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WILLIAM J. MALLON, M.D., P.A.

Company Details

Entity Name: WILLIAM J. MALLON, M.D., P.A.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Active
Date Filed: 04 Oct 2002 (22 years ago)
Last Event: AMENDMENT
Event Date Filed: 21 Oct 2002 (22 years ago)
Document Number: P02000107821
FEI/EIN Number 113658625
Address: 3500 US HWY #1, VERO BEACH, FL, 32960-4511
Mail Address: 3500 US HWY #1, VERO BEACH, FL, 32960-4511
Place of Formation: FLORIDA

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
CENTER FOR ADVANCED EYE CARE INCENTIVE SAVINGS TRUST 2023 113658625 2024-09-18 WILLIAM J. MALLON, M.D., P.A. 80
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-01-01
Business code 621320
Sponsor’s telephone number 7722991404
Plan sponsor’s DBA name DBA CENTER FOR ADVANCED EYE CARE
Plan sponsor’s address 3500 U.S. HIGHWAY 1, VERO BEACH, FL, 32960

Signature of
Role Plan administrator
Date 2024-09-18
Name of individual signing JEANINE DOELLING
Valid signature Filed with authorized/valid electronic signature
CENTER FOR ADVANCED EYE CARE INCENTIVE SAVINGS TRUST 2022 113658625 2023-07-11 WILLIAM J. MALLON, M.D., P.A. 70
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-01-01
Business code 621320
Sponsor’s telephone number 7722991404
Plan sponsor’s DBA name DBA CENTER FOR ADVANCED EYE CARE
Plan sponsor’s address 3500 U.S. HIGHWAY 1, VERO BEACH, FL, 32960

Signature of
Role Plan administrator
Date 2023-07-11
Name of individual signing JEANINE DOELLING
Valid signature Filed with authorized/valid electronic signature
CENTER FOR ADVANCED EYE CARE INCENTIVE SAVINGS TRUST 2021 113658625 2022-08-05 WILLIAM J. MALLON, M.D., P.A. 66
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-01-01
Business code 621320
Sponsor’s telephone number 7722991404
Plan sponsor’s DBA name DBA CENTER FOR ADVANCED EYE CARE
Plan sponsor’s address 3500 U.S. HIGHWAY 1, VERO BEACH, FL, 32960
CENTER FOR ADVANCED EYE CARE INCENTIVE SAVINGS TRUST 2020 113658625 2021-08-19 WILLIAM J. MALLON, M.D., P.A. 61
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-01-01
Business code 621320
Sponsor’s telephone number 7722991404
Plan sponsor’s DBA name DBA CENTER FOR ADVANCED EYE CARE
Plan sponsor’s address 3500 U.S. HIGHWAY 1, VERO BEACH, FL, 32960
CENTER FOR ADVANCED EYE CARE INCENTIVE SAVINGS TRUST 2019 113658625 2020-07-23 WILLIAM J. MALLON, M.D., P.A. 55
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-01-01
Business code 621320
Sponsor’s telephone number 7722991404
Plan sponsor’s DBA name DBA CENTER FOR ADVANCED EYE CARE
Plan sponsor’s address 3500 U.S. HIGHWAY 1, VERO BEACH, FL, 32960
CENTER FOR ADVANCED EYE CARE INCENTIVE SAVINGS TRUST 2018 113658625 2019-07-29 WILLIAM J. MALLON, M.D., P.A. 53
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-01-01
Business code 621320
Sponsor’s telephone number 7722991404
Plan sponsor’s DBA name DBA CENTER FOR ADVANCED EYE CARE
Plan sponsor’s address 3500 U.S. HIGHWAY 1, VERO BEACH, FL, 32960

Signature of
Role Plan administrator
Date 2019-07-24
Name of individual signing CALEIGH HANSEN
Valid signature Filed with authorized/valid electronic signature
CENTER FOR ADVANCED EYE CARE INCENTIVE SAVINGS 2018 113658625 2020-02-24 WILLIAM J. MALLON, M.D., P.A. 52
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-01-01
Business code 621320
Sponsor’s telephone number 7722991404
Plan sponsor’s DBA name DBA CENTER FOR ADVANCED EYE CARE
Plan sponsor’s address 3500 U.S. HIGHWAY 1, VERO BEACH, FL, 32960

Signature of
Role Plan administrator
Date 2020-02-24
Name of individual signing CALEIGH HANSEN
Valid signature Filed with authorized/valid electronic signature
CENTER FOR ADVANCED EYE CARE INCENTIVE SAVINGS TRUST 2017 113658625 2018-06-27 WILLIAM J. MALLON, M.D., P.A. 49
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-01-01
Business code 621320
Sponsor’s telephone number 7722991404
Plan sponsor’s DBA name DBA CENTER FOR ADVANCED EYE CARE
Plan sponsor’s address 3500 U.S. HIGHWAY 1, VERO BEACH, FL, 32960

Signature of
Role Plan administrator
Date 2018-06-27
Name of individual signing CALEIGH HANSEN
Valid signature Filed with authorized/valid electronic signature
CENTER FOR ADVANCED EYE CARE INCENTIVE SAVINGS TRUST 2016 113658625 2017-05-18 WILLIAM J. MALLON, M.D., P.A. 44
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-01-01
Business code 621320
Sponsor’s telephone number 7722991404
Plan sponsor’s DBA name DBA CENTER FOR ADVANCED EYE CARE
Plan sponsor’s address 3500 U.S. HIGHWAY 1, VERO BEACH, FL, 32960

Signature of
Role Plan administrator
Date 2017-05-17
Name of individual signing CALEIGH HANSEN
Valid signature Filed with authorized/valid electronic signature
CENTER FOR ADVANCED EYE CARE INCENTIVE SAVINGS TRUST 2015 113658625 2016-03-14 WILLIAM J. MALLON, M.D., P.A. 34
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-01-01
Business code 621320
Sponsor’s telephone number 7722991404
Plan sponsor’s DBA name DBA CENTER FOR ADVANCED EYE CARE
Plan sponsor’s address 3500 U.S. HIGHWAY 1, VERO BEACH, FL, 32960

Signature of
Role Plan administrator
Date 2016-03-10
Name of individual signing CAROL FANNING
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
MALLON WILLIAM J Agent 3500 US HWY #1, VERO BEACH, FL, 329604511

Secretary

Name Role Address
MALLON WILLIAM J Secretary 145 RIVERWAY DRIVE, VERO BEACH, FL, 32963

Treasurer

Name Role Address
MALLON WILLIAM J Treasurer 145 RIVERWAY DRIVE, VERO BEACH, FL, 32963

Director

Name Role Address
MALLON WILLIAM J Director 145 RIVERWAY DRIVE, VERO BEACH, FL, 32963

President

Name Role Address
MALLON WILLIAM J President 145 RIVERWAY DRIVE, VERO BEACH, FL, 32963

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G14000097358 CENTER FOR ADVANCED EYE CARE ACTIVE 2014-09-24 2029-12-31 No data 3500 U.S. HIGHWAY 1, VERO BEACH, FL, 32960

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2025-01-24 3500 US HWY 1, VERO BEACH, FL 32960-4511 No data
CHANGE OF MAILING ADDRESS 2025-01-24 3500 US HWY 1, VERO BEACH, FL 32960-4511 No data
REGISTERED AGENT ADDRESS CHANGED 2025-01-24 3500 US HWY 1, VERO BEACH, FL 32960-4511 No data
REGISTERED AGENT NAME CHANGED 2009-04-02 MALLON, WILLIAM JM.D. No data
AMENDMENT 2002-10-21 No data No data

Documents

Name Date
ANNUAL REPORT 2025-01-24
ANNUAL REPORT 2024-02-05
ANNUAL REPORT 2023-01-27
ANNUAL REPORT 2022-01-15
ANNUAL REPORT 2021-02-11
ANNUAL REPORT 2020-02-13
ANNUAL REPORT 2019-02-27
ANNUAL REPORT 2018-03-20
ANNUAL REPORT 2017-06-30
ANNUAL REPORT 2016-03-28

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MALLON WILLIAM J

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Related by address

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Date of last update: 01 Feb 2025

Sources: Florida Department of State

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