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  5. FRANCISCO CARPIO, M.D., P.A.

FRANCISCO CARPIO, M.D., P.A.

Company Details

Entity Name: FRANCISCO CARPIO, M.D., P.A.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Inactive
Date Filed: 23 Mar 2004 (21 years ago)
Date of dissolution: 23 Sep 2016 (8 years ago)
Last Event: ADMIN DISSOLUTION FOR ANNUAL REPORT
Event Date Filed: 23 Sep 2016 (8 years ago)
Document Number: P04000051413
FEI/EIN Number 200904576
Address: 3701 s.w 107 avenue, MIAMI, FL, 33165, US
Mail Address: 3701 s.w 107 avenue, MIAMI, FL, 33165, US
ZIP code: 33165
County: Miami-Dade
Place of Formation: FLORIDA

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
FRANCISCO CARPIO M.D. P.A. RETIREMENT PLAN 2016 200904576 2017-04-04 FRANCISCO CARPIO M.D. P.A. 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-01-01
Business code 621111
Sponsor’s telephone number 3057462561
Plan sponsor’s address 11918 SW 72ND TERRACE, MIAMI, FL, 33183

Signature of
Role Plan administrator
Date 2017-04-04
Name of individual signing CARLOS INCERA
Valid signature Filed with authorized/valid electronic signature
FRANCISCO CARPIO M.D. P.A. RETIREMENT PLAN 2015 200904576 2016-09-15 FRANCISCO CARPIO M.D. P.A. 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-01-01
Business code 621111
Sponsor’s telephone number 3057462561
Plan sponsor’s address 11918 SW 72ND TERRACE, MIAMI, FL, 33183

Signature of
Role Plan administrator
Date 2016-09-15
Name of individual signing CARLOS INCERA
Valid signature Filed with authorized/valid electronic signature
FRANCISCO CARPIO M.D. P.A. RETIREMENT PLAN 2014 200904576 2015-10-09 FRANCISCO CARPIO M.D. P.A. 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-01-01
Business code 621111
Sponsor’s telephone number 3055599696
Plan sponsor’s address 3701 SW 107TH AVENUE, MIAMI, FL, 33165

Signature of
Role Plan administrator
Date 2015-10-09
Name of individual signing FRANCISCO CARPIO MD
Valid signature Filed with authorized/valid electronic signature
FRANCISCO CARPIO M.D. P.A. RETIREMENT PLAN 2013 200904576 2014-09-15 FRANCISCO CARPIO M.D. P.A. 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-01-01
Business code 621111
Sponsor’s telephone number 3055599696
Plan sponsor’s address 11760 SW 40TH ST STE 654, MIAMI, FL, 33175

Signature of
Role Plan administrator
Date 2014-09-15
Name of individual signing FRANCISCO CARPIO MD
Valid signature Filed with authorized/valid electronic signature
FRANCISCO CARPIO M.D. P.A. RETIREMENT PLAN 2012 200904576 2013-09-27 FRANCISCO CARPIO M.D. P.A. 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-01-01
Business code 621111
Sponsor’s telephone number 3055599696
Plan sponsor’s address 11760 SW 40TH ST STE 654, MIAMI, FL, 33175

Signature of
Role Plan administrator
Date 2013-09-27
Name of individual signing FRANCISCO CARPIO MD
Valid signature Filed with authorized/valid electronic signature
FRANCISCO CARPIO M.D. P.A. RETIREMENT PLAN 2011 200904576 2012-09-17 FRANCISCO CARPIO M.D. P.A. 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-01-01
Business code 621111
Sponsor’s telephone number 3055599696
Plan sponsor’s address 11760 SW 40TH ST STE 654, MIAMI, FL, 33175

Plan administrator’s name and address
Administrator’s EIN 200904576
Plan administrator’s name FRANCISCO CARPIO M.D. P.A.
Plan administrator’s address 11760 SW 40TH ST STE 654, MIAMI, FL, 33175
Administrator’s telephone number 3055599696

Signature of
Role Plan administrator
Date 2012-09-17
Name of individual signing FRANCISCO CARPIO MD
Valid signature Filed with authorized/valid electronic signature
FRANCISCO CARPIO M.D. P.A. RETIREMENT PLAN 2010 200904576 2011-09-22 FRANCISCO CARPIO M.D. P.A. 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-01-01
Business code 621111
Sponsor’s telephone number 3055599696
Plan sponsor’s address 11760 SW 40TH ST STE 654, MIAMI, FL, 33175

Plan administrator’s name and address
Administrator’s EIN 200904576
Plan administrator’s name FRANCISCO CARPIO M.D. P.A.
Plan administrator’s address 11760 SW 40TH ST STE 654, MIAMI, FL, 33175
Administrator’s telephone number 3055599696

Signature of
Role Plan administrator
Date 2011-09-22
Name of individual signing FRANCISCO CARPIO MD
Valid signature Filed with authorized/valid electronic signature
FRANCISCO CARPIO M.D. P.A. RETIREMENT PLAN 2009 200904576 2010-10-04 FRANCISCO CARPIO M.D. P.A. 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-01-01
Business code 621111
Sponsor’s telephone number 3055599696
Plan sponsor’s address 11760 SW 40TH ST STE 642, MIAMI, FL, 33175

Plan administrator’s name and address
Administrator’s EIN 200904576
Plan administrator’s name FRANCISCO CARPIO M.D. P.A.
Plan administrator’s address 11760 SW 40TH ST STE 642, MIAMI, FL, 33175
Administrator’s telephone number 3055599696

Signature of
Role Plan administrator
Date 2010-10-04
Name of individual signing FRANCISCO CARPIO MD
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
SMITH JOSE E Agent 2103 CORAL WAY, MIAMI, FL, 33145

President

Name Role Address
CARPIO FRANCISCO President 3701 s.w 107 avenue, MIAMI, FL, 33165

Secretary

Name Role Address
CARPIO FRANCISCO Secretary 3701 s.w 107 avenue, MIAMI, FL, 33165

mana

Name Role Address
Colon melba mana 3701 s.w 107 avenue, MIAMI, FL, 33165

Events

Event Type Filed Date Value Description
ADMIN DISSOLUTION FOR ANNUAL REPORT 2016-09-23 No data No data
CHANGE OF PRINCIPAL ADDRESS 2015-04-30 3701 s.w 107 avenue, MIAMI, FL 33165 No data
CHANGE OF MAILING ADDRESS 2015-04-30 3701 s.w 107 avenue, MIAMI, FL 33165 No data
REGISTERED AGENT ADDRESS CHANGED 2011-04-27 2103 CORAL WAY, SUITE 305, MIAMI, FL 33145 No data

Documents

Name Date
ANNUAL REPORT 2015-04-30
ANNUAL REPORT 2014-04-30
ANNUAL REPORT 2013-04-29
ANNUAL REPORT 2012-09-28
ANNUAL REPORT 2011-04-27
ANNUAL REPORT 2010-04-30
ANNUAL REPORT 2009-04-30
ANNUAL REPORT 2008-04-23
ANNUAL REPORT 2007-04-27
ANNUAL REPORT 2006-04-27

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No related companies by address

Date of last update: 01 Feb 2025

Sources: Florida Department of State

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