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RICHARD G. VALENZUELA, M.D., P.A.

Company Details

Entity Name: RICHARD G. VALENZUELA, M.D., P.A.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Active
Date Filed: 28 Jun 2013 (12 years ago)
Last Event: REINSTATEMENT
Event Date Filed: 19 Dec 2017 (7 years ago)
Document Number: P13000055709
FEI/EIN Number 46-3094657
Mail Address: 127 W FAIRBANKS AVE, WINTER PARK, FL, 32789, US
Address: 127 W. Fairbanks Ave #327, Winter Park, FL, 32789-4326, US
Place of Formation: FLORIDA

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
RICHARD G. VALENZUELA, M.D., P.A. 401(K) PLAN 2017 463094657 2018-10-12 RICHARD G. VALENZUELA, M.D., P.A. 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-06-28
Business code 621111
Sponsor’s telephone number 3867554007
Plan sponsor’s address 348 NE METHODIST TERRANCE, LAKE CITY, FL, 32055
RICHARD G. VALENZUELA, M.D., P.A. 401(K) PLAN 2016 463094657 2017-10-16 RICHARD G. VALENZUELA, M.D., P.A. 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-06-28
Business code 621111
Sponsor’s telephone number 3867554007
Plan sponsor’s address 348 NE METHODIST TERRANCE, LAKE CITY, FL, 32055
RICHARD G. VALENZUELA, M.D., P.A. 401(K) PLAN 2015 463094657 2016-10-17 RICHARD G. VALENZUELA, M.D., P.A. 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-06-28
Business code 621111
Sponsor’s telephone number 3867554007
Plan sponsor’s address 348 NE METHODIST TERRANCE, LAKE CITY, FL, 32055
RICHARD G. VALENZUELA, M.D., P.A. 401(K) PLAN 2014 463094657 2015-10-15 RICHARD G. VALENZUELA, M.D., P.A. 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-06-28
Business code 621111
Sponsor’s telephone number 3867554007
Plan sponsor’s address 348 NE METHODIST TERRANCE, LAKE CITY, FL, 32055

Signature of
Role Plan administrator
Date 2015-10-15
Name of individual signing RICHARD G. VALENZUELA, TRUSTEE
Valid signature Filed with authorized/valid electronic signature
RICHARD G. VALENZUELA, M.D., P.A. 401(K) PLAN 2013 463094657 2014-10-15 RICHARD G. VALENZUELA, M.D., P.A. 2
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-06-28
Business code 621111
Sponsor’s telephone number 3867554007
Plan sponsor’s address 348 NE METHODIST TERRANCE, LAKE CITY, FL, 32055

Signature of
Role Plan administrator
Date 2014-10-15
Name of individual signing RICHARD G. VALENZUELA, TRUSTEE
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
VALENZUELA RICHARD GM.D. Agent 127 W Fairbanks Ave, WINTER PARK, FL, 32789

Owne

Name Role Address
Richard Valenzuela G Owne 127 W Fairbanks Ave, WINTER PARK, FL, 32789

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G13000082655 LAKE SHORE ORTHOPAEDICS AND SPORTS MEDICINE CENTER EXPIRED 2013-08-20 2018-12-31 No data 348 NE METHODIST TERRACE,SUITE 101, LAKE CITY, FL, 32055

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2022-01-19 127 W. Fairbanks Ave #327, Winter Park, FL 32789-4326 No data
CHANGE OF MAILING ADDRESS 2021-07-06 127 W. Fairbanks Ave #327, Winter Park, FL 32789-4326 No data
REGISTERED AGENT ADDRESS CHANGED 2021-01-24 127 W Fairbanks Ave, #327, WINTER PARK, FL 32789 No data
REINSTATEMENT 2017-12-19 No data No data
REGISTERED AGENT NAME CHANGED 2017-12-19 VALENZUELA, RICHARD G, M.D. No data
ADMIN DISSOLUTION FOR ANNUAL REPORT 2016-09-23 No data No data

Documents

Name Date
ANNUAL REPORT 2024-04-25
ANNUAL REPORT 2023-03-30
ANNUAL REPORT 2022-01-19
ANNUAL REPORT 2021-01-24
ANNUAL REPORT 2020-06-19
ANNUAL REPORT 2019-01-30
ANNUAL REPORT 2018-04-03
REINSTATEMENT 2017-12-19
ANNUAL REPORT 2015-01-14
ANNUAL REPORT 2014-04-23

Related by officers

No related officers

Related by address

127 W FAIRBANKS AVE, WINTER PARK, FL, 32789, US

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Date of last update: 03 Feb 2025

Sources: Florida Department of State

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