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WILLIAM I. ROTH, M.D., P.A. - Florida Company Profile

Company Details

Entity Name: WILLIAM I. ROTH, M.D., P.A.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit

WILLIAM I. ROTH, M.D., P.A. is structured as a Domestic Profit Corporation, which, in Florida signifies a Profit Corporation (also known as a C-Corporation). This business structure is recognized as a separate legal entity from its owners. This offers shareholders the benefit of limited liability protection, safeguarding their personal assets from the corporation's debts and obligations, and facilitates raising capital through the issuance of stock. In Florida, Domestic Profit Corporations are governed by Title XXXVI, Chapter 607, Florida Statutes – Florida Business Corporation Act.

Status: Active

The business entity is active. This status indicates that the business is currently operating and compliant with state regulations, suggesting a lower risk profile for lenders and potentially better creditworthiness.

Date Filed: 14 Mar 1996 (29 years ago)
Document Number: P96000023340
FEI/EIN Number 650657207

Federal Employer Identification (FEI) Number assigned by the IRS.

Address: 10075 JOG ROAD, STE 206, BOYNTON BCH, FL, 33437, US
Mail Address: 6301 Graycliff Dr Apt B, BOCA RATON, FL, 33496-3319, US
ZIP code: 33437
County: Palm Beach
Place of Formation: FLORIDA

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
WILLIAM I ROTH, M.D., P.A. PROFIT SHARING PLAN 2016 650657207 2017-03-30 WILLIAM I ROTH, M.D., P.A. 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Business code 621111
Sponsor’s telephone number 5617314900
Plan sponsor’s address 6301 GRAYCLIFF DRIVE, APT. B, BOCA RATON, FL, 33496

Signature of

Role Plan administrator
Date 2017-03-30
Name of individual signing WILLIAM I. ROTH, M.D.
Valid signature Filed with authorized/valid electronic signature
WILLIAM I. ROTH, M.D., P.A. DEFINED BENEFIT PLAN 2016 650657207 2017-05-16 WILLIAM I. ROTH, M.D., P.A. 9
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2008-01-01
Business code 621111
Sponsor’s telephone number 5617314900
Plan sponsor’s address 6301 GRAYCLIFF DR., APT. B, BOCA RATON, FL, 33496

Signature of

Role Plan administrator
Date 2017-05-16
Name of individual signing WILLIAM I. ROTH
Valid signature Filed with authorized/valid electronic signature
WILLIAM I ROTH, M.D., P.A. PROFIT SHARING PLAN 2015 650657207 2016-03-31 WILLIAM I ROTH, M.D., P.A. 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Business code 621111
Sponsor’s telephone number 5617314900
Plan sponsor’s address 10075 JOG ROAD, SUITE 206, BOYNTON BEACH, FL, 33437

Signature of

Role Plan administrator
Date 2016-03-31
Name of individual signing WILLIAM I. ROTH, M.D.
Valid signature Filed with authorized/valid electronic signature
WILLIAM I. ROTH, M.D., P.A. DEFINED BENEFIT PLAN 2015 650657207 2016-05-04 WILLIAM I. ROTH, M.D., P.A. 7
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2008-01-01
Business code 621111
Sponsor’s telephone number 5617314900
Plan sponsor’s address 6301 GRAYCLIFF DR., APT. B, BOCA RATON, FL, 33496

Signature of

Role Plan administrator
Date 2016-05-04
Name of individual signing WILLIAM I. ROTH
Valid signature Filed with authorized/valid electronic signature
WILLIAM I ROTH, M.D., P.A. PROFIT SHARING PLAN 2014 650657207 2015-05-08 WILLIAM I ROTH, M.D., P.A. 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Business code 621111
Sponsor’s telephone number 5617314900
Plan sponsor’s address 6348 NW 30TH AVENUE, BOCA RATON, FL, 33496

Signature of

Role Plan administrator
Date 2015-05-08
Name of individual signing WILLIAM I. ROTH, M.D.
Valid signature Filed with authorized/valid electronic signature
WILLIAM I. ROTH, M.D., P.A. DEFINED BENEFIT PLAN 2014 650657207 2015-06-23 WILLIAM I. ROTH, M.D., P.A. 9
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2008-01-01
Business code 621111
Sponsor’s telephone number 5617314900
Plan sponsor’s address 6348 NW 30TH AVE, BOCA RATON, FL, 33496

Signature of

Role Plan administrator
Date 2015-06-23
Name of individual signing WILLIAM I. ROTH
Valid signature Filed with authorized/valid electronic signature
WILLIAM I. ROTH, M.D., P.A. DEFINED BENEFIT PLAN 2013 650657207 2014-07-16 WILLIAM I. ROTH, M.D., P.A. 9
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2008-01-01
Business code 621111
Sponsor’s telephone number 5617314900
Plan sponsor’s address 6348 NW 30TH AVE, BOCA RATON, FL, 33496

Signature of

Role Plan administrator
Date 2014-07-16
Name of individual signing CAMERON KELLY
Valid signature Filed with authorized/valid electronic signature
WILLIAM I ROTH, M.D., P.A. PROFIT SHARING PLAN 2013 650657207 2014-06-25 WILLIAM I ROTH, M.D., P.A. 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Business code 621111
Sponsor’s telephone number 5617314900
Plan sponsor’s address 6348 NW 30TH AVENUE, BOCA RATON, FL, 33496

Signature of

Role Plan administrator
Date 2014-06-25
Name of individual signing REBECCA TORRES
Valid signature Filed with authorized/valid electronic signature
WILLIAM I. ROTH, M.D., P.A. DEFINED BENEFIT PLAN 2012 650657207 2013-05-06 WILLIAM I. ROTH, M.D., P.A. 9
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2008-01-01
Business code 621111
Sponsor’s telephone number 5617314900
Plan sponsor’s address 6348 NW 30TH AVE, BOCA RATON, FL, 33496

Signature of

Role Plan administrator
Date 2013-05-06
Name of individual signing CAMERON KELLY
Valid signature Filed with authorized/valid electronic signature
WILLIAM I ROTH, M.D., P.A. PROFIT SHARING PLAN 2012 650657207 2013-05-13 WILLIAM I ROTH, M.D., P.A. 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Business code 621111
Sponsor’s telephone number 5617314900
Plan sponsor’s address 6348 NW 30TH AVENUE, BOCA RATON, FL, 33496

Signature of

Role Plan administrator
Date 2013-05-13
Name of individual signing CAMERON KELLY
Valid signature Filed with authorized/valid electronic signature

Key Officers & Management

Name Role Address
ROTH WILLIAM I Director 6301B Graycliff Dr., BOCA RATON, FL, 33496
HARK CLIFFORD B Agent 2000 Glades Road, Suite 110, BOCA RATON, FL, 33431

Events

Event Type Filed Date Value Description
CHANGE OF MAILING ADDRESS 2022-01-30 10075 JOG ROAD, STE 206, BOYNTON BCH, FL 33437 -
REGISTERED AGENT ADDRESS CHANGED 2020-01-26 2000 Glades Road, Suite 110, BOCA RATON, FL 33431 -
CHANGE OF PRINCIPAL ADDRESS 2006-01-10 10075 JOG ROAD, STE 206, BOYNTON BCH, FL 33437 -

Documents

Name Date
ANNUAL REPORT 2025-01-23
ANNUAL REPORT 2024-01-22
ANNUAL REPORT 2023-01-18
ANNUAL REPORT 2022-01-30
ANNUAL REPORT 2021-01-27
ANNUAL REPORT 2020-01-26
ANNUAL REPORT 2019-01-20
ANNUAL REPORT 2018-01-05
ANNUAL REPORT 2017-01-03
ANNUAL REPORT 2016-01-22

Date of last update: 01 Mar 2025

Sources: Florida Department of State