| Entity Name: | HIBISCUS OB/GYN PHYSICIANS, P.A. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Inactive |
| Date Filed: | 20 Aug 1998 (26 years ago) |
| Date of dissolution: | 27 Sep 2013 (11 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 27 Sep 2013 (11 years ago) |
| Document Number: | P98000072842 |
| FEI/EIN Number | 593528184 |
| Address: | 330 E HIBISCUS BLVD, MELBOURNE, FL, 32901 |
| Mail Address: | 330 E HIBISCUS BLVD, MELBOURNE, FL, 32901 |
| ZIP code: | 32901 |
| County: | Brevard |
| Place of Formation: | FLORIDA |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| HIBISCUS OB/GYN PHYSICIANS, P.A. 401K TRUST | 2011 | 593528184 | 2012-04-20 | HIBISCUS OB/GYN PHYSICIANS, P.A. | 25 | |||||||||||||||||||||||||||||||
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| Administrator’s EIN | 593528184 |
| Plan administrator’s name | HIBISCUS OB/GYN PHYSICIANS, P.A. |
| Plan administrator’s address | 330 EAST HIBISCUS BOULEVARD, MELBOURNE, FL, 32901 |
| Administrator’s telephone number | 4075995900 |
Signature of
| Role | Plan administrator |
| Date | 2012-04-20 |
| Name of individual signing | REBECCA A. WAGAMAN, M.D. |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 1999-01-01 |
| Business code | 621111 |
| Sponsor’s telephone number | 4075995900 |
| Plan sponsor’s address | 330 EAST HIBISCUS BOULEVARD, MELBOURNE, FL, 32901 |
Plan administrator’s name and address
| Administrator’s EIN | 593528184 |
| Plan administrator’s name | HIBISCUS OB/GYN PHYSICIANS, P.A. |
| Plan administrator’s address | 330 EAST HIBISCUS BOULEVARD, MELBOURNE, FL, 32901 |
| Administrator’s telephone number | 4075995900 |
Signature of
| Role | Plan administrator |
| Date | 2011-06-09 |
| Name of individual signing | REBECCA A. WAGAMAN, M.D. |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 1999-01-01 |
| Business code | 621111 |
| Sponsor’s telephone number | 4075995900 |
| Plan sponsor’s address | 330 EAST HIBISCUS BOULEVARD, MELBOURNE, FL, 32901 |
Plan administrator’s name and address
| Administrator’s EIN | 593528184 |
| Plan administrator’s name | HIBISCUS OB/GYN PHYSICIANS, P.A. |
| Plan administrator’s address | 330 EAST HIBISCUS BOULEVARD, MELBOURNE, FL, 32901 |
| Administrator’s telephone number | 4075995900 |
Signature of
| Role | Plan administrator |
| Date | 2010-10-14 |
| Name of individual signing | REBECCA A. WAGAMAN, M.D. |
| Valid signature | Filed with authorized/valid electronic signature |
| Name | Role | Address |
|---|---|---|
| WAGAMAN REBECCA | Agent | 330 E HIBISCUS BLVD, MELBOURNE, FL, 32901 |
| Name | Role | Address |
|---|---|---|
| WAGAMAN REBECCA A | Director | 330 E HIBISCUS BLVD, MELBOURNE, FL, 32901 |
| ZYLMAN PATRICIA M | Director | 330 E HIBISCUS BLVD, MELBOURNE, FL, 32901 |
| WOLK BRADFORD J | Director | 330 E HIBISCUS BLVD, MELBOURNE, FL, 32901 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2013-09-27 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2012-04-23 |
| ANNUAL REPORT | 2011-04-25 |
| ANNUAL REPORT | 2010-04-23 |
| ANNUAL REPORT | 2009-04-21 |
| ANNUAL REPORT | 2008-02-07 |
| ANNUAL REPORT | 2007-03-19 |
| ANNUAL REPORT | 2006-04-26 |
| ANNUAL REPORT | 2005-03-03 |
| ANNUAL REPORT | 2004-07-08 |
| ANNUAL REPORT | 2003-04-14 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
