| Entity Name: | ASSOCIATED FAMILY PHYSICIANS, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Inactive |
| Date Filed: | 21 Jun 1993 (32 years ago) |
| Document Number: | P93000045360 |
| FEI/EIN Number | 593198767 |
| Address: | 1220 DOUGLAS AVE., SUITE 101, LONGWOOD, FL, 32779 |
| Mail Address: | 1220 DOUGLAS AVE., SUITE 101, LONGWOOD, FL, 32779 |
| ZIP code: | 32779 |
| County: | Seminole |
| Place of Formation: | FLORIDA |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| ASSOCIATED FAMILY PHYSICIANS O | 2009 | 650885455 | 2010-05-24 | ASSOCIATED FAMILY PHYSICIANS | 23 | |||||||||||||||||||||||||||||||||||||||||
|
||||||||||||||||||||||||||||||||||||||||||||||
| Administrator’s EIN | 650885455 |
| Plan administrator’s name | ASSOCIATED FAMILY PHYSICIANS |
| Plan administrator’s address | 9910 SANDALFOOT BLVD STE 1, BOCA RATON, FL, 334286647 |
| Administrator’s telephone number | 5618833030 |
Signature of
| Role | Plan administrator |
| Date | 2010-05-24 |
| Name of individual signing | ASSOCIATED FAMILY PHYSICIANS |
| Valid signature | Filed with authorized/valid electronic signature |
| Role | Employer/plan sponsor |
| Date | 2010-05-24 |
| Name of individual signing | ASSOCIATED FAMILY PHYSICIANS |
| Valid signature | Filed with authorized/valid electronic signature |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2000-01-01 |
| Business code | 621111 |
| Sponsor’s telephone number | 5618833030 |
| Plan sponsor’s address | 9910 SANDALFOOT BLVD STE 1, BOCA RATON, FL, 334286647 |
Plan administrator’s name and address
| Administrator’s EIN | 650885455 |
| Plan administrator’s name | ASSOCIATED FAMILY PHYSICIANS |
| Plan administrator’s address | 9910 SANDALFOOT BLVD STE 1, BOCA RATON, FL, 334286647 |
| Administrator’s telephone number | 5618833030 |
Signature of
| Role | Plan administrator |
| Date | 2010-05-24 |
| Name of individual signing | ASSOCIATED FAMILY PHYSICIANS |
| Valid signature | Filed with incorrect/unrecognized electronic signature |
| Role | Employer/plan sponsor |
| Date | 2010-05-24 |
| Name of individual signing | ASSOCIATED FAMILY PHYSICIANS |
| Valid signature | Filed with incorrect/unrecognized electronic signature |
| Name | Role | Address |
|---|---|---|
| WATSON ROBERT J | Agent | 1220 DOUGLAS AVE., LONGWOOD, FL, 32779 |
| Name | Role | Address |
|---|---|---|
| WATSON ROBERT J | Director | 2167 DEER HOLLOW CR., LONGWOOD, FL, 32779 |
| GARNER JULIUS M | Director | 2211 W. LAKE BRANTLEY RD., LONGWOOD, FL, 32750 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 1995-08-25 | No data | No data |
Date of last update: 01 Jan 2025
Sources: Florida Department of State
