| Entity Name: | F. DEAN FAGHIH, M.D., P.A. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Profit Corporation |
| Status: | Inactive |
| Date Filed: | 30 Dec 1993 (31 years ago) |
| Date of dissolution: | 27 Sep 2019 (5 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 27 Sep 2019 (5 years ago) |
| Document Number: | P94000001652 |
| FEI/EIN Number | 59-3217651 |
| Address: | 3401 W WATERS AVE, TAMPA, FL 33614 |
| Mail Address: | 3401 W WATERS AVE, TAMPA, FL 33614 |
| ZIP code: | 33614 |
| County: | Hillsborough |
| Place of Formation: | FLORIDA |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| F. DEAN FAGHIH, M.D., P.A. 401(K) PLAN | 2012 | 593217651 | 2013-07-19 | F. DEAN FAGHIH, M.D., P.A. | 3 | |||||||||||||||||||||||||||||||
|
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| Administrator’s EIN | 593217651 |
| Plan administrator’s name | F. DEAN FAGHIH, M.D., P.A. |
| Plan administrator’s address | 3401 W WATERS AVE, TAMPA, FL, 336142713 |
| Administrator’s telephone number | 8139326106 |
Signature of
| Role | Plan administrator |
| Date | 2013-07-19 |
| Name of individual signing | F. DEAN FAGHIH |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 004 |
| Effective date of plan | 2011-01-01 |
| Business code | 621111 |
| Sponsor’s telephone number | 8139326106 |
| Plan sponsor’s address | 3401 W WATERS AVE, TAMPA, FL, 336142713 |
Plan administrator’s name and address
| Administrator’s EIN | 593217651 |
| Plan administrator’s name | F. DEAN FAGHIH, M.D., P.A. |
| Plan administrator’s address | 3401 W WATERS AVE, TAMPA, FL, 336142713 |
| Administrator’s telephone number | 8139326106 |
Signature of
| Role | Plan administrator |
| Date | 2012-09-27 |
| Name of individual signing | F. DEAN FAGHIH |
| Valid signature | Filed with authorized/valid electronic signature |
| Name | Role | Address |
|---|---|---|
| PATEL, SANDIP IESQ. | Agent | 6800 N. DALE MABRY, STE 268, TAMPA, FL 33614 |
| Name | Role | Address |
|---|---|---|
| FAGHIH, F. DEAN | President | 3401 W WATERS AVE, TAMPA, FL 33614 |
| Name | Role | Address |
|---|---|---|
| FAGHIH, F. DEAN | Treasurer | 3401 W WATERS AVE, TAMPA, FL 33614 |
| Name | Role | Address |
|---|---|---|
| FAGHIH, F. DEAN | Director | 3401 W WATERS AVE, TAMPA, FL 33614 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2019-09-27 | No data | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2002-06-12 | 6800 N. DALE MABRY, STE 268, TAMPA, FL 33614 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 1995-03-24 | 3401 W WATERS AVE, TAMPA, FL 33614 | No data |
| CHANGE OF MAILING ADDRESS | 1995-03-24 | 3401 W WATERS AVE, TAMPA, FL 33614 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2018-04-16 |
| ANNUAL REPORT | 2017-04-03 |
| ANNUAL REPORT | 2016-02-28 |
| ANNUAL REPORT | 2015-02-27 |
| AMENDED ANNUAL REPORT | 2014-04-25 |
| ANNUAL REPORT | 2014-04-21 |
| ANNUAL REPORT | 2013-03-25 |
| ANNUAL REPORT | 2012-04-20 |
| ANNUAL REPORT | 2011-04-06 |
| ANNUAL REPORT | 2010-04-29 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
