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  5. KELLER & GOODMAN, M.D., P.A.

KELLER & GOODMAN, M.D., P.A. - Florida Company Profile

Company Details

Entity Name: KELLER & GOODMAN, M.D., P.A.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit

KELLER & GOODMAN, 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: 01 Jul 1994 (31 years ago)
Last Event: AMENDMENT AND NAME CHANGE
Event Date Filed: 21 Nov 1995 (29 years ago)
Document Number: P94000050197
FEI/EIN Number 593247502

Federal Employer Identification (FEI) Number assigned by the IRS.
Address: 1879 NIGHTINGALE LN, SUITE C2, TAVARES, FL, 32778, US
Mail Address: 1879 NIGHTINGALE LN, SUITE C2, TAVARES, FL, 32778, US
ZIP code: 32778
County: Lake
Place of Formation: FLORIDA

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
KELLER & GOODMAN, M. D. , P. A. 401(K) PROFIT SHARING PLAN 2023 593247502 2024-10-11 KELLER & GOODMAN, M. D. , P. A. 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1996-01-01
Business code 621111
Sponsor’s telephone number 3527427776
Plan sponsor’s address 1879 NIGHTINGALE LN, STE C2, TAVARES, FL, 32778

Signature of
Role Plan administrator
Date 2024-10-11
Name of individual signing BERNIE GOODMAN
Valid signature Filed with authorized/valid electronic signature
KELLER & GOODMAN, M. D. , P. A. 401(K) PROFIT SHARING PLAN 2022 593247502 2023-10-10 KELLER & GOODMAN, M. D. , P. A. 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1996-01-01
Business code 621111
Sponsor’s telephone number 3527427776
Plan sponsor’s address 1879 NIGHTINGALE LANE, SUITE C-2, TAVARES, FL, 327784363

Signature of
Role Plan administrator
Date 2023-10-10
Name of individual signing JEFFREY A GOODMAN, MD
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2023-10-10
Name of individual signing JEFFREY A GOODMAN, MD
Valid signature Filed with authorized/valid electronic signature
KELLER & GOODMAN, M. D. , P. A. 401(K) PROFIT SHARING PLAN 2021 593247502 2022-10-11 KELLER & GOODMAN, M. D. , P. A. 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1996-01-01
Business code 621111
Sponsor’s telephone number 3527427776
Plan sponsor’s address 1879 NIGHTINGALE LANE, SUITE C-2, TAVARES, FL, 327784363

Signature of
Role Plan administrator
Date 2022-10-11
Name of individual signing JEFFREY A GOODMAN, MD
Valid signature Filed with authorized/valid electronic signature
KELLER & GOODMAN, M. D. , P. A. 401(K) PROFIT SHARING PLAN 2020 593247502 2021-10-05 KELLER & GOODMAN, M. D. , P. A. 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1996-01-01
Business code 621111
Sponsor’s telephone number 3527427776
Plan sponsor’s address 1879 NIGHTINGALE LANE, SUITE C-2, TAVARES, FL, 327784363

Signature of
Role Plan administrator
Date 2021-10-05
Name of individual signing JEFFREY A GOODMAN, MD
Valid signature Filed with authorized/valid electronic signature
KELLER & GOODMAN, M. D. , P. A. 401(K) PROFIT SHARING PLAN 2019 593247502 2020-09-30 KELLER & GOODMAN, M. D. , P. A. 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1996-01-01
Business code 621111
Sponsor’s telephone number 3527427776
Plan sponsor’s address 1879 NIGHTINGALE LANE, SUITE C-2, TAVARES, FL, 327784363

Signature of
Role Plan administrator
Date 2020-09-30
Name of individual signing JEFFREY A GOODMAN, MD
Valid signature Filed with authorized/valid electronic signature
KELLER & GOODMAN, M. D. , P. A. 401(K) PROFIT SHARING PLAN 2018 593247502 2019-10-02 KELLER & GOODMAN, M. D. , P. A. 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1996-01-01
Business code 621111
Sponsor’s telephone number 3527427776
Plan sponsor’s address 1879 NIGHTINGALE LANE, SUITE C-2, TAVARES, FL, 327784363

Signature of
Role Plan administrator
Date 2019-10-02
Name of individual signing JEFFREY A GOODMAN, MD
Valid signature Filed with authorized/valid electronic signature
KELLER & GOODMAN, M. D. , P. A. 401(K) PROFIT SHARING PLAN 2017 593247502 2018-10-04 KELLER & GOODMAN, M. D. , P. A. 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1996-01-01
Business code 621111
Sponsor’s telephone number 3527427776
Plan sponsor’s address 1879 NIGHTINGALE LANE, SUITE C-2, TAVARES, FL, 327784363

Signature of
Role Plan administrator
Date 2018-10-04
Name of individual signing JEFFREY A GOODMAN, MD
Valid signature Filed with authorized/valid electronic signature
KELLER & GOODMAN, M. D. , P. A. 401(K) PROFIT SHARING PLAN AND TRUST 2016 593247502 2018-01-17 KELLER & GOODMAN, M. D. , P. A. 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1996-01-01
Business code 621111
Sponsor’s telephone number 3527427748
Plan sponsor’s address 1879 NIGHTINGALE LANE, SUITE C-2, TAVARES, FL, 327784363

Signature of
Role Plan administrator
Date 2018-01-17
Name of individual signing JEFFREY A. GOODMAN
Valid signature Filed with authorized/valid electronic signature
KELLER & GOODMAN, M. D. , P. A. 401(K) PROFIT SHARING PLAN AND TRUST 2015 593247502 2016-10-14 KELLER & GOODMAN, M. D. , P. A. 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1996-01-01
Business code 621111
Sponsor’s telephone number 3527427748
Plan sponsor’s address 1879 NIGHTINGALE LANE, SUITE C-2, TAVARES, FL, 327784363

Signature of
Role Plan administrator
Date 2016-10-14
Name of individual signing JEFFREY A. GOODMAN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2016-10-14
Name of individual signing JEFFREY A. GOODMAN
Valid signature Filed with authorized/valid electronic signature
KELLER & GOODMAN, M. D. , P. A. 401(K) PROFIT SHARING PLAN AND TRUST 2014 593247502 2015-10-13 KELLER & GOODMAN, M. D. , P. A. 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1996-01-01
Business code 621111
Sponsor’s telephone number 3527427748
Plan sponsor’s address 1879 NIGHTINGALE LANE, SUITE C-2, TAVARES, FL, 327784363

Signature of
Role Plan administrator
Date 2015-10-13
Name of individual signing JEFFREY A. GOODMAN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2015-10-13
Name of individual signing JEFFREY A. GOODMAN
Valid signature Filed with authorized/valid electronic signature

Key Officers & Management

Name Role Address
GOODMAN JEFFREY A President 1879 NIGHTINGALE LN., SUITE C2, TAVARES, FL, 32778
GOODMAN JEFFREY A Director 1879 NIGHTINGALE LN., SUITE C2, TAVARES, FL, 32778
GOODMAN BERNARD E Secretary 1879 NIGHTINGALE LANE, SUITE C2, TAVARES, FL
GOODMAN BERNARD E Treasurer 1879 NIGHTINGALE LANE, SUITE C2, TAVARES, FL
Goodman Bernard Agent 1879 NIghtingale LN, Tavares, FL, 32778

Events

Event Type Filed Date Value Description
REGISTERED AGENT NAME CHANGED 2020-06-24 Goodman , Bernard -
REGISTERED AGENT ADDRESS CHANGED 2020-06-24 1879 NIghtingale LN, Suite C-2, Tavares, FL 32778 -
CHANGE OF PRINCIPAL ADDRESS 1997-02-11 1879 NIGHTINGALE LN, SUITE C2, TAVARES, FL 32778 -
CHANGE OF MAILING ADDRESS 1997-02-11 1879 NIGHTINGALE LN, SUITE C2, TAVARES, FL 32778 -
AMENDMENT AND NAME CHANGE 1995-11-21 KELLER & GOODMAN, M.D., P.A. -

Documents

Name Date
ANNUAL REPORT 2024-04-24
ANNUAL REPORT 2023-04-25
ANNUAL REPORT 2022-04-26
ANNUAL REPORT 2021-04-14
ANNUAL REPORT 2020-06-24
ANNUAL REPORT 2019-04-18
ANNUAL REPORT 2018-04-25
ANNUAL REPORT 2017-04-05
ANNUAL REPORT 2016-04-11
ANNUAL REPORT 2015-03-26

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GOODMAN JEFFREY A

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Companies related by address

No other companies in our directory share the same address as KELLER & GOODMAN, M.D., P.A.

Date of last update: 02 Apr 2025

Sources: Florida Department of State

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