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CAMILO RUIZ, D.O., P.A.

Company Details

Entity Name: CAMILO RUIZ, D.O., P.A.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Active
Date Filed: 28 May 2009 (16 years ago)
Document Number: P09000046818
FEI/EIN Number 270265223
Address: 1319 SE 2ND AVENUE, Fort Lauderdale, FL, 33316, US
Mail Address: 1319 SE 2ND AVENUE, Fort Lauderdale, FL, 33316, US
ZIP code: 33316
County: Broward
Place of Formation: FLORIDA

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
CAMILO RUIZ DO PA 401(K) PLAN 2023 270265223 2024-03-27 CAMILO RUIZ, D.O., P.A. 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2017-01-01
Business code 621111
Sponsor’s telephone number 3056700400
Plan sponsor’s address 1319 SE 2ND AVENUE, FORT LAUDERDALE, FL, 33316

Signature of

Role Plan administrator
Date 2024-03-27
Name of individual signing CAMILO RUIZ, D.O.
Valid signature Filed with authorized/valid electronic signature
CAMILO RUIZ DO PA 401(K) PLAN 2022 270265223 2023-06-12 CAMILO RUIZ, D.O., P.A. 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2017-01-01
Business code 621111
Sponsor’s telephone number 3056700400
Plan sponsor’s address 1319 SE 2ND AVENUE, FORT LAUDERDALE, FL, 33316

Signature of

Role Plan administrator
Date 2023-06-12
Name of individual signing CAMILO RUIZ, D.O.
Valid signature Filed with authorized/valid electronic signature
CAMILO RUIZ DO PA 401(K) PLAN 2021 270265223 2022-09-12 CAMILO RUIZ, D.O., P.A. 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2017-01-01
Business code 621111
Sponsor’s telephone number 9545234141
Plan sponsor’s address 1319 SE 2ND AVENUE, FORT LAUDERDALE, FL, 33316

Signature of

Role Plan administrator
Date 2022-09-12
Name of individual signing CAMILO RUIZ, D.O.
Valid signature Filed with authorized/valid electronic signature
CAMILO RUIZ DO PA 401(K) PLAN 2020 270265223 2021-05-10 CAMILO RUIZ, D.O., P.A. 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2017-01-01
Business code 621498
Sponsor’s telephone number 3056700400
Plan sponsor’s address 1319 SE 2ND AVENUE, FORT LAUDERDALE, FL, 33316

Agent

Name Role Address
RUIZ CAMILO D Agent 1319 SE 2ND AVENUE, Fort Lauderdale, FL, 33316

Director

Name Role Address
RUIZ CAMILO Director 1319 SE 2ND AVENUE, FORT LAUDERDALE, FL, 33316

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G22000003481 SLEEP & INTERNAL MEDICINE SPECIALISTS ACTIVE 2022-01-10 2027-12-31 No data 1319 SE 2ND AVENUE, FORT LAUDERDALE, FL, 33316

Events

Event Type Filed Date Value Description
REGISTERED AGENT ADDRESS CHANGED 2021-01-27 1319 SE 2ND AVENUE, Fort Lauderdale, FL 33316 No data
CHANGE OF PRINCIPAL ADDRESS 2021-01-13 1319 SE 2ND AVENUE, Fort Lauderdale, FL 33316 No data
CHANGE OF MAILING ADDRESS 2021-01-13 1319 SE 2ND AVENUE, Fort Lauderdale, FL 33316 No data

Documents

Name Date
ANNUAL REPORT 2024-01-11
ANNUAL REPORT 2023-01-27
ANNUAL REPORT 2022-01-23
ANNUAL REPORT 2021-01-27
ANNUAL REPORT 2020-01-22
ANNUAL REPORT 2019-02-07
ANNUAL REPORT 2018-01-14
ANNUAL REPORT 2017-01-07
ANNUAL REPORT 2016-02-15
ANNUAL REPORT 2015-01-11

Date of last update: 02 Feb 2025

Sources: Florida Department of State