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EYE SURGERY ASSOCIATES, INC.

Company Details

Entity Name: EYE SURGERY ASSOCIATES, INC.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Inactive
Date Filed: 29 Dec 1993 (31 years ago)
Document Number: P93000088400
FEI/EIN Number 650457710
Address: 2740 HOLLYWOOD DRIVE, HOLLYWOOD, FL, 33020-4899, US
Mail Address: 2740 HOLLYWOOD DRIVE, HOLLYWOOD, FL, 33020-4899, US
Place of Formation: FLORIDA

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
EYE SURGERY ASSOCIATES EMPLOYEES' RETIREMENT PLAN 2017 650457710 2018-10-05 EYE SURGERY ASSOCIATES, INC. 119
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1966-09-01
Business code 621111
Sponsor’s telephone number 9544312777
Plan sponsor’s address 2740 HOLLYWOOD BOULEVARD, HOLLYWOOD, FL, 33020

Signature of
Role Plan administrator
Date 2018-10-05
Name of individual signing MARK DORFMAN, M.D.
Valid signature Filed with authorized/valid electronic signature
EYE SURGERY ASSOCIATES EMPLOYEES' RETIREMENT PLAN 2016 650457710 2017-11-07 EYE SURGERY ASSOCIATES, INC. 119
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1966-09-01
Business code 621111
Sponsor’s telephone number 9544312777
Plan sponsor’s address 2740 HOLLYWOOD BOULEVARD, HOLLYWOOD, FL, 33020

Signature of
Role Plan administrator
Date 2017-11-07
Name of individual signing MARK DORFMAN, M.D.
Valid signature Filed with authorized/valid electronic signature
EYE SURGERY ASSOCIATES EMPLOYEES' RETIREMENT PLAN 2015 650457710 2016-07-26 EYE SURGERY ASSOCIATES, INC. 119
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1966-09-01
Business code 621111
Sponsor’s telephone number 9544312777
Plan sponsor’s address 2740 HOLLYWOOD BOULEVARD, HOLLYWOOD, FL, 33020

Signature of
Role Plan administrator
Date 2016-07-26
Name of individual signing MARK DORFMAN, M.D.
Valid signature Filed with authorized/valid electronic signature
EYE SURGERY ASSOCIATES EMPLOYEES' RETIREMENT PLAN 2014 650457710 2015-09-21 EYE SURGERY ASSOCIATES, INC. 109
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1966-09-01
Business code 621111
Sponsor’s telephone number 9549252740
Plan sponsor’s address 2740 HOLLYWOOD BOULEVARD, HOLLYWOOD, FL, 33020

Signature of
Role Plan administrator
Date 2015-09-21
Name of individual signing MARK DORFMAN, M.D.
Valid signature Filed with authorized/valid electronic signature
EYE SURGERY ASSOCIATES EMPLOYEES' RETIREMENT PLAN 2013 650457710 2014-10-07 EYE SURGERY ASSOCIATES, INC. 103
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1966-09-01
Business code 621111
Sponsor’s telephone number 9549252740
Plan sponsor’s address 2740 HOLLYWOOD BOULEVARD, HOLLYWOOD, FL, 33020

Plan administrator’s name and address
Administrator’s EIN 650457710
Plan administrator’s name EYE SURGERY ASSOCIATES, INC.
Plan administrator’s address 2740 HOLLYWOOD BOULEVARD, HOLLYWOOD, FL, 33020
Administrator’s telephone number 9549252740

Signature of
Role Plan administrator
Date 2014-10-07
Name of individual signing MARK DORFMAN, M.D.
Valid signature Filed with authorized/valid electronic signature
EYE SURGERY ASSOCIATES EMPLOYEES' RETIREMENT PLAN 2012 650457710 2013-10-15 EYE SURGERY ASSOCIATES, INC. 90
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1966-09-01
Business code 621111
Sponsor’s telephone number 9549252740
Plan sponsor’s address 2740 HOLLYWOOD BOULEVARD, HOLLYWOOD, FL, 33020

Plan administrator’s name and address
Administrator’s EIN 650457710
Plan administrator’s name EYE SURGERY ASSOCIATES, INC.
Plan administrator’s address 2740 HOLLYWOOD BOULEVARD, HOLLYWOOD, FL, 33020
Administrator’s telephone number 9549252740

Signature of
Role Plan administrator
Date 2013-10-15
Name of individual signing GUY ANGELLA
Valid signature Filed with authorized/valid electronic signature
EYE SURGERY ASSOCIATES EMPLOYEES' RETIREMENT PLAN 2011 650457710 2012-10-12 EYE SURGERY ASSOCIATES, INC. 95
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1966-09-01
Business code 621111
Sponsor’s telephone number 9549252740
Plan sponsor’s address 2740 HOLLYWOOD BOULEVARD, HOLLYWOOD, FL, 33020

Plan administrator’s name and address
Administrator’s EIN 650457710
Plan administrator’s name EYE SURGERY ASSOCIATES, INC.
Plan administrator’s address 2740 HOLLYWOOD BOULEVARD, HOLLYWOOD, FL, 33020
Administrator’s telephone number 9549252740

Signature of
Role Plan administrator
Date 2012-10-12
Name of individual signing GUY ANGELLA
Valid signature Filed with authorized/valid electronic signature
EYE SURGERY ASSOCIATES EMPLOYEES' RETIREMENT PLAN 2010 650457710 2011-10-04 EYE SURGERY ASSOCIATES, INC. 104
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1966-09-01
Business code 621111
Sponsor’s telephone number 9549252740
Plan sponsor’s address 2740 HOLLYWOOD BOULEVARD, HOLLYWOOD, FL, 33020

Plan administrator’s name and address
Administrator’s EIN 650457710
Plan administrator’s name EYE SURGERY ASSOCIATES, INC.
Plan administrator’s address 2740 HOLLYWOOD BOULEVARD, HOLLYWOOD, FL, 33020
Administrator’s telephone number 9549252740

Signature of
Role Plan administrator
Date 2011-10-04
Name of individual signing GUY ANGELLA
Valid signature Filed with authorized/valid electronic signature
EYE SURGERY ASSOCIATES EMPLOYEES' RETIREMENT PLAN 2009 650457710 2010-10-13 EYE SURGERY ASSOCIATES, INC. 96
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1966-09-01
Business code 621111
Sponsor’s telephone number 9549252740
Plan sponsor’s address 2740 HOLLYWOOD BOULEVARD, HOLLYWOOD, FL, 33020

Plan administrator’s name and address
Administrator’s EIN 650457710
Plan administrator’s name EYE SURGERY ASSOCIATES, INC.
Plan administrator’s address 2740 HOLLYWOOD BOULEVARD, HOLLYWOOD, FL, 33020
Administrator’s telephone number 9549252740

Signature of
Role Plan administrator
Date 2010-10-13
Name of individual signing GUY ANGELLA
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
O'DONNELL NANETTE Agent 200 S. BISCAYNE BLVD., MIAMI, FL, 33131

President

Name Role Address
DORFMAN MARK S President 2740 HOLLYWOOD BLVD, HOLLYWOOD, FL, 330204899

Vice President

Name Role Address
FISHMAN ARTHUR M Vice President 2740 HOLLYWOOD BLVD., HOLLYWOOD, FL

Treasurer

Name Role Address
SANDBERG JOEL S Treasurer 2740 HOLLYWOOD BLVD, HOLLYWOOD, FL, 33020

Secretary

Name Role Address
ANGELLA GUY M Secretary 2740 HOLLYWOOD BLVD., HOLLYWOOD, FL

SH

Name Role Address
CARDONE SCOTT M SH 800 WEST AVE, # 629, MIAMI BEACH, FL, 33139

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G09000129418 PRESIDENTIAL OPTICAL EXPIRED 2009-06-30 2014-12-31 No data 2740 HOLLYWOOD BLVD., HOLLYWOOD, FL, 33020

Events

Event Type Filed Date Value Description
CONVERSION 2011-05-24 No data CONVERSION MEMBER. RESULTING CORPORATION WAS L11000061501. CONVERSION NUMBER 100000114001
NAME CHANGE AMENDMENT 2002-06-21 EYE SURGERY ASSOCIATES, INC. No data

Related by officers

DORFMAN MARK S

EYE SURGERY ASSOCIATES, LLC QUALITY EYE CARE, INC.

FISHMAN ARTHUR M

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CARDONE SCOTT M

EYE SURGEONS OF BROWARD, LLC

O'DONNELL NANETTE

ASANACA LLC

Related by address

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Date of last update: 01 Jan 2025

Sources: Florida Department of State

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