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  5. BRAD D. SIMONS M.D., PH.D., P.A.

BRAD D. SIMONS M.D., PH.D., P.A.

Company Details

Entity Name: BRAD D. SIMONS M.D., PH.D., P.A.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Active
Date Filed: 16 Apr 2002 (23 years ago)
Last Event: CANCEL ADM DISS/REV
Event Date Filed: 17 Dec 2005 (19 years ago)
Document Number: P02000040871
FEI/EIN Number 030427888
Address: 2141 ALTERNATE A1A SOUTH, 210, JUPITER, FL, 33477
Mail Address: 2141 ALTERNATE A1A SOUTH, 210, JUPITER, FL, 33477
ZIP code: 33477
County: Palm Beach
Place of Formation: FLORIDA

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
BRAD D. SIMONS, M.D., PH.D., P.A. RETIREMENT PLAN & TRUST 2023 030427888 2024-09-30 BRAD D. SIMONS, M.D., PH.D., P.A. 32
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 621210
Sponsor’s telephone number 5616037259
Plan sponsor’s address 2141 ALTERNATE A1A S, #210, JUPITER, FL, 33477

Signature of
Role Plan administrator
Date 2024-09-30
Name of individual signing BRAD SIMONS
Valid signature Filed with authorized/valid electronic signature
BRAD D. SIMONS M.D., PH.D., P.A. CASH BALANCE PENSION PLAN 2023 030427888 2024-05-09 BRAD D. SIMONS M.D., PH.D., P.A. 9
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2021-01-01
Business code 621111
Sponsor’s telephone number 5616037259
Plan sponsor’s address 2141 ALTERNATE A1A SOUTH, SUITE 210, JUPITER, FL, 33477

Signature of
Role Plan administrator
Date 2024-05-09
Name of individual signing BRAD SIMONS
Valid signature Filed with authorized/valid electronic signature
BRAD D. SIMONS, M.D., PH.D., P.A. RETIREMENT PLAN & TRUST 2022 030427888 2023-09-07 BRAD D. SIMONS, M.D., PH.D., P.A. 21
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 621210
Sponsor’s telephone number 5616037259
Plan sponsor’s address 2141 ALTERNATE A1A SOUTH, STE 210, JUPITER, FL, 33477

Signature of
Role Plan administrator
Date 2023-09-07
Name of individual signing BRAD SIMONS
Valid signature Filed with authorized/valid electronic signature
BRAD D. SIMONS M.D., PH.D., P.A. CASH BALANCE PENSION PLAN 2022 030427888 2023-09-27 BRAD D. SIMONS M.D., PH.D., P.A. 8
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2021-01-01
Business code 621111
Sponsor’s telephone number 5616037259
Plan sponsor’s address 2141 ALTERNATE A1A SOUTH, SUITE 210, JUPITER, FL, 33477

Signature of
Role Plan administrator
Date 2023-09-27
Name of individual signing BRAD SIMONS
Valid signature Filed with authorized/valid electronic signature
BRAD D. SIMONS, M.D., PH.D., P.A. RETIREMENT PLAN & TRUST 2021 030427888 2022-10-03 BRAD D. SIMONS, M.D., PH.D., P.A. 22
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 621111
Sponsor’s telephone number 5616037259
Plan sponsor’s address 2141 ALTERNATE A1A SOUTH, STE 210, JUPITER, FL, 33477

Signature of
Role Plan administrator
Date 2022-10-03
Name of individual signing BRAD SIMONS
Valid signature Filed with authorized/valid electronic signature
BRAD D. SIMONS M.D., PH.D., P.A. CASH BALANCE PENSION PLAN 2021 030427888 2022-10-03 BRAD D. SIMONS M.D., PH.D., P.A. 7
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2021-01-01
Business code 621210
Sponsor’s telephone number 5616037259
Plan sponsor’s address 2141 ALTERNATE A1A SOUTH, SUITE 210, JUPITER, FL, 33477

Signature of
Role Plan administrator
Date 2022-10-03
Name of individual signing BRAD SIMONS
Valid signature Filed with authorized/valid electronic signature
BRAD D. SIMONS, M.D., PH.D., P.A. RETIREMENT PLAN & TRUST 2020 030427888 2021-03-19 BRAD D. SIMONS, M.D., PH.D., P.A. 28
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 621210
Sponsor’s telephone number 5167474100
Plan sponsor’s address 2141 ALTERNATE A1A SOUTH, STE 210, JUPITER, FL, 33477

Signature of
Role Plan administrator
Date 2021-03-19
Name of individual signing BRAD SIMONS
Valid signature Filed with authorized/valid electronic signature
BRAD D. SIMONS, M.D., PH.D., P.A. RETIREMENT PLAN & TRUST 2019 030427888 2020-06-14 BRAD D. SIMONS, M.D., PH.D., P.A. 11
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 621210
Sponsor’s telephone number 5167474100
Plan sponsor’s address 2141 ALTERNATE A1A SOUTH, STE 210, JUPITER, FL, 33477

Signature of
Role Plan administrator
Date 2020-06-14
Name of individual signing BRAD SIMONS
Valid signature Filed with authorized/valid electronic signature
BRAD D. SIMONS, M.D., PH.D., P.A. RETIREMENT PLAN & TRUST 2018 030427888 2019-09-04 BRAD D. SIMONS, M.D., PH.D., P.A. 18
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 621210
Sponsor’s telephone number 5167474100
Plan sponsor’s address 2141 ALTERNATE A1A SOUTH, STE 210, JUPITER, FL, 33477

Signature of
Role Plan administrator
Date 2019-09-04
Name of individual signing BRAD SIMONS
Valid signature Filed with authorized/valid electronic signature
BRAD D. SIMONS, M.D., PH.D., P.A. RETIREMENT PLAN & TRUST 2017 030427888 2018-09-29 BRAD D. SIMONS, M.D., PH.D., P.A. 17
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 621210
Sponsor’s telephone number 5167474100
Plan sponsor’s address 2141 ALTERNATE A1A SOUTH, STE 210, JUPITER, FL, 33477

Signature of
Role Plan administrator
Date 2018-09-29
Name of individual signing BRAD SIMONS
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
EVANS LESLIE R Agent 214 BRAZILIAN AVENUE, PALM BEACH, FL, 33480

Chief Executive Officer

Name Role Address
SIMONS BRAD D Chief Executive Officer 2141 ALTERNATE A1A SOUTH SUITE 210, JUPITER, FL, 33477

Events

Event Type Filed Date Value Description
CANCEL ADM DISS/REV 2005-12-17 No data No data
ADMIN DISSOLUTION FOR ANNUAL REPORT 2005-09-16 No data No data
CHANGE OF PRINCIPAL ADDRESS 2003-04-16 2141 ALTERNATE A1A SOUTH, 210, JUPITER, FL 33477 No data
CHANGE OF MAILING ADDRESS 2003-04-16 2141 ALTERNATE A1A SOUTH, 210, JUPITER, FL 33477 No data

Documents

Name Date
ANNUAL REPORT 2024-03-07
ANNUAL REPORT 2023-03-05
ANNUAL REPORT 2022-01-23
ANNUAL REPORT 2021-01-10
ANNUAL REPORT 2020-02-01
ANNUAL REPORT 2019-03-09
ANNUAL REPORT 2018-01-21
ANNUAL REPORT 2017-01-08
ANNUAL REPORT 2016-01-25
ANNUAL REPORT 2015-01-11

Related by officers

SIMONS BRAD D

JJABS, LLC

EVANS LESLIE R

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Related by address

No related companies by address

Date of last update: 01 Feb 2025

Sources: Florida Department of State

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