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  5. GAINESVILLE ENT & ALLERGY ASSOCIATES, P.A.

GAINESVILLE ENT & ALLERGY ASSOCIATES, P.A.

Company Details

Entity Name: GAINESVILLE ENT & ALLERGY ASSOCIATES, P.A.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Active
Date Filed: 17 Nov 2005 (19 years ago)
Last Event: CANCEL ADM DISS/REV
Event Date Filed: 15 Dec 2009 (15 years ago)
Document Number: P05000153647
FEI/EIN Number 203819234
Address: 7135 NW 11TH PLACE, SUITE A, GAINESVILLE, FL, 32605
Mail Address: 7135 NW 11TH PLACE, SUITE A, GAINESVILLE, FL, 32605
ZIP code: 32605
County: Alachua
Place of Formation: FLORIDA

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
GAINESVILLE ENT & ALLERGY ASSOCIATES, PA 401K PSP 2012 203819234 2013-11-05 GAINESVILLE ENT & ALLERGY ASSOCIATES, P.A. 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-04-15
Business code 621111
Sponsor’s telephone number 3523310090
Plan sponsor’s address 7135 NW 11TH PLACE, SUITE A, GAINESVILLE, FL, 32605

Signature of
Role Plan administrator
Date 2013-11-05
Name of individual signing JEREMY MELKER, M.D.
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2013-11-05
Name of individual signing JEREMY MELKER, M.D.
Valid signature Filed with authorized/valid electronic signature
GAINESVILLE ENT & ALLERGY ASSOCIATES, PA 401K PSP 2012 203819234 2013-11-05 GAINESVILLE ENT & ALLERGY ASSOCIATES, P.A. 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-04-15
Business code 621111
Sponsor’s telephone number 3523310090
Plan sponsor’s address 7135 NW 11TH PLACE, SUITE A, GAINESVILLE, FL, 32605

Signature of
Role Plan administrator
Date 2013-11-05
Name of individual signing JEREMY MELKER, M.D.
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2013-11-05
Name of individual signing JEREMY MELKER, M.D.
Valid signature Filed with authorized/valid electronic signature
GAINESVILLE ENT & ALLERGY ASSOCIATES, PA 401K PSP 2012 203819234 2013-11-05 GAINESVILLE ENT & ALLERGY ASSOCIATES, P.A. 9
Three-digit plan number (PN) 001
Effective date of plan 2006-04-15
Business code 621111
Sponsor’s telephone number 3523310090
Plan sponsor’s address 7135 NW 11TH PLACE, SUITE A, GAINESVILLE, FL, 32605

Signature of
Role Plan administrator
Date 2013-11-05
Name of individual signing JEREMY MELKER, M.D.
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2013-11-05
Name of individual signing JEREMY MELKER, M.D.
Valid signature Filed with authorized/valid electronic signature
GAINESVILLE ENT & ALLERGY ASSOCIATES, PA 401K PSP 2012 203819234 2013-05-20 GAINESVILLE ENT & ALLERGY ASSOCIATES, P.A. 9
Three-digit plan number (PN) 001
Effective date of plan 2006-04-15
Business code 621111
Sponsor’s telephone number 3523310090
Plan sponsor’s address 7135 NW 11TH PLACE, SUITE A, GAINESVILLE, FL, 32605

Plan administrator’s name and address
Administrator’s EIN 203819234
Plan administrator’s name GAINESVILLE ENT & ALLERGY ASSOCIATES
Plan administrator’s address 7135 NW 11TH PLACE, SUITE A, GAINESVILLE, FL, 32605
Administrator’s telephone number 3523310090

Signature of
Role Plan administrator
Date 2013-05-20
Name of individual signing JEREMY MELKER, M.D.
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2013-05-20
Name of individual signing JEREMY MELKER, M.D.
Valid signature Filed with authorized/valid electronic signature
GAINESVILLE ENT & ALLERGY ASSOCIATES, PA 401K PSP 2011 203819234 2012-07-17 GAINESVILLE ENT & ALLERGY ASSOCIATES, P.A. 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-04-15
Business code 621111
Sponsor’s telephone number 3523310090
Plan sponsor’s address 7135 NW 11TH PLACE, SUITE A, GAINESVILLE, FL, 32605

Plan administrator’s name and address
Administrator’s EIN 203819234
Plan administrator’s name GAINESVILLE ENT & ALLERGY ASSOCIATES
Plan administrator’s address 7135 NW 11TH PLACE, SUITE A, GAINESVILLE, FL, 32605

Signature of
Role Plan administrator
Date 2012-07-17
Name of individual signing JEREMY MELKER, M.D.
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2012-07-17
Name of individual signing JEREMY MELKER, M.D.
Valid signature Filed with authorized/valid electronic signature
GAINESVILLE ENT & ALLERGY ASSOCIATES, PA 401K PSP 2010 203819234 2011-07-05 GAINESVILLE ENT & ALLERGY ASSOCIATES, P.A. 12
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-04-15
Business code 621111
Sponsor’s telephone number 3523310090
Plan sponsor’s address 7135 NW 11TH PLACE, SUITE A, GAINESVILLE, FL, 32605

Plan administrator’s name and address
Administrator’s EIN 203819234
Plan administrator’s name GAINESVILLE ENT & ALLERGY ASSOCIATES
Plan administrator’s address 7135 NW 11TH PLACE, SUITE A, GAINESVILLE, FL, 32605
Administrator’s telephone number 3523310090

Signature of
Role Plan administrator
Date 2011-07-05
Name of individual signing JEREMY MELKER, M.D.
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2011-07-05
Name of individual signing JEREMY MELKER, M.D.
Valid signature Filed with authorized/valid electronic signature
GAINESVILLE ENT & ALLERGY ASSOCIATES, PA 401K PSP 2009 203819234 2010-08-02 GAINESVILLE ENT & ALLERGY ASSOCIATES, P.A. 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-04-15
Business code 621111
Sponsor’s telephone number 3523310090
Plan sponsor’s address 7135 NW 11TH PLACE, SUITE A, GAINESVILLE, FL, 32605

Plan administrator’s name and address
Administrator’s EIN 203819234
Plan administrator’s name GAINESVILLE ENT & ALLERGY ASSOCIATES
Plan administrator’s address 7135 NW 11TH PLACE, SUITE A, GAINESVILLE, FL, 32605
Administrator’s telephone number 3523310090

Signature of
Role Plan administrator
Date 2010-08-02
Name of individual signing JEREMY MELKER, M.D.
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2010-08-02
Name of individual signing JEREMY MELKER, M.D.
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
Hauptman Garrett M Agent 7135 NW 11TH PLACE, GAINESVILLE, FL, 32605

President

Name Role Address
HAUPTMAN GARRETT M President 7135 NW 11TH PLACE, SUITE A, GAINESVILLE, FL, 32605

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G09000185414 AUDIOLOGY AND HEARING AIDS OF GAINESVILLE EXPIRED 2009-12-16 2014-12-31 No data 7135 NW 11TH PLACE, SUITE A, GAINESVILLE, FL, 32605
G09022900095 GAINESVILLE FACIAL ESTHETIC ASSOCIATES EXPIRED 2009-01-22 2014-12-31 No data 7135 NW 11TH PLACE, SUITE A, GAINESVILLE, FL, 32605
G09022900097 GAINESVILLE FACIAL AESTHETIC ASSOCIATES EXPIRED 2009-01-22 2014-12-31 No data 7135 NW 11 PLACE, SUITE A, GAINESVILLE, FL, 32605
G09022900098 GAINESVILLE FACES EXPIRED 2009-01-22 2014-12-31 No data 7135 NW 11 PLACE, SUITE A, GAINESVILLE, FL, 32605
G09022900096 LOVE YOUR FACE EXPIRED 2009-01-22 2014-12-31 No data 7135 NW 11ST PLACE, SUITE A, GAINESVILLE, FL, 32605

Events

Event Type Filed Date Value Description
REGISTERED AGENT NAME CHANGED 2022-01-25 Hauptman, Garrett M.D. No data
CANCEL ADM DISS/REV 2009-12-15 No data No data
CHANGE OF PRINCIPAL ADDRESS 2009-12-15 7135 NW 11TH PLACE, SUITE A, GAINESVILLE, FL 32605 No data
CHANGE OF MAILING ADDRESS 2009-12-15 7135 NW 11TH PLACE, SUITE A, GAINESVILLE, FL 32605 No data
REGISTERED AGENT ADDRESS CHANGED 2009-12-15 7135 NW 11TH PLACE, SUITE A, GAINESVILLE, FL 32605 No data
ADMIN DISSOLUTION FOR ANNUAL REPORT 2009-09-25 No data No data

Documents

Name Date
ANNUAL REPORT 2024-01-22
ANNUAL REPORT 2023-01-23
ANNUAL REPORT 2022-01-25
ANNUAL REPORT 2021-01-27
ANNUAL REPORT 2020-01-22
ANNUAL REPORT 2019-02-27
ANNUAL REPORT 2018-01-25
ANNUAL REPORT 2017-01-11
ANNUAL REPORT 2016-01-13
ANNUAL REPORT 2015-01-13

Related by officers

No related officers

Related by address

7135 NW 11TH PLACE, SUITE A, GAINESVILLE, FL, 32605

GARRETT HAUPTMAN, M.D., P.A.

7135 NW 11TH PLACE, SUITE A, GAINESVILLE, FL, 32605

GARRETT HAUPTMAN, M.D., P.A.

Date of last update: 02 Feb 2025

Sources: Florida Department of State

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