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  5. MAXINE C. TABAS, M.D., P.A.

MAXINE C. TABAS, M.D., P.A.

Company Details

Entity Name: MAXINE C. TABAS, M.D., P.A.
Jurisdiction: FLORIDA
Filing Type: Florida Profit Corporation
Status: Inactive
Date Filed: 29 Dec 1994 (30 years ago)
Date of dissolution: 27 Sep 2013 (11 years ago)
Last Event: ADMIN DISSOLUTION FOR ANNUAL REPORT
Event Date Filed: 27 Sep 2013 (11 years ago)
Document Number: P94000094164
FEI/EIN Number 59-3284922
Address: 1901 LEE ROAD, WINTER PARK, FL 32789
Mail Address: 1901 LEE ROAD, WINTER PARK, FL 32789
ZIP code: 32789
County: Orange
Place of Formation: FLORIDA

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
MAXINE C. TABAS, M.D., P.A. 401(K) PROFIT SHARING 2013 593284922 2014-10-15 MAXINE C. TABAS, M.D., P.A. 11
Three-digit plan number (PN) 001
Effective date of plan 1994-01-01
Business code 621111
Sponsor’s telephone number 4076477300
Plan sponsor’s address 1901 LEE ROAD, WINTER PARK, FL, 32789
MAXINE C. TABAS, M.D., P.A. 401(K) PROFIT SHARING 2013 593284922 2014-10-27 MAXINE C. TABAS, M.D., P.A. 11
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1994-01-01
Business code 621111
Sponsor’s telephone number 4076477300
Plan sponsor’s address 1901 LEE ROAD, WINTER PARK, FL, 32789
MAXINE C. TABAS, M.D., P.A. 401(K) PROFIT SHARING 2012 593284922 2013-12-19 MAXINE C. TABAS, M.D., P.A. 11
Three-digit plan number (PN) 001
Effective date of plan 1994-01-01
Business code 621111
Sponsor’s telephone number 4076477300
Plan sponsor’s address 1901 LEE ROAD, WINTER PARK, FL, 32789

Signature of
Role Plan administrator
Date 2013-12-19
Name of individual signing TATIANA POMBO
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2013-12-19
Name of individual signing TATIANA POMBO
Valid signature Filed with authorized/valid electronic signature
MAXINE C. TABAS, M.D., P.A. 401(K) PROFIT SHARING 2012 593284922 2013-10-10 MAXINE C. TABAS, M.D., P.A. 11
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1994-01-01
Business code 621111
Sponsor’s telephone number 4076477300
Plan sponsor’s address 1901 LEE ROAD, WINTER PARK, FL, 32789

Signature of
Role Plan administrator
Date 2013-10-10
Name of individual signing TATIANA POMBO
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2013-10-10
Name of individual signing TATIANA POMBO
Valid signature Filed with authorized/valid electronic signature
MAXINE C. TABAS, M.D., P.A. 2011 593284922 2012-08-30 MAXINE C. TABAS, M.D., P.A. 12
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1994-01-01
Business code 621111
Sponsor’s telephone number 4076477300
Plan sponsor’s address 1901 LEE ROAD, WINTER PARK, FL, 32789

Plan administrator’s name and address
Administrator’s EIN 593284922
Plan administrator’s name MAXINE C. TABAS, M.D., P.A.
Plan administrator’s address 1901 LEE ROAD, WINTER PARK, FL, 32789
Administrator’s telephone number 4076477300

Signature of
Role Plan administrator
Date 2012-08-30
Name of individual signing TATIANA POMBO
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2012-08-30
Name of individual signing TATIANA POMBO
Valid signature Filed with authorized/valid electronic signature
MAXINE C. TABAS, M.D., P.A. 401(K) PROFIT SHARING PLAN 2010 593284922 2011-10-04 MAXINE C. TABAS, M.D., P.A. 11
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1994-01-01
Business code 621111
Sponsor’s telephone number 4075995900
Plan sponsor’s address 1901 LEE ROAD, WINTER PARK, FL, 32789

Plan administrator’s name and address
Administrator’s EIN 593284922
Plan administrator’s name MAXINE C. TABAS, M.D., P.A.
Plan administrator’s address 1901 LEE ROAD, WINTER PARK, FL, 32789
Administrator’s telephone number 4075995900

Signature of
Role Plan administrator
Date 2011-10-04
Name of individual signing MAXINE C. TABAS, M.D.
Valid signature Filed with authorized/valid electronic signature
MAXINE C. TABAS, M.D., P.A. 401(K) PROFIT SHARING PLAN 2009 593284922 2010-10-13 MAXINE C. TABAS, M.D., P.A. 10
Three-digit plan number (PN) 001
Effective date of plan 1994-01-01
Business code 621111
Sponsor’s telephone number 4076477300
Plan sponsor’s address 1901 LEE ROAD, WINTER PARK, FL, 32789

Plan administrator’s name and address
Administrator’s EIN 593284922
Plan administrator’s name MAXINE C. TABAS, M.D., P.A.
Plan administrator’s address 1901 LEE ROAD, WINTER PARK, FL, 32789
Administrator’s telephone number 4076477300

Signature of
Role Plan administrator
Date 2010-10-13
Name of individual signing MAXINE C. TABAS
Valid signature Filed with incorrect/unrecognized electronic signature
Role Employer/plan sponsor
Date 2010-10-13
Name of individual signing MAXINE C. TABAS
Valid signature Filed with incorrect/unrecognized electronic signature
MAXINE C. TABAS, M.D., P.A. 401(K) PROFIT SHARING PLAN 2009 593284922 2010-10-13 MAXINE C. TABAS, M.D., P.A. 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1994-01-01
Business code 621111
Sponsor’s telephone number 4076477300
Plan sponsor’s address 1901 LEE ROAD, WINTER PARK, FL, 32789

Plan administrator’s name and address
Administrator’s EIN 593284922
Plan administrator’s name MAXINE C. TABAS, M.D., P.A.
Plan administrator’s address 1901 LEE ROAD, WINTER PARK, FL, 32789
Administrator’s telephone number 4076477300

Signature of
Role Plan administrator
Date 2010-10-13
Name of individual signing MAXINE TABAS
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2010-10-13
Name of individual signing MAXINE TABAS
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
TABAS, MAXINE C Agent 1901 LEE ROAD, WINTER PARK, FL 32789

President

Name Role Address
TABAS, MAXINE CM.D. President 1901 LEE ROAD, WINTER PARK, FL 32789

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G11000087121 WINTER PARK DERMATOLOGY EXPIRED 2011-09-01 2016-12-31 No data 1901 LEE ROAD, WINTER PARK, FL, 32789

Events

Event Type Filed Date Value Description
ADMIN DISSOLUTION FOR ANNUAL REPORT 2013-09-27 No data No data
CHANGE OF PRINCIPAL ADDRESS 2001-03-19 1901 LEE ROAD, WINTER PARK, FL 32789 No data
CHANGE OF MAILING ADDRESS 2001-03-19 1901 LEE ROAD, WINTER PARK, FL 32789 No data
REGISTERED AGENT ADDRESS CHANGED 2001-03-19 1901 LEE ROAD, WINTER PARK, FL 32789 No data

Documents

Name Date
ANNUAL REPORT 2012-02-22
ANNUAL REPORT 2011-02-10
ANNUAL REPORT 2010-02-26
ANNUAL REPORT 2009-04-07
ANNUAL REPORT 2008-01-07
ANNUAL REPORT 2007-03-16
ANNUAL REPORT 2006-02-14
ANNUAL REPORT 2005-02-07
ANNUAL REPORT 2004-02-03
ANNUAL REPORT 2003-01-27

Related by officers

No related officers

Related by address

1901 LEE ROAD, WINTER PARK, FL 32789

HSH OF SOUTH FLORIDA, LTD.

1901 LEE ROAD, WINTER PARK, FL 32789

HSH OF SOUTH FLORIDA, LTD.

Date of last update: 02 Feb 2025

Sources: Florida Department of State

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