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  5. JOHN A.I. GROSSMAN, M.D., F.A.C.S., P.A.

JOHN A.I. GROSSMAN, M.D., F.A.C.S., P.A.

Company Details

Entity Name: JOHN A.I. GROSSMAN, M.D., F.A.C.S., P.A.
Jurisdiction: FLORIDA
Filing Type: Florida Profit Corporation
Status: Inactive
Date Filed: 16 Oct 1996 (28 years ago)
Date of dissolution: 15 Nov 2017 (7 years ago)
Last Event: VOLUNTARY DISSOLUTION
Event Date Filed: 15 Nov 2017 (7 years ago)
Document Number: P96000085723
FEI/EIN Number 65-0673357
Address: 8940 N KENDALL DR, #904 E, MIAMI, FL 33176
Mail Address: 8940 N KENDALL DR, #904 E, MIAMI, FL 33176
ZIP code: 33176
County: Miami-Dade
Place of Formation: FLORIDA

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
JOHN A I GROSSMAN, MD RETIREMENT PLAN 2015 650673357 2016-11-15 JOHN A. I. GROSSMAN, M.D. F.A.C.S., P.A. 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1999-01-01
Business code 621111
Sponsor’s telephone number 3056662004
Plan sponsor’s address 8940 N. KENDALL DRIVE #904E, MIAMI, FLORIDA 33176, MIAMI, FL, 33176
JOHN A I GROSSMAN, MD RETIREMENT PLAN 2015 650673357 2016-05-17 JOHN A. I. GROSSMAN, M.D. F.A.C.S., P.A. 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1999-01-01
Business code 621111
Sponsor’s telephone number 3056662004
Plan sponsor’s address 8940 N. KENDALL DRIVE #904E, MIAMI, FLORIDA 33176, MIAMI, FL, 33176
JOHN A I GROSSMAN, MD RETIREMENT PLAN 2015 650673357 2016-05-17 JOHN A. I. GROSSMAN, M.D. F.A.C.S., P.A. 6
Three-digit plan number (PN) 001
Effective date of plan 1999-01-01
Business code 621111
Sponsor’s telephone number 3056662004
Plan sponsor’s address 8940 N. KENDALL DRIVE #904E, MIAMI, FLORIDA 33176, MIAMI, FL, 33176
JOHN A I GROSSMAN, MD RETIREMENT PLAN 2014 650673357 2015-09-29 JOHN A. I. GROSSMAN, M.D. F.A.C.S., P.A. 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1999-01-01
Business code 621111
Sponsor’s telephone number 3056662004
Plan sponsor’s address 8940 N. KENDALL DRIVE #904E, MIAMI, FLORIDA 33176, MIAMI, FL, 33176
JOHN A I GROSSMAN, MD RETIREMENT PLAN 2013 650673357 2014-09-04 JOHN A. I. GROSSMAN, M.D. F.A.C.S., P.A. 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1999-01-01
Business code 621111
Sponsor’s telephone number 3056662004
Plan sponsor’s address 8940 N. KENDALL DRIVE #904E, MIAMI, FLORIDA 33176, MIAMI, FL, 33176
JOHN A I GROSSMAN, MD RETIREMENT PLAN 2012 650673357 2013-09-23 JOHN A. I. GROSSMAN, M.D. F.A.C.S., P.A. 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1999-01-01
Business code 621111
Sponsor’s telephone number 3056662004
Plan sponsor’s address 8940 N. KENDALL DRIVE #904E, MIAMI, FLORIDA 33176, MIAMI, FL, 33176

Signature of
Role Plan administrator
Date 2013-09-23
Name of individual signing JOHN GROSSMAN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2013-09-23
Name of individual signing JOHN GROSSMAN
Valid signature Filed with authorized/valid electronic signature
JOHN A I GROSSMAN, MD RETIREMENT PLAN 2011 650673357 2012-09-04 JOHN A. I. GROSSMAN, M.D. F.A.C.S., P.A. 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1999-01-01
Business code 621111
Sponsor’s telephone number 3056662004
Plan sponsor’s address 8940 N. KENDALL DRIVE #904E, MIAMI, FLORIDA 33176, MIAMI, FL, 33176

Plan administrator’s name and address
Administrator’s EIN 650673357
Plan administrator’s name JOHN A. I. GROSSMAN, M.D. F.A.C.S., P.A.
Plan administrator’s address 8940 N. KENDALL DRIVE #904E, MIAMI, FLORIDA 33176, MIAMI, FL, 33176
Administrator’s telephone number 3056662004

Signature of
Role Plan administrator
Date 2012-09-04
Name of individual signing JOHN GROSSMAN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2012-09-04
Name of individual signing JOHN GROSSMAN
Valid signature Filed with authorized/valid electronic signature
JOHN A I GROSSMAN, MD RETIREMENT PLAN 2010 650673357 2011-10-10 JOHN A. I. GROSSMAN, M.D. F.A.C.S., P.A. 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1999-01-01
Business code 621111
Sponsor’s telephone number 3056662004
Plan sponsor’s address 8940 N. KENDALL DRIVE #904E, MIAMI, FLORIDA 33176, MIAMI, FL, 33176

Plan administrator’s name and address
Administrator’s EIN 650673357
Plan administrator’s name JOHN A. I. GROSSMAN, M.D. F.A.C.S., P.A.
Plan administrator’s address 8940 N. KENDALL DRIVE #904E, MIAMI, FLORIDA 33176, MIAMI, FL, 33176
Administrator’s telephone number 3056662004

Signature of
Role Plan administrator
Date 2011-10-10
Name of individual signing JOHN GROSSMAN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2011-10-10
Name of individual signing JOHN GROSSMAN
Valid signature Filed with authorized/valid electronic signature
JOHN A I GROSSMAN, MD RETIREMENT PLAN 2009 650673357 2010-09-29 JOHN A. I. GROSSMAN, M.D. F.A.C.S., P.A. 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1999-01-01
Business code 621111
Sponsor’s telephone number 3056662004
Plan sponsor’s address 8940 N. KENDALL DRIVE #904E, MIAMI, FLORIDA 33176, MIAMI, FL, 33176

Plan administrator’s name and address
Administrator’s EIN 650673357
Plan administrator’s name JOHN A. I. GROSSMAN, M.D. F.A.C.S., P.A.
Plan administrator’s address 8940 N. KENDALL DRIVE #904E, MIAMI, FLORIDA 33176, MIAMI, FL, 33176
Administrator’s telephone number 3056662004

Signature of
Role Plan administrator
Date 2010-09-29
Name of individual signing JOHN GROSSMAN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2010-09-29
Name of individual signing JOHN GROSSMAN
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
GROSSMAN, JOHN DR Agent 8940 N KENDALL DR, #904 E, MIAMI, FL 33176

Director

Name Role Address
GROSSMAN, JOHN ADR Director 8940 N KENDALL DR #904E, MIAMI, FL 33176 UN

Events

Event Type Filed Date Value Description
VOLUNTARY DISSOLUTION 2017-11-15 No data No data
CHANGE OF MAILING ADDRESS 2011-02-22 8940 N KENDALL DR, #904 E, MIAMI, FL 33176 No data
REGISTERED AGENT ADDRESS CHANGED 2002-06-26 8940 N KENDALL DR, #904 E, MIAMI, FL 33176 No data
CHANGE OF PRINCIPAL ADDRESS 1997-09-19 8940 N KENDALL DR, #904 E, MIAMI, FL 33176 No data
REGISTERED AGENT NAME CHANGED 1997-09-19 GROSSMAN, JOHN DR No data

Documents

Name Date
VOLUNTARY DISSOLUTION 2017-11-15
ANNUAL REPORT 2017-01-09
ANNUAL REPORT 2016-01-27
ANNUAL REPORT 2015-03-23
ANNUAL REPORT 2014-01-22
ANNUAL REPORT 2013-02-12
ANNUAL REPORT 2012-01-06
ANNUAL REPORT 2011-02-22
ANNUAL REPORT 2010-04-01
ANNUAL REPORT 2009-03-25

Related by officers

No related officers

Related by address

No related companies by address

Date of last update: 02 Feb 2025

Sources: Florida Department of State

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