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

HUSMAN KHAN, M.D., P.A. - Florida Company Profile

Company Details

Entity Name: HUSMAN KHAN, M.D., P.A.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit

HUSMAN KHAN, M.D., P.A. is structured as a Domestic Profit Corporation, which, in Florida signifies a Profit Corporation (also known as a C-Corporation). This business structure is recognized as a separate legal entity from its owners. This offers shareholders the benefit of limited liability protection, safeguarding their personal assets from the corporation's debts and obligations, and facilitates raising capital through the issuance of stock. In Florida, Domestic Profit Corporations are governed by Title XXXVI, Chapter 607, Florida Statutes – Florida Business Corporation Act.
Status: Active

The business entity is active. This status indicates that the business is currently operating and compliant with state regulations, suggesting a lower risk profile for lenders and potentially better creditworthiness.

Date Filed: 28 Dec 1992 (32 years ago)
Document Number: P92000014405
FEI/EIN Number 650382658

Federal Employer Identification (FEI) Number assigned by the IRS.
Address: 1226 SW 3RD AVE., FORT LAUDERDALE, FL, 33315, US
Mail Address: C/O BLAKESBERG & CO., CPA'S, 951 SW 4TH AVE, BOCA RATON, FL, 33432-5803, US
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

Key Officers & Management

Name Role Address
KHAN HUSMAN Director 11550 NW 20TH ST, PLANTATION, FL, 33323
BLAKESBERG JON D Agent 951 SW 4TH AVE., BOCA RATON, FL, 33432

Events

Event Type Filed Date Value Description
CHANGE OF MAILING ADDRESS 2025-01-17 1226 SW 3RD AVE., FORT LAUDERDALE, FL 33315 -
CHANGE OF PRINCIPAL ADDRESS 2007-05-18 1226 SW 3RD AVE., FORT LAUDERDALE, FL 33315 -
REGISTERED AGENT NAME CHANGED 2003-01-27 BLAKESBERG, JON D -
REGISTERED AGENT ADDRESS CHANGED 2003-01-27 951 SW 4TH AVE., BOCA RATON, FL 33432 -

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

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Companies related by address

No other companies in our directory share the same address as HUSMAN KHAN, M.D., P.A.

Date of last update: 02 Apr 2025

Sources: Florida Department of State

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