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  5. WAYNE ISAACSON, M.D., P.A.

WAYNE ISAACSON, M.D., P.A.

Company Details

Entity Name: WAYNE ISAACSON, M.D., P.A.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Active
Date Filed: 25 Jan 1999 (26 years ago)
Document Number: P99000007039
FEI/EIN Number 650888729
Address: 12900 TERABELLA WAY, FORT MYERS, FL, 33912, US
Mail Address: 12900 TERABELLA WAY, FORT MYERS, FL, 33912, US
ZIP code: 33912
County: Lee
Place of Formation: FLORIDA

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
WAYNE ISAACSON, M.D., P.A. DEFINED BENEFIT PLAN 2016 650888729 2017-09-05 WAYNE ISAACSON, M.D., P.A. 2
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-01-01
Business code 621111
Sponsor’s telephone number 2399397375
Plan sponsor’s address 4035 EVANS AVENUE, SUITE 1, FORT MYERS, FL, 339019308

Signature of
Role Plan administrator
Date 2017-09-05
Name of individual signing WAYNE ISAACSON
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2017-09-05
Name of individual signing WAYNE ISAACSON
Valid signature Filed with authorized/valid electronic signature
WAYNE ISAACSON, M.D., P.A. 401(K) PROFIT SHARING PLAN & TRUST 2016 650888729 2017-09-01 WAYNE ISAACSON, M.D., P.A. 2
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2013-01-01
Business code 621111
Sponsor’s telephone number 2399397375
Plan sponsor’s address 4035 EVANS AVENUE, SUITE 1, FORT MYERS, FL, 339019308

Signature of
Role Plan administrator
Date 2017-09-01
Name of individual signing WAYNE ISAACSON
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2017-09-01
Name of individual signing WAYNE ISAACSON
Valid signature Filed with authorized/valid electronic signature
WAYNE ISAACSON, M.D., P.A. DEFINED BENEFIT PLAN 2015 650888729 2016-08-24 WAYNE ISAACSON, M.D., P.A. 2
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-01-01
Business code 621111
Sponsor’s telephone number 2399397375
Plan sponsor’s address 4035 EVANS AVENUE, SUITE 1, FORT MYERS, FL, 339019308

Signature of
Role Plan administrator
Date 2016-08-24
Name of individual signing WAYNE ISAACSON
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2016-08-24
Name of individual signing WAYNE ISAACSON
Valid signature Filed with authorized/valid electronic signature
WAYNE ISAACSON, M.D., P.A. 401(K) PROFIT SHARING PLAN & TRUST 2015 650888729 2016-08-23 WAYNE ISAACSON, M.D., P.A. 2
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2013-01-01
Business code 621111
Sponsor’s telephone number 2399397375
Plan sponsor’s address 4035 EVANS AVENUE, SUITE 1, FORT MYERS, FL, 339019308

Signature of
Role Plan administrator
Date 2016-08-23
Name of individual signing WAYNE ISAACSON
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2016-08-23
Name of individual signing WAYNE ISAACSON
Valid signature Filed with authorized/valid electronic signature
WAYNE ISAACSON, M.D., P.A. DEFINED BENEFIT PLAN 2014 650888729 2015-10-15 WAYNE ISAACSON, M.D., P.A. 2
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-01-01
Business code 621111
Sponsor’s telephone number 2399397375
Plan sponsor’s address 4035 EVANS AVENUE, SUITE 1, FORT MYERS, FL, 339019308

Signature of
Role Plan administrator
Date 2015-10-15
Name of individual signing WAYNE ISAACSON
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2015-10-15
Name of individual signing WAYNE ISAACSON
Valid signature Filed with authorized/valid electronic signature
WAYNE ISAACSON, M.D., P.A. 401(K) PROFIT SHARING PLAN & TRUST 2014 650888729 2015-10-12 WAYNE ISAACSON, M.D., P.A. 2
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2013-01-01
Business code 621111
Sponsor’s telephone number 2399397375
Plan sponsor’s address 4035 EVANS AVENUE, SUITE 1, FORT MYERS, FL, 339019308

Signature of
Role Plan administrator
Date 2015-10-12
Name of individual signing WAYNE ISAACSON
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2015-10-12
Name of individual signing WAYNE ISAACSON
Valid signature Filed with authorized/valid electronic signature
WAYNE ISAACSON, M.D., P.A. 401(K) PROFIT SHARING PLAN & TRUST 2013 650888729 2014-10-14 WAYNE ISAACSON, M.D., P.A. 0
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2013-01-01
Business code 621111
Sponsor’s telephone number 2399397375
Plan sponsor’s address 4035 EVANS AVENUE, SUITE 1, FORT MYERS, FL, 339019308

Signature of
Role Plan administrator
Date 2014-10-14
Name of individual signing WAYNE ISAACSON
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2014-10-14
Name of individual signing WAYNE ISAACSON
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
ISAACSON WAYNE M Agent 12900 TERABELLA WAY, FORT MYERS, FL, 33912

Director

Name Role Address
ISAACSON WAYNE Director 12900 TERABELLA WAY, FORT MYERS, FL, 33912

Related by officers

ISAACSON WAYNE

ISAACSON VENTURES, LLC

Related by address

12900 TERABELLA WAY, FORT MYERS, FL, 33912, US

ISAACSON VENTURES, LLC

12900 TERABELLA WAY, FORT MYERS, FL, 33912, US

ISAACSON VENTURES, LLC

Date of last update: 03 Jan 2025

Sources: Florida Department of State

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