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  5. BAHTA AND ASSOCIATES, INC.

BAHTA AND ASSOCIATES, INC.

Company Details

Entity Name: BAHTA AND ASSOCIATES, INC.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Active
Date Filed: 16 Sep 1998 (26 years ago)
Document Number: P98000080015
FEI/EIN Number 650865617
Address: 10794 PINES BLVD, SUITE 203, PEMBROKE PINES, FL, 33026, US
Mail Address: P.O. BOX 260101, PEMBROKE PINES, FL, 33026
ZIP code: 33026
County: Broward
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1124220967 2007-06-04 2010-12-06 PO BOX 260101, PEMBROKE PINES, FL, 330267101, US 10794 PINES BLVD STE 203, PEMBROKE PINES, FL, 330263920, US

Contacts
Phone +1 954-392-5696
Fax 9543925668

Authorized person
Name DR. IRENE FADULLON BAHTA
Role PRESIDENT
Phone 9543925696

Taxonomy
Taxonomy Code 207R00000X - Internal Medicine Physician
Is Primary No
Taxonomy Code 207RI0200X - Infectious Disease Physician
Is Primary Yes

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
BAHTA AND ASSOCIATES INC 401(K) PROFIT SHARING PLAN & TRUST 2023 650865617 2024-07-14 BAHTA AND ASSOCIATES INC 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 812990
Sponsor’s telephone number 9542927687
Plan sponsor’s address 10794 PINES BOULEVARD, SUITE 203, PEMBROKE PINES, FL, 33026

Signature of
Role Plan administrator
Date 2024-07-14
Name of individual signing IRENE F BAHTA
Valid signature Filed with authorized/valid electronic signature
BAHTA AND ASSOCIATES INC 401(K) PROFIT SHARING PLAN & TRUST 2022 650865617 2023-07-31 BAHTA AND ASSOCIATES INC 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 812990
Sponsor’s telephone number 9542927687
Plan sponsor’s address 10794 PINES BOULEVARD, SUITE 203, PEMBROKE PINES, FL, 33026

Signature of
Role Plan administrator
Date 2023-07-31
Name of individual signing IRENE F BAHTA
Valid signature Filed with authorized/valid electronic signature
BAHTA AND ASSOCIATES INC 401(K) PROFIT SHARING PLAN & TRUST 2021 650865617 2022-07-13 BAHTA AND ASSOCIATES INC 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 812990
Sponsor’s telephone number 9542927687
Plan sponsor’s address 10794 PINES BOULEVARD, SUITE 203, PEMBROKE PINES, FL, 33026

Signature of
Role Plan administrator
Date 2022-07-13
Name of individual signing IRENE F BAHTA
Valid signature Filed with authorized/valid electronic signature
BAHTA AND ASSOCIATES INC 401(K) PROFIT SHARING PLAN & TRUST 2020 650865617 2021-06-24 BAHTA AND ASSOCIATES INC 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 812990
Sponsor’s telephone number 9542927687
Plan sponsor’s address 10794 PINES BOULEVARD, SUITE 203, PEMBROKE PINES, FL, 33026

Signature of
Role Plan administrator
Date 2021-06-24
Name of individual signing IRENE F BAHTA
Valid signature Filed with authorized/valid electronic signature
BAHTA AND ASSOCIATES INC 401(K) PROFIT SHARING PLAN & TRUST 2019 650865617 2020-07-09 BAHTA AND ASSOCIATES INC 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 812990
Sponsor’s telephone number 9542927687
Plan sponsor’s address 10794 PINES BOULEVARD, SUITE 203, PEMBROKE PINES, FL, 33026

Signature of
Role Plan administrator
Date 2020-07-09
Name of individual signing IRENE F BAHTA
Valid signature Filed with authorized/valid electronic signature
BAHTA AND ASSOCIATES, INC. 401 K PROFIT SHARING PLAN TRUST 2018 650865617 2019-07-22 BAHTA AND ASSOCIATES INC 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 812990
Sponsor’s telephone number 9542927687
Plan sponsor’s address 10794 PINES BOULEVARD, SUITE 203, PEMBROKE PINES, FL, 33026

Signature of
Role Plan administrator
Date 2019-07-22
Name of individual signing IRENE FADULLON BAHTA
Valid signature Filed with authorized/valid electronic signature
BAHTA AND ASSOCIATES, INC. 401 K PROFIT SHARING PLAN TRUST 2017 650865617 2018-07-23 BAHTA AND ASSOCIATES INC 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 812990
Sponsor’s telephone number 9542927687
Plan sponsor’s address 10794 PINES BOULEVARD, SUITE 2, PEMBROKE PINES, FL, 33026

Signature of
Role Plan administrator
Date 2018-07-23
Name of individual signing IRENE F BAHTA
Valid signature Filed with authorized/valid electronic signature
BAHTA AND ASSOCIATES, INC. 401 K PROFIT SHARING PLAN TRUST 2016 650865617 2017-06-23 BAHTA AND ASSOCIATES INC 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 812990
Sponsor’s telephone number 9542927687
Plan sponsor’s address 10794 PINES BOULEVARD, SUITE 2, PEMBROKE PINES, FL, 33026

Signature of
Role Plan administrator
Date 2017-06-23
Name of individual signing IRENE F BAHTA
Valid signature Filed with authorized/valid electronic signature
BAHTA RETIREMENT PLAN 2014 650865617 2015-07-15 BAHTA AND ASSOCIATES, INC. 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 621111
Sponsor’s telephone number 9543925696
Plan sponsor’s address 10794 PINES BOULEVARD, SUITE 203, PEMBROKE PINES, FL, 330263920

Plan administrator’s name and address
Administrator’s EIN 650865617
Plan administrator’s name BAHTA AND ASSOCIATES, INC.
Plan administrator’s address 10794 PINES BOULEVARD, SUITE 203, PEMBROKE PINES, FL, 330263920
Administrator’s telephone number 9543925696

Signature of
Role Plan administrator
Date 2015-07-15
Name of individual signing IRENE BAHTA
Valid signature Filed with authorized/valid electronic signature
BAHTA RETIREMENT PLAN 2013 650865617 2014-10-02 BAHTA AND ASSOCIATES, INC. 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 621111
Sponsor’s telephone number 9543925696
Plan sponsor’s address 10794 PINES BOULEVARD, SUITE 203, PEMBROKE PINES, FL, 330263920

Plan administrator’s name and address
Administrator’s EIN 650865617
Plan administrator’s name BAHTA AND ASSOCIATES, INC.
Plan administrator’s address 10794 PINES BOULEVARD, SUITE 203, PEMBROKE PINES, FL, 330263920
Administrator’s telephone number 9543925696

Signature of
Role Plan administrator
Date 2014-10-02
Name of individual signing IRENE BAHTA
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role
PANAGOS & ASSOCIATES CPAS, LLC Agent

President

Name Role Address
BAHTA IRENE President PO BOX 260101, PEMBROKE PINES, FL, 33026

Secretary

Name Role Address
BAHTA IRENE Secretary PO BOX 260101, PEMBROKE PINES, FL, 33026

Director

Name Role Address
BAHTA IRENE Director PO BOX 260101, PEMBROKE PINES, FL, 33026

Events

Event Type Filed Date Value Description
REGISTERED AGENT ADDRESS CHANGED 2019-04-04 1401 N UNIVERSITY DRIVE, SUITE 400, CORAL SPRINGS, FL 33071 No data
REGISTERED AGENT NAME CHANGED 2013-04-16 PANAGOS & ASSOCIATES CPAS, LLC No data
CHANGE OF MAILING ADDRESS 2011-02-17 10794 PINES BLVD, SUITE 203, PEMBROKE PINES, FL 33026 No data
CHANGE OF PRINCIPAL ADDRESS 2007-01-22 10794 PINES BLVD, SUITE 203, PEMBROKE PINES, FL 33026 No data

Documents

Name Date
ANNUAL REPORT 2024-04-07
ANNUAL REPORT 2023-03-21
ANNUAL REPORT 2022-04-12
ANNUAL REPORT 2021-04-19
ANNUAL REPORT 2020-03-27
ANNUAL REPORT 2019-04-04
ANNUAL REPORT 2018-04-11
ANNUAL REPORT 2017-03-27
ANNUAL REPORT 2016-02-08
ANNUAL REPORT 2015-03-20

Paycheck Protection Program

Loan Number Loan Funded Date SBA Origination Office Code Loan Delivery Method Borrower Street Address
7971578503 2021-03-08 0455 PPS 10794 Pines Blvd Ste 203, Pembroke Pines, FL, 33026-3920
Loan Status Date 2021-10-16
Loan Status Paid in Full
Loan Maturity in Months 60
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 21812
Loan Approval Amount (current) 21812
Undisbursed Amount 0
Franchise Name -
Lender Location ID 9551
Servicing Lender Name Bank of America, National Association
Servicing Lender Address 100 N Tryon St, Ste 170, CHARLOTTE, NC, 28202-4024
Rural or Urban Indicator U
Hubzone N
LMI N
Business Age Description Existing or more than 2 years old
Project Address Pembroke Pines, BROWARD, FL, 33026-3920
Project Congressional District FL-25
Number of Employees 3
NAICS code 621111
Borrower Race Unanswered
Borrower Ethnicity Unknown/NotStated
Business Type Corporation
Originating Lender ID 9551
Originating Lender Name Bank of America, National Association
Originating Lender Address CHARLOTTE, NC
Gender Unanswered
Veteran Unanswered
Forgiveness Amount 21924.94
Forgiveness Paid Date 2021-09-15

Related by officers

No related officers

Related by address

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Date of last update: 02 Feb 2025

Sources: Florida Department of State

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