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  5. GEORGE S. SIDHOM, M.D., P.A.

GEORGE S. SIDHOM, M.D., P.A.

Company Details

Entity Name: GEORGE S. SIDHOM, M.D., P.A.
Jurisdiction: FLORIDA
Filing Type: Florida Profit Corporation
Status: Active
Date Filed: 10 May 1995 (30 years ago)
Last Event: REINSTATEMENT
Event Date Filed: 19 Nov 1996 (28 years ago)
Document Number: P95000037362
FEI/EIN Number 59-3325809
Mail Address: P.O. BOX 1427, BRANDON, FL 33509
Address: 201 Noland Drive, -, BRANDON, FL 33511
ZIP code: 33511
County: Hillsborough
Place of Formation: FLORIDA

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
GEORGE S. SIDHOM, M. D. , P. A. PROFIT SHARING PLAN 2019 593325809 2020-04-10 GEORGE S. SIDHOM, M.D., P.A. 26
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1997-01-01
Business code 621111
Sponsor’s telephone number 8136847246
Plan sponsor’s address 722 BOWING OAK DRIVE, BRANDON, FL, 33511

Signature of
Role Plan administrator
Date 2020-04-10
Name of individual signing GEORGE SIDHOM
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2020-04-10
Name of individual signing GEORGE SIDHOM
Valid signature Filed with authorized/valid electronic signature
GEORGE S. SIDHOM, M.D., P.A. PROFIT SHARING PLAN 2018 593325809 2019-08-23 GEORGE S. SIDHOM, M.D., P.A. 25
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1997-01-01
Business code 621111
Sponsor’s telephone number 8136847246
Plan sponsor’s address 722 BOWING OAK DRIVE, BRANDON, FL, 32511

Signature of
Role Plan administrator
Date 2019-08-23
Name of individual signing GEORGE SIDHOM
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2019-08-23
Name of individual signing GEORGE SIDHOM
Valid signature Filed with authorized/valid electronic signature
GEORGE S. SIDHOM, M.D., P.A. PROFIT SHARING PLAN 2017 593325809 2018-06-29 GEORGE S. SIDHOM, M.D., P.A. 26
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1997-01-01
Business code 621111
Sponsor’s telephone number 8136847246
Plan sponsor’s address 722 BOWING OAK DRIVE, BRANDON, FL, 32511

Signature of
Role Plan administrator
Date 2018-06-29
Name of individual signing GEORGE S SIDHOM
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2018-06-29
Name of individual signing GEORGE S SIDHOM
Valid signature Filed with authorized/valid electronic signature
GEORGE S. SIDHOM, M.D., P.A. PROFIT SHARING PLAN 2016 593325809 2017-06-26 GEORGE S. SIDHOM, M.D., P.A. 24
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1997-01-01
Business code 621111
Sponsor’s telephone number 8136847246
Plan sponsor’s address 722 BOWING OAK DRIVE, BRANDON, FL, 32511

Signature of
Role Plan administrator
Date 2017-06-26
Name of individual signing GEORGE S SIDHOM
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2017-06-26
Name of individual signing GEORGE S SIDHOM
Valid signature Filed with authorized/valid electronic signature
GEORGE S. SIDHOM, M.D., P.A. PROFIT SHARING PLAN 2015 593325809 2016-06-20 GEORGE S. SIDHOM, M.D., P.A. 23
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1997-01-01
Business code 621111
Sponsor’s telephone number 8136847246
Plan sponsor’s address 201 NOLAND AVENUE, BRANDON, FL, 32511

Signature of
Role Plan administrator
Date 2016-06-20
Name of individual signing GEORGE S SIDHOM
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2016-06-20
Name of individual signing GEORGE S SIDHOM
Valid signature Filed with authorized/valid electronic signature
GEORGE S. SIDHOM, M.D., P.A. PROFIT SHARING PLAN 2014 593325809 2015-06-19 GEORGE S. SIDHOM, M.D., P.A. 20
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1997-01-01
Business code 621111
Sponsor’s telephone number 8136847246
Plan sponsor’s address 201 NOLAND AVENUE, BRANDON, FL, 32511

Signature of
Role Plan administrator
Date 2015-06-19
Name of individual signing JAME JOHNSON
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2015-06-19
Name of individual signing GEORGE S SIDHOM MD
Valid signature Filed with authorized/valid electronic signature
GEORGE S. SIDHOM, M.D., P.A. PROFIT SHARING PLAN 2013 593325809 2014-05-29 GEORGE S. SIDHOM, M.D., P.A. 22
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1997-01-01
Business code 621111
Sponsor’s telephone number 8136847246
Plan sponsor’s address P.O. BOX 1427, BRANDON, FL, 335091427

Signature of
Role Plan administrator
Date 2014-05-29
Name of individual signing GEORGE S SIDHOM
Valid signature Filed with authorized/valid electronic signature
GEORGE S. SIDHOM, M.D., P.A. PROFIT SHARING PLAN 2012 593325809 2013-06-21 GEORGE S. SIDHOM, M.D., P.A. 25
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1997-01-01
Business code 621111
Sponsor’s telephone number 8136847246
Plan sponsor’s address P.O. BOX 1427, BRANDON, FL, 335091427

Signature of
Role Plan administrator
Date 2013-06-21
Name of individual signing JAMES JOHNSON
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2013-06-21
Name of individual signing GEORGE S SIDHOM
Valid signature Filed with authorized/valid electronic signature
GEORGE S. SIDHOM, M.D., P.A. PROFIT SHARING PLAN 2011 593325809 2012-05-04 GEORGE S. SIDHOM, M.D., P.A. 27
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1997-01-01
Business code 621111
Sponsor’s telephone number 8136847246
Plan sponsor’s address P.O. BOX 1427, BRANDON, FL, 335091427

Plan administrator’s name and address
Administrator’s EIN 593325809
Plan administrator’s name GEORGE S. SIDHOM, M.D., P.A.
Plan administrator’s address P.O. BOX 1427, BRANDON, FL, 335091427
Administrator’s telephone number 8136847246

Signature of
Role Plan administrator
Date 2012-05-04
Name of individual signing GEORGE S. SIDHOM MD
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2012-05-04
Name of individual signing GEORGE S. SIDHOM MD
Valid signature Filed with authorized/valid electronic signature
GEORGE S. SIDHOM, M.D., P.A. PROFIT SHARING PLAN 2010 593325809 2011-06-06 GEORGE S. SIDHOM, M.D., P.A. 30
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1997-01-01
Business code 621111
Sponsor’s telephone number 8136847246
Plan sponsor’s address P.O. BOX 1427, BRANDON, FL, 335091427

Plan administrator’s name and address
Administrator’s EIN 593325809
Plan administrator’s name GEORGE S. SIDHOM, M.D., P.A.
Plan administrator’s address P.O. BOX 1427, BRANDON, FL, 335091427
Administrator’s telephone number 8136847246

Signature of
Role Plan administrator
Date 2011-06-06
Name of individual signing JIM JOHNSON
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
SIDHOM, M.D., GEORGE Agent 26091 MOUNTAIN LAKE RD., PH, BROOKSVILLE, FL 34602

DR.

Name Role Address
SIDHOM, GEORGE DR. 26091 MOUNTAIN LAKE RD, BROOKSVILLE, FL 34602

Vice President

Name Role Address
Sidhom, Jean M Vice President 26091 Mountain Lake Road, Brooksville, FL 34602

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2021-04-26 201 Noland Drive, -, BRANDON, FL 33511 No data
CHANGE OF MAILING ADDRESS 2008-04-30 201 Noland Drive, -, BRANDON, FL 33511 No data
REGISTERED AGENT ADDRESS CHANGED 2004-04-20 26091 MOUNTAIN LAKE RD., PH, BROOKSVILLE, FL 34602 No data
REINSTATEMENT 1996-11-19 No data No data
REGISTERED AGENT NAME CHANGED 1996-11-19 SIDHOM, M.D., GEORGE No data
ADMIN DISSOLUTION FOR ANNUAL REPORT 1996-08-23 No data No data

Documents

Name Date
ANNUAL REPORT 2024-03-01
ANNUAL REPORT 2023-03-06
ANNUAL REPORT 2022-05-09
ANNUAL REPORT 2021-04-26
ANNUAL REPORT 2020-06-19
ANNUAL REPORT 2019-04-23
ANNUAL REPORT 2018-04-27
ANNUAL REPORT 2017-04-03
ANNUAL REPORT 2016-04-20
ANNUAL REPORT 2015-04-20

Related by officers

No related officers

Related by address

No related companies by address

Date of last update: 02 Feb 2025

Sources: Florida Department of State

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