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LISA A. GOFF, D.M.D., P.A.

Company Details

Entity Name: LISA A. GOFF, D.M.D., P.A.
Jurisdiction: FLORIDA
Filing Type: Florida Profit Corporation
Status: Active
Date Filed: 09 Oct 1995 (29 years ago)
Document Number: P95000078134
FEI/EIN Number 59-3340440
Address: 2717 N WICKHAM ROAD, SUITE 2, MELBOURNE, FL 32935
Mail Address: 2717 N WICKHAM ROAD, SUITE 2, MELBOURNE, FL 32935
ZIP code: 32935
County: Brevard
Place of Formation: FLORIDA

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
LISA A. GOFF, D.M.D., P.A. 401(K) PROFIT SHARING PLAN 2023 593340440 2024-06-21 LISA A. GOFF, D.M.D., P.A. 12
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-01-01
Business code 621111
Sponsor’s telephone number 3212422766
Plan sponsor’s address 2717 N WICKHAM RD, MELBOURNE, FL, 329352200

Signature of

Role Plan administrator
Date 2024-06-21
Name of individual signing LISA GOFF
Valid signature Filed with authorized/valid electronic signature
LISA A. GOFF, D.M.D., P.A. 401(K) PROFIT SHARING PLAN 2022 593340440 2023-04-21 LISA A. GOFF, D.M.D., P.A. 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-01-01
Business code 621111
Sponsor’s telephone number 3212422766
Plan sponsor’s address 2717 N WICKHAM RD, MELBOURNE, FL, 329352200

Signature of

Role Plan administrator
Date 2023-04-21
Name of individual signing LISA GOFF
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2023-04-21
Name of individual signing LISA GOFF
Valid signature Filed with authorized/valid electronic signature
LISA A. GOFF, D.M.D., P.A. 401(K) PROFIT SHARING PLAN 2021 593340440 2022-05-12 LISA A. GOFF, D.M.D., P.A. 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-01-01
Business code 621111
Sponsor’s telephone number 3212422766
Plan sponsor’s address 2717 N WICKHAM RD, MELBOURNE, FL, 329352200

Signature of

Role Plan administrator
Date 2022-05-12
Name of individual signing LISA GOFF
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2022-05-12
Name of individual signing LISA GOFF
Valid signature Filed with authorized/valid electronic signature
LISA A. GOFF, D.M.D., P.A. 401(K) PROFIT SHARING PLAN 2020 593340440 2021-09-17 LISA A. GOFF, D.M.D., P.A. 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-01-01
Business code 621111
Sponsor’s telephone number 3212422766
Plan sponsor’s address 2717 N WICKHAM RD, MELBOURNE, FL, 329352200

Signature of

Role Plan administrator
Date 2021-09-17
Name of individual signing LISA GOFF
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2021-09-17
Name of individual signing LISA GOFF
Valid signature Filed with authorized/valid electronic signature
LISA A. GOFF, D.M.D., P.A. 401(K) PROFIT SHARING PLAN 2019 593340440 2020-07-29 LISA A. GOFF, D.M.D., P.A. 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-01-01
Business code 621111
Sponsor’s telephone number 3212422766
Plan sponsor’s address 2717 N WICKHAM RD, MELBOURNE, FL, 329352200

Signature of

Role Plan administrator
Date 2020-07-29
Name of individual signing LISA GOFF
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2020-07-29
Name of individual signing LISA GOFF
Valid signature Filed with authorized/valid electronic signature
LISA A. GOFF, D.M.D., P.A. 401(K) PROFIT SHARING PLAN 2018 593340440 2019-04-17 LISA A. GOFF, D.M.D., P.A. 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-01-01
Business code 621111
Sponsor’s telephone number 3212422766
Plan sponsor’s address 2717 N WICKHAM RD, MELBOURNE, FL, 329352200

Signature of

Role Plan administrator
Date 2019-04-17
Name of individual signing LISA GOFF
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2019-04-17
Name of individual signing LISA GOFF
Valid signature Filed with authorized/valid electronic signature
LISA A. GOFF, D.M.D., P.A. 401(K) PROFIT SHARING PLAN 2017 593340440 2018-07-18 LISA A. GOFF, D.M.D., P.A. 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-01-01
Business code 621111
Sponsor’s telephone number 3212422766
Plan sponsor’s address 2717 N WICKHAM RD, MELBOURNE, FL, 329352200

Signature of

Role Plan administrator
Date 2018-07-18
Name of individual signing LISA GOFF
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2018-07-18
Name of individual signing LISA GOFF
Valid signature Filed with authorized/valid electronic signature
LISA A. GOFF, D.M.D., P.A. 401(K) PROFIT SHARING PLAN 2016 593340440 2017-07-13 LISA A. GOFF, D.M.D., P.A. 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-01-01
Business code 621111
Sponsor’s telephone number 3212422766
Plan sponsor’s address 2717 N WICKHAM RD, MELBOURNE, FL, 329352200

Signature of

Role Plan administrator
Date 2017-07-13
Name of individual signing LISA GOFF
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2017-07-13
Name of individual signing LISA GOFF
Valid signature Filed with authorized/valid electronic signature
LISA A. GOFF, D.M.D., P.A. 401(K) PROFIT SHARING PLAN 2015 593340440 2016-05-17 LISA A. GOFF, D.M.D., P.A. 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-01-01
Business code 621111
Sponsor’s telephone number 3212422766
Plan sponsor’s address 2717 N WICKHAM RD, MELBOURNE, FL, 329352200

Signature of

Role Plan administrator
Date 2016-05-17
Name of individual signing LISAA. GOFF
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2016-05-17
Name of individual signing LISAA. GOFF
Valid signature Filed with authorized/valid electronic signature
LISA A. GOFF, D.M.D., P.A. 401(K) PROFIT SHARING PLAN 2014 593340440 2015-07-13 LISA A. GOFF, D.M.D., P.A. 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-01-01
Business code 621111
Sponsor’s telephone number 3212422766
Plan sponsor’s address 2717 N WICKHAM RD, MELBOURNE, FL, 329352200

Signature of

Role Plan administrator
Date 2015-07-13
Name of individual signing LISAA. GOFF
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2015-07-13
Name of individual signing LISAA. GOFF
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
GOFF, LISA ADMD Agent 2717 N. WICKHAM RD., SUITE 2, MELBOURNE, FL 32935

Director

Name Role Address
GOFF, LISA AD.M.D. Director 2717 N WICKHAM ROAD,, #2 MELBOURNE, FL 32935

President

Name Role Address
GOFF, LISA AD.M.D. President 2717 N WICKHAM ROAD,, #2 MELBOURNE, FL 32935

Secretary

Name Role Address
GOFF, LISA AD.M.D. Secretary 2717 N WICKHAM ROAD,, #2 MELBOURNE, FL 32935

Treasurer

Name Role Address
GOFF, LISA AD.M.D. Treasurer 2717 N WICKHAM ROAD,, #2 MELBOURNE, FL 32935

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2010-04-29 2717 N WICKHAM ROAD, SUITE 2, MELBOURNE, FL 32935 No data
CHANGE OF MAILING ADDRESS 2010-04-29 2717 N WICKHAM ROAD, SUITE 2, MELBOURNE, FL 32935 No data
REGISTERED AGENT ADDRESS CHANGED 2010-04-29 2717 N. WICKHAM RD., SUITE 2, MELBOURNE, FL 32935 No data
REGISTERED AGENT NAME CHANGED 2006-04-20 GOFF, LISA ADMD No data

Documents

Name Date
ANNUAL REPORT 2024-02-06
ANNUAL REPORT 2023-04-11
ANNUAL REPORT 2022-01-25
ANNUAL REPORT 2021-01-18
ANNUAL REPORT 2020-01-20
ANNUAL REPORT 2019-06-18
ANNUAL REPORT 2018-04-30
ANNUAL REPORT 2017-05-01
ANNUAL REPORT 2016-04-29
ANNUAL REPORT 2015-04-28

Date of last update: 02 Feb 2025

Sources: Florida Department of State