| Entity Name: | JERRY A. RUBIN, M.D., P.A. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 22 Jul 1997 (28 years ago) |
| Document Number: | P97000063236 |
| FEI/EIN Number | 593459727 |
| Address: | 6900 TURKEY LAKE ROAD, ORLANDO, FL, 32819, US |
| Mail Address: | 6900 TURKEY LAKE ROAD, ORLANDO, FL, 32819, US |
| ZIP code: | 32819 |
| County: | Orange |
| Place of Formation: | FLORIDA |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| JERRY A. RUBIN, M.D., P.A. PROFIT SHARING AND 401K PLAN | 2009 | 593459727 | 2010-10-12 | JERRY A. RUBIN, M.D., P.A. | 8 | |||||||||||||||||||||||||||||||
|
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| Administrator’s EIN | 593459727 |
| Plan administrator’s name | JERRY A. RUBIN, M.D., P.A. |
| Plan administrator’s address | 410 CELEBRATION PLACE, SUITE 300, CELEBRATION, FL, 347475434 |
| Administrator’s telephone number | 4075995900 |
Signature of
| Role | Plan administrator |
| Date | 2010-10-12 |
| Name of individual signing | JERRY A. RUBIN, M.D. |
| Valid signature | Filed with authorized/valid electronic signature |
| Name | Role | Address |
|---|---|---|
| RUBIN JERRY A | Agent | 6900 TURKEY LAKE ROAD, ORLANDO, FL, 32819 |
| Name | Role | Address |
|---|---|---|
| RUBIN JERRY A | President | 6900 TURKEY LAKE ROAD, ORLANDO, FL, 32819 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2018-03-12 | 6900 TURKEY LAKE ROAD, 1-7, ORLANDO, FL 32819 | No data |
| CHANGE OF MAILING ADDRESS | 2018-03-12 | 6900 TURKEY LAKE ROAD, 1-7, ORLANDO, FL 32819 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2018-03-12 | 6900 TURKEY LAKE ROAD, 1-7, ORLANDO, FL 32819 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-28 |
| ANNUAL REPORT | 2023-03-10 |
| ANNUAL REPORT | 2022-02-17 |
| ANNUAL REPORT | 2021-02-09 |
| ANNUAL REPORT | 2020-03-24 |
| ANNUAL REPORT | 2019-04-19 |
| ANNUAL REPORT | 2018-03-12 |
| ANNUAL REPORT | 2017-03-01 |
| ANNUAL REPORT | 2016-03-09 |
| ANNUAL REPORT | 2015-03-02 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
