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BETTY BELLMAN, M.D., P.A.

Company Details

Entity Name: BETTY BELLMAN, M.D., P.A.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Inactive
Date Filed: 03 Feb 1999 (26 years ago)
Date of dissolution: 10 Apr 2023 (2 years ago)
Last Event: VOLUNTARY DISSOLUTION
Event Date Filed: 10 Apr 2023 (2 years ago)
Document Number: P99000010904
FEI/EIN Number 650897757
Address: 305 piney mountain drive, N4, asheville, NC, 28805, US
Mail Address: 305 piney mountain drive, N4, asheville, NC, 28805, US
Place of Formation: FLORIDA

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
BETTY BELLMAN, M.D., P.A. PROFIT SHARING PLAN 2020 650897757 2021-09-27 BETTY BELLMAN, M.D., P.A. 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1999-02-02
Business code 621111
Sponsor’s telephone number 3055348480
Plan sponsor’s address 4302 ALTON RD., STE. 705, MIAMI BEACH, FL, 33140

Plan administrator’s name and address
Administrator’s EIN 650897757
Plan administrator’s name BETTY BELLMAN, M.D., P.A.
Plan administrator’s address 4302 ALTON RD., STE. 705, MIAMI BEACH, FL, 33140
Administrator’s telephone number 3055348480
BETTY BELLMAN, M.D., P.A. PROFIT SHARING PLAN 2019 650897757 2020-09-28 BETTY BELLMAN, M.D., P.A. 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1999-02-02
Business code 621111
Sponsor’s telephone number 3055348480
Plan sponsor’s address 4302 ALTON RD., STE. 705, MIAMI BEACH, FL, 33140

Plan administrator’s name and address
Administrator’s EIN 650897757
Plan administrator’s name BETTY BELLMAN, M.D., P.A.
Plan administrator’s address 4302 ALTON RD., STE. 705, MIAMI BEACH, FL, 33140
Administrator’s telephone number 3055348480
BETTY BELLMAN, M.D., P.A. PROFIT SHARING PLAN 2018 650897757 2019-08-07 BETTY BELLMAN, M.D., P.A. 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1999-02-02
Business code 621111
Sponsor’s telephone number 3055348480
Plan sponsor’s address 4302 ALTON RD., STE. 705, MIAMI BEACH, FL, 33140

Plan administrator’s name and address
Administrator’s EIN 650897757
Plan administrator’s name BETTY BELLMAN, M.D., P.A.
Plan administrator’s address 4302 ALTON RD., STE. 705, MIAMI BEACH, FL, 33140
Administrator’s telephone number 3055348480
BETTY BELLMAN, M.D., P.A. PROFIT SHARING PLAN 2017 650897757 2018-09-26 BETTY BELLMAN, M.D., P.A. 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1999-02-02
Business code 621111
Sponsor’s telephone number 3055348480
Plan sponsor’s address 4302 ALTON RD., STE. 705, MIAMI BEACH, FL, 33140

Plan administrator’s name and address
Administrator’s EIN 650897757
Plan administrator’s name BETTY BELLMAN, M.D., P.A.
Plan administrator’s address 4302 ALTON RD., STE. 705, MIAMI BEACH, FL, 33140
Administrator’s telephone number 3055348480
BETTY BELLMAN, M.D., P.A. PROFIT SHARING PLAN 2016 650897757 2018-01-18 BETTY BELLMAN, M.D., P.A. 1
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1999-02-02
Business code 621111
Sponsor’s telephone number 3055348480
Plan sponsor’s address 4302 ALTON RD., STE. 705, MIAMI BEACH, FL, 33140

Plan administrator’s name and address
Administrator’s EIN 650897757
Plan administrator’s name BETTY BELLMAN, M.D., P.A.
Plan administrator’s address 4302 ALTON RD., STE. 705, MIAMI BEACH, FL, 33140
Administrator’s telephone number 3055348480
BETTY BELLMAN, M.D., P.A. PROFIT SHARING PLAN 2013 650897757 2014-10-09 BETTY BELLMAN, M.D., P.A. 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1999-02-02
Business code 621111
Sponsor’s telephone number 3055348480
Plan sponsor’s address 4302 ALTON RD., STE. 705, MIAMI BEACH, FL, 33140

Plan administrator’s name and address
Administrator’s EIN 650897757
Plan administrator’s name BETTY BELLMAN, M.D., P.A.
Plan administrator’s address 4302 ALTON RD., STE. 705, MIAMI BEACH, FL, 33140
Administrator’s telephone number 3055348480

Signature of
Role Plan administrator
Date 2014-10-09
Name of individual signing BETTY BELLMAN
Valid signature Filed with authorized/valid electronic signature
BETTY BELLMAN, M.D., P.A. PROFIT SHARING PLAN 2012 650897757 2014-10-09 BETTY BELLMAN, M.D., P.A. 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1999-02-02
Business code 621111
Sponsor’s telephone number 3055348480
Plan sponsor’s address 4302 ALTON RD., STE. 705, MIAMI BEACH, FL, 33140

Plan administrator’s name and address
Administrator’s EIN 650897757
Plan administrator’s name BETTY BELLMAN, M.D., P.A.
Plan administrator’s address 4302 ALTON RD., STE. 705, MIAMI BEACH, FL, 33140
Administrator’s telephone number 3055348480

Signature of
Role Plan administrator
Date 2014-10-09
Name of individual signing BETTY BELLMAN
Valid signature Filed with authorized/valid electronic signature
BETTY BELLMAN, M.D., P.A. PROFIT SHARING PLAN 2012 650897757 2013-10-10 BETTY BELLMAN, M.D., P.A. 5
Three-digit plan number (PN) 001
Effective date of plan 1999-02-02
Business code 621111
Sponsor’s telephone number 3055348480
Plan sponsor’s address 4302 ALTON RD., STE. 705, MIAMI BEACH, FL, 33140

Plan administrator’s name and address
Administrator’s EIN 650897757
Plan administrator’s name BETTY BELLMAN, M.D., P.A.
Plan administrator’s address 4302 ALTON RD., STE. 705, MIAMI BEACH, FL, 33140
Administrator’s telephone number 3055348480

Signature of
Role Plan administrator
Date 2013-10-10
Name of individual signing BETTY BELLMAN
Valid signature Filed with authorized/valid electronic signature
BETTY BELLMAN, M.D., P.A. PROFIT SHARING PLAN 2011 650897757 2012-06-15 BETTY BELLMAN, M.D., P.A. 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1999-02-02
Business code 621111
Sponsor’s telephone number 3055348480
Plan sponsor’s address 4302 ALTON RD., STE. 705, MIAMI BEACH, FL, 33140

Plan administrator’s name and address
Administrator’s EIN 650897757
Plan administrator’s name BETTY BELLMAN, M.D., P.A.
Plan administrator’s address 4302 ALTON RD., STE. 705, MIAMI BEACH, FL, 33140
Administrator’s telephone number 3055348480

Signature of
Role Plan administrator
Date 2012-06-15
Name of individual signing BETTY BELLMAN
Valid signature Filed with authorized/valid electronic signature
BETTY BELLMAN, M.D., P.A. PROFIT SHARING PLAN 2010 650897757 2011-04-22 BETTY BELLMAN, M.D., P.A. 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1999-02-02
Business code 621111
Sponsor’s telephone number 3055348480
Plan sponsor’s address 4302 ALTON RD., STE. 705, MIAMI BEACH, FL, 33140

Plan administrator’s name and address
Administrator’s EIN 650897757
Plan administrator’s name BETTY BELLMAN, M.D., P.A.
Plan administrator’s address 4302 ALTON RD., STE. 705, MIAMI BEACH, FL, 33140
Administrator’s telephone number 3055348480

Signature of
Role Plan administrator
Date 2011-04-22
Name of individual signing BETTY BELLMAN
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
Betty Bellman MD PA Agent 305 piney mountain drive, asheville, FL, 28805

Director

Name Role Address
BELLMAN BETTY Director 305 PINEY MOUNTAIN DRIVE, ASHEVILLE, NC, 28805

Events

Event Type Filed Date Value Description
VOLUNTARY DISSOLUTION 2023-04-10 No data No data
CHANGE OF PRINCIPAL ADDRESS 2023-01-28 305 piney mountain drive, N4, asheville, NC 28805 No data
CHANGE OF MAILING ADDRESS 2023-01-28 305 piney mountain drive, N4, asheville, NC 28805 No data
REGISTERED AGENT ADDRESS CHANGED 2023-01-28 305 piney mountain drive, SUITE N4, asheville, FL 28805 No data
REGISTERED AGENT NAME CHANGED 2020-01-16 Betty Bellman MD PA No data

Documents

Name Date
ANNUAL REPORT 2023-01-28
ANNUAL REPORT 2022-01-23
ANNUAL REPORT 2021-01-13
ANNUAL REPORT 2020-01-16
ANNUAL REPORT 2019-03-04
ANNUAL REPORT 2018-01-10
ANNUAL REPORT 2017-01-09
ANNUAL REPORT 2016-03-02
ANNUAL REPORT 2015-01-11
ANNUAL REPORT 2014-01-10

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Related by address

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Date of last update: 02 Feb 2025

Sources: Florida Department of State

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