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  5. TAMPA BAY PULMONARY MEDICINE, P.A.

TAMPA BAY PULMONARY MEDICINE, P.A.

Company Details

Entity Name: TAMPA BAY PULMONARY MEDICINE, P.A.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Active
Date Filed: 08 Nov 2010 (14 years ago)
Last Event: AMENDMENT
Event Date Filed: 15 Jun 2012 (13 years ago)
Document Number: P10000090931
FEI/EIN Number 273892199
Address: 402 NOLAND DRIVE, BRANDON, FL, 33511
Mail Address: 402 NOLAND DRIVE, BRANDON, FL, 33511
ZIP code: 33511
County: Hillsborough
Place of Formation: FLORIDA

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
TAMPA BAY PULMONARY MEDICINE, P.A. PROFIT SHARING PLAN 2023 273892199 2024-09-12 TAMPA BAY PULMONARY MEDICINE, P.A 33
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2001-01-01
Business code 621111
Sponsor’s telephone number 8136552501
Plan sponsor’s address 402 NOLAND DRIVE, BRANDON, FL, 335115709

Signature of
Role Plan administrator
Date 2024-09-12
Name of individual signing IVAN ACKERMAN
Valid signature Filed with authorized/valid electronic signature
TAMPA BAY PULMONARY MEDICINE, P.A. PROFIT SHARING PLAN 2022 273892199 2023-08-14 TAMPA BAY PULMONARY MEDICINE, P.A. 29
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2001-01-01
Business code 621112
Sponsor’s telephone number 8136552501
Plan sponsor’s address 402 NOLAND DRIVE, BRANDON, FL, 335115709

Signature of
Role Plan administrator
Date 2023-08-14
Name of individual signing IVAN ACKERMAN MD
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2023-08-14
Name of individual signing IVAN ACKERMAN
Valid signature Filed with authorized/valid electronic signature
TAMPA BAY PULMONARY MEDICINE, P.A. PROFIT SHARING PLAN 2021 273892199 2022-09-06 TAMPA BAY PULMONARY MEDICINE, P.A. 16
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2001-01-01
Business code 621111
Sponsor’s telephone number 8136552501
Plan sponsor’s address 402 NOLAND DRIVE, BRANDON, FL, 335115709

Signature of
Role Plan administrator
Date 2022-09-06
Name of individual signing IVAN ACKERMAN MD
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2022-09-06
Name of individual signing IVAN ACKERMAN
Valid signature Filed with authorized/valid electronic signature
TAMPA BAY PULMONARY MEDICINE, P.A. PROFIT SHARING PLAN 2020 273892199 2021-10-13 TAMPA BAY PULMONARY MEDICINE, P.A. 26
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2001-01-01
Business code 621111
Sponsor’s telephone number 8136552501
Plan sponsor’s address 402 NOLAND DRIVE, BRANDON, FL, 335115709

Signature of
Role Plan administrator
Date 2021-10-13
Name of individual signing IVAN ACKERMAN MD
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2021-10-13
Name of individual signing IVAN ACKERMAN
Valid signature Filed with authorized/valid electronic signature
TAMPA BAY PULMONARY MEDICINE, P.A. PROFIT SHARING PLAN 2020 273892199 2021-10-13 TAMPA BAY PULMONARY MEDICINE, P.A. 26
Three-digit plan number (PN) 001
Effective date of plan 2001-01-01
Business code 621111
Sponsor’s telephone number 8136552501
Plan sponsor’s address 402 NOLAND DRIVE, BRANDON, FL, 335115709

Signature of
Role Plan administrator
Date 2021-10-13
Name of individual signing IVAN ACKERMAN MD
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2021-10-13
Name of individual signing IVAN ACKERMAN
Valid signature Filed with authorized/valid electronic signature
TAMPA BAY PULMONARY MEDICINE, P.A. PROFIT SHARING PLAN 2019 273892199 2020-10-13 TAMPA BAY PULMONARY MEDICINE, P.A. 25
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2001-01-01
Business code 621111
Sponsor’s telephone number 8136552501
Plan sponsor’s address 402 NOLAND DRIVE, BRANDON, FL, 335115709

Signature of
Role Plan administrator
Date 2020-10-13
Name of individual signing IVAN ACKERMAN MD
Valid signature Filed with authorized/valid electronic signature
TAMPA BAY PULMONARY MEDICINE, P.A. PROFIT SHARING PLAN 2018 273892199 2019-10-01 TAMPA BAY PULMONARY MEDICINE, P.A. 21
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2001-01-01
Business code 621111
Sponsor’s telephone number 8136552500
Plan sponsor’s address 402 NOLAND DRIVE, BRANDON, FL, 335115709

Signature of
Role Plan administrator
Date 2019-10-01
Name of individual signing IVAN ACKERMAN MD
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2019-10-01
Name of individual signing IVAN F ACKERMAN MD
Valid signature Filed with authorized/valid electronic signature
TAMPA BAY PULMONARY MEDICINE, P.A. PROFIT SHARING PLAN 2017 273892199 2018-09-27 TAMPA BAY PULMONARY MEDICINE, P.A. 24
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2001-01-01
Business code 621111
Sponsor’s telephone number 8136552500
Plan sponsor’s address 402 NOLAND DRIVE, BRANDON, FL, 335115709

Signature of
Role Plan administrator
Date 2018-09-27
Name of individual signing IVAN ACKERMAN MD
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2018-09-27
Name of individual signing IVAN F ACKERMAN MD
Valid signature Filed with authorized/valid electronic signature
TAMPA BAY PULMONARY MEDICINE, P.A. PROFIT SHARING PLAN 2016 273892199 2018-01-10 TAMPA BAY PULMONARY MEDICINE, P.A. 24
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2001-01-01
Business code 621111
Sponsor’s telephone number 8136552500
Plan sponsor’s address 402 NOLAND DRIVE, BRANDON, FL, 335115709

Signature of
Role Plan administrator
Date 2018-01-10
Name of individual signing IVAN ACKERMAN MD
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2018-01-10
Name of individual signing IVAN F ACKERMAN MD
Valid signature Filed with authorized/valid electronic signature
TAMPA BAY PULMONARY MEDICINE, P.A. PROFIT SHARING PLAN 2015 273892199 2016-09-28 TAMPA BAY PULMONARY MEDICINE, P.A. 21
Three-digit plan number (PN) 001
Effective date of plan 2001-01-01
Business code 621111
Sponsor’s telephone number 8136552500
Plan sponsor’s address 402 NOLAND DRIVE, BRANDON, FL, 335115709

Signature of
Role Plan administrator
Date 2016-09-28
Name of individual signing IVAN ACKERMAN MD
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2016-09-28
Name of individual signing IVAN F ACKERMAN MD
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
ACKERMAN IVAN MD Agent 402 NOLAND DR, BRANDON, FL, 33511

Director

Name Role Address
ACKERMAN IVAN MD Director 402 NOLAND DRIVE, BRANDON, FL, 33511

Events

Event Type Filed Date Value Description
REGISTERED AGENT NAME CHANGED 2015-03-04 ACKERMAN, IVAN, MD No data
AMENDMENT 2012-06-15 No data No data
REGISTERED AGENT ADDRESS CHANGED 2012-03-21 402 NOLAND DR, BRANDON, FL 33511 No data

Documents

Name Date
ANNUAL REPORT 2024-03-21
ANNUAL REPORT 2023-03-02
ANNUAL REPORT 2022-03-03
ANNUAL REPORT 2021-04-08
ANNUAL REPORT 2020-01-20
ANNUAL REPORT 2019-04-02
ANNUAL REPORT 2018-03-16
ANNUAL REPORT 2017-04-07
ANNUAL REPORT 2016-04-29
ANNUAL REPORT 2015-03-04

Related by officers

No related officers

Related by address

402 NOLAND DRIVE, BRANDON, FL, 33511

TAMPA BAY PULMONARY AND SLEEP MEDICINE, PA TAMPA BAY PULMONARY, P.A. FLORIDA SCHOOL OF SLEEP MEDICINE AND TECHNOLOGY, INC. JEFFREY A. FLOCH, M.D., P.A. 402 NOLAND DR., L.L.C.

402 NOLAND DRIVE, BRANDON, FL, 33511

TAMPA BAY PULMONARY AND SLEEP MEDICINE, PA TAMPA BAY PULMONARY, P.A. FLORIDA SCHOOL OF SLEEP MEDICINE AND TECHNOLOGY, INC. JEFFREY A. FLOCH, M.D., P.A. 402 NOLAND DR., L.L.C.

Date of last update: 01 Feb 2025

Sources: Florida Department of State

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