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  5. DR. BARRY M. SIMON, O.D., P.A.

DR. BARRY M. SIMON, O.D., P.A.

Company Details

Entity Name: DR. BARRY M. SIMON, O.D., P.A.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Active
Date Filed: 14 Feb 1996 (29 years ago)
Document Number: P96000014187
FEI/EIN Number 650646796
Address: 3996 W HILLSBORO BLVD, DEERFIELD BEACH, FL, 33442, US
Mail Address: PO BOX 970628, COCONUT CREEK, FL, 33097-0628, US
ZIP code: 33442
County: Broward
Place of Formation: FLORIDA

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
DR. BARRY M. SIMON, O.D., P.A. RETIREMENT PLAN 2012 650646796 2013-07-23 DR. BARRY M. SIMON, O.D., P.A. 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1999-01-01
Business code 621320
Sponsor’s telephone number 9543600033
Plan sponsor’s address 3788 WEST HILLSBORO BLVD., DEERFIELD BEACH, FL, 33442

Signature of
Role Plan administrator
Date 2013-07-23
Name of individual signing BARRY SIMON
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2013-07-23
Name of individual signing BARRY SIMON
Valid signature Filed with authorized/valid electronic signature
DR. BARRY M. SIMON, O.D., P.A. RETIREMENT PLAN 2011 650646796 2012-10-05 DR. BARRY M. SIMON, O.D., P.A. 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1999-01-01
Business code 621320
Sponsor’s telephone number 9543600033
Plan sponsor’s address 3788 WEST HILLSBORO BLVD., DEERFIELD BEACH, FL, 33442

Plan administrator’s name and address
Administrator’s EIN 650646796
Plan administrator’s name DR. BARRY M. SIMON, O.D., P.A.
Plan administrator’s address 3788 WEST HILLSBORO BLVD., DEERFIELD BEACH, FL, 33442
Administrator’s telephone number 9543600033

Signature of
Role Plan administrator
Date 2012-10-05
Name of individual signing BARRY M. SIMON
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2012-10-05
Name of individual signing BARRY M. SIMON
Valid signature Filed with authorized/valid electronic signature
DR. BARRY M. SIMON, O.D., P.A. RETIREMENT PLAN 2010 650646796 2011-09-27 DR. BARRY M. SIMON, O.D., P.A. 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1999-01-01
Business code 621320
Sponsor’s telephone number 9543600033
Plan sponsor’s address 3788 WEST HILLSBORO BLVD., DEERFIELD, FL, 33442

Plan administrator’s name and address
Administrator’s EIN 650646796
Plan administrator’s name DR. BARRY M. SIMON, O.D., P.A.
Plan administrator’s address 3788 WEST HILLSBORO BLVD., DEERFIELD, FL, 33442
Administrator’s telephone number 9543600033

Signature of
Role Plan administrator
Date 2011-09-27
Name of individual signing BARRY M. SIMON, O.D., P.A.
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2011-09-27
Name of individual signing BARRY M. SIMON, O.D., P.A.
Valid signature Filed with authorized/valid electronic signature
DR. BARRY M. SIMON, O.D., P.A. RETIREMENT PLAN 2009 650646796 2010-10-04 DR. BARRY M. SIMON, O.D., P.A. 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1999-01-01
Business code 621320
Sponsor’s telephone number 9543600033
Plan sponsor’s address 3788 WEST HILLSBORO BLVD., DEERFIELD BEACH, FL, 33442

Plan administrator’s name and address
Administrator’s EIN 650646796
Plan administrator’s name DR. BARRY M. SIMON, O.D., P.A.
Plan administrator’s address 3788 WEST HILLSBORO BLVD., DEERFIELD BEACH, FL, 33442
Administrator’s telephone number 9543600033

Signature of
Role Plan administrator
Date 2010-10-04
Name of individual signing BARRY M. SIMON, O.D., P.A.
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2010-10-04
Name of individual signing BARRY M. SIMON, O.D., P.A.
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
SIMON BARRY MDr. Agent 3996 W HILLSBORO BLVD, DEERFIELD BEACH, FL, 33442

President

Name Role Address
SIMON BARRY MDr. President PO BOX 970628, COCONUT CREEK, FL, 330970628

Vice President

Name Role Address
SIMON AMY Vice President PO BOX 970628, COCONUT CREEK, FL, 330970628

Events

Event Type Filed Date Value Description
REGISTERED AGENT ADDRESS CHANGED 2020-06-15 3996 W HILLSBORO BLVD, DEERFIELD BEACH, FL 33442 No data
CHANGE OF MAILING ADDRESS 2017-06-05 3996 W HILLSBORO BLVD, DEERFIELD BEACH, FL 33442 No data
CHANGE OF PRINCIPAL ADDRESS 2015-04-06 3996 W HILLSBORO BLVD, DEERFIELD BEACH, FL 33442 No data
REGISTERED AGENT NAME CHANGED 2013-05-28 SIMON, BARRY M, Dr. No data

Documents

Name Date
ANNUAL REPORT 2024-04-28
ANNUAL REPORT 2023-04-26
ANNUAL REPORT 2022-04-29
ANNUAL REPORT 2021-02-06
ANNUAL REPORT 2020-06-15
ANNUAL REPORT 2019-03-25
ANNUAL REPORT 2018-04-04
ANNUAL REPORT 2017-06-05
ANNUAL REPORT 2016-04-18
ANNUAL REPORT 2015-04-06

Related by officers

SIMON AMY

FLPRS INC ABREU SIMON GROUP, LLC

Related by address

No related companies by address

Date of last update: 02 Feb 2025

Sources: Florida Department of State

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