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  5. GUILLERMO VALENZUELA, M.D., P.A.

GUILLERMO VALENZUELA, M.D., P.A.

Company Details

Entity Name: GUILLERMO VALENZUELA, M.D., P.A.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Active
Date Filed: 19 Apr 2012 (13 years ago)
Last Event: REINSTATEMENT
Event Date Filed: 18 Nov 2022 (2 years ago)
Document Number: P12000037083
FEI/EIN Number 80-0808192
Address: 140 SW 84TH AVENUE, B, PLANTATION, FL, 33324, US
Mail Address: 140 SW 84TH AVENUE, B, PLANTATION, FL, 33324, US
ZIP code: 33324
County: Broward
Place of Formation: FLORIDA

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
GUILLERMO VALENZUELA, M.D., P.A. CASH BALANCE PLAN 2023 800808192 2024-04-30 GUILLERMO VALENZUELA, M.D. P.A. 20
File View Page
Three-digit plan number (PN) 003
Effective date of plan 2012-01-01
Business code 621399
Sponsor’s telephone number 9544762338
Plan sponsor’s address 140 SW 84 AVENUE, SUITE B, PLANTATION, FL, 33324
GUILLERMO VALENZUELA, M.D., P.A. CASH BALANCE PLAN 2023 800808192 2024-04-30 GUILLERMO VALENZUELA, M.D. P.A. 20
File View Page
Three-digit plan number (PN) 003
Effective date of plan 2012-01-01
Business code 621399
Sponsor’s telephone number 9544762338
Plan sponsor’s address 140 SW 84 AVENUE, SUITE B, PLANTATION, FL, 33324
GUILLERMO VALENZUELA, M.D., P.A. CASH BALANCE PLAN 2023 800808192 2024-10-11 GUILLERMO VALENZUELA, M.D. P.A. 18
File View Page
Three-digit plan number (PN) 003
Effective date of plan 2012-01-01
Business code 621399
Sponsor’s telephone number 9544762338
Plan sponsor’s address 140 SW 84 AVENUE, SUITE B, PLANTATION, FL, 33324
GUILLERMO VALENZUELA MD, PA 401(K) 2023 800808192 2024-06-07 GUILLERMO VALENZUELA M.D., P.A. 30
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2011-01-01
Business code 621111
Sponsor’s telephone number 9544762338
Plan sponsor’s address 140 SW 84TH AVENUE, SUITE B, PLANTATION, FL, 33324

Signature of
Role Plan administrator
Date 2024-06-07
Name of individual signing GUILLERMO VALENZUELA
Valid signature Filed with authorized/valid electronic signature
GUILLERMO VALENZUELA MD, PA 401(K) 2022 800808192 2023-06-06 GUILLERMO VALENZUELA M.D., P.A. 21
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2011-01-01
Business code 621111
Sponsor’s telephone number 9544762338
Plan sponsor’s address 140 SW 84TH AVENUE, SUITE B, PLANTATION, FL, 33324

Signature of
Role Plan administrator
Date 2023-06-06
Name of individual signing GURLLERMO VALENZUELA
Valid signature Filed with authorized/valid electronic signature
GUILLERMO VALENZUELA, M.D., P.A. CASH BALANCE PLAN 2022 800808192 2024-04-30 GUILLERMO VALENZUELA, M.D. P.A. 21
File View Page
Three-digit plan number (PN) 003
Effective date of plan 2012-01-01
Business code 621399
Sponsor’s telephone number 9544762338
Plan sponsor’s address 140 SW 84 AVENUE, SUITE B, PLANTATION, FL, 33324
GUILLERMO VALENZUELA, M.D., P.A. CASH BALANCE PLAN 2021 800808192 2024-04-30 GUILLERMO VALENZUELA, M.D. P.A. 20
File View Page
Three-digit plan number (PN) 003
Effective date of plan 2012-01-01
Business code 621399
Sponsor’s telephone number 9544762338
Plan sponsor’s address 140 SW 84 AVENUE, SUITE B, PLANTATION, FL, 33324
GUILLERMO VALENZUELA MD, PA 401(K) 2021 800808192 2022-05-26 GUILLERMO VALENZUELA M.D., P.A. 21
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2011-01-01
Business code 621111
Sponsor’s telephone number 9544762338
Plan sponsor’s address 140 SW 84TH AVENUE, SUITE B, PLANTATION, FL, 33324

Signature of
Role Plan administrator
Date 2022-05-26
Name of individual signing GURLLERMO VALENZUELA
Valid signature Filed with authorized/valid electronic signature
GUILLERMO VALENZUELA MD, PA 401(K) 2020 800808192 2021-10-15 GUILLERMO VALENZUELA M.D., P.A. 19
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2011-01-01
Business code 621111
Sponsor’s telephone number 9544762338
Plan sponsor’s address 140 SW 84TH AVENUE, SUITE B, PLANTATION, FL, 33324

Signature of
Role Plan administrator
Date 2021-10-15
Name of individual signing CLARENA ORTA
Valid signature Filed with authorized/valid electronic signature
GUILLERMO VALENZUELA MD, PA 401(K) 2020 800808192 2021-09-14 GUILLERMO VALENZUELA M.D., P.A. 19
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2011-01-01
Business code 621111
Sponsor’s telephone number 9544762338
Plan sponsor’s address 140 SW 84TH AVENUE, SUITE B, PLANTATION, FL, 33324

Signature of
Role Plan administrator
Date 2021-09-14
Name of individual signing CLARENA ORTA
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
GUILLERMO VALENZUELA MD PA Agent 140 SW 84TH AVENUE, PLANTATION, FL, 33324

President

Name Role Address
VALENZUELA GUILLERMO M President 140 SW 84TH AVENUE, PLANTATION, FL, 33324

Officer

Name Role Address
Cacopardo Ilaria Officer 140 SW 84TH AVENUE, PLANTATION, FL, 33324

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G21000025100 INTEGRAL RHEUMATOLOGY & IMMUNOLOGY SPECIALISTS ACTIVE 2021-02-23 2026-12-31 No data 140 SW 84 AVENUE, UNIT B, PLANTATION, FL, 33324
G12000046587 INTEGRAL RHEUMATOLOGY & IMMUNOLOGY SPECIALISTS EXPIRED 2012-05-18 2017-12-31 No data 140 SW 84TH AVENUE, SUITE B, PLANTATION, FL, 33324

Events

Event Type Filed Date Value Description
REINSTATEMENT 2022-11-18 No data No data
REGISTERED AGENT NAME CHANGED 2022-11-18 GUILLERMO VALENZUELA MD PA No data
ADMIN DISSOLUTION FOR ANNUAL REPORT 2022-09-23 No data No data

Documents

Name Date
ANNUAL REPORT 2024-02-04
ANNUAL REPORT 2023-04-10
REINSTATEMENT 2022-11-18
ANNUAL REPORT 2021-02-05
ANNUAL REPORT 2020-03-19
ANNUAL REPORT 2019-02-08
ANNUAL REPORT 2018-03-05
ANNUAL REPORT 2017-01-09
ANNUAL REPORT 2016-03-08
ANNUAL REPORT 2015-01-28

Related by officers

VALENZUELA GUILLERMO M

WEST BROWARD RESEARCH ASSOCIATES, L.L.C.

Cacopardo Ilaria

LAW OFFICE OF ILARIA CACOPARDO VALENZUELA, P.A. IMMIGRANT ACTION ALLIANCE, INC.

Related by address

No related companies by address

Date of last update: 01 Feb 2025

Sources: Florida Department of State

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