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  5. ROSSANA LOPEZ, M.D., P.A.

ROSSANA LOPEZ, M.D., P.A.

Company Details

Entity Name: ROSSANA LOPEZ, M.D., P.A.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Active
Date Filed: 13 Apr 1995 (30 years ago)
Last Event: REINSTATEMENT
Event Date Filed: 02 Oct 1996 (28 years ago)
Document Number: P95000030209
FEI/EIN Number 65-0625837
Address: 600 E 25 Street, #A, HIALEAH, FL, 33013, US
Mail Address: 600 E 25 Street, #A, HIALEAH, FL, 33013, US
ZIP code: 33013
County: Miami-Dade
Place of Formation: FLORIDA

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
ROSSANA LOPEZ, M.D., P.A. RETIREMENT PLAN AND TRUST 2014 650625837 2015-07-09 ROSSANA LOPEZ, M.D., P.A. 2
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2006-01-01
Business code 621399
Sponsor’s telephone number 3058361696
Plan sponsor’s address 777 EAST 25 STREET, SUITE 516, HIALEAH, FL, 33013
ROSSANA LOPEZ, M.D., P.A. RETIREMENT PLAN AND TRUST 2013 650625837 2014-07-28 ROSSANA LOPEZ, M.D., P.A. 1
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2006-01-01
Business code 621399
Sponsor’s telephone number 3058361696
Plan sponsor’s address 777 EAST 25 STREET, SUITE 516, HIALEAH, FL, 33013
ROSSANA LOPEZ, M.D., P.A. RETIREMENT PLAN AND TRUST 2012 650625837 2013-07-15 ROSSANA LOPEZ, M.D., P.A. 2
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2006-01-01
Business code 621399
Sponsor’s telephone number 3058361696
Plan sponsor’s address 777 EAST 25 STREET, SUITE 516, HIALEAH, FL, 33013

Signature of
Role Plan administrator
Date 2013-07-15
Name of individual signing BARBARA PITALUGA
Valid signature Filed with authorized/valid electronic signature
ROSSANA LOPEZ, M.D., P.A. RETIREMENT PLAN AND TRUST 2011 650625837 2012-08-17 ROSSANA LOPEZ, M.D., P.A. 3
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2006-01-01
Business code 621399
Sponsor’s telephone number 3058361696
Plan sponsor’s address 777 EAST 25 STREET, SUITE 516, HIALEAH, FL, 33013

Plan administrator’s name and address
Administrator’s EIN 650625837
Plan administrator’s name ROSSANA LOPEZ, M.D., P.A.
Plan administrator’s address 777 EAST 25 STREET, SUITE 516, HIALEAH, FL, 33013
Administrator’s telephone number 3058361696

Signature of
Role Plan administrator
Date 2012-08-17
Name of individual signing BARBARA PITALUGA
Valid signature Filed with authorized/valid electronic signature
ROSSANA LOPEZ, M.D., P.A. RETIREMENT PLAN AND TRUST 2010 650625837 2011-08-12 ROSSANA LOPEZ, M.D., P.A. 2
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2006-01-01
Business code 621399
Sponsor’s telephone number 3058361696
Plan sponsor’s address 777 EAST 25 STREET, SUITE 516, HIALEAH, FL, 33013

Plan administrator’s name and address
Administrator’s EIN 650625837
Plan administrator’s name ROSSANA LOPEZ, M.D., P.A.
Plan administrator’s address 777 EAST 25 STREET, SUITE 516, HIALEAH, FL, 33013
Administrator’s telephone number 3058361696

Signature of
Role Plan administrator
Date 2011-08-12
Name of individual signing BARBARA PITALUGA
Valid signature Filed with authorized/valid electronic signature
ROSSANA LOPEZ, M.D., P.A. RETIREMENT PLAN AND TRUST 2009 650625837 2010-09-14 ROSSANA LOPEZ, M.D., P.A. 2
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2006-01-01
Business code 621399
Sponsor’s telephone number 3058361696
Plan sponsor’s address 777 EAST 25 STREET, SUITE 516, HIALEAH, FL, 33013

Plan administrator’s name and address
Administrator’s EIN 650625837
Plan administrator’s name ROSSANA LOPEZ, M.D., P.A.
Plan administrator’s address 777 EAST 25 STREET, SUITE 516, HIALEAH, FL, 33013
Administrator’s telephone number 3058361696

Signature of
Role Plan administrator
Date 2010-09-14
Name of individual signing BARBARA PITALUGA
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
LOPEZ ROSSANA Agent 3511 SW 100 AVE, MIAMI, FL, 33165

Director

Name Role Address
LOPEZ ROSSANA Director 3511 SW 100 AVE, MIAMI, FL, 33165

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2020-03-20 600 E 25 Street, #A, HIALEAH, FL 33013 No data
CHANGE OF MAILING ADDRESS 2020-03-20 600 E 25 Street, #A, HIALEAH, FL 33013 No data
REINSTATEMENT 1996-10-02 No data No data
ADMIN DISSOLUTION FOR ANNUAL REPORT 1996-08-23 No data No data

Documents

Name Date
ANNUAL REPORT 2024-04-29
ANNUAL REPORT 2023-05-01
ANNUAL REPORT 2022-04-04
ANNUAL REPORT 2021-03-15
ANNUAL REPORT 2020-03-20
ANNUAL REPORT 2019-04-24
ANNUAL REPORT 2018-04-30
ANNUAL REPORT 2017-04-27
ANNUAL REPORT 2016-04-25
ANNUAL REPORT 2015-01-12

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Date of last update: 03 Feb 2025

Sources: Florida Department of State

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