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TAMPA INTERNIST PA

Company Details

Entity Name: TAMPA INTERNIST PA
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Active
Date Filed: 22 Aug 2006 (18 years ago)
Document Number: P06000109424
FEI/EIN Number 205413607
Address: 4543 S. MANHATTAN AVE SUITE 103, TAMPA, FL, 33611
Mail Address: 4543 S. MANHATTEN AVE SUITE 103, TAMPA, FL, 33611
ZIP code: 33611
County: Hillsborough
Place of Formation: FLORIDA

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
TAMPA INTERNIST, PA PROFIT SHARING PLAN 2023 205413607 2024-04-30 TAMPA INTERNIST, PA 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2010-01-01
Business code 238900
Sponsor’s telephone number 8138318888
Plan sponsor’s address 4543 S MANHATTAN AVENUE, SUITE 103, TAMPA, FL, 33611

Signature of

Role Plan administrator
Date 2024-04-30
Name of individual signing NIMESH PANCHIGAR
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2024-04-30
Name of individual signing NIMESH PANCHIGAR
Valid signature Filed with authorized/valid electronic signature
TAMPA INTERNIST, PA DEFINED BENEFIT PLAN 2022 205413607 2024-10-09 TAMPA INTERNIST, PA 3
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2012-12-31
Business code 621111
Sponsor’s telephone number 8138318888
Plan sponsor’s address 4543 S. MANHATTAN AVE, SUITE 103, TAMPA, FL, 33611

Signature of

Role Plan administrator
Date 2024-10-09
Name of individual signing NIMESH PANCHIGAR
Valid signature Filed with authorized/valid electronic signature
TAMPA INTERNIST, PA PROFIT SHARING PLAN 2022 205413607 2023-03-23 TAMPA INTERNIST, PA 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2010-01-01
Business code 238900
Sponsor’s telephone number 8138318888
Plan sponsor’s address 4543 S MANHATTAN AVENUE, SUITE 103, TAMPA, FL, 33611

Signature of

Role Plan administrator
Date 2023-03-23
Name of individual signing NIMESH PANCHIGAR
Valid signature Filed with authorized/valid electronic signature
TAMPA INTERNIST, PA PROFIT SHARING PLAN 2021 205413607 2022-04-28 TAMPA INTERNIST, PA 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2010-01-01
Business code 238900
Sponsor’s telephone number 8138318888
Plan sponsor’s address 4543 S MANHATTAN AVENUE, SUITE 103, TAMPA, FL, 33611

Signature of

Role Plan administrator
Date 2022-04-28
Name of individual signing NIMESH PANCHIGAR
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2022-04-28
Name of individual signing NIMESH N PANCHIGAR
Valid signature Filed with authorized/valid electronic signature
TAMPA INTERNIST, PA DEFINED BENEFIT PLAN 2021 205413607 2023-05-05 TAMPA INTERNIST, PA 4
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2012-12-31
Business code 621111
Sponsor’s telephone number 8138318888
Plan sponsor’s address 4543 S. MANHATTAN AVE, SUITE 103, TAMPA, FL, 33611

Signature of

Role Plan administrator
Date 2023-05-05
Name of individual signing NIMESH PANCHIGAR
Valid signature Filed with authorized/valid electronic signature
TAMPA INTERNIST, PA DEFINED BENEFIT PLAN 2020 205413607 2022-04-28 TAMPA INTERNIST, PA 3
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2012-12-31
Business code 621111
Sponsor’s telephone number 8138318888
Plan sponsor’s address 4543 S. MANHATTAN AVE, SUITE 103, TAMPA, FL, 33611

Signature of

Role Plan administrator
Date 2022-04-28
Name of individual signing NIMESH PANCHIGAR
Valid signature Filed with authorized/valid electronic signature
TAMPA INTERNIST, PA PROFIT SHARING PLAN 2020 205413607 2021-05-18 TAMPA INTERNIST, PA 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2010-01-01
Business code 238900
Sponsor’s telephone number 8138318888
Plan sponsor’s address 4543 S MANHATTAN AVENUE, SUITE 103, TAMPA, FL, 33611

Signature of

Role Plan administrator
Date 2021-05-18
Name of individual signing NIMESH PANCHIGAR
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2021-05-18
Name of individual signing NIMESH N PANCHIGAR
Valid signature Filed with authorized/valid electronic signature
TAMPA INTERNIST, PA DEFINED BENEFIT PLAN 2019 205413607 2021-04-22 TAMPA INTERNIST, PA 4
Three-digit plan number (PN) 002
Effective date of plan 2012-12-31
Business code 621111
Sponsor’s telephone number 8138318888
Plan sponsor’s address 4543 S. MANHATTAN AVE, SUITE 103, TAMPA, FL, 33611

Signature of

Role Plan administrator
Date 2021-04-22
Name of individual signing NIMESH PANCHIGAR
Valid signature Filed with authorized/valid electronic signature
TAMPA INTERNIST, PA DEFINED BENEFIT PLAN 2019 205413607 2021-06-23 TAMPA INTERNIST, PA 4
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2012-12-31
Business code 621111
Sponsor’s telephone number 8138318888
Plan sponsor’s address 4543 S. MANHATTAN AVE, SUITE 103, TAMPA, FL, 33611

Signature of

Role Plan administrator
Date 2021-06-23
Name of individual signing NIMESH PANCHIGAR
Valid signature Filed with authorized/valid electronic signature
TAMPA INTERNIST, PA PROFIT SHARING PLAN 2019 205413607 2020-03-27 TAMPA INTERNIST, PA 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2010-01-01
Business code 238900
Sponsor’s telephone number 8138318888
Plan sponsor’s address 4543 S MANHATTAN AVENUE, SUITE 103, TAMPA, FL, 33611

Signature of

Role Plan administrator
Date 2020-03-27
Name of individual signing NIMESH PANCHIGAR
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2020-03-27
Name of individual signing NIMESH N PANCHIGAR
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
PANCHIGAR NIMESH N Agent 4543 S. MANHATTEN AVE SUITE 103, TAMPA, FL, 33611

Manager

Name Role Address
PANCHIGAR NIMESH N Manager 4543 S. MANHATTEN AVE SUITE 103, TAMPA, FL, 33611

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2008-07-07 4543 S. MANHATTAN AVE SUITE 103, TAMPA, FL 33611 No data
REGISTERED AGENT ADDRESS CHANGED 2008-07-07 4543 S. MANHATTEN AVE SUITE 103, TAMPA, FL 33611 No data
CHANGE OF MAILING ADDRESS 2006-10-31 4543 S. MANHATTAN AVE SUITE 103, TAMPA, FL 33611 No data

Documents

Name Date
ANNUAL REPORT 2024-02-11
ANNUAL REPORT 2023-02-14
ANNUAL REPORT 2022-02-24
ANNUAL REPORT 2021-01-31
ANNUAL REPORT 2020-01-16
ANNUAL REPORT 2019-02-11
ANNUAL REPORT 2018-01-26
ANNUAL REPORT 2017-01-11
ANNUAL REPORT 2016-03-02
ANNUAL REPORT 2015-01-28

Date of last update: 01 Feb 2025

Sources: Florida Department of State