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  5. JAY N. RAYAN, M.D., P.A.

JAY N. RAYAN, M.D., P.A.

Company Details

Entity Name: JAY N. RAYAN, M.D., P.A.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Active
Date Filed: 20 Sep 1995 (29 years ago)
Document Number: P95000072860
FEI/EIN Number 593363395
Address: 9604 TAVISTOCK CT, ORLANDO, FL, 32827, US
Mail Address: 9604 TAVISTOCK CT, ORLANDO, FL, 32827, US
ZIP code: 32827
County: Orange
Place of Formation: FLORIDA

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
JAY N. RAYAN, M.D., P.A. PENSION PLAN 2018 593363395 2019-05-02 JAY N. RAYAN, M.D., P.A. 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2011-01-01
Business code 621111
Sponsor’s telephone number 3525967660
Plan sponsor’s address 12900 CORTEZ BOULEVARD, SUITE 102, BROOKSVILLE, FL, 34613

Signature of
Role Plan administrator
Date 2019-05-02
Name of individual signing JAY N. RAYAN, M.D.
Valid signature Filed with authorized/valid electronic signature
JAY N. RAYAN, M.D., P.A. 401(K) PROFIT SHARING PLAN 2018 593363395 2019-12-11 JAY N. RAYAN, M.D., P.A. 7
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2011-01-01
Business code 621111
Sponsor’s telephone number 3523467660
Plan sponsor’s address 9837 GROSVENOR POINTE CIRCLE, WINDERMERE, FL, 34786

Signature of
Role Plan administrator
Date 2019-12-11
Name of individual signing JAY N. RAYAN, M.D.
Valid signature Filed with authorized/valid electronic signature
JAY N. RAYAN, M.D., P.A. PENSION PLAN 2018 593363395 2019-12-11 JAY N. RAYAN, M.D., P.A. 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2011-01-01
Business code 621111
Sponsor’s telephone number 3523467660
Plan sponsor’s address 9837 GROSVENOR POINTE CIRCLE, WINDERMERE, FL, 34786

Signature of
Role Plan administrator
Date 2019-12-11
Name of individual signing JAY N. RAYAN, M.D.
Valid signature Filed with authorized/valid electronic signature
JAY N. RAYAN, M.D., P.A. 401(K) PROFIT SHARING PLAN 2018 593363395 2019-05-02 JAY N. RAYAN, M.D., P.A. 7
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2011-01-01
Business code 621111
Sponsor’s telephone number 3525967660
Plan sponsor’s address 12900 CORTEZ BOULEVARD, SUITE 102, BROOKSVILLE, FL, 34613

Signature of
Role Plan administrator
Date 2019-05-02
Name of individual signing JAY N. RAYAN, M.D.
Valid signature Filed with authorized/valid electronic signature
JAY N. RAYAN, M.D., P.A. 401(K) PROFIT SHARING PLAN 2017 593363395 2018-07-16 JAY N. RAYAN, M.D., P.A. 8
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2011-01-01
Business code 621111
Sponsor’s telephone number 3525967660
Plan sponsor’s address 12900 CORTEZ BOULEVARD, SUITE 102, BROOKSVILLE, FL, 34613

Signature of
Role Plan administrator
Date 2018-07-16
Name of individual signing JAY N. RAYAN, M.D.
Valid signature Filed with authorized/valid electronic signature
JAY N. RAYAN, M.D., P.A. PENSION PLAN 2017 593363395 2018-07-16 JAY N. RAYAN, M.D., P.A. 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2011-01-01
Business code 621111
Sponsor’s telephone number 3525967660
Plan sponsor’s address 12900 CORTEZ BOULEVARD, SUITE 102, BROOKSVILLE, FL, 34613

Signature of
Role Plan administrator
Date 2018-07-16
Name of individual signing JAY N. RAYAN, M.D.
Valid signature Filed with authorized/valid electronic signature
JAY N. RAYAN, M.D., P.A. 401(K) PROFIT SHARING PLAN 2016 593363395 2017-06-12 JAY N. RAYAN, M.D., P.A. 8
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2011-01-01
Business code 621111
Sponsor’s telephone number 3525967660
Plan sponsor’s address 12900 CORTEZ BOULEVARD, SUITE 102, BROOKSVILLE, FL, 34613

Signature of
Role Plan administrator
Date 2017-06-12
Name of individual signing JAY N. RAYAN, M.D.
Valid signature Filed with authorized/valid electronic signature
JAY N. RAYAN, M.D., P.A. PENSION PLAN 2016 593363395 2017-06-12 JAY N. RAYAN, M.D., P.A. 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2011-01-01
Business code 621111
Sponsor’s telephone number 3525967660
Plan sponsor’s address 12900 CORTEZ BOULEVARD, SUITE 102, BROOKSVILLE, FL, 34613

Signature of
Role Plan administrator
Date 2017-06-12
Name of individual signing JAY N. RAYAN, M.D.
Valid signature Filed with authorized/valid electronic signature
JAY N. RAYAN, M.D., P.A. 401(K) PROFIT SHARING PLAN 2015 593363395 2016-09-13 JAY N. RAYAN, M.D., P.A. 8
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2011-01-01
Business code 621111
Sponsor’s telephone number 3525967660
Plan sponsor’s address 12900 CORTEZ BOULEVARD, SUITE 102, BROOKSVILLE, FL, 34613

Signature of
Role Plan administrator
Date 2016-09-13
Name of individual signing JAY N. RAYAN, M.D.
Valid signature Filed with authorized/valid electronic signature
JAY N. RAYAN, M.D., P.A. PENSION PLAN 2015 593363395 2016-09-13 JAY N. RAYAN, M.D., P.A. 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2011-01-01
Business code 621111
Sponsor’s telephone number 3525967660
Plan sponsor’s address 12900 CORTEZ BOULEVARD, SUITE 102, BROOKSVILLE, FL, 34613

Signature of
Role Plan administrator
Date 2016-09-13
Name of individual signing JAY N. RAYAN, M.D.
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
RAYAN JAY NM.D. Agent 9604 TAVISTOCK CT, ORLANDO, FL, 32827

Director

Name Role Address
RAYAN JAY NM.D. Director 9604 TAVISTOCK CT, ORLANDO, FL, 32827

President

Name Role Address
RAYAN JAY NM.D. President 9604 TAVISTOCK CT, ORLANDO, FL, 32827

Secretary

Name Role Address
RAYAN JAY NM.D. Secretary 9604 TAVISTOCK CT, ORLANDO, FL, 32827

Related by officers

No related officers

Related by address

9604 TAVISTOCK CT, ORLANDO, FL, 32827, US

MIRONET PROPERTIES LLC

9604 TAVISTOCK CT, ORLANDO, FL, 32827, US

MIRONET PROPERTIES LLC

Date of last update: 01 Feb 2025

Sources: Florida Department of State

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