| Entity Name: | SAHAR ABOUDAN PEDIATRICS, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Inactive |
| Date Filed: | 04 Feb 2003 (22 years ago) |
| Date of dissolution: | 06 Mar 2024 (a year ago) |
| Last Event: | VOLUNTARY DISSOLUTION |
| Event Date Filed: | 06 Mar 2024 (a year ago) |
| Document Number: | P03000016234 |
| FEI/EIN Number | 412077249 |
| Address: | 9905 OLD ST AUGUSTINE RD SUITE 103, JACKSONVILLE, FL, 32257 |
| Mail Address: | 9905 OLD ST AUGUSTINE RD SUITE 103, JACKSONVILLE, FL, 32257 |
| ZIP code: | 32257 |
| County: | Duval |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1205853140 | 2006-07-16 | 2020-08-22 | 9905 SAINT AUGUSTINE RD, SUITE103, JACKSONVILLE, FL, 322578982, US | 9905 SAINT AUGUSTINE RD, SUITE103, JACKSONVILLE, FL, 322578982, US | |||||||||||||||
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| Phone | +1 904-260-3609 |
| Fax | 9042603610 |
Authorized person
| Name | DR. SAHAR ABOUDAN |
| Role | PRESIDENT |
| Phone | 9042603609 |
Taxonomy
| Taxonomy Code | 261QP2300X - Primary Care Clinic/Center |
| Is Primary | Yes |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| SAHAR ABOUDAN PEDIATRICS 401K PLAN | 2011 | 412077249 | 2012-10-12 | SAHAR ABOUDAN PEDIATRICS, INC. | 2 | |||||||||||||||||||||||||||||||||
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| Administrator’s EIN | 412077249 |
| Plan administrator’s name | SAHAR ABOUDAN PEDIATRICS, INC. |
| Plan administrator’s address | 9905 OLD ST AUGUSTINE ROAD, JACKSONVILLE, FL, 32257 |
| Administrator’s telephone number | 9042603609 |
Signature of
| Role | Plan administrator |
| Date | 2012-10-12 |
| Name of individual signing | SAHAR ABOUDAN |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2006-01-01 |
| Business code | 621111 |
| Sponsor’s telephone number | 9042603609 |
| Plan sponsor’s address | 9905 OLD ST AUGUSTINE ROAD, JACKSONVILLE, FL, 32257 |
Plan administrator’s name and address
| Administrator’s EIN | 412077249 |
| Plan administrator’s name | SAHAR ABOUDAN PEDIATRICS, INC. |
| Plan administrator’s address | 9905 OLD ST AUGUSTINE ROAD, JACKSONVILLE, FL, 32257 |
| Administrator’s telephone number | 9042603609 |
Signature of
| Role | Plan administrator |
| Date | 2011-09-30 |
| Name of individual signing | SAHAR ABOUDAN |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2006-01-01 |
| Business code | 621111 |
| Sponsor’s telephone number | 9042603609 |
| Plan sponsor’s DBA name | SAHAR ABOUDAN |
| Plan sponsor’s address | 9905 OLD ST AUGUSTINE ROAD, JACKSONVILLE, FL, 32257 |
Plan administrator’s name and address
| Administrator’s EIN | 412077249 |
| Plan administrator’s name | SAHAR ABOUDAN PEDIATRICS, INC. |
| Plan administrator’s address | 9905 OLD ST AUGUSTINE ROAD, JACKSONVILLE, FL, 32257 |
| Administrator’s telephone number | 9042603609 |
Signature of
| Role | Plan administrator |
| Date | 2010-07-26 |
| Name of individual signing | SAHAR ABOUDAN |
| Valid signature | Filed with authorized/valid electronic signature |
| Name | Role | Address |
|---|---|---|
| ABOUDAN SAHAR | Agent | 2851 SCOTT MILL PL, JACKSONVILLE, FL, 322236633 |
| Name | Role | Address |
|---|---|---|
| ABOUDAN SAHAR | President | 2851 SCOTT MILL PL., JACKSONVILLE, FL, 322236633 |
| Name | Role | Address |
|---|---|---|
| ABOUDAN SAHAR | Director | 2851 SCOTT MILL PL., JACKSONVILLE, FL, 322236633 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| VOLUNTARY DISSOLUTION | 2024-03-06 | No data | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2018-01-19 | 2851 SCOTT MILL PL, JACKSONVILLE, FL 32223-6633 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2007-01-12 | 9905 OLD ST AUGUSTINE RD SUITE 103, JACKSONVILLE, FL 32257 | No data |
| CHANGE OF MAILING ADDRESS | 2007-01-12 | 9905 OLD ST AUGUSTINE RD SUITE 103, JACKSONVILLE, FL 32257 | No data |
| Name | Date |
|---|---|
| VOLUNTARY DISSOLUTION | 2024-03-06 |
| ANNUAL REPORT | 2023-03-27 |
| ANNUAL REPORT | 2022-04-11 |
| ANNUAL REPORT | 2021-04-08 |
| ANNUAL REPORT | 2020-03-25 |
| ANNUAL REPORT | 2019-02-10 |
| ANNUAL REPORT | 2018-01-19 |
| ANNUAL REPORT | 2017-01-31 |
| ANNUAL REPORT | 2016-03-29 |
| ANNUAL REPORT | 2015-01-14 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
