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  5. NORMAN B. SELTZER, M.D., P.A.

NORMAN B. SELTZER, M.D., P.A.

Company Details

Entity Name: NORMAN B. SELTZER, M.D., P.A.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Inactive
Date Filed: 30 Nov 2012 (12 years ago)
Date of dissolution: 26 Sep 2014 (10 years ago)
Last Event: ADMIN DISSOLUTION FOR ANNUAL REPORT
Event Date Filed: 26 Sep 2014 (10 years ago)
Document Number: P12000098251
FEI/EIN Number 80-0870862
Address: 614 N. PENINSULA DRIVE, DAYTONA BEACH, FL, 32118
Mail Address: 614 N. PENINSULA DRIVE, DAYTONA BEACH, FL, 32118
ZIP code: 32118
County: Volusia
Place of Formation: FLORIDA

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
NORMAN B. SELTZER, M.D., P.A. PROFIT SHARING PLAN 2016 592089594 2017-12-26 NORMAN B. SELTZER, M.D., P.A. 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1982-07-01
Business code 621111
Sponsor’s telephone number 3862572602
Plan sponsor’s address 614 N. PENINSULA DRIVE, DAYTONA BEACH, FL, 32118

Signature of
Role Plan administrator
Date 2017-12-26
Name of individual signing NORMAN SELTZER
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2017-12-26
Name of individual signing NORMAN SELTZER
Valid signature Filed with authorized/valid electronic signature
NORMAN B. SELTZER, M.D., P.A. PROFIT SHARING PLAN 2016 592089594 2017-12-26 NORMAN B. SELTZER, M.D., P.A. 12
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1982-07-01
Business code 621111
Sponsor’s telephone number 3862572602
Plan sponsor’s address 614 N. PENINSULA DRIVE, DAYTONA BEACH, FL, 32118

Signature of
Role Plan administrator
Date 2017-12-26
Name of individual signing NORMAN SELTZER
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2017-12-26
Name of individual signing NORMAN SELTZER
Valid signature Filed with authorized/valid electronic signature
NORMAN B. SELTZER, M.D., P.A. PROFIT SHARING PLAN 2015 592089594 2016-07-28 NORMAN B. SELTZER, M.D., P.A. 11
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1982-07-01
Business code 621111
Sponsor’s telephone number 3862572602
Plan sponsor’s address 614 N. PENINSULA DRIVE, DAYTONA BEACH, FL, 32118

Signature of
Role Plan administrator
Date 2016-07-28
Name of individual signing NORMAN B. SELTZER
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2016-07-28
Name of individual signing NORMAN B. SELTZER
Valid signature Filed with authorized/valid electronic signature
NORMAN B. SELTZER, M.D., P.A. PROFIT SHARING PLAN 2014 592089594 2015-10-15 NORMAN B. SELTZER, M.D., P.A. 11
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1982-07-01
Business code 621111
Sponsor’s telephone number 3862572602
Plan sponsor’s address 614 N. PENINSULA DRIVE, DAYTONA BEACH, FL, 32118

Signature of
Role Plan administrator
Date 2015-10-15
Name of individual signing NORMAN SELTZER
Valid signature Filed with authorized/valid electronic signature
NORMAN B. SELTZER, M.D., P.A. PROFIT SHARING PLAN 2013 592089594 2015-10-15 NORMAN B. SELTZER, M.D., P.A. 16
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1982-07-01
Business code 621111
Sponsor’s telephone number 3862572602
Plan sponsor’s address 614 N. PENINSULA DRIVE, DAYTONA BEACH, FL, 32118

Signature of
Role Plan administrator
Date 2015-10-15
Name of individual signing NORMAN SELTZER
Valid signature Filed with authorized/valid electronic signature
NORMAN B. SELTZER, M.D., P.A. PROFIT SHARING PLAN 2012 592089594 2013-07-30 NORMAN B. SELTZER, M.D., P.A. 13
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1982-07-01
Business code 621111
Sponsor’s telephone number 3862572602
Plan sponsor’s address 614 N. PENINSULA DRIVE, DAYTONA BEACH, FL, 32118

Signature of
Role Plan administrator
Date 2013-07-30
Name of individual signing NORMAN SELTZER
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2013-07-30
Name of individual signing NORMAN SELTZER
Valid signature Filed with authorized/valid electronic signature
NORMAN B. SELTZER, M.D., P.A. PROFIT SHARING PLAN 2011 592089594 2012-07-24 NORMAN B. SELTZER, M.D., P.A. 13
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1982-07-01
Business code 621111
Sponsor’s telephone number 3862572602
Plan sponsor’s address 614 N. PENINSULA DRIVE, DAYTONA BEACH, FL, 32118

Plan administrator’s name and address
Administrator’s EIN 592089594
Plan administrator’s name NORMAN B. SELTZER, M.D., P.A.
Plan administrator’s address 614 N. PENINSULA DRIVE, DAYTONA BEACH, FL, 32118
Administrator’s telephone number 3862572602

Signature of
Role Plan administrator
Date 2012-07-24
Name of individual signing NORMAN SELTZER
Valid signature Filed with authorized/valid electronic signature
NORMAN B. SELTZER, M.D., P.A. PROFIT SHARING PLAN 2010 592089594 2011-02-14 NORMAN B. SELTZER, M.D., P.A. 14
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1982-07-01
Business code 621111
Sponsor’s telephone number 3862572602
Plan sponsor’s address 614 N. PENINSULA DRIVE, DAYTONA BE, FL, 32118

Plan administrator’s name and address
Administrator’s EIN 592089594
Plan administrator’s name NORMAN B. SELTZER, M.D., P.A.
Plan administrator’s address 614 N. PENINSULA DRIVE, DAYTONA BE, FL, 32118
Administrator’s telephone number 3862572602

Signature of
Role Plan administrator
Date 2011-02-14
Name of individual signing NORMAN SELTZER
Valid signature Filed with authorized/valid electronic signature
NORMAN B. SELTZER, M.D., P.A. PROFIT SHARING PLAN 2009 592089594 2010-05-10 NORMAN B. SELTZER, M.D., P.A. 12
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1982-07-01
Business code 621111
Sponsor’s telephone number 3862572602
Plan sponsor’s address 614 N. PENINSULA DRIVE, DAYTONA BEACH, FL, 32118

Plan administrator’s name and address
Administrator’s EIN 592089594
Plan administrator’s name NORMAN B. SELTZER, M.D., P.A.
Plan administrator’s address 614 N. PENINSULA DRIVE, DAYTONA BEACH, FL, 32118
Administrator’s telephone number 3862572602

Signature of
Role Plan administrator
Date 2010-05-10
Name of individual signing NORMAN SELTZER
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
WEBSTER DANIEL J Agent 444 SEABREEZE BLVD., DAYTONA BEACH, FL, 32118

President

Name Role Address
SELTZER NORMAN B President 614 N. PENINSULA DRIVE, DAYTONA BEACH, FL, 32118

Events

Event Type Filed Date Value Description
ADMIN DISSOLUTION FOR ANNUAL REPORT 2014-09-26 No data No data

Documents

Name Date
ANNUAL REPORT 2013-01-24
Domestic Profit 2012-11-30

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WEBSTER DANIEL J

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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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