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LISBETH W. ROY, D.O., P.A.

Company Details

Entity Name: LISBETH W. ROY, D.O., P.A.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Active
Date Filed: 16 Nov 2007 (17 years ago)
Document Number: P07000124671
FEI/EIN Number 261442656
Address: 2595 NW BOCA RATON BLVD STE 200, BOCA RATON, FL, 33431
Mail Address: 2595 NW BOCA RATON BLVD STE 200, BOCA RATON, FL, 33431
ZIP code: 33431
County: Palm Beach
Place of Formation: FLORIDA

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
LISBETH W. ROY, D.O., P.A. 401(K) PROFIT SHARING PLAN 2022 261442656 2023-07-19 LISBETH W. ROY, D.O., P.A. 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-01-01
Business code 621111
Sponsor’s telephone number 5614447751
Plan sponsor’s address 2595 NW BOCA RATON BLVD, SUITE 200, BOCA RATON, FL, 33431

Signature of

Role Plan administrator
Date 2023-07-19
Name of individual signing LISBETH ROY
Valid signature Filed with authorized/valid electronic signature
LISBETH W. ROY, D.O., P.A. 401(K) PROFIT SHARING PLAN 2021 261442656 2022-09-24 LISBETH W. ROY, D.O., P.A. 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-01-01
Business code 621111
Sponsor’s telephone number 5614447751
Plan sponsor’s address 2595 NW BOCA RATON BLVD, SUITE 200, BOCA RATON, FL, 33431

Signature of

Role Plan administrator
Date 2022-09-24
Name of individual signing LISBETH ROY
Valid signature Filed with authorized/valid electronic signature
LISBETH W. ROY, D.O., P.A. 401(K) PROFIT SHARING PLAN 2020 261442656 2021-04-21 LISBETH W. ROY, D.O., P.A. 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-01-01
Business code 621111
Sponsor’s telephone number 5614447751
Plan sponsor’s address 2595 NW BOCA RATON BLVD, SUITE 200, BOCA RATON, FL, 33431

Signature of

Role Plan administrator
Date 2021-04-21
Name of individual signing LISBETH ROY
Valid signature Filed with authorized/valid electronic signature
LISBETH W. ROY, D.O., P.A. 401(K) PROFIT SHARING PLAN 2019 261442656 2020-06-29 LISBETH W. ROY, D.O., P.A. 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-01-01
Business code 621111
Sponsor’s telephone number 5614447751
Plan sponsor’s address 2595 NW BOCA RATON BLVD, SUITE 200, BOCA RATON, FL, 33431

Signature of

Role Plan administrator
Date 2020-06-29
Name of individual signing LISBETH ROY
Valid signature Filed with authorized/valid electronic signature
LISBETH W. ROY, D.O., P.A. 401(K) PROFIT SHARING PLAN 2018 261442656 2019-04-21 LISBETH W. ROY, D.O., P.A. 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-01-01
Business code 621111
Sponsor’s telephone number 5614447751
Plan sponsor’s address 2595 NW BOCA RATON BLVD, SUITE 200, BOCA RATON, FL, 33431

Signature of

Role Plan administrator
Date 2019-04-21
Name of individual signing LISBETH ROY
Valid signature Filed with authorized/valid electronic signature
LISBETH W. ROY, D.O., P.A. 401(K) PROFIT SHARING PLAN 2017 261442656 2018-09-14 LISBETH W. ROY, D.O., P.A. 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-01-01
Business code 621111
Sponsor’s telephone number 5614447751
Plan sponsor’s address 2595 NW BOCA RATON BLVD, SUITE 200, BOCA RATON, FL, 33431

Signature of

Role Plan administrator
Date 2018-09-14
Name of individual signing LISBETH ROY
Valid signature Filed with authorized/valid electronic signature
LISBETH W. ROY, D.O., P.A. 401(K) PROFIT SHARING PLAN 2016 261442656 2017-10-08 LISBETH W. ROY, D.O., P.A. 2
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-01-01
Business code 621111
Sponsor’s telephone number 5614447751
Plan sponsor’s address 2595 NW BOCA RATON BLVD, SUITE 200, BOCA RATON, FL, 33431

Signature of

Role Plan administrator
Date 2017-10-08
Name of individual signing LISBETH ROY
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
ROY LISBETH Agent 2595 NW BOCA RATON BLVD STE 200, BOCA RATON, FL, 33431

President

Name Role Address
Saxena Shilpa PDr. President 3820 Northdale Boulevard, Tampa, FL, 33624

Vice President

Name Role Address
Puttkammner Adam Vice President 2300 CABOT DRIVE, Lisle, IL, 60532

Secretary

Name Role Address
Berger Justin Secretary 2300 CABOT DRIVE, LISLE, IL, 60532

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G10000015874 DOCTOR'S STUDIO ACTIVE 2010-02-18 2025-12-31 No data 2595 N.W. BOCA RATON BLVD., STE. 200, BOCA RATON, FL, 33431

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2017-09-22 2595 NW BOCA RATON BLVD STE 200, BOCA RATON, FL 33431 No data
CHANGE OF MAILING ADDRESS 2017-09-22 2595 NW BOCA RATON BLVD STE 200, BOCA RATON, FL 33431 No data
REGISTERED AGENT ADDRESS CHANGED 2017-09-22 2595 NW BOCA RATON BLVD STE 200, BOCA RATON, FL 33431 No data
REGISTERED AGENT NAME CHANGED 2014-02-26 ROY, LISBETH No data

Documents

Name Date
ANNUAL REPORT 2025-01-24
ANNUAL REPORT 2024-02-14
ANNUAL REPORT 2023-01-10
ANNUAL REPORT 2022-01-20
AMENDED ANNUAL REPORT 2021-09-14
ANNUAL REPORT 2021-01-04
ANNUAL REPORT 2020-01-07
ANNUAL REPORT 2019-01-13
ANNUAL REPORT 2018-01-23
Reg. Agent Change 2017-09-22

Date of last update: 01 Feb 2025

Sources: Florida Department of State