Menu
Search icon
  1. Home Page
    2. ›
  2. Counties
    3. ›
  3. Palm Beach
    4. ›
  4. 33409
    5. ›
  5. ROBERT L. BOLTUCH, D.O., P.A.

ROBERT L. BOLTUCH, D.O., P.A.

Company Details

Entity Name: ROBERT L. BOLTUCH, D.O., P.A.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Inactive
Date Filed: 31 Mar 1994 (31 years ago)
Document Number: P94000024848
FEI/EIN Number 650481644
Address: 2911 N. Military Tr., WEST PALM BEACH, FL, 33409, US
Mail Address: 2911 N. Military Tr., WEST PALM BEACH, FL, 33409, US
ZIP code: 33409
County: Palm Beach
Place of Formation: FLORIDA

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
ROBERT L. BOLTUCH, D.O., P.A. PROFIT SHARING PLAN 2011 650481644 2012-03-03 ROBERT L. BOLTUCH, D.O., P.A. 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1996-01-01
Business code 621111
Sponsor’s telephone number 5616892110
Plan sponsor’s address 2695 NORTH MILITARY TRAIL, SUITE 17, WEST PALM BEACH, FL, 33409

Plan administrator’s name and address
Administrator’s EIN 650481644
Plan administrator’s name ROBERT L. BOLTUCH, D.O., P.A.
Plan administrator’s address 2695 NORTH MILITARY TRAIL, SUITE 17, WEST PALM BEACH, FL, 33409
Administrator’s telephone number 5616892110

Signature of
Role Plan administrator
Date 2012-03-03
Name of individual signing ROBERT BOLTUCH
Valid signature Filed with authorized/valid electronic signature
ROBERT L. BOLTUCH, D.O., P.A. PROFIT SHARING PLAN 2010 650481644 2011-07-20 ROBERT L. BOLTUCH, D.O., P.A. 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1996-01-01
Business code 621111
Sponsor’s telephone number 5616892110
Plan sponsor’s address 2695 NORTH MILITARY TRAIL, SUITE 17, WEST PALM BEACH, FL, 33409

Plan administrator’s name and address
Administrator’s EIN 650481644
Plan administrator’s name ROBERT L. BOLTUCH, D.O., P.A.
Plan administrator’s address 2695 NORTH MILITARY TRAIL, SUITE 17, WEST PALM BEACH, FL, 33409
Administrator’s telephone number 5616892110

Signature of
Role Plan administrator
Date 2011-07-20
Name of individual signing ROBERT BOLTUCH
Valid signature Filed with authorized/valid electronic signature
ROBERT L. BOLTUCH, D.O., P.A. PROFIT SHARING PLAN 2009 650481644 2010-07-22 ROBERT L. BOLTUCH, D.O., P.A. 3
Three-digit plan number (PN) 001
Effective date of plan 1996-01-01
Business code 621111
Sponsor’s telephone number 5616892110
Plan sponsor’s address 2695 NORTH MILITARY TRAIL, SUITE 17, WEST PALM BEACH, FL, 33409

Plan administrator’s name and address
Administrator’s EIN 650481644
Plan administrator’s name ROBERT L. BOLTUCH, D.O., P.A.
Plan administrator’s address 2695 NORTH MILITARY TRAIL, SUITE 17, WEST PALM BEACH, FL, 33409
Administrator’s telephone number 5616892110

Signature of
Role Plan administrator
Date 2010-07-22
Name of individual signing ROBERT L. BOLTUCH
Valid signature Filed with incorrect/unrecognized electronic signature
ROBERT L. BOLTUCH, D.O., P.A. PROFIT SHARING PLAN 2009 650481644 2010-07-23 ROBERT L. BOLTUCH, D.O., P.A. 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1996-01-01
Business code 621111
Sponsor’s telephone number 5616892110
Plan sponsor’s address 2695 NORTH MILITARY TRAIL, SUITE 17, WEST PALM BEACH, FL, 33409

Plan administrator’s name and address
Administrator’s EIN 650481644
Plan administrator’s name ROBERT L. BOLTUCH, D.O., P.A.
Plan administrator’s address 2695 NORTH MILITARY TRAIL, SUITE 17, WEST PALM BEACH, FL, 33409
Administrator’s telephone number 5616892110

Signature of
Role Plan administrator
Date 2010-07-23
Name of individual signing ROBERT BOLTUCH
Valid signature Filed with authorized/valid electronic signature
ROBERT L. BOLTUCH, D.O., P.A. PROFIT SHARING PLAN 2009 650481644 2010-07-23 ROBERT L. BOLTUCH, D.O., P.A. 3
Three-digit plan number (PN) 001
Effective date of plan 1996-01-01
Business code 621111
Sponsor’s telephone number 5616892110
Plan sponsor’s address 2695 NORTH MILITARY TRAIL, SUITE 17, WEST PALM BEACH, FL, 33409

Plan administrator’s name and address
Administrator’s EIN 650481644
Plan administrator’s name ROBERT L. BOLTUCH, D.O., P.A.
Plan administrator’s address 2695 NORTH MILITARY TRAIL, SUITE 17, WEST PALM BEACH, FL, 33409
Administrator’s telephone number 5616892110

Signature of
Role Plan administrator
Date 2010-07-23
Name of individual signing ROBERT BOLTUCH
Valid signature Filed with incorrect/unrecognized electronic signature
ROBERT L. BOLTUCH, D.O., P.A. PROFIT SHARING PLAN 2009 650481644 2010-07-23 ROBERT L. BOLTUCH, D.O., P.A. 3
Three-digit plan number (PN) 001
Effective date of plan 1996-01-01
Business code 621111
Sponsor’s telephone number 5616892110
Plan sponsor’s address 2695 NORTH MILITARY TRAIL, SUITE 17, WEST PALM BEACH, FL, 33409

Plan administrator’s name and address
Administrator’s EIN 650481644
Plan administrator’s name ROBERT L. BOLTUCH, D.O., P.A.
Plan administrator’s address 2695 NORTH MILITARY TRAIL, SUITE 17, WEST PALM BEACH, FL, 33409
Administrator’s telephone number 5616892110

Signature of
Role Plan administrator
Date 2010-07-23
Name of individual signing ROBERT BOLTUCH
Valid signature Filed with incorrect/unrecognized electronic signature
ROBERT L. BOLTUCH, D.O., P.A. PROFIT SHARING PLAN 2009 650481644 2010-07-23 ROBERT L. BOLTUCH, D.O., P.A. 3
Three-digit plan number (PN) 001
Effective date of plan 1996-01-01
Business code 621111
Sponsor’s telephone number 5616892110
Plan sponsor’s address 2695 NORTH MILITARY TRAIL, SUITE 17, WEST PALM BEACH, FL, 33409

Plan administrator’s name and address
Administrator’s EIN 650481644
Plan administrator’s name ROBERT L. BOLTUCH, D.O., P.A.
Plan administrator’s address 2695 NORTH MILITARY TRAIL, SUITE 17, WEST PALM BEACH, FL, 33409
Administrator’s telephone number 5616892110

Signature of
Role Plan administrator
Date 2010-07-23
Name of individual signing ROBERT L. BOLTUCH
Valid signature Filed with incorrect/unrecognized electronic signature
ROBERT L. BOLTUCH, D.O., P.A. PROFIT SHARING PLAN 2009 650481644 2010-07-23 ROBERT L. BOLTUCH, D.O., P.A. 3
Three-digit plan number (PN) 001
Effective date of plan 1996-01-01
Business code 621111
Sponsor’s telephone number 5616892110
Plan sponsor’s address 2695 NORTH MILITARY TRAIL, SUITE 17, WEST PALM BEACH, FL, 33409

Plan administrator’s name and address
Administrator’s EIN 650481644
Plan administrator’s name ROBERT L. BOLTUCH, D.O., P.A.
Plan administrator’s address 2695 NORTH MILITARY TRAIL, SUITE 17, WEST PALM BEACH, FL, 33409
Administrator’s telephone number 5616892110

Signature of
Role Plan administrator
Date 2010-07-23
Name of individual signing ROBERT L. BOLTUCH
Valid signature Filed with incorrect/unrecognized electronic signature
ROBERT L. BOLTUCH, D.O., P.A. PROFIT SHARING PLAN 2009 650481644 2010-07-23 ROBERT L. BOLTUCH, D.O., P.A. 3
Three-digit plan number (PN) 001
Effective date of plan 1996-01-01
Business code 621111
Sponsor’s telephone number 5616892110
Plan sponsor’s address 2695 NORTH MILITARY TRAIL, SUITE 17, WEST PALM BEACH, FL, 33409

Plan administrator’s name and address
Administrator’s EIN 650481644
Plan administrator’s name ROBERT L. BOLTUCH, D.O., P.A.
Plan administrator’s address 2695 NORTH MILITARY TRAIL, SUITE 17, WEST PALM BEACH, FL, 33409
Administrator’s telephone number 5616892110

Signature of
Role Plan administrator
Date 2010-07-23
Name of individual signing ROBERT L. BOLTUCH
Valid signature Filed with incorrect/unrecognized electronic signature
ROBERT L. BOLTUCH, D.O., P.A. PROFIT SHARING PLAN 2009 650481644 2010-07-23 ROBERT L. BOLTUCH, D.O., P.A. 3
Three-digit plan number (PN) 001
Effective date of plan 1996-01-01
Business code 621111
Sponsor’s telephone number 5616892110
Plan sponsor’s address 2695 NORTH MILITARY TRAIL, SUITE 17, WEST PALM BEACH, FL, 33409

Plan administrator’s name and address
Administrator’s EIN 650481644
Plan administrator’s name ROBERT L. BOLTUCH, D.O., P.A.
Plan administrator’s address 2695 NORTH MILITARY TRAIL, SUITE 17, WEST PALM BEACH, FL, 33409
Administrator’s telephone number 5616892110

Signature of
Role Plan administrator
Date 2010-07-23
Name of individual signing ROBERT L. BOLTUCH, D.O., P.A.
Valid signature Filed with incorrect/unrecognized electronic signature

Agent

Name Role Address
BOLTUCH ROBERT L Agent 13825 Emerson St., Palm Beach Gardens, FL, 33418

Director

Name Role Address
BOLTUCH ROBERT L Director 2911 N. Military Tr., WEST PALM BEACH, FL, 33409

Officer

Name Role Address
BOLTUCH ROBERT L Officer 2911 N. Military Tr., WEST PALM BEACH, FL, 33409

Events

Event Type Filed Date Value Description
ADMIN DISSOLUTION FOR ANNUAL REPORT 2023-09-22 No data No data
AMENDMENT 1994-04-06 No data No data

Related by officers

BOLTUCH ROBERT L

PALM BEACH MEDICAL CARE, INC. MILITARY TRAIL MEDICAL CENTER, INC. MILITARY-BOYNTON MEDICAL CENTERS, INC.

Related by address

No related companies by address

Date of last update: 03 Jan 2025

Sources: Florida Department of State

Privacy policy Policy
About us About us
Contacts Contact us

© 2025 flprofile.com, Part of Big Data Integrated