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  5. GIRISH PATEL, M.D., P.A.

GIRISH PATEL, M.D., P.A.

Company Details

Entity Name: GIRISH PATEL, M.D., P.A.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Active
Date Filed: 02 Jun 1997 (28 years ago)
Last Event: REINSTATEMENT
Event Date Filed: 13 Oct 2019 (5 years ago)
Document Number: P97000048576
FEI/EIN Number 593450958
Address: 2112 - 16TH STREET NORTH, ST. PETERSBURG, FL, 33704
Mail Address: 2112 - 16TH STREET NORTH, ST. PETERSBURG, FL, 33704, US
ZIP code: 33704
County: Pinellas
Place of Formation: FLORIDA

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
GIRISH PATEL, M.D. P.A.PROFIT SHARING PLAN 2022 593450958 2023-07-27 GIRISH PATEL, M.D. P.A. 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2000-01-01
Business code 621112
Sponsor’s telephone number 7278217111
Plan sponsor’s address 2112 16TH ST N, ST PETERSBURG, FL, 337043924

Signature of
Role Plan administrator
Date 2023-07-27
Name of individual signing GIRISH PATEL
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2023-07-27
Name of individual signing GIRISH PATEL
Valid signature Filed with authorized/valid electronic signature
GIRISH PATEL, M.D. P.A.PROFIT SHARING PLAN 2021 593450958 2022-10-07 GIRISH PATEL, M.D. P.A. 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2000-01-01
Business code 621112
Sponsor’s telephone number 7278217111
Plan sponsor’s address 2112 16TH ST N, ST PETERSBURG, FL, 337043924

Signature of
Role Plan administrator
Date 2022-10-07
Name of individual signing GIRISH PATEL
Valid signature Filed with authorized/valid electronic signature
GIRISH PATEL, M.D. P.A.PROFIT SHARING PLAN 2020 593450958 2021-07-29 GIRISH PATEL, M.D. P.A. 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2000-01-01
Business code 621112
Sponsor’s telephone number 7278217111
Plan sponsor’s address 2112 16TH ST N, ST PETERSBURG, FL, 337043924

Signature of
Role Plan administrator
Date 2021-07-29
Name of individual signing GIRISH PATEL
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2021-07-29
Name of individual signing GIRISH PATEL
Valid signature Filed with authorized/valid electronic signature
GIRISH PATEL, M.D. P.A.PROFIT SHARING PLAN 2019 593450958 2020-10-09 GIRISH PATEL, M.D. P.A. 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2000-01-01
Business code 621112
Sponsor’s telephone number 7278217111
Plan sponsor’s address 2112 16TH ST N, ST PETERSBURG, FL, 337043924

Signature of
Role Plan administrator
Date 2020-10-08
Name of individual signing GIRISH PATEL
Valid signature Filed with authorized/valid electronic signature
GIRISH PATEL, M.D. P.A.PROFIT SHARING PLAN 2018 593450958 2019-07-31 GIRISH PATEL, M.D. P.A. 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2000-01-01
Business code 621112
Sponsor’s telephone number 7278217111
Plan sponsor’s address 2112 16TH ST N, ST PETERSBURG, FL, 337043924

Signature of
Role Plan administrator
Date 2019-07-31
Name of individual signing GIRISH PATEL
Valid signature Filed with authorized/valid electronic signature
GIRISH PATEL, M.D. P.A.PROFIT SHARING PLAN 2017 593450958 2018-10-10 GIRISH PATEL, M.D. P.A. 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2000-01-01
Business code 621112
Sponsor’s telephone number 7278217111
Plan sponsor’s address 2112 16TH ST N, ST PETERSBURG, FL, 337043924

Signature of
Role Plan administrator
Date 2018-10-10
Name of individual signing GIRISH PATEL
Valid signature Filed with authorized/valid electronic signature
GIRISH PATEL, M.D. P.A.PROFIT SHARING PLAN 2016 593450958 2017-06-20 GIRISH PATEL, M.D. P.A. 11
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2000-01-01
Business code 621112
Sponsor’s telephone number 7278217111
Plan sponsor’s address 2112 16TH ST N, ST PETERSBURG, FL, 337043924

Signature of
Role Plan administrator
Date 2017-06-20
Name of individual signing GIRISH PATEL
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2017-06-20
Name of individual signing GIRISH PATEL
Valid signature Filed with authorized/valid electronic signature
GIRISH PATEL, M.D. P.A.PROFIT SHARING PLAN 2015 593450958 2016-10-17 GIRISH PATEL, M.D. P.A. 11
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2000-01-01
Business code 621112
Sponsor’s telephone number 7278217111
Plan sponsor’s address 2112 16TH ST N, ST PETERSBURG, FL, 337043924

Signature of
Role Plan administrator
Date 2016-10-17
Name of individual signing GIRISH PATEL
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2016-10-17
Name of individual signing GIRISH PATEL
Valid signature Filed with authorized/valid electronic signature
GIRISH PATEL, M.D. P.A.PROFIT SHARING PLAN 2014 593450958 2015-06-30 GIRISH PATEL, M.D. P.A. 11
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2000-01-01
Business code 621112
Sponsor’s telephone number 7278217111
Plan sponsor’s address 2112 16TH STREET NORTH, ST. PETERSBURG, FL, 33704

Signature of
Role Plan administrator
Date 2015-06-15
Name of individual signing GIRISH PATEL
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2015-06-15
Name of individual signing GIRISH PATEL
Valid signature Filed with authorized/valid electronic signature
GIRISH PATEL, M.D. P.A.PROFIT SHARING PLAN 2013 593450958 2014-10-14 GIRISH PATEL, M.D. P.A. 13
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2000-01-01
Business code 621112
Sponsor’s telephone number 7278217111
Plan sponsor’s address 2112 16TH STREET NORTH, ST. PETERSBURG, FL, 33704

Signature of
Role Plan administrator
Date 2014-10-14
Name of individual signing GIRISH PATEL
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
PATEL GIRISH Agent 2112 - 16TH STREET NORTH, ST. PETERSBURG, FL, 33704

Manager

Name Role Address
PATEL GIRISH Manager 2112 - 16TH STREET NORTH, ST. PETERSBURG, FL, 33704

Director

Name Role Address
PATEL GIRISH Director 2112 - 16TH STREET NORTH, ST. PETERSBURG, FL, 33704

Events

Event Type Filed Date Value Description
CHANGE OF MAILING ADDRESS 2021-02-20 2112 - 16TH STREET NORTH, ST. PETERSBURG, FL 33704 No data
REINSTATEMENT 2019-10-13 No data No data
REGISTERED AGENT NAME CHANGED 2019-10-13 PATEL, GIRISH No data
ADMIN DISSOLUTION FOR ANNUAL REPORT 2019-09-27 No data No data
REGISTERED AGENT ADDRESS CHANGED 2008-01-06 2112 - 16TH STREET NORTH, ST. PETERSBURG, FL 33704 No data
CHANGE OF PRINCIPAL ADDRESS 2008-01-06 2112 - 16TH STREET NORTH, ST. PETERSBURG, FL 33704 No data
REINSTATEMENT 2006-02-16 No data No data
ADMIN DISSOLUTION FOR ANNUAL REPORT 1998-10-16 No data No data

Documents

Name Date
ANNUAL REPORT 2024-03-17
ANNUAL REPORT 2023-03-12
ANNUAL REPORT 2022-04-07
ANNUAL REPORT 2021-02-20
ANNUAL REPORT 2020-02-02
REINSTATEMENT 2019-10-13
ANNUAL REPORT 2018-04-14
ANNUAL REPORT 2017-04-24
ANNUAL REPORT 2016-04-09
ANNUAL REPORT 2015-03-08

Related by officers

PATEL GIRISH

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Related by address

2112 - 16TH STREET NORTH, ST. PETERSBURG, FL, 33704

LUPRESN HOLDINGS, LLC LUPRESN 1, LLC

2112 - 16TH STREET NORTH, ST. PETERSBURG, FL, 33704, US

LUPRESN HOLDINGS, LLC

Date of last update: 02 Feb 2025

Sources: Florida Department of State

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