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ROBIN M. PETERSEN, P.A.

Company Details

Entity Name: ROBIN M. PETERSEN, P.A.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Active
Date Filed: 16 Apr 1997 (28 years ago)
Document Number: P97000034524
FEI/EIN Number 593440143
Address: 321 SIXTH AVE, INDIALANTIC, FL, 32903
Mail Address: 321 SIXTH AVE, INDIALANTIC, FL, 32903
ZIP code: 32903
County: Brevard
Place of Formation: FLORIDA

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
ROBIN M. PETERSEN, P.A., 401(K) PROFIT SHARING PLAN 2023 593440143 2024-05-29 ROBIN M. PETERSEN, P.A. 9
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1992-01-01
Business code 541110
Sponsor’s telephone number 3217290087
Plan sponsor’s address 321 SIXTH AVENUE, INDIALANTIC, FL, 32903

Signature of

Role Plan administrator
Date 2024-05-29
Name of individual signing ROBIN PETERSEN
Valid signature Filed with authorized/valid electronic signature
ROBIN M. PETERSEN, P.A., 401(K) PROFIT SHARING PLAN 2022 593440143 2023-04-22 ROBIN M. PETERSEN, P.A. 8
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1992-01-01
Business code 541110
Sponsor’s telephone number 3217290087
Plan sponsor’s address 321 SIXTH AVENUE, INDIALANTIC, FL, 32903

Signature of

Role Plan administrator
Date 2023-04-22
Name of individual signing ROBIN M. PETERSEN
Valid signature Filed with authorized/valid electronic signature
ROBIN M. PETERSEN, P.A., 401(K) PROFIT SHARING PLAN 2021 593440143 2022-10-12 ROBIN M. PETERSEN, P.A. 7
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1992-01-01
Business code 541110
Sponsor’s telephone number 3217290087
Plan sponsor’s address 321 SIXTH AVENUE, INDIALANTIC, FL, 32903

Signature of

Role Plan administrator
Date 2022-10-12
Name of individual signing ROBIN PETERSEN
Valid signature Filed with authorized/valid electronic signature
ROBIN M. PETERSEN, P.A., 401(K) PROFIT SHARING PLAN 2020 593440143 2021-04-26 ROBIN M. PETERSEN, P.A. 6
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1992-01-01
Business code 541110
Sponsor’s telephone number 3217290087
Plan sponsor’s address 321 SIXTH AVENUE, INDIALANTIC, FL, 32903

Signature of

Role Plan administrator
Date 2021-04-26
Name of individual signing ROBIN PETERSEN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2021-04-26
Name of individual signing ROBIN PETERSEN
Valid signature Filed with authorized/valid electronic signature
ROBIN M. PETERSEN, P.A., 401(K) PROFIT SHARING PLAN 2019 593440143 2020-04-13 ROBIN M. PETERSEN, P.A. 5
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1992-01-01
Business code 541110
Sponsor’s telephone number 3217290087
Plan sponsor’s address 321 SIXTH AVENUE, INDIALANTIC, FL, 32903

Signature of

Role Plan administrator
Date 2020-04-13
Name of individual signing ROBIN M PETERSEN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2020-04-13
Name of individual signing ROBIN M PETERSEN
Valid signature Filed with authorized/valid electronic signature
ROBIN M. PETERSEN, P.A., 401(K) PROFIT SHARING PLAN 2018 593440143 2019-04-03 ROBIN M. PETERSEN, P.A. 4
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1992-01-01
Business code 541110
Sponsor’s telephone number 3217290087
Plan sponsor’s address 321 SIXTH AVENUE, INDIALANTIC, FL, 32903

Signature of

Role Plan administrator
Date 2019-04-03
Name of individual signing ROBIN M. PETERSEN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2019-04-03
Name of individual signing ROBIN M. PETERSEN
Valid signature Filed with authorized/valid electronic signature
ROBIN M. PETERSEN, P.A., 401(K) PROFIT SHARING PLAN 2017 593440143 2018-09-11 ROBIN M. PETERSEN, P.A. 5
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1992-01-01
Business code 541110
Sponsor’s telephone number 3217290087
Plan sponsor’s address 321 SIXTH AVENUE, INDIALANTIC, FL, 32903

Signature of

Role Plan administrator
Date 2018-09-11
Name of individual signing ROBIN M. PETERSEN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2018-09-11
Name of individual signing ROBIN M. PETERSEN
Valid signature Filed with authorized/valid electronic signature
ROBIN M. PETERSEN, P.A., 401(K) PROFIT SHARING PLAN 2016 593440143 2017-05-08 ROBIN M. PETERSEN, P.A. 5
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1992-01-01
Business code 541110
Sponsor’s telephone number 3217290087
Plan sponsor’s address 321 SIXTH AVENUE, INDIALANTIC, FL, 32903

Signature of

Role Plan administrator
Date 2017-05-08
Name of individual signing ROBN PETERSEN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2017-05-08
Name of individual signing ROBN PETERSEN
Valid signature Filed with authorized/valid electronic signature
ROBIN M. PETERSEN, P.A., 401(K) PROFIT SHARING PLAN 2015 593440143 2016-08-09 ROBIN M. PETERSEN, P.A. 4
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1992-01-01
Business code 541110
Sponsor’s telephone number 3217290087
Plan sponsor’s address 321 SIXTH AVENUE, INDIALANTIC, FL, 32903

Signature of

Role Plan administrator
Date 2016-08-09
Name of individual signing ROBIN M. PETERSEN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2016-08-09
Name of individual signing ROBIN M. PETERSEN
Valid signature Filed with authorized/valid electronic signature
ROBIN M. PETERSEN, P.A., 401(K) PROFIT SHARING PLAN 2014 593440143 2015-10-14 ROBIN M. PETERSEN, P.A. 4
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1992-01-01
Business code 541110
Sponsor’s telephone number 3217290087
Plan sponsor’s address 321 SIXTH AVENUE, INDIALANTIC, FL, 32903

Signature of

Role Plan administrator
Date 2015-10-14
Name of individual signing ROBIN M. PETERSEN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2015-10-14
Name of individual signing ROBIN M. PETERSEN
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
PETERSEN ROBIN MEsq. Agent 321 SIXTH AVE, INDIALANTIC, FL, 32903

President

Name Role Address
PETERSEN ROBIN MEsq. President 321 SIXTH AVE, INDIALANTIC, FL, 32903

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G24000029059 ESTATE PLANNING AND ELDER LAW CENTER OF BREVARD ACTIVE 2024-02-23 2029-12-31 No data 321 6TH AVENUE, INDIALANTIC, FL, 32903
G12000079250 ESTATE PLANNING AND ELDER LAW CENTER OF BREVARD EXPIRED 2012-08-10 2017-12-31 No data 321 SIXTH AVE., INDIALANTIC, FL, 32903

Events

Event Type Filed Date Value Description
REGISTERED AGENT NAME CHANGED 2013-03-21 PETERSEN, ROBIN M, Esq. No data
CHANGE OF PRINCIPAL ADDRESS 2002-02-21 321 SIXTH AVE, INDIALANTIC, FL 32903 No data
CHANGE OF MAILING ADDRESS 2002-02-21 321 SIXTH AVE, INDIALANTIC, FL 32903 No data
REGISTERED AGENT ADDRESS CHANGED 2002-02-21 321 SIXTH AVE, INDIALANTIC, FL 32903 No data

Documents

Name Date
ANNUAL REPORT 2024-01-10
ANNUAL REPORT 2023-01-06
AMENDED ANNUAL REPORT 2022-02-02
ANNUAL REPORT 2022-01-31
ANNUAL REPORT 2021-01-27
ANNUAL REPORT 2020-01-16
ANNUAL REPORT 2019-02-14
ANNUAL REPORT 2018-04-03
ANNUAL REPORT 2017-02-14
ANNUAL REPORT 2016-03-16

Date of last update: 02 Feb 2025

Sources: Florida Department of State