Menu
Search icon
  1. Home Page
    2. ›
  2. Counties
    3. ›
  3. Broward
    4. ›
  4. 33315
    5. ›
  5. HUSMAN KHAN, M.D., P.A.

HUSMAN KHAN, M.D., P.A.

Company Details

Entity Name: HUSMAN KHAN, M.D., P.A.
Jurisdiction: FLORIDA
Filing Type: Florida Profit Corporation
Status: Active
Date Filed: 28 Dec 1992 (32 years ago)
Document Number: P92000014405
FEI/EIN Number 65-0382658
Address: 1226 SW 3RD AVE., FORT LAUDERDALE, FL 33315
Mail Address: 1226 SW 3RD AVE., FORT LAUDERDALE, FL 33315
ZIP code: 33315
County: Broward
Place of Formation: FLORIDA

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
HUSMAN KHAN, M.D., P.A. PROFIT SHARING PLAN AND TRUST 2023 650382658 2024-09-30 HUSMAN KHAN, M.D., P.A. 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1983-06-01
Business code 621111
Sponsor’s telephone number 9545270222
Plan sponsor’s address 1226 SW 3RD AVENUE, FT. LAUDERDALE, FL, 33315

Signature of
Role Plan administrator
Date 2024-09-30
Name of individual signing HUSMAN KHAN, M.D.
Valid signature Filed with authorized/valid electronic signature
HUSMAN KHAN, M.D., P.A. CASH BALANCE PLAN 2022 650382658 2023-10-05 HUSMAN KHAN, M.D., P.A. 6
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2012-01-01
Business code 621111
Sponsor’s telephone number 9545270222
Plan sponsor’s address 1226 SW 3RD AVENUE, FT. LAUDERDALE, FL, 33315

Signature of
Role Plan administrator
Date 2023-10-05
Name of individual signing HUSMAN KHAN, M.D.
Valid signature Filed with authorized/valid electronic signature
HUSMAN KHAN, M.D., P.A. PROFIT SHARING PLAN AND TRUST 2022 650382658 2023-10-05 HUSMAN KHAN, M.D., P.A. 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1983-06-01
Business code 621111
Sponsor’s telephone number 9545270222
Plan sponsor’s address 1226 SW 3RD AVENUE, FT. LAUDERDALE, FL, 33315

Signature of
Role Plan administrator
Date 2023-10-05
Name of individual signing HUSMAN KHAN, M.D.
Valid signature Filed with authorized/valid electronic signature
HUSMAN KHAN, M.D., P.A. PROFIT SHARING PLAN AND TRUST 2021 650382658 2022-06-23 HUSMAN KHAN, M.D., P.A. 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1983-06-01
Business code 621111
Sponsor’s telephone number 9545270222
Plan sponsor’s address 1226 SW 3RD AVENUE, FT. LAUDERDALE, FL, 33315

Signature of
Role Plan administrator
Date 2022-06-23
Name of individual signing HUSMAN KHAN, M.D.
Valid signature Filed with authorized/valid electronic signature
HUSMAN KHAN, M.D., P.A. CASH BALANCE PLAN 2021 650382658 2022-10-13 HUSMAN KHAN, M.D., P.A. 7
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2012-01-01
Business code 621111
Sponsor’s telephone number 9545270222
Plan sponsor’s address 1226 SW 3RD AVENUE, FT. LAUDERDALE, FL, 33315

Signature of
Role Plan administrator
Date 2022-10-13
Name of individual signing HUSMAN KHAN, M.D.
Valid signature Filed with authorized/valid electronic signature
HUSMAN KHAN, M.D., P.A. PROFIT SHARING PLAN AND TRUST 2020 650382658 2021-05-06 HUSMAN KHAN, M.D., P.A. 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1983-06-01
Business code 621111
Sponsor’s telephone number 9545270222
Plan sponsor’s address 1226 SW 3RD AVENUE, FT. LAUDERDALE, FL, 33315

Signature of
Role Plan administrator
Date 2021-05-06
Name of individual signing HUSMAN KHAN, M.D.
Valid signature Filed with authorized/valid electronic signature
HUSMAN KHAN, M.D., P.A. CASH BALANCE PLAN 2020 650382658 2021-10-12 HUSMAN KHAN, M.D., P.A. 7
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2012-01-01
Business code 621111
Sponsor’s telephone number 9545270222
Plan sponsor’s address 1226 SW 3RD AVENUE, FT. LAUDERDALE, FL, 33315

Signature of
Role Plan administrator
Date 2021-10-12
Name of individual signing HUSMAN KHAN, M.D.
Valid signature Filed with authorized/valid electronic signature
HUSMAN KHAN, M.D., P.A. CASH BALANCE PLAN 2019 650382658 2020-10-13 HUSMAN KHAN, M.D., P.A. 6
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2012-01-01
Business code 621111
Sponsor’s telephone number 9545270222
Plan sponsor’s address 1226 SW 3RD AVENUE, FT. LAUDERDALE, FL, 33315

Signature of
Role Plan administrator
Date 2020-10-13
Name of individual signing HUSMAN KHAN, M.D.
Valid signature Filed with authorized/valid electronic signature
HUSMAN KHAN, M.D., P.A. PROFIT SHARING PLAN AND TRUST 2019 650382658 2020-05-12 HUSMAN KHAN, M.D., P.A. 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1983-06-01
Business code 621111
Sponsor’s telephone number 9545270222
Plan sponsor’s address 1226 SW 3RD AVENUE, FT. LAUDERDALE, FL, 33315

Signature of
Role Plan administrator
Date 2020-05-12
Name of individual signing HUSMAN KHAN, M.D.
Valid signature Filed with authorized/valid electronic signature
HUSMAN KHAN, M.D., P.A. PROFIT SHARING PLAN AND TRUST 2018 650382658 2019-10-09 HUSMAN KHAN, M.D., P.A. 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1983-06-01
Business code 621111
Sponsor’s telephone number 9545270222
Plan sponsor’s address 1226 SW 3RD AVENUE, FT. LAUDERDALE, FL, 33315

Signature of
Role Plan administrator
Date 2019-10-09
Name of individual signing HUSMAN KHAN, M.D.
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
BLAKESBERG, JON D Agent 951 SW 4TH AVE., BOCA RATON, FL 33432

Director

Name Role Address
KHAN, HUSMAN Director 11550 NW 20TH ST, PLANTATION, FL 33323

Events

Event Type Filed Date Value Description
CHANGE OF MAILING ADDRESS 2025-01-17 1226 SW 3RD AVE., FORT LAUDERDALE, FL 33315 No data
CHANGE OF PRINCIPAL ADDRESS 2007-05-18 1226 SW 3RD AVE., FORT LAUDERDALE, FL 33315 No data
REGISTERED AGENT NAME CHANGED 2003-01-27 BLAKESBERG, JON D No data
REGISTERED AGENT ADDRESS CHANGED 2003-01-27 951 SW 4TH AVE., BOCA RATON, FL 33432 No data

Documents

Name Date
ANNUAL REPORT 2025-01-17
ANNUAL REPORT 2024-04-17
ANNUAL REPORT 2023-04-25
ANNUAL REPORT 2022-04-22
ANNUAL REPORT 2021-04-23
ANNUAL REPORT 2020-06-10
ANNUAL REPORT 2019-04-02
ANNUAL REPORT 2018-04-23
ANNUAL REPORT 2017-04-26
ANNUAL REPORT 2016-07-08

Related by officers

BLAKESBERG, JON D

CHEBEC GALLERIES, INC. GRATEFUL J'S, INC. LENIET CORPORATION THE FLICK PEST CONTROL CORPORATION

KHAN, HUSMAN

R & D AUTOMOTIVE, INC.

Related by address

No related companies by address

Date of last update: 03 Feb 2025

Sources: Florida Department of State

Privacy policy Policy
About us About us
Contacts Contact us

© 2025 flprofile.com, Part of Big Data Integrated