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  5. BLOOMINGDALE MEDICAL ASSOCIATES, P.A.

BLOOMINGDALE MEDICAL ASSOCIATES, P.A.

Company Details

Entity Name: BLOOMINGDALE MEDICAL ASSOCIATES, P.A.
Jurisdiction: FLORIDA
Filing Type: Florida Profit Corporation
Status: Inactive
Date Filed: 03 Apr 1995 (30 years ago)
Date of dissolution: 24 Sep 2021 (3 years ago)
Last Event: ADMIN DISSOLUTION FOR ANNUAL REPORT
Event Date Filed: 24 Sep 2021 (3 years ago)
Document Number: P95000026435
FEI/EIN Number 59-3318760
Address: 13403 BOYETTE RD, RIVERVIEW, FL 33569
Mail Address: 13403 BOYETTE RD, RIVERVIEW, FL 33569
ZIP code: 33569
County: Hillsborough
Place of Formation: FLORIDA

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
BLOOMINGDALE MEDICAL ASSOCIATES, P. A. PROFIT SHARING PLAN 2020 593318760 2021-06-08 BLOOMINGDALE MEDICAL ASSOCIATES, P. A. 42
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1997-01-01
Business code 621111
Sponsor’s telephone number 8136541775
Plan sponsor’s address 13403 BOYETTE ROAD, RIVERVIEW, FL, 335698742
BLOOMINGDALE MEDICAL ASSOCIATES, P. A. PROFIT SHARING PLAN 2019 593318760 2020-06-09 BLOOMINGDALE MEDICAL ASSOCIATES, P. A. 45
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1997-01-01
Business code 621111
Sponsor’s telephone number 8136541775
Plan sponsor’s address 13403 BOYETTE ROAD, RIVERVIEW, FL, 335698742

Signature of
Role Plan administrator
Date 2020-06-09
Name of individual signing CINDY NOEL
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2020-06-09
Name of individual signing JEFFREY D. WARTMAN, MD
Valid signature Filed with authorized/valid electronic signature
BLOOMINGDALE MEDICAL ASSOCIATES, P. A. PROFIT SHARING PLAN 2018 593318760 2019-07-11 BLOOMINGDALE MEDICAL ASSOCIATES, P. A. 45
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1997-01-01
Business code 621111
Sponsor’s telephone number 8136541775
Plan sponsor’s address 13403 BOYETTE ROAD, RIVERVIEW, FL, 335698742

Signature of
Role Plan administrator
Date 2019-07-11
Name of individual signing CINDY NOEL
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2019-07-11
Name of individual signing CINDY NOEL
Valid signature Filed with authorized/valid electronic signature
BLOOMINGDALE MEDICAL ASSOCIATES, P. A. PROFIT SHARING PLAN 2017 593318760 2018-07-16 BLOOMINGDALE MEDICAL ASSOCIATES, P. A. 44
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1997-01-01
Business code 621111
Sponsor’s telephone number 8136541775
Plan sponsor’s address 13403 BOYETTE ROAD, RIVERVIEW, FL, 335698742

Signature of
Role Plan administrator
Date 2018-07-16
Name of individual signing CINDY NOEL
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2018-07-16
Name of individual signing CINDY NOEL
Valid signature Filed with authorized/valid electronic signature
BLOOMINGDALE MEDICAL ASSOCIATES, P. A. PROFIT SHARING PLAN 2016 593318760 2017-06-22 BLOOMINGDALE MEDICAL ASSOCIATES, P. A. 42
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1997-01-01
Business code 621111
Sponsor’s telephone number 8136541775
Plan sponsor’s address 13403 BOYETTE ROAD, RIVERVIEW, FL, 335698742

Signature of
Role Plan administrator
Date 2017-06-22
Name of individual signing JEFFREY D WARTMAN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2017-06-22
Name of individual signing JEFFREY D WARTMAN
Valid signature Filed with authorized/valid electronic signature
BLOOMINGDALE MEDICAL ASSOCIATES, P. A. PROFIT SHARING PLAN 2015 593318760 2016-06-27 BLOOMINGDALE MEDICAL ASSOCIATES, P. A. 44
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1997-01-01
Business code 621111
Sponsor’s telephone number 8136541775
Plan sponsor’s address 13403 BOYETTE ROAD, RIVERVIEW, FL, 335698742

Signature of
Role Plan administrator
Date 2016-06-27
Name of individual signing JEFFREY D WARTMAN
Valid signature Filed with authorized/valid electronic signature
BLOOMINGDALE MEDICAL ASSOCIATES, P. A. PROFIT SHARING PLAN 2014 593318760 2015-06-26 BLOOMINGDALE MEDICAL ASSOCIATES, P. A. 45
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1997-01-01
Business code 621111
Sponsor’s telephone number 8136541775
Plan sponsor’s address 13403 BOYETTE ROAD, RIVERVIEW, FL, 335698742

Signature of
Role Plan administrator
Date 2015-06-26
Name of individual signing JEFFREY D WARTMAN
Valid signature Filed with authorized/valid electronic signature
BLOOMINGDALE MEDICAL ASSOCIATES, P.A. PROFIT SHARING PLAN 2013 593318760 2014-04-15 BLOOMINGDALE MEDICAL ASSOCIATES, P.A. 40
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1997-01-01
Business code 621111
Sponsor’s telephone number 8136541775
Plan sponsor’s address 13403 BOYETTE ROAD, RIVERVIEW, FL, 335698742

Signature of
Role Plan administrator
Date 2014-04-15
Name of individual signing JEFFREY D. WARTMAN
Valid signature Filed with authorized/valid electronic signature
BLOOMINGDALE MEDICAL ASSOCIATES, P.A. PROFIT SHARING PLAN 2012 593318760 2013-05-21 BLOOMINGDALE MEDICAL ASSOCIATES, P.A. 39
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1997-01-01
Business code 621111
Sponsor’s telephone number 8136541775
Plan sponsor’s address 13403 BOYETTE ROAD, RIVERVIEW, FL, 335698742

Signature of
Role Plan administrator
Date 2013-05-21
Name of individual signing JEFFREY D. WARTMAN
Valid signature Filed with authorized/valid electronic signature
BLOOMINGDALE MEDICAL ASSOCIATES, P.A. PROFIT SHARING PLAN 2011 593318760 2012-07-11 BLOOMINGDALE MEDICAL ASSOCIATES, P.A. 36
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1997-01-01
Business code 621111
Sponsor’s telephone number 8136541775
Plan sponsor’s address 13403 BOYETTE ROAD, RIVERVIEW, FL, 335698742

Plan administrator’s name and address
Administrator’s EIN 593318760
Plan administrator’s name BLOOMINGDALE MEDICAL ASSOCIATES, P.A.
Plan administrator’s address 13403 BOYETTE ROAD, RIVERVIEW, FL, 335698742
Administrator’s telephone number 8136541775

Signature of
Role Plan administrator
Date 2012-07-11
Name of individual signing JEFFREY D. WARTMAN
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
WARTMAN, JEFFREY D Agent 13403 BOYETTE RD, RIVERVIEW, FL 33569

Director

Name Role Address
WARTMAN, JEFFREY DM.D. Director 3805 SOUTH NINE DRIVE, VALRICO, FL 33596
COLLERAN, MARGARET AMD Director 17912 BURNT OAK LANE, LITHIA, FL 33547
KWAN, MYRON LMD Director 2541 MASON OAKS DR, VALRICO, FL 33594

Events

Event Type Filed Date Value Description
ADMIN DISSOLUTION FOR ANNUAL REPORT 2021-09-24 No data No data
REGISTERED AGENT NAME CHANGED 2010-03-01 WARTMAN, JEFFREY D No data
CHANGE OF PRINCIPAL ADDRESS 2004-04-25 13403 BOYETTE RD, RIVERVIEW, FL 33569 No data
CHANGE OF MAILING ADDRESS 2004-04-25 13403 BOYETTE RD, RIVERVIEW, FL 33569 No data
REGISTERED AGENT ADDRESS CHANGED 2004-04-25 13403 BOYETTE RD, RIVERVIEW, FL 33569 No data

Documents

Name Date
ANNUAL REPORT 2020-04-21
ANNUAL REPORT 2019-02-15
ANNUAL REPORT 2018-01-19
ANNUAL REPORT 2017-02-21
ANNUAL REPORT 2016-03-11
ANNUAL REPORT 2015-02-20
ANNUAL REPORT 2014-03-20
ANNUAL REPORT 2013-03-21
ANNUAL REPORT 2012-01-24
ANNUAL REPORT 2011-02-18

Related by officers

WARTMAN, JEFFREY D

J&S OF BRANDON LLLP

Related by address

No related companies by address

Date of last update: 02 Feb 2025

Sources: Florida Department of State

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