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  5. DR. ADAM P. LIPKIN, MD, P.A.

DR. ADAM P. LIPKIN, MD, P.A.

Company Details

Entity Name: DR. ADAM P. LIPKIN, MD, P.A.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Active
Date Filed: 10 Nov 2005 (19 years ago)
Last Event: REINSTATEMENT
Event Date Filed: 09 Oct 2023 (a year ago)
Document Number: P05000151010
FEI/EIN Number 203785426
Address: 730 Buckskin Ct, ENGLEWOOD, FL, 34223, US
Mail Address: 730 Buckskin Ct, ENGLEWOOD, FL, 34223, US
ZIP code: 34223
County: Sarasota
Place of Formation: FLORIDA

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
ADAM P. LIPKIN, MD, P.A. 401(K) PLAN & TRUST 2017 203785426 2018-10-15 DR. ADAM P. LIPKIN, MD, P.A. 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2011-01-01
Business code 621111
Sponsor’s telephone number 9414755431
Plan sponsor’s address 779 MEDICAL DRIVE SUITE 1, ENGLEWOOD, FL, 34223

Signature of
Role Plan administrator
Date 2018-10-15
Name of individual signing ADAM P. LIPKIN, M.D.
Valid signature Filed with authorized/valid electronic signature
ADAM P. LIPKIN, MD, P.A. 401(K) PLAN & TRUST 2016 203785426 2017-07-12 DR. ADAM P. LIPKIN, MD, P.A. 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2011-01-01
Business code 621111
Sponsor’s telephone number 9414755431
Plan sponsor’s address 779 MEDICAL DRIVE SUITE 1, ENGLEWOOD, FL, 34223

Signature of
Role Plan administrator
Date 2017-07-12
Name of individual signing ADAM P. LIPKIN, M.D.
Valid signature Filed with authorized/valid electronic signature
ADAM P. LIPKIN, MD, P.A. 401(K) PLAN & TRUST 2015 203785426 2016-08-03 DR. ADAM P. LIPKIN, MD, P.A. 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2011-01-01
Business code 621111
Sponsor’s telephone number 9414755431
Plan sponsor’s address 779 MEDICAL DRIVE SUITE 1, ENGLEWOOD, FL, 34223

Signature of
Role Plan administrator
Date 2016-08-03
Name of individual signing ADAM P. LIPKIN, M.D.
Valid signature Filed with authorized/valid electronic signature
ADAM P. LIPKIN, MD, P.A. 401(K) PLAN & TRUST 2014 203785426 2015-04-08 DR. ADAM P. LIPKIN, MD, P.A. 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2011-01-01
Business code 621111
Sponsor’s telephone number 9414755431
Plan sponsor’s address 779 MEDICAL DRIVE SUITE 1, ENGLEWOOD, FL, 34223

Signature of
Role Plan administrator
Date 2015-04-08
Name of individual signing ADAM P. LIPKIN, M.D.
Valid signature Filed with authorized/valid electronic signature
ADAM P. LIPKIN, MD, P.A. 401(K) PLAN & TRUST 2013 203785426 2014-06-03 DR. ADAM P. LIPKIN, MD, P.A. 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2011-01-01
Business code 621111
Sponsor’s telephone number 9414755431
Plan sponsor’s address 779 MEDICAL DRIVE SUITE 1, ENGLEWOOD, FL, 34223

Signature of
Role Plan administrator
Date 2014-06-03
Name of individual signing ADAM P. LIPKIN, M.D.
Valid signature Filed with authorized/valid electronic signature
ADAM P. LIPKIN, MD, P.A. 401(K) PLAN & TRUST 2012 203785426 2013-03-05 DR. ADAM P. LIPKIN, MD, P.A. 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2011-01-01
Business code 621111
Sponsor’s telephone number 9414755431
Plan sponsor’s address 779 MEDICAL DRIVE SUITE 1, ENGLEWOOD, FL, 34223

Signature of
Role Plan administrator
Date 2013-03-05
Name of individual signing ADAM P. LIPKIN, M.D.
Valid signature Filed with authorized/valid electronic signature
ADAM P. LIPKIN, MD, P.A. 401(K) PLAN & TRUST 2011 203785426 2012-07-02 DR. ADAM P. LIPKIN, MD, P.A. 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2011-01-01
Business code 621111
Sponsor’s telephone number 9414755431
Plan sponsor’s address 779 MEDICAL DRIVE SUITE 1, ENGLEWOOD, FL, 34223

Plan administrator’s name and address
Administrator’s EIN 203785426
Plan administrator’s name DR. ADAM P. LIPKIN, MD, P.A.
Plan administrator’s address 779 MEDICAL DRIVE SUITE 1, ENGLEWOOD, FL, 34223
Administrator’s telephone number 9414755431

Signature of
Role Plan administrator
Date 2012-06-30
Name of individual signing ADAM LIPKIN
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
LIPKIN ADAM P Agent 730 Buckskin Ct, ENGLEWOOD, FL, 34223

President

Name Role Address
LIPKIN ADAM PDr. President 730 Buckskin Ct, ENGLEWOOD, FL, 34223

Events

Event Type Filed Date Value Description
REINSTATEMENT 2023-10-09 No data No data
CHANGE OF PRINCIPAL ADDRESS 2023-10-09 730 Buckskin Ct, ENGLEWOOD, FL 34223 No data
CHANGE OF MAILING ADDRESS 2023-10-09 730 Buckskin Ct, ENGLEWOOD, FL 34223 No data
REGISTERED AGENT ADDRESS CHANGED 2023-10-09 730 Buckskin Ct, ENGLEWOOD, FL 34223 No data
ADMIN DISSOLUTION FOR ANNUAL REPORT 2022-09-23 No data No data
REGISTERED AGENT NAME CHANGED 2021-03-25 LIPKIN, ADAM P. No data

Documents

Name Date
ANNUAL REPORT 2024-02-08
REINSTATEMENT 2023-10-09
ANNUAL REPORT 2021-03-25
ANNUAL REPORT 2020-01-21
ANNUAL REPORT 2019-02-19
ANNUAL REPORT 2018-03-12
ANNUAL REPORT 2017-01-13
ANNUAL REPORT 2016-01-20
ANNUAL REPORT 2015-01-21
ANNUAL REPORT 2014-01-20

Related by officers

No related officers

Related by address

No related companies by address

Date of last update: 01 Feb 2025

Sources: Florida Department of State

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