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  5. AMERICAN HEART INSTITUTE INC

AMERICAN HEART INSTITUTE INC

Company Details

Entity Name: AMERICAN HEART INSTITUTE INC
Jurisdiction: FLORIDA
Filing Type: Florida Profit Corporation
Status: Inactive
Date Filed: 31 May 2002 (23 years ago)
Date of dissolution: 23 Sep 2016 (8 years ago)
Last Event: ADMIN DISSOLUTION FOR ANNUAL REPORT
Event Date Filed: 23 Sep 2016 (8 years ago)
Document Number: P02000060168
FEI/EIN Number 38-3651808
Address: 37914 DAUGHTERY RD, ZEPHYRHILLS, FL 33541
Mail Address: 37914 DAUGHTERY RD, ZEPHYRHILLS, FL 33541
ZIP code: 33541
County: Pasco
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1679536270 2006-04-07 2008-02-15 37914 DAUGHTERY RD, ZEPHYRHILLS, FL, 335411316, US 37914 DAUGHTERY RD, ZEPHYRHILLS, FL, 335411316, US

Contacts
Phone +1 813-780-9900
Fax 8137809901

Authorized person
Name DR. WALI U KHAN
Role PHYSICIAN/OWNER
Phone 8137809900

Taxonomy
Taxonomy Code 207RC0000X - Cardiovascular Disease Physician
State FL
Is Primary Yes

Other Provider Identifiers
Issuer RAILROAD MEDICARE
Number DB8192
State FL

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
AMERICAN HEART INSTITUTE, INC. 401(K) PROFIT 2016 383651808 2017-12-20 AMERICAN HEART INSTITUTE. INC. 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-01-01
Business code 621111
Sponsor’s telephone number 8137809900
Plan sponsor’s address 37914 DAUGHTERY ROAD, ZEPHYRHILLS, FL, 335411316

Signature of
Role Plan administrator
Date 2017-12-20
Name of individual signing WALI U. KHAN, M.D.
Valid signature Filed with authorized/valid electronic signature
AMERICAN HEART INSTITUTE, INC. PENSION PLAN 2016 383651808 2017-11-16 AMERICAN HEART INSTITUTE. INC. 1
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2006-01-01
Business code 621111
Sponsor’s telephone number 8137809900
Plan sponsor’s address 37914 DAUGHTERY ROAD, ZEPHYRHILLS, FL, 335411316
AMERICAN HEART INSTITUTE, INC. 401(K) PROFIT SHARING PLAN 2016 383651808 2017-08-13 AMERICAN HEART INSTITUTE. INC. 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-01-01
Business code 621111
Sponsor’s telephone number 8137809900
Plan sponsor’s address 37914 DAUGHTERY ROAD, ZEPHYRHILLS, FL, 335411316

Signature of
Role Plan administrator
Date 2017-08-13
Name of individual signing WALI U. KHAN, M.D.
Valid signature Filed with authorized/valid electronic signature
AMERICAN HEART INSTITUTE, INC. PENSION PLAN 2015 383651808 2016-07-28 AMERICAN HEART INSTITUTE. INC. 5
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2006-01-01
Business code 621111
Sponsor’s telephone number 8137809900
Plan sponsor’s address 37914 DAUGHTERY ROAD, ZEPHYRHILLS, FL, 335411316

Signature of
Role Plan administrator
Date 2016-07-28
Name of individual signing WALI U. KHAN, M.D.
Valid signature Filed with authorized/valid electronic signature
AMERICAN HEART INSTITUTE, INC. 401(K) PROFIT SHARING PLAN 2015 383651808 2016-07-14 AMERICAN HEART INSTITUTE. INC. 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-01-01
Business code 621111
Sponsor’s telephone number 8137809900
Plan sponsor’s address 37914 DAUGHTERY ROAD, ZEPHYRHILLS, FL, 335411316

Signature of
Role Plan administrator
Date 2016-07-14
Name of individual signing WALI U. KHAN, M.D.
Valid signature Filed with authorized/valid electronic signature
AMERICAN HEART INSTITUTE, INC. 401(K) PROFIT SHARING PLAN 2014 383651808 2015-10-12 AMERICAN HEART INSTITUTE. INC. 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-01-01
Business code 621111
Sponsor’s telephone number 8137809900
Plan sponsor’s address 37914 DAUGHTERY ROAD, ZEPHYRHILLS, FL, 335411316

Signature of
Role Plan administrator
Date 2015-10-12
Name of individual signing WALI U. KHAN, M.D.
Valid signature Filed with authorized/valid electronic signature
AMERICAN HEART INSTITUTE, INC. PENSION PLAN 2014 383651808 2015-10-05 AMERICAN HEART INSTITUTE. INC. 5
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2006-01-01
Business code 621111
Sponsor’s telephone number 8137809900
Plan sponsor’s address 37914 DAUGHTERY ROAD, ZEPHYRHILLS, FL, 335411316

Signature of
Role Plan administrator
Date 2015-10-05
Name of individual signing WALI U. KHAN, M.D.
Valid signature Filed with authorized/valid electronic signature
AMERICAN HEART INSTITUTE, INC. 401(K) PROFIT SHARING PLAN 2013 383651808 2014-09-19 AMERICAN HEART INSTITUTE. INC. 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-01-01
Business code 621111
Sponsor’s telephone number 8137809900
Plan sponsor’s address 37914 DAUGHTERY ROAD, ZEPHYRHILLS, FL, 335411316

Signature of
Role Plan administrator
Date 2014-09-19
Name of individual signing WALI U. KHAN, M.D.
Valid signature Filed with authorized/valid electronic signature
AMERICAN HEART INSTITUTE, INC. PENSION PLAN 2013 383651808 2014-07-30 AMERICAN HEART INSTITUTE. INC. 5
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2006-01-01
Business code 621111
Sponsor’s telephone number 8137809900
Plan sponsor’s address 37914 DAUGHTERY ROAD, ZEPHYRHILLS, FL, 335411316

Signature of
Role Plan administrator
Date 2014-07-30
Name of individual signing WALI U. KHAN, M.D.
Valid signature Filed with authorized/valid electronic signature
AMERICAN HEART INSTITUTE, INC. 401(K) PROFIT SHARING PLAN 2012 383651808 2013-10-02 AMERICAN HEART INSTITUTE. INC. 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-01-01
Business code 621111
Sponsor’s telephone number 8137809900
Plan sponsor’s address 37914 DAUGHTERY ROAD, ZEPHYRHILLS, FL, 335411316

Signature of
Role Plan administrator
Date 2013-10-02
Name of individual signing WALI U. KHAN, M.D.
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
KHAN, WALI U Agent 11310 GRANDVIEW DR, DADE CITY, FL 33525

President

Name Role Address
KHAN, WALI U President 11310 GRANDVIEW DR, DADE CITY, FL 33525

Secretary

Name Role Address
KHAN, WALI U Secretary 11310 GRANDVIEW DR, DADE CITY, FL 33525

Treasurer

Name Role Address
KHAN, WALI U Treasurer 11310 GRANDVIEW DR, DADE CITY, FL 33525

Director

Name Role Address
KHAN, WALI U Director 11310 GRANDVIEW DR, DADE CITY, FL 33525

Events

Event Type Filed Date Value Description
ADMIN DISSOLUTION FOR ANNUAL REPORT 2016-09-23 No data No data
CHANGE OF PRINCIPAL ADDRESS 2012-01-05 37914 DAUGHTERY RD, ZEPHYRHILLS, FL 33541 No data
CHANGE OF MAILING ADDRESS 2012-01-05 37914 DAUGHTERY RD, ZEPHYRHILLS, FL 33541 No data
CANCEL ADM DISS/REV 2010-03-10 No data No data
ADMIN DISSOLUTION FOR ANNUAL REPORT 2009-09-25 No data No data

Documents

Name Date
ANNUAL REPORT 2015-01-15
ANNUAL REPORT 2014-01-10
ANNUAL REPORT 2013-01-28
ANNUAL REPORT 2012-01-05
ANNUAL REPORT 2011-04-20
REINSTATEMENT 2010-03-10
ANNUAL REPORT 2008-02-04
ANNUAL REPORT 2007-01-19
ANNUAL REPORT 2006-03-31
ANNUAL REPORT 2005-02-25

Related by officers

KHAN, WALI U

SAFDAR & KHAN, LLC F.H.K. PROPERTIES, LLC QUALITY URGENT CARE,LLC ZEPHYRHILLS PROFESSIONAL CENTER LLC ZEPHYRHILLS PROFESSIONAL CENTER PROPERTY OWNERS' ASSOCIATION, INC. FHK OF PASCO, LLC ZEPHYRHILLS PROPERTIES,LLC TNS OF FLORIDA, LLC

Related by address

No related companies by address

Date of last update: 31 Jan 2025

Sources: Florida Department of State

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