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  5. GERALD T. STASHAK, M.D., P.A.

GERALD T. STASHAK, M.D., P.A.

Company Details

Entity Name: GERALD T. STASHAK, M.D., P.A.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Active
Date Filed: 05 Jul 2005 (20 years ago)
Document Number: P05000094703
FEI/EIN Number 203032767
Address: 5305 GREENWOOD AVENUE, WEST PALM BEACH, FL, 33407, US
Mail Address: 5305 GREENWOOD AVENUE, WEST PALM BEACH, FL, 33407, US
ZIP code: 33407
County: Palm Beach
Place of Formation: FLORIDA

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
GERALD T. STASHAK, M.D., P.A. 401(K) PROFIT SHARING PLAN 2023 203032767 2024-10-02 GERALD T. STASHAK, M.D., P.A. 4
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2002-01-01
Business code 621111
Sponsor’s telephone number 5618328886
Plan sponsor’s address 5305 GREENWOOD AVENUE - SUITE 203, WEST PALM BEACH, FL, 33407
GERALD T. STASHAK, M.D., P.A. 401(K) PROFIT SHARING PLAN 2022 203032767 2023-10-06 GERALD T. STASHAK, M.D., P.A. 4
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2002-01-01
Business code 621111
Sponsor’s telephone number 5618328886
Plan sponsor’s address 5305 GREENWOOD AVENUE - SUITE 203, WEST PALM BEACH, FL, 33407
GERALD T. STASHAK, M.D., P.A. 401(K) PROFIT SHARING PLAN 2021 203032767 2022-10-10 GERALD T. STASHAK, M.D., P.A. 6
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2002-01-01
Business code 621111
Sponsor’s telephone number 5618328886
Plan sponsor’s address 5305 GREENWOOD AVENUE - SUITE 203, WEST PALM BEACH, FL, 33407
GERALD T. STASHAK, M.D., P.A. 401(K) PROFIT SHARING PLAN 2020 203032767 2021-10-06 GERALD T. STASHAK, M.D., P.A. 8
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2002-01-01
Business code 621111
Sponsor’s telephone number 5618328886
Plan sponsor’s address 5305 GREENWOOD AVENUE, SUITE 203, WEST PALM BEACH, FL, 33407
GERALD T. STASHAK, M.D., P.A. 401(K) PROFIT SHARING PLAN 2019 203032767 2020-10-12 GERALD T. STASHAK, M.D., P.A. 9
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2002-01-01
Business code 621111
Sponsor’s telephone number 5618328886
Plan sponsor’s address 5305 GREENWOOD AVENUE - SUITE 201, WEST PALM BEACH, FL, 33407
GERALD T. STASHAK, M.D. P.A. 401(K) PROFIT SHARING PLAN 2018 203032767 2019-10-15 GERALD T. STASHAK, M.D. P.A. 9
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2002-01-01
Business code 621111
Sponsor’s telephone number 5618328886
Plan sponsor’s address 5305 GREENWOOD AVENUE, SUITE 204, WEST PALM BEACH, FL, 33407

Signature of
Role Plan administrator
Date 2019-10-15
Name of individual signing SHANNON STASHAK
Valid signature Filed with authorized/valid electronic signature
GERALD T. STASHAK, M.D. P.A. 401(K) PROFIT SHARING PLAN 2017 203032767 2018-09-19 GERALD T. STASHAK, M.D. P.A. 9
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2002-01-01
Business code 621111
Sponsor’s telephone number 5618328886
Plan sponsor’s address 5305 GREENWOOD AVENUE, SUITE 204, WEST PALM BEACH, FL, 33407

Signature of
Role Plan administrator
Date 2018-09-19
Name of individual signing SHANNON STASHAK
Valid signature Filed with authorized/valid electronic signature
GERALD T. STASHAK, M.D. P.A. 401(K) PROFIT SHARING PLAN 2016 203032767 2017-07-18 GERALD T. STASHAK, M.D. P.A. 7
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2002-01-01
Business code 621111
Sponsor’s telephone number 5618328886
Plan sponsor’s address 5305 GREENWOOD AVENUE, SUITE 204, WEST PALM BEACH, FL, 33407

Signature of
Role Plan administrator
Date 2017-07-18
Name of individual signing SHANNON STASHAK
Valid signature Filed with authorized/valid electronic signature
GERALD T. STASHAK, M.D. P.A. 401(K) PROFIT SHARING PLAN 2015 203032767 2016-10-31 GERALD T. STASHAK, M.D. P.A. 7
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2002-01-01
Business code 621111
Sponsor’s telephone number 5618328886
Plan sponsor’s address 5305 GREENWOOD AVENUE, SUITE 204, WEST PALM BEACH, FL, 33407

Signature of
Role Plan administrator
Date 2016-10-31
Name of individual signing SHANNON STASHAK
Valid signature Filed with authorized/valid electronic signature
GERALD T. STASHAK, M.D. P.A. 401(K) PROFIT SHARING PLAN 2015 203032767 2016-10-24 GERALD T. STASHAK, M.D. P.A. 7
Three-digit plan number (PN) 002
Effective date of plan 2002-01-01
Business code 621111
Sponsor’s telephone number 5618328886
Plan sponsor’s address 5305 GREENWOOD AVENUE, SUITE 204, WEST PALM BEACH, FL, 33407

Signature of
Role Plan administrator
Date 2016-10-24
Name of individual signing SHANNON STASHAK
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
Stashak Gerald T Agent 5305 GREENWOOD AVENUE, WEST PALM BEACH, FL, 33407

Director

Name Role Address
STASHAK GERALD T Director 5305 GREENWOOD AVENUE, WEST PALM BEACH, FL, 33407

President

Name Role Address
STASHAK GERALD T President 5305 GREENWOOD AVENUE, WEST PALM BEACH, FL, 33407

Vice President

Name Role Address
STASHAK GERALD T Vice President 5305 GREENWOOD AVENUE, WEST PALM BEACH, FL, 33407

Secretary

Name Role Address
STASHAK GERALD T Secretary 5305 GREENWOOD AVENUE, WEST PALM BEACH, FL, 33407

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2023-05-01 5305 GREENWOOD AVENUE, Suite 203, WEST PALM BEACH, FL 33407 No data
CHANGE OF MAILING ADDRESS 2023-05-01 5305 GREENWOOD AVENUE, Suite 203, WEST PALM BEACH, FL 33407 No data
REGISTERED AGENT NAME CHANGED 2023-05-01 Stashak, Gerald T. No data
REGISTERED AGENT ADDRESS CHANGED 2023-05-01 5305 GREENWOOD AVENUE, Suite 203, WEST PALM BEACH, FL 33407 No data

Documents

Name Date
ANNUAL REPORT 2024-05-01
ANNUAL REPORT 2023-05-01
ANNUAL REPORT 2022-04-05
ANNUAL REPORT 2021-04-27
ANNUAL REPORT 2020-06-08
ANNUAL REPORT 2019-04-22
ANNUAL REPORT 2018-01-15
ANNUAL REPORT 2017-04-25
ANNUAL REPORT 2016-07-11
ANNUAL REPORT 2015-02-23

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Related by address

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Date of last update: 01 Feb 2025

Sources: Florida Department of State

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