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  5. ELOY ROMAN, M.D., P.A.

ELOY ROMAN, M.D., P.A.

Company Details

Entity Name: ELOY ROMAN, M.D., P.A.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Active
Date Filed: 20 Aug 2009 (15 years ago)
Document Number: P09000070453
FEI/EIN Number 270771096
Address: 13304 NW 102 AVE, HIALEAH GARDENS, FL, 33018
Mail Address: 13304 NW 102 AVE, HIALEAH GARDENS, FL, 33018
ZIP code: 33018
County: Miami-Dade
Place of Formation: FLORIDA

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
ELOY ROMAN, M.D., P.A. 401(K) PLAN 2023 270771096 2024-10-10 ELOY ROMAN, M.D., P.A. 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-01-01
Business code 621111
Sponsor’s telephone number 3058281333
Plan sponsor’s address 13304 NW 102 AVENUE, HIALEAH GARDENS, FL, 33018
ELOY ROMAN, M.D., P.A. CASH BALANCE PLAN 2023 270771096 2024-10-10 ELOY ROMAN, M.D., P.A. 4
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2016-01-01
Business code 621111
Sponsor’s telephone number 3058281333
Plan sponsor’s address 13304 NW 102 AVENUE, HIALEAH GARDENS, FL, 33018
ELOY ROMAN, M.D., P.A. CASH BALANCE PLAN 2022 270771096 2023-10-03 ELOY ROMAN, M.D., P.A. 4
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2016-01-01
Business code 621111
Sponsor’s telephone number 3058281333
Plan sponsor’s address 13304 NW 102 AVENUE, HIALEAH GARDENS, FL, 33018

Signature of
Role Plan administrator
Date 2023-10-03
Name of individual signing ELOY ROMAN, M.D.
Valid signature Filed with authorized/valid electronic signature
ELOY ROMAN, M.D., P.A. 401(K) PLAN 2022 270771096 2023-10-10 ELOY ROMAN, M.D., P.A. 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-01-01
Business code 621111
Sponsor’s telephone number 3058281333
Plan sponsor’s address 13304 NW 102 AVENUE, HIALEAH GARDENS, FL, 33018

Signature of
Role Plan administrator
Date 2023-10-10
Name of individual signing ELOY ROMAN, M.D.
Valid signature Filed with authorized/valid electronic signature
ELOY ROMAN, M.D., P.A. 401(K) PLAN 2021 270771096 2022-09-27 ELOY ROMAN, M.D., P.A. 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-01-01
Business code 621111
Sponsor’s telephone number 3058281333
Plan sponsor’s address 13304 NW 102 AVENUE, HIALEAH GARDENS, FL, 33018

Signature of
Role Plan administrator
Date 2022-09-27
Name of individual signing ELOY ROMAN, M.D.
Valid signature Filed with authorized/valid electronic signature
ELOY ROMAN, M.D., P.A. CASH BALANCE PLAN 2021 270771096 2022-10-03 ELOY ROMAN, M.D., P.A. 4
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2016-01-01
Business code 621111
Sponsor’s telephone number 3058281333
Plan sponsor’s address 13304 NW 102 AVENUE, HIALEAH GARDENS, FL, 33018

Signature of
Role Plan administrator
Date 2022-10-03
Name of individual signing ELOY ROMAN, M.D.
Valid signature Filed with authorized/valid electronic signature
ELOY ROMAN, M.D., P.A. 401(K) PLAN 2020 270771096 2021-07-12 ELOY ROMAN, M.D., P.A. 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-01-01
Business code 621111
Sponsor’s telephone number 3058281333
Plan sponsor’s address 13304 NW 102 AVENUE, HIALEAH GARDENS, FL, 33018

Signature of
Role Plan administrator
Date 2021-07-12
Name of individual signing ELOY ROMAN, M.D.
Valid signature Filed with authorized/valid electronic signature
ELOY ROMAN, M.D., P.A. CASH BALANCE PLAN 2020 270771096 2021-10-05 ELOY ROMAN, M.D., P.A. 4
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2016-01-01
Business code 621111
Sponsor’s telephone number 3058281333
Plan sponsor’s address 13304 NW 102 AVENUE, HIALEAH GARDENS, FL, 33018

Signature of
Role Plan administrator
Date 2021-10-05
Name of individual signing ELOY ROMAN, M.D.
Valid signature Filed with authorized/valid electronic signature
ELOY ROMAN, M.D., P.A. 401(K) PLAN 2019 270771096 2020-06-18 ELOY ROMAN, M.D., P.A. 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-01-01
Business code 621111
Sponsor’s telephone number 3058281333
Plan sponsor’s address 13304 NW 102 AVENUE, HIALEAH GARDENS, FL, 33018

Signature of
Role Plan administrator
Date 2020-06-18
Name of individual signing ELOY ROMAN, M.D.
Valid signature Filed with authorized/valid electronic signature
ELOY ROMAN, M.D., P.A. CASH BALANCE PLAN 2019 270771096 2020-07-28 ELOY ROMAN, M.D., P.A. 4
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2016-01-01
Business code 621111
Sponsor’s telephone number 3058281333
Plan sponsor’s address 13304 NW 102 AVENUE, HIALEAH GARDENS, FL, 33018

Signature of
Role Plan administrator
Date 2020-07-28
Name of individual signing ELOY ROMAN, M.D.
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
STUART A. LIPSON, ESQUIRE Agent 16900 NE 19TH AVE, N MIAMI BEACH, FL, 33162

Director

Name Role Address
ROMAN ELOY M Director 13304 NW 102 AVE, HIALEAH GARDENS, FL, 33018

Documents

Name Date
ANNUAL REPORT 2024-01-08
ANNUAL REPORT 2023-01-24
ANNUAL REPORT 2022-01-24
ANNUAL REPORT 2021-01-11
ANNUAL REPORT 2020-01-21
ANNUAL REPORT 2019-02-12
ANNUAL REPORT 2018-01-21
ANNUAL REPORT 2017-01-08
ANNUAL REPORT 2016-02-10
ANNUAL REPORT 2015-01-14

Related by officers

STUART A. LIPSON, ESQUIRE

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Related by address

No related companies by address

Date of last update: 01 Feb 2025

Sources: Florida Department of State

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