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  5. NICHOLAS G. BAGNOLI, D.O., P.A.

NICHOLAS G. BAGNOLI, D.O., P.A.

Company Details

Entity Name: NICHOLAS G. BAGNOLI, D.O., P.A.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Active
Date Filed: 31 Dec 2002 (22 years ago)
Document Number: P03000000232
FEI/EIN Number 134234175
Address: 3869 WINDERLAKES DRIVE, ORLANDO, FL, 32835, US
Mail Address: 3869 WINDERLAKES DRIVE, ORLANDO, FL, 32835, US
ZIP code: 32835
County: Orange
Place of Formation: FLORIDA

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
NICHOLAS G. BAGNOLI, DO, PA 401(K) TRUST 2014 134234175 2015-09-16 NICHOLAS G. BAGNOLI, D.O., P.A. 2
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-01-01
Business code 621111
Sponsor’s telephone number 4072939998
Plan sponsor’s address 3869 WINDERLAKES DRIVE, ORLANDO, FL, 328352625
NICHOLAS G. BAGNOLI, DO, PA 401(K) TRUST 2013 134234175 2014-09-17 NICHOLAS G. BAGNOLI, D.O., P.A. 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-01-01
Business code 621111
Sponsor’s telephone number 4072939998
Plan sponsor’s address 3869 WINDERLAKES DRIVE, ORLANDO, FL, 328352625
NICHOLAS G. BAGNOLI, DO, PA 401(K) TRUST 2012 134234175 2013-06-27 NICHOLAS G. BAGNOLI, D.O., P.A. 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-01-01
Business code 621111
Sponsor’s telephone number 4072939998
Plan sponsor’s address 3869 WINDERLAKES DRIVE, ORLANDO, FL, 328352625

Signature of
Role Plan administrator
Date 2013-06-27
Name of individual signing NICHOLAS G. BAGNOLI
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2013-06-27
Name of individual signing NICHOLAS G. BAGNOLI
Valid signature Filed with authorized/valid electronic signature
NICHOLAS G. BAGNOLI, DO, PA 401(K) TRUST 2011 134234175 2012-06-29 NICHOLAS G. BAGNOLI, D.O., P.A. 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-01-01
Business code 621111
Sponsor’s telephone number 4072939998
Plan sponsor’s address 3869 WINDERLAKES DRIVE, ORLANDO, FL, 328352625

Plan administrator’s name and address
Administrator’s EIN 134234175
Plan administrator’s name NICHOLAS G. BAGNOLI, D.O., P.A.
Plan administrator’s address 3869 WINDERLAKES DRIVE, ORLANDO, FL, 328352625
Administrator’s telephone number 4072939998

Signature of
Role Plan administrator
Date 2012-06-29
Name of individual signing NICHOLAS G. BAGNOLI
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2012-06-29
Name of individual signing NICHOLAS G. BAGNOLI
Valid signature Filed with authorized/valid electronic signature
NICHOLAS G. BAGNOLI, DO, PA 401(K) TRUST 2010 134234175 2011-06-03 NICHOLAS G. BAGNOLI, D.O., P.A. 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-01-01
Business code 621111
Sponsor’s telephone number 4072939998
Plan sponsor’s address 3869 WINDERLAKES DRIVE, ORLANDO, FL, 328352625

Plan administrator’s name and address
Administrator’s EIN 134234175
Plan administrator’s name NICHOLAS G. BAGNOLI, D.O., P.A.
Plan administrator’s address 3869 WINDERLAKES DRIVE, ORLANDO, FL, 328352625
Administrator’s telephone number 4072939998

Signature of
Role Plan administrator
Date 2011-06-03
Name of individual signing NICHOLAS G. BAGNOLI
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2011-06-03
Name of individual signing NICHOLAS G. BAGNOLI
Valid signature Filed with authorized/valid electronic signature
NICHOLAS G. BAGNOLI, DO, PA 401(K) TRUST 2009 134234175 2010-08-26 NICHOLAS G. BAGNOLI, D.O., P.A. 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-01-01
Business code 621111
Sponsor’s telephone number 4072939998
Plan sponsor’s address 3869 WINDERLAKES DRIVE, ORLANDO, FL, 328352625

Plan administrator’s name and address
Administrator’s EIN 134234175
Plan administrator’s name NICHOLAS G. BAGNOLI, D.O., P.A.
Plan administrator’s address 3869 WINDERLAKES DRIVE, ORLANDO, FL, 328352625
Administrator’s telephone number 4072939998

Signature of
Role Plan administrator
Date 2010-08-26
Name of individual signing NICHOLAS BAGNOLI
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2010-08-26
Name of individual signing NICHOLAS BAGNOLI
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
DAVID R RAMOS, CPA Agent 4215 OLD HIGHWAY 37, LAKELAND, FL, 33813

President

Name Role Address
BAGNOLI NICHOLAS G President 3869 WINDERLAKES DRIVE, ORLANDO, FL, 32835

Vice President

Name Role Address
BAGNOLI NICHOLAS G Vice President 3869 WINDERLAKES DRIVE, ORLANDO, FL, 32835

Director

Name Role Address
BAGNOLI NICHOLAS G Director 3869 WINDERLAKES DRIVE, ORLANDO, FL, 32835
BAGNOLI LAURA M Director 3869 WINDERLAKES DR., ORLANDO, FL, 32835

Treasurer

Name Role Address
BAGNOLI LAURA M Treasurer 3869 WINDERLAKES DR., ORLANDO, FL, 32835

Events

Event Type Filed Date Value Description
REGISTERED AGENT NAME CHANGED 2014-04-17 DAVID R RAMOS, CPA No data
REGISTERED AGENT ADDRESS CHANGED 2014-04-17 4215 OLD HIGHWAY 37, LAKELAND, FL 33813 No data

Documents

Name Date
ANNUAL REPORT 2025-01-27
ANNUAL REPORT 2024-02-16
ANNUAL REPORT 2023-03-01
ANNUAL REPORT 2022-03-10
ANNUAL REPORT 2021-04-26
ANNUAL REPORT 2020-01-27
ANNUAL REPORT 2019-01-10
ANNUAL REPORT 2018-01-26
ANNUAL REPORT 2017-02-14
ANNUAL REPORT 2016-02-05

Related by officers

DAVID R RAMOS, CPA

AUDWIN B. NELSON, M.D., P.A.

Related by address

No related companies by address

Date of last update: 01 Feb 2025

Sources: Florida Department of State

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