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MAA BHAWANI, INC.

Company Details

Entity Name: MAA BHAWANI, INC.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Active
Date Filed: 04 Aug 2008 (16 years ago)
Last Event: AMENDMENT
Event Date Filed: 15 Apr 2011 (14 years ago)
Document Number: P08000072735
FEI/EIN Number 263122076
Address: 3791 N. LECANTO HWY, BEVERLY HILLS, FL, 34465
Mail Address: 2432 w elm blossom st, beverly hills, FL, 34465, US
ZIP code: 34465
County: Citrus
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1831735406 2019-11-19 2019-11-19 2432 W ELM BLOSSOM ST, BEVERLY HILLS, FL, 344653037, US 3791 N LECANTO HWY, BEVERLY HILLS, FL, 344653559, US

Contacts

Phone +1 352-270-2281
Fax 8558298668
Phone +1 352-527-3111

Authorized person

Name RAJESH PATEL
Role PRESIDENT
Phone 3522702281

Taxonomy

Taxonomy Code 3336L0003X - Long Term Care Pharmacy
Is Primary Yes

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
MAA BHAWANI INC 401K PLAN 2023 263122076 2024-10-14 MAA BHAWANI INC 15
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2019-01-01
Business code 446110
Sponsor’s telephone number 3522702281
Plan sponsor’s address 2432 W ELM BLOSSOM ST, BEVERLY HILLS, FL, 34465

Signature of

Role Plan administrator
Date 2024-10-14
Name of individual signing RAJESH PATEL
Valid signature Filed with authorized/valid electronic signature
MAA BHAWANI INC 401K PLAN 2022 263122076 2023-07-07 MAA BHAWANI INC 11
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2019-01-01
Business code 446110
Sponsor’s telephone number 3522702281
Plan sponsor’s address 2432 W ELM BLOSSOM ST, BEVERLY HILLS, FL, 34465

Signature of

Role Plan administrator
Date 2023-07-07
Name of individual signing RAJESH PATEL
Valid signature Filed with authorized/valid electronic signature
MAA BHAWANI INC 401K PLAN 2021 263122076 2022-07-13 MAA BHAWANI INC 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2019-01-01
Business code 446110
Sponsor’s telephone number 3522702281
Plan sponsor’s address 2432 W ELM BLOSSOM ST, BEVERLY HILLS, FL, 34465

Signature of

Role Plan administrator
Date 2022-07-13
Name of individual signing RAJESH PATEL
Valid signature Filed with authorized/valid electronic signature
MAA BHAWANI INC 401K PLAN 2020 263122076 2021-10-03 MAA BHAWANI INC 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2019-01-01
Business code 446110
Sponsor’s telephone number 3522702281
Plan sponsor’s address 2432 W ELM BLOSSOM ST, BEVERLY HILLS, FL, 34465

Signature of

Role Plan administrator
Date 2021-10-03
Name of individual signing RAJESH PATEL
Valid signature Filed with authorized/valid electronic signature
MAA BHAWANI INC 401K PLAN 2019 263122076 2020-10-15 MAA BHAWANI INC 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2019-01-01
Business code 446110
Sponsor’s telephone number 3522702281
Plan sponsor’s address 2432 W ELM BLOSSOM ST, BEVERLY HILLS, FL, 34465

Signature of

Role Plan administrator
Date 2020-10-15
Name of individual signing RAJESH PATEL
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
PATEL RAJESH B Agent 2432 W. ELM BLOSSOM ST, BEVERLY HILLS, FL, 34465

Vice President

Name Role Address
PATEL GAYATRI R Vice President 2432 W. ELM BLOSSOM ST, BEVERLY HILLS, FL, 34465

President

Name Role Address
PATEL RAJESH B President 2432 W. ELM BLOSSOM ST, BEVERLY HILLS, FL, 34465

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G11000071204 G & R HEALTH MART PHARMACY #2 ACTIVE 2011-07-15 2026-12-31 No data 2432 W ELM BLOSSOM ST, BEVERLY HILLS, FL, 34465
G09008900193 G & R HEALTH MART PHARMACY ACTIVE 2009-01-07 2025-12-31 No data 2432 W. ELM BLOSSOM ST, BEVERLY HILLS, FL, 34465

Events

Event Type Filed Date Value Description
CHANGE OF MAILING ADDRESS 2013-02-21 3791 N. LECANTO HWY, BEVERLY HILLS, FL 34465 No data
AMENDMENT 2011-04-15 No data No data
CHANGE OF PRINCIPAL ADDRESS 2011-01-20 3791 N. LECANTO HWY, BEVERLY HILLS, FL 34465 No data

Documents

Name Date
ANNUAL REPORT 2024-01-25
ANNUAL REPORT 2023-01-27
ANNUAL REPORT 2022-01-25
ANNUAL REPORT 2021-01-27
ANNUAL REPORT 2020-01-21
ANNUAL REPORT 2019-02-19
ANNUAL REPORT 2018-01-19
ANNUAL REPORT 2017-01-16
ANNUAL REPORT 2016-01-29
ANNUAL REPORT 2015-01-15

Date of last update: 02 Feb 2025

Sources: Florida Department of State