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HOBART K. RICHEY, M.D., P.A.

Company Details

Entity Name: HOBART K. RICHEY, M.D., P.A.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Active
Date Filed: 12 Nov 2004 (20 years ago)
Document Number: P04000154604
FEI/EIN Number 201902775
Address: 728 THE RIALTO, VENICE, FL, 34285, US
Mail Address: 728 THE RIALTO, VENICE, FL, 34285, US
ZIP code: 34285
County: Sarasota
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1508084443 2007-04-24 2018-06-21 728 THE RIALTO, VENICE, FL, 342853524, US 728 THE RIALTO, VENICE, FL, 342853524, US

Contacts

Phone +1 941-484-2246
Fax 9414857421

Authorized person

Name HOBART KAYE RICHEY
Role PRESIDENT
Phone 9414842246

Taxonomy

Taxonomy Code 207N00000X - Dermatology Physician
License Number ME0044811
State FL
Is Primary Yes

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
HOBART K. RICHEY, M.D., P.A. 401(K) PROFIT SHARING PLAN 2023 201902775 2024-06-03 HOBART K. RICHEY, M.D., P.A. 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1997-01-01
Business code 621111
Sponsor’s telephone number 9414842246
Plan sponsor’s address 728 THE RIALTO, VENICE, FL, 34285

Signature of

Role Plan administrator
Date 2024-06-03
Name of individual signing HOBART K. RICHEY
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2024-06-03
Name of individual signing HOBART K. RICHEY
Valid signature Filed with authorized/valid electronic signature
HOBART K. RICHEY, M.D., P.A. 401(K) PROFIT SHARING PLAN 2022 201902775 2023-06-28 HOBART K. RICHEY, M.D., P.A. 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1997-01-01
Business code 621111
Sponsor’s telephone number 9414842246
Plan sponsor’s address 728 THE RIALTO, VENICE, FL, 34285

Signature of

Role Plan administrator
Date 2023-06-28
Name of individual signing HOBART K. RICHEY, M.D.
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2023-06-28
Name of individual signing HOBART K. RICHEY, M.D.
Valid signature Filed with authorized/valid electronic signature
HOBART K. RICHEY, M.D., P.A. 401(K) PROFIT SHARING PLAN 2021 201902775 2022-05-31 HOBART K. RICHEY, M.D., P.A. 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1997-01-01
Business code 621111
Sponsor’s telephone number 9414842246
Plan sponsor’s address 728 THE RIALTO, VENICE, FL, 34285

Signature of

Role Plan administrator
Date 2022-05-31
Name of individual signing HOBART K RICHEY
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2022-05-31
Name of individual signing HOBART K RICHEY
Valid signature Filed with authorized/valid electronic signature
HOBART K. RICHEY, M.D., P.A. 401(K) PROFIT SHARING PLAN 2020 201902775 2021-05-11 HOBART K. RICHEY, M.D., P.A. 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1997-01-01
Business code 621111
Sponsor’s telephone number 9414842246
Plan sponsor’s address 728 THE RIALTO, VENICE, FL, 34285

Signature of

Role Plan administrator
Date 2021-05-11
Name of individual signing HOBART K. RICHEY, M.D.
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2021-05-11
Name of individual signing HOBART K. RICHEY, M.D.
Valid signature Filed with authorized/valid electronic signature
HOBART K. RICHEY, M.D., P.A. 401(K) PROFIT SHARING PLAN 2019 201902775 2020-04-30 HOBART K. RICHEY, M.D., P.A. 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1997-01-01
Business code 621111
Sponsor’s telephone number 9414842246
Plan sponsor’s address 728 THE RIALTO, VENICE, FL, 34285

Signature of

Role Plan administrator
Date 2020-04-30
Name of individual signing HOBART K. RICHEY
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2020-04-30
Name of individual signing HOBART K. RICHEY
Valid signature Filed with authorized/valid electronic signature
HOBART K. RICHEY, M.D., P.A. 401(K) PROFIT SHARING PLAN 2018 201902775 2019-06-12 HOBART K. RICHEY, M.D., P.A. 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1997-01-01
Business code 621111
Sponsor’s telephone number 9414842246
Plan sponsor’s address 728 THE RIALTO, VENICE, FL, 34285

Signature of

Role Plan administrator
Date 2019-06-12
Name of individual signing HOBART K RICHEY
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2019-06-12
Name of individual signing HOBART K RICHEY
Valid signature Filed with authorized/valid electronic signature
HOBART K. RICHEY, M.D., P.A. 401(K) PROFIT SHARING PLAN 2017 201902775 2018-05-17 HOBART K. RICHEY, M.D., P.A. 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1997-01-01
Business code 621111
Sponsor’s telephone number 9414842246
Plan sponsor’s address 728 THE RIALTO, VENICE, FL, 34285

Signature of

Role Plan administrator
Date 2018-05-09
Name of individual signing HOBART RICHEY
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2018-05-09
Name of individual signing HOBART RICHEY
Valid signature Filed with authorized/valid electronic signature
HOBART K. RICHEY, M.D., P.A. 401(K) PROFIT SHARING PLAN 2016 201902775 2017-05-15 HOBART K. RICHEY, M.D., P.A. 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1997-01-01
Business code 621111
Sponsor’s telephone number 9414842246
Plan sponsor’s address 728 THE RIALTO, VENICE, FL, 34285

Signature of

Role Plan administrator
Date 2017-05-15
Name of individual signing HOBART K. RICHEY, M.D.
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2017-05-15
Name of individual signing HOBART K. RICHEY, M.D.
Valid signature Filed with authorized/valid electronic signature
HOBART K. RICHEY, M.D., P.A. 401(K) PROFIT SHARING PLAN 2015 201902775 2016-04-27 HOBART K. RICHEY, M.D., P.A. 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1997-01-01
Business code 621111
Sponsor’s telephone number 9414842246
Plan sponsor’s address 728 THE RIALTO, VENICE, FL, 34285

Signature of

Role Plan administrator
Date 2016-04-27
Name of individual signing HOBART K. RICHEY, M.D.
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2016-04-27
Name of individual signing HOBART K. RICHEY, M.D.
Valid signature Filed with authorized/valid electronic signature
HOBART K. RICHEY, M.D., P.A. 401(K) PROFIT SHARING PLAN 2014 201902775 2015-06-08 HOBART K. RICHEY, M.D., P.A. 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1997-01-01
Business code 621111
Sponsor’s telephone number 9414842246
Plan sponsor’s address 728 THE RIALTO, VENICE, FL, 34285

Signature of

Role Plan administrator
Date 2015-06-08
Name of individual signing HOBART K. RICHEY, M.D.
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2015-06-08
Name of individual signing HOBART K. RICHEY, M.D.
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
BLALOCK, WALTERS, HELD & JOHNSON PA Agent 802 11TH STREET WEST, BRADENTON, FL, 34205

President

Name Role Address
RICHEY HOBART KM.D. President 728 THE RIALTO, VENICE, FL, 34285

Vice President

Name Role Address
RICHEY HOBART KM.D. Vice President 728 THE RIALTO, VENICE, FL, 34285

Secretary

Name Role Address
RICHEY HOBART KM.D. Secretary 728 THE RIALTO, VENICE, FL, 34285

Treasurer

Name Role Address
RICHEY HOBART KM.D. Treasurer 728 THE RIALTO, VENICE, FL, 34285

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G04335900831 HOBART K. RICHEY, M.D. ACTIVE 2004-11-30 2029-12-31 No data 728 THE RIALTO, VENICE, FL, 34285

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2006-03-16 728 THE RIALTO, VENICE, FL 34285 No data
CHANGE OF MAILING ADDRESS 2006-03-16 728 THE RIALTO, VENICE, FL 34285 No data

Documents

Name Date
ANNUAL REPORT 2024-01-11
ANNUAL REPORT 2023-01-26
ANNUAL REPORT 2022-01-19
ANNUAL REPORT 2021-01-05
ANNUAL REPORT 2020-02-18
ANNUAL REPORT 2019-04-02
ANNUAL REPORT 2018-02-14
ANNUAL REPORT 2017-01-18
ANNUAL REPORT 2016-01-21
ANNUAL REPORT 2015-01-06

Date of last update: 02 Feb 2025

Sources: Florida Department of State