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  5. SHAHLA MEDICAL ASSOCIATES, P.A.

SHAHLA MEDICAL ASSOCIATES, P.A.

Company Details

Entity Name: SHAHLA MEDICAL ASSOCIATES, P.A.
Jurisdiction: FLORIDA
Filing Type: Florida Profit Corporation
Status: Active
Date Filed: 11 Sep 1997 (27 years ago)
Last Event: CANCEL ADM DISS/REV
Event Date Filed: 05 May 2006 (19 years ago)
Document Number: P97000078803
FEI/EIN Number 59-3467541
Address: 1141 BEACH BOULEVARD, JACKSONVILLE BEACH, FL 32250
Mail Address: 1141 BEACH BOULEVARD, JACKSONVILLE BEACH, FL 32250
ZIP code: 32250
County: Duval
Place of Formation: FLORIDA

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
SHAHLA MEDICAL ASSOCIATES, P.A. PROFIT SHARING PLAN 2023 593467541 2024-10-03 SHAHLA MEDICAL ASSOCIATES, P.A. 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-01-01
Business code 621111
Sponsor’s telephone number 9042493820
Plan sponsor’s address 1141 BEACH BLVD, JACKSONVILLE BEACH, FL, 32250
SHAHLA MEDICAL ASSOCIATES, P.A. CASH BALANCE PLAN 2022 593467541 2023-10-26 SHAHLA MEDICAL ASSOCIATES, P.A. 3
Three-digit plan number (PN) 002
Effective date of plan 2013-01-01
Business code 621111
Sponsor’s telephone number 9042493820
Plan sponsor’s address 1141 BEACH BLVD, JACKSONVILLE BEACH, FL, 32250
SHAHLA MEDICAL ASSOCIATES, P.A. CASH BALANCE PLAN 2022 593467541 2023-11-30 SHAHLA MEDICAL ASSOCIATES, P.A. 3
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2013-01-01
Business code 621111
Sponsor’s telephone number 9042493820
Plan sponsor’s address 1141 BEACH BLVD, JACKSONVILLE BEACH, FL, 32250
SHAHLA MEDICAL ASSOCIATES, P.A. CASH BALANCE PLAN 2022 593467541 2023-10-03 SHAHLA MEDICAL ASSOCIATES, P.A. 3
Three-digit plan number (PN) 002
Effective date of plan 2013-01-01
Business code 621111
Sponsor’s telephone number 9042493820
Plan sponsor’s address 1141 BEACH BLVD, JACKSONVILLE BEACH, FL, 32250
SHAHLA MEDICAL ASSOCIATES, P.A. PROFIT SHARING PLAN 2022 593467541 2023-10-12 SHAHLA MEDICAL ASSOCIATES, P.A. 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-01-01
Business code 621111
Sponsor’s telephone number 9042493820
Plan sponsor’s address 1141 BEACH BLVD, JACKSONVILLE BEACH, FL, 32250
SHAHLA MEDICAL ASSOCIATES, P.A. PROFIT SHARING PLAN 2021 593467541 2023-02-14 SHAHLA MEDICAL ASSOCIATES, P.A. 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-01-01
Business code 621111
Sponsor’s telephone number 9042493820
Plan sponsor’s address 1141 BEACH BLVD, JACKSONVILLE BEACH, FL, 322503445
SHAHLA MEDICAL ASSOCIATES, P.A. CASH BALANCE PLAN 2021 593467541 2023-02-13 SHAHLA MEDICAL ASSOCIATES, P.A. 3
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2013-01-01
Business code 621111
Sponsor’s telephone number 9042493820
Plan sponsor’s address 1141 BEACH BLVD, JACKSONVILLE BEACH, FL, 32250
SHAHLA MEDICAL ASSOCIATES, P.A. PROFIT SHARING PLAN 2020 593467541 2021-10-15 SHAHLA MEDICAL ASSOCIATES, P.A. 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-01-01
Business code 621111
Sponsor’s telephone number 9042493820
Plan sponsor’s address 1141 BEACH BLVD, JACKSONVILLE BEACH, FL, 322503445

Signature of
Role Plan administrator
Date 2021-10-15
Name of individual signing SEAN SHAHLA
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2021-10-15
Name of individual signing SEAN SHAHLA
Valid signature Filed with authorized/valid electronic signature
SHAHLA MEDICAL ASSOCIATES, P.A. CASH BALANCE PLAN 2020 593467541 2021-10-15 SHAHLA MEDICAL ASSOCIATES, P.A. 3
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2013-01-01
Business code 621111
Sponsor’s telephone number 9042493820
Plan sponsor’s address 1141 BEACH BLVD, JACKSONVILLE BEACH, FL, 322503445

Signature of
Role Plan administrator
Date 2021-10-15
Name of individual signing SEAN SHAHLA
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2021-10-15
Name of individual signing SEAN SHAHLA
Valid signature Filed with authorized/valid electronic signature
SHAHLA MEDICAL ASSOCIATES, P.A. CASH BALANCE PLAN 2019 593467541 2020-10-13 SHAHLA MEDICAL ASSOCIATES, P.A. 3
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2013-01-01
Business code 621111
Sponsor’s telephone number 9042493820
Plan sponsor’s address 1141 BEACH BLVD, JACKSONVILLE BEACH, FL, 322503445

Signature of
Role Plan administrator
Date 2020-10-13
Name of individual signing SEAN SHAHLA
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2020-10-13
Name of individual signing SEAN SHAHLA
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
SHAHLA, SEAN Agent 1141 BEACH BOULEVARD, JACKSONVILLE BEACH, FL 32250

Manager

Name Role Address
SHAHLA, AMER Manager 1141 BEACH BOULEVARD, JACKSONVILLE BEACH, FL 32250
SHAHLA, SEAN Manager 1141 BEACH BOULEVARD, JACKSONVILLE BEACH, FL 32250

Director

Name Role Address
SHAHLA, AMER Director 1141 BEACH BOULEVARD, JACKSONVILLE BEACH, FL 32250
SHAHLA, SEAN Director 1141 BEACH BOULEVARD, JACKSONVILLE BEACH, FL 32250

Events

Event Type Filed Date Value Description
CANCEL ADM DISS/REV 2006-05-05 No data No data
ADMIN DISSOLUTION FOR ANNUAL REPORT 2004-10-01 No data No data

Documents

Name Date
ANNUAL REPORT 2025-01-09
ANNUAL REPORT 2024-03-04
ANNUAL REPORT 2023-01-24
ANNUAL REPORT 2022-01-27
ANNUAL REPORT 2021-01-05
ANNUAL REPORT 2020-01-02
ANNUAL REPORT 2019-01-06
ANNUAL REPORT 2018-01-04
ANNUAL REPORT 2017-01-17
ANNUAL REPORT 2016-02-23

Related by officers

No related officers

Related by address

No related companies by address

Date of last update: 01 Feb 2025

Sources: Florida Department of State

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