address 11450 BAYSHORE DRIVE, MIAMI, FL, 33181

Plan administrator’s name and address
Administrator’s EIN 651057801
Plan administrator’s name WILLY CHUA, M.D., P.A.
Plan administrator’s address 11450 BAYSHORE DRIVE, MIAMI, FL, 33181
Administrator’s telephone number 7862291336

Signature of
Role Plan administrator
Date 2011-03-08
Name of individual signing WILLY CHUA
Valid signature Filed with authorized/valid electronic signature
WILLY CHUA, M.D., P.A. 401(K) RETIREMENT SAVINGS PLAN 2009 651057801 2010-05-12 WILLY CHUA, M.D., P.A. 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-01-01
Business code 621111
Sponsor’s telephone number 7862291336
Plan sponsor’s address 11450 BAYSHORE DRIVE, MIAMI, FL, 33181

Plan administrator’s name and address
Administrator’s EIN 651057801
Plan administrator’s name WILLY CHUA, M.D., P.A.
Plan administrator’s address 11450 BAYSHORE DRIVE, MIAMI, FL, 33181
Administrator’s telephone number 7862291336

Signature of
Role Plan administrator
Date 2010-05-12
Name of individual signing WILLY CHUA, M.D.
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2010-05-12
Name of individual signing WILLY CHUA, M.D.
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
SANDBERG NEAL L Agent SIMON SCHINDLER & SANDBERG PA, MIAMI, FL, 33137

Director

Name Role Address
CHUA WILLY M Director 11450 N BAYSHORE DRIVE, MIAMI, FL, 331813214

Events

Event Type Filed Date Value Description
ADMIN DISSOLUTION FOR ANNUAL REPORT 2020-09-25 No data No data
CHANGE OF PRINCIPAL ADDRESS 2019-01-29 78 SW 13TH AVE, suite 202, miami, FL 33135 No data
CHANGE OF MAILING ADDRESS 2004-07-14 78 SW 13TH AVE, suite 202, miami, FL 33135 No data

Documents

Name Date
ANNUAL REPORT 2019-01-29
ANNUAL REPORT 2018-01-09
ANNUAL REPORT 2017-01-06
ANNUAL REPORT 2016-01-24
ANNUAL REPORT 2015-04-22
ANNUAL REPORT 2014-01-10
ANNUAL REPORT 2013-01-25
ANNUAL REPORT 2012-01-05
ANNUAL REPORT 2011-01-07
ANNUAL REPORT 2010-01-06

Related by officers

SANDBERG NEAL L

245, LLC THE COOPER ESTATE, INC. MAD ABOUT LOUISE, INC. SCHINDLER FAMILY FOUNDATION, INC. CLOUD BREAK HOLDINGS INC. BASIS POINTS HOLDINGS INC. BASIS POINTS UNLIMITED, INC. 250, L.L.C. I SUPPORT RECOVERY, INC. LODESTONE BANKING CONSULTANCY, INC.

Related by address

No related companies by address

Date of last update: 02 Feb 2025

Sources: Florida Department of State

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