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  5. MOSTAFAVI, M.D., P.A.

MOSTAFAVI, M.D., P.A.

Company Details

Entity Name: MOSTAFAVI, M.D., P.A.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Active
Date Filed: 15 Feb 2007 (18 years ago)
Document Number: P07000021230
FEI/EIN Number 208454504
Address: 1880 NORTH CONGRESS AVE, STE. 301, BOYNTON BEACH, FL, 33426
Mail Address: 1295 Lands End Road, Lantana, FL, 33462, US
ZIP code: 33426
County: Palm Beach
Place of Formation: FLORIDA

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
MOSTAFAVI, M.D., P.A. CASH BALANCE PENSION PLAN 2023 208454504 2024-04-12 MOSTAFAVI, M.D., P.A. 6
File View Page
Three-digit plan number (PN) 004
Effective date of plan 2019-01-01
Business code 621111
Sponsor’s telephone number 5614245004
Plan sponsor’s address 1295 LANDS END ROAD, MANALAPAN, FL, 33462

Signature of
Role Plan administrator
Date 2024-04-12
Name of individual signing DR. ARMAGHAN MOSTAFAVI
Valid signature Filed with authorized/valid electronic signature
MOSTAFAVI, M.D., P.A. 401(K) PROFIT SHARING PLAN 2023 208454504 2024-04-07 MOSTAFAVI, M.D., P.A. 6
File View Page
Three-digit plan number (PN) 003
Effective date of plan 2019-01-01
Business code 621111
Sponsor’s telephone number 5614245004
Plan sponsor’s address 1295 LANDS END ROAD, MANALAPAN, FL, 33462

Signature of
Role Plan administrator
Date 2024-04-07
Name of individual signing DR. ARMAGHAN MOSTAFAVI
Valid signature Filed with authorized/valid electronic signature
MOSTAFAVI, M.D., P.A. 401(K) PROFIT SHARING PLAN 2022 208454504 2023-08-20 MOSTAFAVI, M.D., P.A. 6
File View Page
Three-digit plan number (PN) 003
Effective date of plan 2019-01-01
Business code 621111
Sponsor’s telephone number 5614245004
Plan sponsor’s address 1295 LANDS END ROAD, MANALAPAN, FL, 33462

Signature of
Role Plan administrator
Date 2023-08-20
Name of individual signing DR. ARMAGHAN MOSTAFAVI
Valid signature Filed with authorized/valid electronic signature
MOSTAFAVI, M.D., P.A. CASH BALANCE PENSION PLAN 2022 208454504 2023-10-05 MOSTAFAVI, M.D., P.A. 5
File View Page
Three-digit plan number (PN) 004
Effective date of plan 2019-01-01
Business code 621111
Sponsor’s telephone number 5614245004
Plan sponsor’s address 1295 LANDS END ROAD, MANALAPAN, FL, 33462

Signature of
Role Plan administrator
Date 2023-10-05
Name of individual signing DR. ARMAGHAN MOSTAFAVI
Valid signature Filed with authorized/valid electronic signature
MOSTAFAVI, M.D., P.A. CASH BALANCE PENSION PLAN 2021 208454504 2022-10-08 MOSTAFAVI, M.D., P.A. 5
File View Page
Three-digit plan number (PN) 004
Effective date of plan 2019-01-01
Business code 621111
Sponsor’s telephone number 5614245004
Plan sponsor’s address 1295 LANDS END ROAD, MANALAPAN, FL, 33462

Signature of
Role Plan administrator
Date 2022-10-08
Name of individual signing DR. ARMAGHAN MOSTAFAVI
Valid signature Filed with authorized/valid electronic signature
MOSTAFAVI, M.D., P.A. 401(K) PROFIT SHARING PLAN 2021 208454504 2022-10-08 MOSTAFAVI, M.D., P.A. 5
File View Page
Three-digit plan number (PN) 003
Effective date of plan 2019-01-01
Business code 621111
Sponsor’s telephone number 5614245004
Plan sponsor’s address 1295 LANDS END ROAD, MANALAPAN, FL, 33462

Signature of
Role Plan administrator
Date 2022-10-08
Name of individual signing DR. ARMAGHAN MOSTAFAVI
Valid signature Filed with authorized/valid electronic signature
MOSTAFAVI, M.D., P.A. 401(K) PROFIT SHARING PLAN 2020 208454504 2021-10-11 MOSTAFAVI, M.D., P.A. 5
File View Page
Three-digit plan number (PN) 003
Effective date of plan 2019-01-01
Business code 621111
Sponsor’s telephone number 5614245004
Plan sponsor’s address 1295 LANDS END ROAD, MANALAPAN, FL, 33462

Signature of
Role Plan administrator
Date 2021-10-11
Name of individual signing DR. ARMAGHAN MOSTAFAVI
Valid signature Filed with authorized/valid electronic signature
MOSTAFAVI, M.D., P.A. 401(K) PLAN 2020 208454504 2021-10-10 MOSTAFAVI, M.D., P.A. 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2012-01-01
Business code 621111
Sponsor’s telephone number 5614245004
Plan sponsor’s address 1295 LANDS END ROAD, MANALAPAN, FL, 33462

Signature of
Role Plan administrator
Date 2021-10-10
Name of individual signing DR. ARMAGHAN MOSTAFAVI
Valid signature Filed with authorized/valid electronic signature
MOSTAFAVI, M.D., P.A. CASH BALANCE PLAN 2020 208454504 2021-10-10 MOSTAFAVI, M.D., P.A. 5
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2012-01-01
Business code 621111
Sponsor’s telephone number 5614245004
Plan sponsor’s address 1295 LANDS END ROAD, MANALAPAN, FL, 33462

Signature of
Role Plan administrator
Date 2021-10-10
Name of individual signing DR. ARMAGHAN MOSTAFAVI
Valid signature Filed with authorized/valid electronic signature
MOSTAFAVI, M.D., P.A. CASH BALANCE PENSION PLAN 2020 208454504 2021-10-10 MOSTAFAVI, M.D., P.A. 5
File View Page
Three-digit plan number (PN) 004
Effective date of plan 2019-01-01
Business code 621111
Sponsor’s telephone number 5614245004
Plan sponsor’s address 1295 LANDS END ROAD, MANALAPAN, FL, 33462

Signature of
Role Plan administrator
Date 2021-10-10
Name of individual signing DR. ARMAGHAN MOSTAFAVI
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role
GREENSPOON MARDER, P.A. Agent

Director

Name Role Address
MOSTAFAVI ARMAGHAN Director 1295 Lands End Road, Lantana, FL, 33462

Events

Event Type Filed Date Value Description
CHANGE OF MAILING ADDRESS 2020-01-28 1880 NORTH CONGRESS AVE, STE. 301, BOYNTON BEACH, FL 33426 No data
CHANGE OF PRINCIPAL ADDRESS 2012-01-29 1880 NORTH CONGRESS AVE, STE. 301, BOYNTON BEACH, FL 33426 No data
REGISTERED AGENT NAME CHANGED 2011-03-02 GREENSPOON MARDER, P.A. No data
REGISTERED AGENT ADDRESS CHANGED 2011-03-02 100 W. CYPRESS CREEK ROAD, SUITE 700, FORT LAUDERDALE, FL 33309 No data

Documents

Name Date
ANNUAL REPORT 2024-02-04
ANNUAL REPORT 2023-03-17
ANNUAL REPORT 2022-01-21
ANNUAL REPORT 2021-02-05
ANNUAL REPORT 2020-01-28
ANNUAL REPORT 2019-04-07
ANNUAL REPORT 2018-01-13
ANNUAL REPORT 2017-01-17
ANNUAL REPORT 2016-01-18
ANNUAL REPORT 2015-02-03

Paycheck Protection Program

Loan Number Loan Funded Date SBA Origination Office Code Loan Delivery Method Borrower Street Address
9745508505 2021-03-12 0455 PPS 1880 N Congress Ave Ste 301, Boynton Beach, FL, 33426-8675
Loan Status Date 2021-10-22
Loan Status Paid in Full
Loan Maturity in Months 60
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 40230
Loan Approval Amount (current) 40230
Undisbursed Amount 0
Franchise Name -
Lender Location ID 117723
Servicing Lender Name SouthState Bank, National Association
Servicing Lender Address 1101 First St South, WINTER HAVEN, FL, 33880-3908
Rural or Urban Indicator U
Hubzone N
LMI N
Business Age Description Existing or more than 2 years old
Project Address Boynton Beach, PALM BEACH, FL, 33426-8675
Project Congressional District FL-22
Number of Employees 4
NAICS code 621999
Borrower Race Unanswered
Borrower Ethnicity Not Hispanic or Latino
Business Type Corporation
Originating Lender ID 117723
Originating Lender Name SouthState Bank, National Association
Originating Lender Address WINTER HAVEN, FL
Gender Female Owned
Veteran Non-Veteran
Forgiveness Amount 40414.39
Forgiveness Paid Date 2021-09-01

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Date of last update: 01 Feb 2025

Sources: Florida Department of State

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