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  5. AMERICAN INSTITUTE OF DERMATOLOGY, P.A.

AMERICAN INSTITUTE OF DERMATOLOGY, P.A.

Company Details

Entity Name: AMERICAN INSTITUTE OF DERMATOLOGY, P.A.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Active
Date Filed: 02 Jul 1996 (29 years ago)
Document Number: P96000055921
FEI/EIN Number 650689799
Address: 3109 MEDICAL WAY, SEBRING, FL, 33870
Mail Address: 3109 MEDICAL WAY, SEBRING, FL, 33870
ZIP code: 33870
County: Highlands
Place of Formation: FLORIDA

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
AMERICAN INSTITUTE OF DERMATOLOGY 401(K) PROFIT SHARING PLAN 2023 650689799 2024-06-06 AMERICAN INSTITUTE OF DERMATOLOGY, P.A. 43
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2010-01-01
Business code 621399
Sponsor’s telephone number 8633860786
Plan sponsor’s address 3109 MEDICAL WAY, SEBRING, FL, 33870

Signature of
Role Plan administrator
Date 2024-06-06
Name of individual signing DARRIN A. ROTMAN, M.D.
Valid signature Filed with authorized/valid electronic signature
AMERICAN INSTITUTE OF DERMATOLOGY 401(K) PROFIT SHARING PLAN 2022 650689799 2023-07-11 AMERICAN INSTITUTE OF DERMATOLOGY, P.A. 38
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2010-01-01
Business code 621399
Sponsor’s telephone number 8633860786
Plan sponsor’s address 3109 MEDICAL WAY, SEBRING, FL, 33870

Signature of
Role Plan administrator
Date 2023-07-11
Name of individual signing DARRIN A. ROTMAN, M.D.
Valid signature Filed with authorized/valid electronic signature
AMERICAN INSTITUTE OF DERMATOLOGY 401(K) PROFIT SHARING PLAN 2021 650689799 2022-09-22 AMERICAN INSTITUTE OF DERMATOLOGY, P.A. 37
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2010-01-01
Business code 621399
Sponsor’s telephone number 8633860786
Plan sponsor’s address 3109 MEDICAL WAY, SEBRING, FL, 33870

Signature of
Role Plan administrator
Date 2022-09-22
Name of individual signing DARRIN A. ROTMAN, M.D.
Valid signature Filed with authorized/valid electronic signature
AMERICAN INSTITUTE OF DERMATOLOGY 401(K) PROFIT SHARING PLAN 2020 650689799 2021-10-13 AMERICAN INSTITUTE OF DERMATOLOGY, P.A. 33
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2010-01-01
Business code 621399
Sponsor’s telephone number 8633860786
Plan sponsor’s address 3109 MEDICAL WAY, SEBRING, FL, 33870

Signature of
Role Plan administrator
Date 2021-10-13
Name of individual signing DARRIN A. ROTMAN, M.D.
Valid signature Filed with authorized/valid electronic signature
AMERICAN INSTITUTE OF DERMATOLOGY 401(K) PROFIT SHARING PLAN 2019 650689799 2020-07-08 AMERICAN INSTITUTE OF DERMATOLOGY, P.A. 30
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2010-01-01
Business code 621399
Sponsor’s telephone number 8633860786
Plan sponsor’s address 3109 MEDICAL WAY, SEBRING, FL, 33870

Signature of
Role Plan administrator
Date 2020-07-08
Name of individual signing DARRIN A. ROTMAN, M.D.
Valid signature Filed with authorized/valid electronic signature
AMERICAN INSTITUTE OF DERMATOLOGY 401(K) PROFIT SHARING PLAN 2018 650689799 2019-07-18 AMERICAN INSTITUTE OF DERMATOLOGY, P.A. 26
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2010-01-01
Business code 621399
Sponsor’s telephone number 8633860786
Plan sponsor’s address 3109 MEDICAL WAY, SEBRING, FL, 33870

Signature of
Role Plan administrator
Date 2019-07-18
Name of individual signing DARRIN A. ROTMAN, M.D.
Valid signature Filed with authorized/valid electronic signature
AMERICAN INSTITUTE OF DERMATOLOGY 401(K) PROFIT SHARING PLAN 2017 650689799 2018-07-17 AMERICAN INSTITUTE OF DERMATOLOGY, P.A. 21
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2010-01-01
Business code 621399
Sponsor’s telephone number 8633860786
Plan sponsor’s address 3109 MEDICAL WAY, SEBRING, FL, 33870

Signature of
Role Plan administrator
Date 2018-07-17
Name of individual signing DARRIN A. ROTMAN, M.D.
Valid signature Filed with authorized/valid electronic signature
AMERICAN INSTITUTE OF DERMATOLOGY 401(K) PROFIT SHARING PLAN 2016 650689799 2017-07-21 AMERICAN INSTITUTE OF DERMATOLOGY, P.A. 20
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2010-01-01
Business code 621399
Sponsor’s telephone number 8633860786
Plan sponsor’s address 3109 MEDICAL WAY, SEBRING, FL, 33870

Signature of
Role Plan administrator
Date 2017-07-21
Name of individual signing DARRIN A. ROTMAN, M.D.
Valid signature Filed with authorized/valid electronic signature
AMERICAN INSTITUTE OF DERMATOLOGY 401(K) PROFIT SHARING PLAN 2015 650689799 2016-10-06 AMERICAN INSTITUTE OF DERMATOLOGY, P.A. 26
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2010-01-01
Business code 621399
Sponsor’s telephone number 8633860786
Plan sponsor’s address 3109 MEDICAL WAY, SEBRING, FL, 33870

Signature of
Role Plan administrator
Date 2016-10-06
Name of individual signing DARRIN A. ROTMAN, M.D.
Valid signature Filed with authorized/valid electronic signature
AMERICAN INSTITUTE OF DERMATOLOGY 401(K) PROFIT SHARING PLAN 2014 650689799 2015-10-12 AMERICAN INSTITUTE OF DERMATOLOGY, P.A. 19
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2010-01-01
Business code 621399
Sponsor’s telephone number 8633860786
Plan sponsor’s address 3109 MEDICAL WAY, SEBRING, FL, 33870

Signature of
Role Plan administrator
Date 2015-10-12
Name of individual signing DARRIN A. ROTMAN, M.D.
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
ROTMAN DARRIN A Agent 3109 MEDICAL WAY, SEBRING, FL, 33870

President

Name Role Address
ROTMAN DARRIN M President 3109 MEDICAL WAY, SEBRING, FL, 338705548

Events

Event Type Filed Date Value Description
NAME CHANGE AMENDMENT 2001-02-02 AMERICAN INSTITUTE OF DERMATOLOGY, P.A. No data

Related by officers

No related officers

Related by address

No related companies by address

Date of last update: 01 Jan 2025

Sources: Florida Department of State

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