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NITIN BAWA P.A.

Company Details

Entity Name: NITIN BAWA P.A.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Active
Date Filed: 03 May 2005 (20 years ago)
Last Event: REINSTATEMENT
Event Date Filed: 08 Oct 2012 (12 years ago)
Document Number: P05000064716
FEI/EIN Number 202780694
Address: 4476 Legendary Drive, DESTIN, FL, 32541, US
Mail Address: 4476 Legendary Drive, DESTIN, FL, 32541, US
ZIP code: 32541
County: Okaloosa
Place of Formation: FLORIDA

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
NITIN BAWA, P.A. 401(K) PLAN 2023 202780694 2024-10-09 NITIN BAWA, P.A. 27
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-03-01
Business code 621111
Sponsor’s telephone number 8505344176
Plan sponsor’s address 4476 LEGENDARY DRIVE, SUITE 100, DESTIN, FL, 32541

Signature of

Role Plan administrator
Date 2024-10-09
Name of individual signing NITIN BAWA
Valid signature Filed with authorized/valid electronic signature
NITIN BAWA, P.A. 401(K) PLAN 2022 202780694 2023-10-09 NITIN BAWA, P.A. 23
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-03-01
Business code 621111
Sponsor’s telephone number 8505344176
Plan sponsor’s address 4476 LEGENDARY DRIVE, SUITE 100, DESTIN, FL, 32541

Signature of

Role Plan administrator
Date 2023-10-06
Name of individual signing NITIN BAWA
Valid signature Filed with authorized/valid electronic signature
NITIN BAWA, P.A. 401(K) PLAN 2021 202780694 2022-10-14 NITIN BAWA, P.A. 26
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-03-01
Business code 621111
Sponsor’s telephone number 8505344176
Plan sponsor’s address 4476 LEGENDARY DRIVE, SUITE 100, DESTIN, FL, 32541

Signature of

Role Plan administrator
Date 2022-10-14
Name of individual signing NITIN BAWA
Valid signature Filed with authorized/valid electronic signature
NITIN BAWA, P.A. 401(K) PLAN 2020 202780694 2021-07-12 NITIN BAWA, P.A. 18
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-03-01
Business code 621111
Sponsor’s telephone number 8505344176
Plan sponsor’s address 4476 LEGENDARY DRIVE, SUITE 100, DESTIN, FL, 32541

Signature of

Role Plan administrator
Date 2021-07-12
Name of individual signing NITIN BAWA
Valid signature Filed with authorized/valid electronic signature
NITIN BAWA, P.A. 401(K) PLAN 2019 202780694 2020-10-14 NITIN BAWA, P.A. 16
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-03-01
Business code 621111
Sponsor’s telephone number 8505344176
Plan sponsor’s address 4476 LEGENDARY DRIVE, SUITE 100, DESTIN, FL, 32541

Signature of

Role Plan administrator
Date 2020-10-14
Name of individual signing NITIN BAWA
Valid signature Filed with authorized/valid electronic signature
NITIN BAWA, P.A. 401(K) PLAN 2018 202780694 2019-10-14 NITIN BAWA, P.A. 13
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-03-01
Business code 621111
Sponsor’s telephone number 8505344176
Plan sponsor’s address 4476 LEGENDARY DRIVE, SUITE 100, DESTIN, FL, 32541

Signature of

Role Plan administrator
Date 2019-10-14
Name of individual signing NITIN BAWA
Valid signature Filed with authorized/valid electronic signature
NITIN BAWA, P.A. 401(K) PLAN 2017 202780694 2018-08-13 NITIN BAWA, P.A. 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-03-01
Business code 621111
Sponsor’s telephone number 8505344176
Plan sponsor’s address 6286 AUGUSTA CV, DESTIN, FL, 32541

Signature of

Role Plan administrator
Date 2018-08-13
Name of individual signing NITIN BAWA
Valid signature Filed with authorized/valid electronic signature
NITIN BAWA, P.A. 401(K) PLAN 2016 202780694 2017-07-12 NITIN BAWA, P.A. 11
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-03-01
Business code 621111
Sponsor’s telephone number 8505344176
Plan sponsor’s address 6286 AUGUSTA CV, DESTIN, FL, 32541

Signature of

Role Plan administrator
Date 2017-07-12
Name of individual signing NITIN BAWA
Valid signature Filed with authorized/valid electronic signature
NITIN BAWA, P.A. 401(K) PLAN 2015 202780694 2016-08-12 NITIN BAWA, P.A. 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-03-01
Business code 621111
Sponsor’s telephone number 8505344176
Plan sponsor’s address 6286 AUGUSTA CV, DESTIN, FL, 32541

Agent

Name Role Address
Bawa Nitin Dr. Agent 4476 Legendary Drive, DESTIN, FL, 32541

Director

Name Role Address
BAWA NITIN Director 4476 Legendary Drive, DESTIN, FL, 32541

Vice President

Name Role Address
Bawa Shruti Vice President 4476 Legendary Drive, DESTIN, FL, 32541

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G23000031544 DR. BAWA AND ASSOCIATES ACTIVE 2023-03-08 2028-12-31 No data 4476 LEGENDARY DRIVE, SUITE 100, DESTIN, FL, 32541
G17000108907 SEI BELLISMA EXPIRED 2017-10-02 2022-12-31 No data 137 CRYSTAL BEACH DRIVE, 121, DESTIN, FL, 32541
G14000009878 DR. BAWA AND ASSOCIATES EXPIRED 2014-01-29 2019-12-31 No data 155 CRYSTAL BEACH DRIVE, DESTIN, FL, 32541

Events

Event Type Filed Date Value Description
REGISTERED AGENT NAME CHANGED 2019-02-12 Bawa, Nitin, Dr. No data
REGISTERED AGENT ADDRESS CHANGED 2019-02-12 4476 Legendary Drive, Suite 100, DESTIN, FL 32541 No data
CHANGE OF PRINCIPAL ADDRESS 2018-03-02 4476 Legendary Drive, Suite 100, DESTIN, FL 32541 No data
CHANGE OF MAILING ADDRESS 2018-03-02 4476 Legendary Drive, Suite 100, DESTIN, FL 32541 No data
REINSTATEMENT 2012-10-08 No data No data
ADMIN DISSOLUTION FOR ANNUAL REPORT 2012-09-28 No data No data

Documents

Name Date
ANNUAL REPORT 2024-04-26
ANNUAL REPORT 2023-04-07
ANNUAL REPORT 2022-04-09
ANNUAL REPORT 2021-02-03
ANNUAL REPORT 2020-04-30
ANNUAL REPORT 2019-02-12
ANNUAL REPORT 2018-03-02
ANNUAL REPORT 2017-03-20
ANNUAL REPORT 2016-01-25
ANNUAL REPORT 2015-01-09

Date of last update: 02 Feb 2025

Sources: Florida Department of State