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  5. BISHNU P. VERMA, M.D., P.A.

BISHNU P. VERMA, M.D., P.A.

Company Details

Entity Name: BISHNU P. VERMA, M.D., P.A.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Active
Date Filed: 28 Sep 1998 (26 years ago)
Document Number: P98000083625
FEI/EIN Number 593541361
Address: 1555 SAXON BLVD STE 601, DELTONA, FL, 32725
Mail Address: 1555 SAXON BLVD STE 601, DELTONA, FL, 32725
ZIP code: 32725
County: Volusia
Place of Formation: FLORIDA

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
BISHNU P. VERMA, M.D., P.A. PROFIT SHARING PLAN 2013 593541361 2014-03-10 BISHNU P. VERMA, M.D., P.A. 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1997-01-01
Business code 621111
Sponsor’s telephone number 3868602600
Plan sponsor’s address 1555 SAXON BLVD., SUITE 601, DELTONA, FL, 32725
BISHNU P. VERMA, M.D., P.A. PROFIT SHARING PLAN 2013 593541361 2014-08-28 BISHNU P. VERMA, M.D., P.A. 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1997-01-01
Business code 621111
Sponsor’s telephone number 3868602600
Plan sponsor’s address 1555 SAXON BLVD., SUITE 601, DELTONA, FL, 32725
BISHNU P. VERMA, M.D., P.A. DEFINED BENEFIT PLAN 2012 593541361 2013-04-22 BISHNU P. VERMA, M.D., P.A. 5
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2009-01-01
Business code 621111
Sponsor’s telephone number 3868602600
Plan sponsor’s address 1555 SAXON BLVD., SUITE 601, DELTONA, FL, 32725

Signature of
Role Plan administrator
Date 2013-04-22
Name of individual signing TATIANA POMBO
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2013-04-22
Name of individual signing TATIANA POMBO
Valid signature Filed with authorized/valid electronic signature
BISHNU P. VERMA, M.D., P.A. PROFIT SHARING PLAN 2012 593541361 2013-04-22 BISHNU P. VERMA, M.D., P.A. 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1997-01-01
Business code 621111
Sponsor’s telephone number 3868602600
Plan sponsor’s address 1555 SAXON BLVD., SUITE 601, DELTONA, FL, 32725

Signature of
Role Plan administrator
Date 2013-04-22
Name of individual signing TATIANA POMBO
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2013-04-22
Name of individual signing TATIANA POMBO
Valid signature Filed with authorized/valid electronic signature
BISHNU P. VERMA, M.D., P.A. DEFINED BENEFIT PLAN 2012 593541361 2013-11-01 BISHNU P. VERMA, M.D., P.A. 5
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2009-01-01
Business code 621111
Sponsor’s telephone number 3868602600
Plan sponsor’s address 1555 SAXON BLVD., SUITE 601, DELTONA, FL, 32725

Signature of
Role Plan administrator
Date 2013-11-01
Name of individual signing TATIANA POMBO
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2013-11-01
Name of individual signing TATIANA POMBO
Valid signature Filed with authorized/valid electronic signature
BISHNU P. VERMA, M.D., P.A. PROFIT SHARING PLAN 2011 593541361 2012-05-04 BISHNU P. VERMA, M.D., P.A. 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1997-01-01
Business code 621111
Sponsor’s telephone number 3868602600
Plan sponsor’s address 1555 SAXON BLVD., SUITE 601, DELTONA, FL, 32725

Plan administrator’s name and address
Administrator’s EIN 593541361
Plan administrator’s name BISHNU P. VERMA, M.D., P.A.
Plan administrator’s address 1555 SAXON BLVD., SUITE 601, DELTONA, FL, 32725
Administrator’s telephone number 3868602600

Signature of
Role Plan administrator
Date 2012-05-04
Name of individual signing TATIANA POMBO
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2012-05-04
Name of individual signing TATIANA POMBO
Valid signature Filed with authorized/valid electronic signature
BISHNU P. VERMA, M.D., P.A. DEFINED BENEFIT PLAN 2011 593541361 2012-05-04 BISHNU P. VERMA, M.D., P.A. 5
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2009-01-01
Business code 621111
Sponsor’s telephone number 4078602600
Plan sponsor’s address 1555 SAXON BLVD., SUITE 601, DELTONA, FL, 32725

Plan administrator’s name and address
Administrator’s EIN 593541361
Plan administrator’s name BISHNU P. VERMA, M.D., P.A.
Plan administrator’s address 1555 SAXON BLVD., SUITE 601, DELTONA, FL, 32725
Administrator’s telephone number 4078602600

Signature of
Role Plan administrator
Date 2012-05-04
Name of individual signing TATIANA POMBO
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2012-05-04
Name of individual signing TATIANA POMBO
Valid signature Filed with authorized/valid electronic signature
BISHNU P. VERMA, M.D., P.A. PROFIT SHARING PLAN 2010 593541361 2011-04-27 BISHNU P. VERMA, M.D., P.A. 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1997-01-01
Business code 621111
Sponsor’s telephone number 3868602600
Plan sponsor’s address 1555 SAXON BLVD., SUITE 601, DELTONA, FL, 32725

Plan administrator’s name and address
Administrator’s EIN 593541361
Plan administrator’s name BISHNU P. VERMA, M.D., P.A.
Plan administrator’s address 1555 SAXON BLVD., SUITE 601, DELTONA, FL, 32725
Administrator’s telephone number 3868602600

Signature of
Role Plan administrator
Date 2011-04-27
Name of individual signing TATIANA CHAVEZ
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2011-04-27
Name of individual signing TATIANA CHAVEZ
Valid signature Filed with authorized/valid electronic signature
BISHNU P. VERMA, M.D., P.A. DEFINED BENEFIT PLAN 2010 593541361 2011-04-27 BISHNU P. VERMA, M.D., P.A. 5
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2009-01-01
Business code 621111
Sponsor’s telephone number 3868602600
Plan sponsor’s address 1555 SAXON BLVD., SUITE 601, DELTONA, FL, 32725

Plan administrator’s name and address
Administrator’s EIN 593541361
Plan administrator’s name BISHNU P. VERMA, M.D., P.A.
Plan administrator’s address 1555 SAXON BLVD., SUITE 601, DELTONA, FL, 32725
Administrator’s telephone number 3868602600

Signature of
Role Plan administrator
Date 2011-04-27
Name of individual signing TATIANA CHAVEZ
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2011-04-27
Name of individual signing TATIANA CHAVEZ
Valid signature Filed with authorized/valid electronic signature
BISHNU P. VERMA, M.D., P.A. PROFIT SHARING PLAN 2009 593541361 2010-04-30 BISHNU P. VERMA, M.D., P.A. 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1997-01-01
Business code 621111
Sponsor’s telephone number 3868602600
Plan sponsor’s address 1555 SAXON BLVD., SUITE 601, DELTONA, FL, 32725

Plan administrator’s name and address
Administrator’s EIN 593541361
Plan administrator’s name BISHNU P. VERMA, M.D., P.A.
Plan administrator’s address 1555 SAXON BLVD., SUITE 601, DELTONA, FL, 32725
Administrator’s telephone number 3868602600

Signature of
Role Plan administrator
Date 2010-04-29
Name of individual signing BISHNU VERMA
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
VERMA BISHNU P Agent 1555 SAXON BLVD STE 601, DELTONA, FL, 32725

Director

Name Role Address
VERMA BISHNU P Director 1555 SAXON BLVD STE 601, DELTONA, FL, 32725

Documents

Name Date
ANNUAL REPORT 2024-02-06
ANNUAL REPORT 2023-04-06
ANNUAL REPORT 2022-04-04
ANNUAL REPORT 2021-03-24
ANNUAL REPORT 2020-01-23
ANNUAL REPORT 2019-04-02
ANNUAL REPORT 2018-02-06
ANNUAL REPORT 2017-03-28
ANNUAL REPORT 2016-03-02
ANNUAL REPORT 2015-04-08

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Related by address

No related companies by address

Date of last update: 02 Feb 2025

Sources: Florida Department of State

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