Menu
Search icon
  1. Home Page
    2. ›
  2. Counties
    3. ›
  3. Seminole
    4. ›
  4. 32746
    5. ›
  5. JACOB K. AGAMASU, M.D., P.A.

JACOB K. AGAMASU, M.D., P.A.

Company Details

Entity Name: JACOB K. AGAMASU, M.D., P.A.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Active
Date Filed: 27 Apr 2005 (20 years ago)
Last Event: REINSTATEMENT
Event Date Filed: 17 May 2019 (6 years ago)
Document Number: P05000062447
FEI/EIN Number 202937531
Address: 731 STIRLING CENTER PLACE, SUITE 1911, LAKE MARY, FL, 32746, US
Mail Address: 731 STIRLING CENTER PLACE, SUITE 1191, LAKE MARY, FL, 32746, US
ZIP code: 32746
County: Seminole
Place of Formation: FLORIDA

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
JACOB K. AGAMASU, M.D., P.A. 401(K) PLAN AND TRUST 2016 202937531 2017-07-20 JACOB K. AGAMASU, M.D., P.A. 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 621111
Sponsor’s telephone number 4078049616
Plan sponsor’s address 1355 S. INTERNATIONAL PARKWAY, SUI, LAKE MARY, FL, 32746

Signature of
Role Plan administrator
Date 2017-07-20
Name of individual signing JACOB K. AGAMASU, M.D.
Valid signature Filed with authorized/valid electronic signature
JACOB K. AGAMASU, M.D., P.A. 401(K) PLAN AND TRUST 2016 202937531 2017-12-21 JACOB K. AGAMASU, M.D., P.A. 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 621111
Sponsor’s telephone number 4078049616
Plan sponsor’s address 1355 S. INTERNATIONAL PARKWAY, SUITE 1491, LAKE MARY, FL, 32746

Signature of
Role Plan administrator
Date 2017-12-21
Name of individual signing JACOB K. AGAMASU, M.D.
Valid signature Filed with authorized/valid electronic signature
JACOB K. AGAMASU, M.D., P.A. 401(K) PLAN AND TRUST 2015 202937531 2016-07-13 JACOB K. AGAMASU, M.D., P.A. 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 621111
Sponsor’s telephone number 4078049616
Plan sponsor’s address 1355 S. INTERNATIONAL PARKWAY, SUI, LAKE MARY, FL, 32746

Signature of
Role Plan administrator
Date 2016-07-13
Name of individual signing JACOB K. AGAMASU, M.D.
Valid signature Filed with authorized/valid electronic signature
JACOB K. AGAMASU, M.D., P.A. 401(K) PLAN AND TRUST 2014 202937531 2015-10-22 JACOB K. AGAMASU, M.D., P.A. 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 621111
Sponsor’s telephone number 4078049616
Plan sponsor’s address 1355 S. INTERNATIONAL PARKWAY, SUITE 1491, LAKE MARY, FL, 32746

Signature of
Role Plan administrator
Date 2015-10-22
Name of individual signing JACOB K. AGAMASU, M.D.
Valid signature Filed with authorized/valid electronic signature
JACOB K. AGAMASU, M.D., P.A. 401(K) PLAN AND TRUST 2013 202937531 2014-10-15 JACOB K. AGAMASU, M.D., P.A. 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 621111
Sponsor’s telephone number 4078049616
Plan sponsor’s address 1355 S. INTERNATIONAL PARKWAY, SUI, LAKE MARY, FL, 32746

Signature of
Role Plan administrator
Date 2014-10-15
Name of individual signing JACOB K. AGAMASU, M.D.
Valid signature Filed with authorized/valid electronic signature
JACOB K. AGAMASU, M.D., P.A. 401(K) PLAN AND TRUST 2009 202937531 2010-10-14 JACOB K. AGAMASU, M.D., P.A. 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 621111
Sponsor’s telephone number 4078049616
Plan sponsor’s address 1355 S. INTERNATIONAL PARKWAY, SUITE 1491, LAKE MARY, FL, 327461694

Plan administrator’s name and address
Administrator’s EIN 202937531
Plan administrator’s name JACOB K. AGAMASU, M.D., P.A.
Plan administrator’s address 1355 S. INTERNATIONAL PARKWAY, SUITE 1491, LAKE MARY, FL, 327461694
Administrator’s telephone number 4078049616

Signature of
Role Plan administrator
Date 2010-10-14
Name of individual signing JACOB K. AGAMASU, M.D.
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
CPA Solutions Agent 3801 Avalon Park East Blvd, Orlando, FL, 32828

President

Name Role Address
AGAMASU JACOB KMD President 731 STIRLING CENTER PLACE, LAKE MARY, FL, 32746

Events

Event Type Filed Date Value Description
REGISTERED AGENT ADDRESS CHANGED 2023-03-16 3801 Avalon Park East Blvd, Suite # 350A, Orlando, FL 32828 No data
CHANGE OF MAILING ADDRESS 2022-04-12 731 STIRLING CENTER PLACE, SUITE 1911, LAKE MARY, FL 32746 No data
CHANGE OF PRINCIPAL ADDRESS 2022-04-12 731 STIRLING CENTER PLACE, SUITE 1911, LAKE MARY, FL 32746 No data
REINSTATEMENT 2019-05-17 No data No data
REGISTERED AGENT NAME CHANGED 2019-05-17 CPA, Solutions No data
ADMIN DISSOLUTION FOR ANNUAL REPORT 2017-09-22 No data No data
REINSTATEMENT 2016-10-27 No data No data
ADMIN DISSOLUTION FOR ANNUAL REPORT 2016-09-23 No data No data
REINSTATEMENT 2015-05-05 No data No data
ADMIN DISSOLUTION FOR ANNUAL REPORT 2013-09-27 No data No data

Documents

Name Date
ANNUAL REPORT 2024-04-12
ANNUAL REPORT 2023-03-16
ANNUAL REPORT 2022-04-12
ANNUAL REPORT 2021-04-23
ANNUAL REPORT 2020-01-20
REINSTATEMENT 2019-05-17
REINSTATEMENT 2016-10-27
REINSTATEMENT 2015-05-05
REINSTATEMENT 2012-04-25
ANNUAL REPORT 2010-04-28

Related by officers

No related officers

Related by address

731 STIRLING CENTER PLACE, SUITE 1911, LAKE MARY, FL, 32746, US

AGAMASU-BAGDACS, LLC

Date of last update: 02 Feb 2025

Sources: Florida Department of State

Privacy policy Policy
About us About us
Contacts Contact us

© 2025 flprofile.com, Part of Big Data Integrated