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  5. JEFFREY J. GIBSON, M.D. PLASTIC AND RECONSTRUCTIVE SURGERY, INC.

JEFFREY J. GIBSON, M.D. PLASTIC AND RECONSTRUCTIVE SURGERY, INC.

Company Details

Entity Name: JEFFREY J. GIBSON, M.D. PLASTIC AND RECONSTRUCTIVE SURGERY, INC.
Jurisdiction: FLORIDA
Filing Type: Florida Profit Corporation
Status: Active
Date Filed: 18 Sep 2003 (21 years ago)
Document Number: P03000102933
FEI/EIN Number 20-0235451
Address: 3661 SOUTH MIAMI AVENUE, 403, MIAMI, FL 33133
Mail Address: 3661 SOUTH MIAMI AVENUE, 403, MIAMI, FL 33133
ZIP code: 33133
County: Miami-Dade
Place of Formation: FLORIDA

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
GIBSON RETIREMENT PLAN 2019 200235451 2020-09-23 JEFFREY J. GIBSON, M.D. PLASTIC AND RECONSTRUCTIVE SURGERY, 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-01-01
Business code 621111
Sponsor’s telephone number 3058581986
Plan sponsor’s address 3661 SOUTH MIAMI AVENUE, SUITE 403, MIAMI, FL, 33133
GIBSON RETIREMENT PLAN 2018 200235451 2019-09-24 JEFFREY J. GIBSON, M.D. PLASTIC AND RECONSTRUCTIVE SURGERY, 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-01-01
Business code 621111
Sponsor’s telephone number 3058581986
Plan sponsor’s address 3661 SOUTH MIAMI AVENUE, SUITE 403, MIAMI, FL, 33133
GIBSON RETIREMENT PLAN 2016 200235451 2018-01-29 JEFFREY J. GIBSON, M.D. PLASTIC AND RECONSTRUCTIVE SURGERY, INC. 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-01-01
Business code 621111
Sponsor’s telephone number 3058581986
Plan sponsor’s address 3661 SOUTH MIAMI AVENUE, SUITE 403, MIAMI, FL, 33133
GIBSON RETIREMENT PLAN 2015 200235451 2016-09-15 JEFFREY J. GIBSON, M.D. PLASTIC AND RECONSTRUCTIVE SURGERY, INC. 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-01-01
Business code 621111
Sponsor’s telephone number 3058581986
Plan sponsor’s address 3661 S. MIAMI AVENUE, SUITE 403, MIAMI, FL, 331334230

Plan administrator’s name and address
Administrator’s EIN 200235451
Plan administrator’s name JEFFREY J. GIBSON, M.D. PLASTIC AND RECONSTRUCTIVE SURGERY, INC.
Plan administrator’s address 3661 S. MIAMI AVENUE, SUITE 403, MIAMI, FL, 331334230
Administrator’s telephone number 3058581986
GIBSON RETIREMENT PLAN 2014 200235451 2015-08-19 JEFFREY J. GIBSON, M.D. PLASTIC AND RECONSTRUCTIVE SURGERY, INC. 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-01-01
Business code 621111
Sponsor’s telephone number 3058581986
Plan sponsor’s address 3661 S. MIAMI AVENUE, SUITE 403, MIAMI, FL, 331334230

Plan administrator’s name and address
Administrator’s EIN 200235451
Plan administrator’s name JEFFREY J. GIBSON, M.D. PLASTIC AND RECONSTRUCTIVE SURGERY, INC.
Plan administrator’s address 3661 S. MIAMI AVENUE, SUITE 403, MIAMI, FL, 331334230
Administrator’s telephone number 3058581986

Signature of
Role Plan administrator
Date 2015-08-19
Name of individual signing JEFFREY GIBSON
Valid signature Filed with authorized/valid electronic signature
GIBSON RETIREMENT PLAN 2013 200235451 2014-09-15 JEFFREY J. GIBSON, M.D. PLASTIC AND RECONSTRUCTIVE SURGERY, INC. 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-01-01
Business code 621111
Sponsor’s telephone number 3058581986
Plan sponsor’s address 3661 S. MIAMI AVENUE, SUITE 403, MIAMI, FL, 331334230

Plan administrator’s name and address
Administrator’s EIN 200235451
Plan administrator’s name JEFFREY J. GIBSON, M.D. PLASTIC AND RECONSTRUCTIVE SURGERY, INC.
Plan administrator’s address 3661 S. MIAMI AVENUE, SUITE 403, MIAMI, FL, 331334230
Administrator’s telephone number 3058581986

Signature of
Role Plan administrator
Date 2014-09-15
Name of individual signing JEFFREY GIBSON
Valid signature Filed with authorized/valid electronic signature
GIBSON RETIREMENT PLAN 2012 200235451 2013-09-12 JEFFREY J. GIBSON, M.D. PLASTIC AND RECONSTRUCTIVE SURGERY, INC. 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-01-01
Business code 621111
Sponsor’s telephone number 3058581986
Plan sponsor’s address 3661 S. MIAMI AVENUE, SUITE 403, MIAMI, FL, 331334230

Plan administrator’s name and address
Administrator’s EIN 200235451
Plan administrator’s name JEFFREY J. GIBSON, M.D. PLASTIC AND RECONSTRUCTIVE SURGERY, INC.
Plan administrator’s address 3661 S. MIAMI AVENUE, SUITE 403, MIAMI, FL, 331334230
Administrator’s telephone number 3058581986

Signature of
Role Plan administrator
Date 2013-09-12
Name of individual signing JEFFREY GIBSON
Valid signature Filed with authorized/valid electronic signature
GIBSON RETIREMENT PLAN 2011 200235451 2012-10-01 JEFFREY J. GIBSON, M.D. PLASTIC AND RECONSTRUCTIVE SURGERY, INC. 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-01-01
Business code 621111
Sponsor’s telephone number 3058581986
Plan sponsor’s address 3661 S. MIAMI AVENUE, SUITE 403, MIAMI, FL, 331334230

Plan administrator’s name and address
Administrator’s EIN 200235451
Plan administrator’s name JEFFREY J. GIBSON, M.D. PLASTIC AND RECONSTRUCTIVE SURGERY, INC.
Plan administrator’s address 3661 S. MIAMI AVENUE, SUITE 403, MIAMI, FL, 331334230
Administrator’s telephone number 3058581986

Signature of
Role Plan administrator
Date 2012-10-01
Name of individual signing JEFFREY GIBSON
Valid signature Filed with authorized/valid electronic signature
GIBSON RETIREMENT PLAN 2010 200235451 2011-09-27 JEFFREY J. GIBSON, M.D. PLASTIC AND RECONSTRUCTIVE SURGERY, INC. 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-01-01
Business code 621111
Sponsor’s telephone number 3058581986
Plan sponsor’s address 3661 S. MIAMI AVENUE, SUITE 403, MIAMI, FL, 331334230

Plan administrator’s name and address
Administrator’s EIN 200235451
Plan administrator’s name JEFFREY J. GIBSON, M.D. PLASTIC AND RECONSTRUCTIVE SURGERY, INC.
Plan administrator’s address 3661 S. MIAMI AVENUE, SUITE 403, MIAMI, FL, 331334230
Administrator’s telephone number 3058581986

Signature of
Role Plan administrator
Date 2011-09-27
Name of individual signing JEFFREY GIBSON
Valid signature Filed with authorized/valid electronic signature
GIBSON RETIREMENT PLAN 2009 200235451 2010-03-18 JEFFREY J. GIBSON, M.D. PLASTIC AND RECONSTRUCTIVE SURGERY, INC. 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-01-01
Business code 621111
Sponsor’s telephone number 3058581986
Plan sponsor’s address 3661 S. MIAMI AVENUE, SUITE 403, MIAMI, FL, 331334230

Plan administrator’s name and address
Administrator’s EIN 200235451
Plan administrator’s name JEFFREY J. GIBSON, M.D. PLASTIC AND RECONSTRUCTIVE SURGERY, INC.
Plan administrator’s address 3661 S. MIAMI AVENUE, SUITE 403, MIAMI, FL, 331334230
Administrator’s telephone number 3058581986

Signature of
Role Plan administrator
Date 2010-03-18
Name of individual signing JEFFREY GIBSON
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2010-03-18
Name of individual signing JEFFREY GIBSON
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
JEFFREY J. GIBSON, M.,D. Agent 3661 SOUTH MIAMI AVENUE, 403, MIAMI, FL 33133

President

Name Role Address
GIBSON, JEFFREY J President 3661 SOUTH MIAMI AVE, # 403, MIAMI, FL 33133

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2005-07-18 3661 SOUTH MIAMI AVENUE, 403, MIAMI, FL 33133 No data
CHANGE OF MAILING ADDRESS 2005-07-18 3661 SOUTH MIAMI AVENUE, 403, MIAMI, FL 33133 No data
REGISTERED AGENT ADDRESS CHANGED 2005-07-18 3661 SOUTH MIAMI AVENUE, 403, MIAMI, FL 33133 No data

Documents

Name Date
ANNUAL REPORT 2025-01-21
ANNUAL REPORT 2024-02-05
ANNUAL REPORT 2023-01-20
ANNUAL REPORT 2022-01-25
ANNUAL REPORT 2021-02-16
ANNUAL REPORT 2020-01-22
ANNUAL REPORT 2019-02-19
ANNUAL REPORT 2018-03-28
ANNUAL REPORT 2017-01-25
ANNUAL REPORT 2016-03-02

Related by officers

GIBSON, JEFFREY J

GIBSON COSMECEUTICALS LLC JB GIBS, LLC

Related by address

No related companies by address

Date of last update: 30 Jan 2025

Sources: Florida Department of State

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