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  5. JOSE G. POLIAK, M.D., P.A.

JOSE G. POLIAK, M.D., P.A. - Florida Company Profile

Company Details

Entity Name: JOSE G. POLIAK, M.D., P.A.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit

JOSE G. POLIAK, M.D., P.A. is structured as a Domestic Profit Corporation, which, in Florida signifies a Profit Corporation (also known as a C-Corporation). This business structure is recognized as a separate legal entity from its owners. This offers shareholders the benefit of limited liability protection, safeguarding their personal assets from the corporation's debts and obligations, and facilitates raising capital through the issuance of stock. In Florida, Domestic Profit Corporations are governed by Title XXXVI, Chapter 607, Florida Statutes – Florida Business Corporation Act.
Status: Inactive

The business entity is inactive. This status may signal operational issues or voluntary closure, raising concerns about the business's ability to repay loans and requiring careful risk assessment by lenders.

Date Filed: 11 Jun 2003 (22 years ago)
Date of dissolution: 25 Sep 2015 (9 years ago)
Last Event: ADMIN DISSOLUTION FOR ANNUAL REPORT
Event Date Filed: 25 Sep 2015 (9 years ago)
Document Number: P03000064883
FEI/EIN Number 550835620

Federal Employer Identification (FEI) Number assigned by the IRS.
Address: 5800 COLONIAL DRIVE, SUITE 306, MARGATE, FL, 33063
Mail Address: 5800 COLONIAL DRIVE, SUITE 306, MARGATE, FL, 33063
ZIP code: 33063
County: Broward
Place of Formation: FLORIDA

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
JOSE G. POLIAK, M.D. CROSS TESTED PROFIT SHARING PLAN 2013 550835620 2014-08-26 JOSE G. POLIAK, M.D., P.A. 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2001-01-01
Business code 621111
Sponsor’s telephone number 9549798770
Plan sponsor’s address 5230 NORTH 37TH STREET, HOLLYWOOD, FL, 330212259

Signature of
Role Plan administrator
Date 2014-08-26
Name of individual signing CAMERON KELLY
Valid signature Filed with authorized/valid electronic signature
JOSE G. POLIAK, M.D. CROSS TESTED PROFIT SHARING PLAN AND TRUST 2012 550835620 2013-07-25 JOSE G. POLIAK, M.D., P.A. 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2001-01-01
Business code 621111
Sponsor’s telephone number 9549798770
Plan sponsor’s address 5230 NORTH 37TH STREET, HOLLYWOOD, FL, 330212259

Signature of
Role Plan administrator
Date 2013-07-25
Name of individual signing CAMERON KELLY
Valid signature Filed with authorized/valid electronic signature
JOSE G. POLIAK, M.D. CROSS TESTED PROFIT SHARING PLAN AND TRUST 2011 550835620 2012-07-05 JOSE G. POLIAK, M.D., P.A. 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2001-01-01
Business code 621111
Sponsor’s telephone number 9549798770
Plan sponsor’s address 5230 NORTH 37TH STREET, HOLLYWOOD, FL, 330212259

Plan administrator’s name and address
Administrator’s EIN 550835620
Plan administrator’s name JOSE G. POLIAK, M.D., P.A.
Plan administrator’s address 5230 NORTH 37TH STREET, HOLLYWOOD, FL, 330212259
Administrator’s telephone number 9549798770

Signature of
Role Plan administrator
Date 2012-07-05
Name of individual signing CAMERON KELLY
Valid signature Filed with authorized/valid electronic signature
JOSE G. POLIAK, M.D. CROSS TESTED PROFIT SHARING PLAN AND TRUST 2010 550835620 2011-07-13 JOSE G. POLIAK, M.D., P.A. 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2001-01-01
Business code 621111
Sponsor’s telephone number 9549798770
Plan sponsor’s address 5230 NORTH 37TH STREET, HOLLYWOOD, FL, 330212259

Plan administrator’s name and address
Administrator’s EIN 550835620
Plan administrator’s name JOSE G. POLIAK, M.D., P.A.
Plan administrator’s address 5230 NORTH 37TH STREET, HOLLYWOOD, FL, 330212259
Administrator’s telephone number 9549798770

Signature of
Role Plan administrator
Date 2011-07-13
Name of individual signing CAMERON KELLY
Valid signature Filed with authorized/valid electronic signature
JOSE G. POLIAK, M.D. CROSS TESTED PROFIT SHARING PLAN AND TRUST 2009 550835620 2010-07-21 JOSE G. POLIAK, M.D., P.A. 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2001-01-01
Business code 621111
Sponsor’s telephone number 9549798770
Plan sponsor’s address 5230 NORTH 37TH STREET, HOLLYWOOD, FL, 330212259

Plan administrator’s name and address
Administrator’s EIN 550835620
Plan administrator’s name JOSE G. POLIAK, M.D., P.A.
Plan administrator’s address 5230 NORTH 37TH STREET, HOLLYWOOD, FL, 330212259
Administrator’s telephone number 9549798770

Signature of
Role Plan administrator
Date 2010-07-21
Name of individual signing CAMERON KELLY
Valid signature Filed with authorized/valid electronic signature

Key Officers & Management

Name Role Address
POLIAK JOSE G Director 5800 COLONIAL DRIVE, SUITE 306, MARGATE, FL, 33063
POLIAK JOSE GDr. DTRR 5800 COLONIAL DRIVE, SUITE 306, MARGATE, FL, 33063
MARMOR SETH A Agent 777 GLADES ROAD, BOCA RATON, FL, 33434

Events

Event Type Filed Date Value Description
ADMIN DISSOLUTION FOR ANNUAL REPORT 2015-09-25 - -
REINSTATEMENT 2011-10-05 - -
ADMIN DISSOLUTION FOR ANNUAL REPORT 2011-09-23 - -
REGISTERED AGENT ADDRESS CHANGED 2008-11-09 777 GLADES ROAD, SUITE 400, BOCA RATON, FL 33434 -
CANCEL ADM DISS/REV 2008-11-09 - -
ADMIN DISSOLUTION FOR ANNUAL REPORT 2008-09-26 - -
CANCEL ADM DISS/REV 2005-10-11 - -
ADMIN DISSOLUTION FOR ANNUAL REPORT 2005-09-16 - -

Documents

Name Date
ANNUAL REPORT 2014-01-27
ANNUAL REPORT 2013-04-08
ANNUAL REPORT 2012-02-10
REINSTATEMENT 2011-10-05
ANNUAL REPORT 2010-01-24
ANNUAL REPORT 2009-07-16
REINSTATEMENT 2008-11-09
ANNUAL REPORT 2007-05-02
ANNUAL REPORT 2006-05-03
REINSTATEMENT 2005-10-11

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Companies related by address

No other companies in our directory share the same address as JOSE G. POLIAK, M.D., P.A.

Date of last update: 01 Feb 2025

Sources: Florida Department of State

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