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  5. HERMAN R. MATALLANA, D.O., P.A.

HERMAN R. MATALLANA, D.O., P.A.

Company Details

Entity Name: HERMAN R. MATALLANA, D.O., P.A.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Active
Date Filed: 07 Jun 2002 (23 years ago)
Document Number: P02000063225
FEI/EIN Number 731646412
Address: 5420 STRICKLAND AVE., LAKELAND, FL, 33812
Mail Address: 5420 STRICKLAND AVE., LAKELAND, FL, 33812
ZIP code: 33812
County: Polk
Place of Formation: FLORIDA

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
HERMAN R. MATALLANA, D.O., P.A. 401(K) PROFIT SHARING PLAN 2023 731646412 2024-10-14 HERMAN R. MATALLANA, D.O., P.A. 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2020-01-01
Business code 621111
Sponsor’s telephone number 8632255624
Plan sponsor’s address 5420 STRICKLAND AVE., LAKELAND, FL, 33812

Signature of
Role Plan administrator
Date 2024-10-14
Name of individual signing LUIS GALEANO
Valid signature Filed with authorized/valid electronic signature
HERMAN R. MATALLANA, D.O., P.A. CASH BALANCE PLAN 2023 731646412 2024-10-08 HERMAN R. MATALLANA, D.O., P.A. 7
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2020-01-01
Business code 621111
Sponsor’s telephone number 8632255624
Plan sponsor’s address 5420 STRICKLAND AVE., LAKELAND, FL, 33812

Signature of
Role Plan administrator
Date 2024-10-08
Name of individual signing LUIS GALEANO
Valid signature Filed with authorized/valid electronic signature
HERMAN R. MATALLANA, D.O., P.A. CASH BALANCE PLAN 2022 731646412 2023-10-12 HERMAN R. MATALLANA, D.O., P.A. 8
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2020-01-01
Business code 621111
Sponsor’s telephone number 8632255624
Plan sponsor’s address 5420 STRICKLAND AVE., LAKELAND, FL, 33812

Signature of
Role Plan administrator
Date 2023-10-12
Name of individual signing LUIS GALEANO
Valid signature Filed with authorized/valid electronic signature
HERMAN R. MATALLANA, D.O., P.A. 401(K) PROFIT SHARING PLAN 2022 731646412 2023-08-01 HERMAN R. MATALLANA, D.O., P.A. 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2020-01-01
Business code 621111
Sponsor’s telephone number 8632255624
Plan sponsor’s address 5420 STRICKLAND AVE., LAKELAND, FL, 33812
HERMAN R. MATALLANA, D.O., P.A. CASH BALANCE PLAN 2021 731646412 2022-10-05 HERMAN R. MATALLANA, D.O., P.A. 7
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2020-01-01
Business code 621111
Sponsor’s telephone number 8632255624
Plan sponsor’s address 5420 STRICKLAND AVE., LAKELAND, FL, 33812
HERMAN R. MATALLANA, D.O., P.A. 401(K) PROFIT SHARING PLAN 2021 731646412 2022-06-30 HERMAN R. MATALLANA, D.O., P.A. 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2020-01-01
Business code 621111
Sponsor’s telephone number 8632255624
Plan sponsor’s address 5420 STRICKLAND AVE., LAKELAND, FL, 33812

Signature of
Role Plan administrator
Date 2022-06-30
Name of individual signing LUIS GALEANO
Valid signature Filed with authorized/valid electronic signature
HERMAN R. MATALLANA, D.O., P.A. 401(K) PROFIT SHARING PLAN 2020 731646412 2021-07-22 HERMAN R. MATALLANA, D.O., P.A. 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2020-01-01
Business code 621111
Sponsor’s telephone number 8632255624
Plan sponsor’s address 5420 STRICKLAND AVE., LAKELAND, FL, 33812

Agent

Name Role Address
MATALLANA HERMAN R Agent 5420 STRICKLAND AVE, LAKELAND, FL, 33812

President

Name Role Address
MATALLANA HERMAN R President 5420 STRICKLAND AVE., LAKELAND, FL, 33812

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G18000103184 FAMILY CARE EAR, NOSE, THROAT & RECONSTRUCTIVE SURGERY ACTIVE 2018-09-19 2028-12-31 No data 5420 STRICKLAND AVE, LAKELAND, FL, 33812

Related by officers

No related officers

Related by address

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Date of last update: 02 Jan 2025

Sources: Florida Department of State

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