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  5. NORMAN B. GAYLIS, M.D., P.A.

NORMAN B. GAYLIS, M.D., P.A.

Company Details

Entity Name: NORMAN B. GAYLIS, M.D., P.A.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Active
Date Filed: 12 Mar 1999 (26 years ago)
Last Event: REINSTATEMENT
Event Date Filed: 27 Sep 2017 (7 years ago)
Document Number: P99000022891
FEI/EIN Number 650901240
Address: 2801 NE 213 STREET, SUITE 801, AVENTURA, FL, 33180, US
Mail Address: 2801 NE 213 STREET, SUITE 801, AVENTURA, FL, 33180, US
ZIP code: 33180
County: Miami-Dade
Place of Formation: FLORIDA

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
NORMAN B. GAYLIS, M.D., P.A. 401(K) PROFIT SHARING PLAN 2017 650901240 2018-09-06 NORMAN B. GAYLIS, M.D., P.A. 15
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2001-01-01
Business code 621111
Sponsor’s telephone number 3056701984
Plan sponsor’s address 21097 N.E. 27TH COURT SUITE 200, AVENTURA, FL, 33180
NORMAN B. GAYLIS, M.D., P.A. 401(K) PROFIT SHARING PLAN 2016 650901240 2017-10-06 NORMAN B. GAYLIS, M.D., P.A. 18
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2001-01-01
Business code 621111
Sponsor’s telephone number 3056701984
Plan sponsor’s address 21097 N.E. 27TH COURT SUITE 200, AVENTURA, FL, 33180
NORMAN B. GAYLIS, M.D., P.A. 401(K) PROFIT SHARING PLAN 2015 650901240 2016-10-14 NORMAN B. GAYLIS, M.D., P.A. 28
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2001-01-01
Business code 621111
Sponsor’s telephone number 3056701984
Plan sponsor’s address 21097 N.E. 27TH COURT SUITE 200, AVENTURA, FL, 33180
NORMAN B. GAYLIS, M.D., P.A. DEFINED BENEFIT PLAN 2014 650901240 2015-10-15 NORMAN B. GAYLIS, M.D., P.A. 25
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2007-01-01
Business code 621111
Sponsor’s telephone number 3056526676
Plan sponsor’s address 21097 N.E. 27TH COURT SUITE 200, AVENTURA, FL, 33180

Signature of
Role Plan administrator
Date 2015-10-15
Name of individual signing NORMAN B. GAYLIS, M.D.
Valid signature Filed with authorized/valid electronic signature
NORMAN B. GAYLIS, M.D., P.A. 401(K) PROFIT SHARING PLAN 2014 650901240 2015-10-15 NORMAN B. GAYLIS, M.D., P.A. 30
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2001-01-01
Business code 621111
Sponsor’s telephone number 3056701984
Plan sponsor’s address 21097 N.E. 27TH COURT SUITE 200, AVENTURA, FL, 33180

Signature of
Role Plan administrator
Date 2015-10-15
Name of individual signing NORMAN B. GAYLIS, M.D.
Valid signature Filed with authorized/valid electronic signature
NORMAN B. GAYLIS, M.D., P.A. DEFINED BENEFIT PLAN 2013 650901240 2014-10-13 NORMAN B. GAYLIS, M.D., P.A. 25
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2007-01-01
Business code 621111
Sponsor’s telephone number 3056526676
Plan sponsor’s address 21097 N.E. 27TH COURT SUITE 200, AVENTURA, FL, 33180

Plan administrator’s name and address
Administrator’s EIN 650901240
Plan administrator’s name NORMAN B. GAYLIS, M.D., P.A.
Plan administrator’s address 21097 N.E. 27TH COURT SUITE 200, AVENTURA, FL, 33180
Administrator’s telephone number 3056526676

Signature of
Role Plan administrator
Date 2014-10-13
Name of individual signing NORMAN B. GAYLIS, M.D.
Valid signature Filed with authorized/valid electronic signature
NORMAN B. GAYLIS, M.D., P.A. 401(K) PROFIT SHARING PLAN 2013 650901240 2014-10-13 NORMAN B. GAYLIS, M.D., P.A. 35
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2001-01-01
Business code 621111
Sponsor’s telephone number 3056701984
Plan sponsor’s address 21097 N.E. 27TH COURT SUITE 200, AVENTURA, FL, 33180

Plan administrator’s name and address
Administrator’s EIN 650901240
Plan administrator’s name NORMAN B. GAYLIS, M.D., P.A.
Plan administrator’s address 21097 N.E. 27TH COURT SUITE 200, AVENTURA, FL, 33180
Administrator’s telephone number 3056701984

Signature of
Role Plan administrator
Date 2014-10-13
Name of individual signing NORMAN B. GAYLIS, M.D.
Valid signature Filed with authorized/valid electronic signature
NORMAN B. GAYLIS, M.D., P.A. DEFINED BENEFIT PLAN 2012 650901240 2013-10-14 NORMAN B. GAYLIS, M.D., P.A. 23
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2007-01-01
Business code 621111
Sponsor’s telephone number 3056526676
Plan sponsor’s address 21097 N.E. 27TH COURT SUITE 200, AVENTURA, FL, 33180

Plan administrator’s name and address
Administrator’s EIN 650901240
Plan administrator’s name NORMAN B. GAYLIS, M.D., P.A.
Plan administrator’s address 21097 N.E. 27TH COURT SUITE 200, AVENTURA, FL, 33180
Administrator’s telephone number 3056526676

Signature of
Role Plan administrator
Date 2013-10-14
Name of individual signing NORMAN B. GAYLIS, M.D.
Valid signature Filed with authorized/valid electronic signature
NORMAN B. GAYLIS, M.D., P.A. 401(K) PROFIT SHARING PLAN 2012 650901240 2013-10-14 NORMAN B. GAYLIS, M.D., P.A. 32
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2001-01-01
Business code 621111
Sponsor’s telephone number 3056701984
Plan sponsor’s address 21097 N.E. 27TH COURT SUITE 200, AVENTURA, FL, 33180

Plan administrator’s name and address
Administrator’s EIN 650901240
Plan administrator’s name NORMAN B. GAYLIS, M.D., P.A.
Plan administrator’s address 21097 N.E. 27TH COURT SUITE 200, AVENTURA, FL, 33180
Administrator’s telephone number 3056701984

Signature of
Role Plan administrator
Date 2013-10-14
Name of individual signing NORMAN B. GAYLIS, M.D.
Valid signature Filed with authorized/valid electronic signature
NORMAN B. GAYLIS, M.D., P.A. DEFINED BENEFIT PLAN 2011 650901240 2012-10-08 NORMAN B. GAYLIS, M.D., P.A. 23
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2007-01-01
Business code 621111
Sponsor’s telephone number 3056526676
Plan sponsor’s address 21097 N.E. 27TH COURT SUITE 200, AVENTURA, FL, 33180

Plan administrator’s name and address
Administrator’s EIN 650901240
Plan administrator’s name NORMAN B. GAYLIS, M.D., P.A.
Plan administrator’s address 21097 N.E. 27TH COURT SUITE 200, AVENTURA, FL, 33180
Administrator’s telephone number 3056526676

Signature of
Role Plan administrator
Date 2012-10-08
Name of individual signing NORMAN B. GAYLIS, M.D.
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
ADLER LESLIE Agent 9300 SOUTH DADELAND BOULEVARD, MIAMI, FL, 33156

President

Name Role Address
GAYLIS NORMAN B President 2801 NE 213 STREET, AVENTURA, FL, 33180

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G20000156325 INFUSION & IMMUNOTHERAPY CENTER OF SOUTH FLORIDA ACTIVE 2020-12-09 2025-12-31 No data 21097 NE 27TH COURT SUITE 200-B, AVENTURA, FL, 33180
G20000021971 ARTHRITIS RHEUMATIC DISEASE SPECIALTIES ACTIVE 2020-02-19 2025-12-31 No data 21097 NE 27 COURT, SUITE 200, AVENTURA, FL, 33180
G20000021974 AARDS ACTIVE 2020-02-19 2025-12-31 No data 21097 NE 27 COURT, SUITE 200, AVENTURA, FL, 33180
G12000098998 ARTHRITIS AND RHEUMATIC DISEASE SPECIALTIES EXPIRED 2012-10-10 2017-12-31 No data 21097 NE 27TH COURT, SUITE 200, AVENTURA, FL, 33180
G12000099001 AARDS EXPIRED 2012-10-10 2017-12-31 No data 21097 NE 27TH COURT, SUITE 200, AVENTURA, FL, 33180

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2021-04-23 2801 NE 213 STREET, SUITE 801, AVENTURA, FL 33180 No data
CHANGE OF MAILING ADDRESS 2021-04-23 2801 NE 213 STREET, SUITE 801, AVENTURA, FL 33180 No data
REGISTERED AGENT ADDRESS CHANGED 2018-04-20 9300 SOUTH DADELAND BOULEVARD, 600, MIAMI, FL 33156 No data
REINSTATEMENT 2017-09-27 No data No data
REGISTERED AGENT NAME CHANGED 2017-09-27 ADLER, LESLIE No data
ADMIN DISSOLUTION FOR ANNUAL REPORT 2017-09-22 No data No data
MERGER 2011-04-15 No data CORPORATION WAS PART OF A MERGER. QUALIFIED CORPORATION WAS L11000037735. MERGER NUMBER 100000112741

Documents

Name Date
ANNUAL REPORT 2024-01-10
ANNUAL REPORT 2023-01-25
ANNUAL REPORT 2022-04-28
ANNUAL REPORT 2021-04-23
ANNUAL REPORT 2020-01-10
ANNUAL REPORT 2019-02-13
ANNUAL REPORT 2018-04-20
REINSTATEMENT 2017-09-27
ANNUAL REPORT 2016-01-15
ANNUAL REPORT 2015-01-09

Related by officers

GAYLIS NORMAN B

AARDS RESEARCH, INC. GAYLIS OPPORTUNITY HOLDINGS LLC GAYLIS OPPORTUNITY HOLDINGS PARTNER INC. GAYLIS OPPORTUNITY FUND PARTNER INC. GAYLIS OPPORTUNITY FUND LLC GAYLIS UNIQUE MANAGEMENT SERVICES, LLC GAYLIS, L.L.C. NTN ENTERPRISES LLC NTN DEFENSE LLC NTN RESTORE LLC

ADLER LESLIE

TWO 2 READ, LLC AARDS RESEARCH, INC. KOPP BUILDING, LLC LANG INVESTMENT GROUP, LLC SUNNYHORSE INVESTMENTS, LLC PROFESSIONAL BANCSHARES, INC. BLAM, LLC J. SELL, LLC BETHNLES LLC LESLIE ADLER CPA P.A.

Related by address

2801 NE 213 STREET, SUITE 801, AVENTURA, FL, 33180, US

RHEUM/SERVICE LLC GAYLIS, L.L.C. NTN ENTERPRISES LLC NTN DEFENSE LLC NTN RESTORE LLC NTN NVIROMUNE RESTORE INC NTN NVIROMUNE DEFENSE INC

2801 NE 213 STREET, SUITE 801, AVENTURA, FL, 33180, US

RHEUM/SERVICE LLC GAYLIS, L.L.C. NTN ENTERPRISES LLC NTN DEFENSE LLC NTN RESTORE LLC NTN NVIROMUNE RESTORE INC NTN NVIROMUNE DEFENSE INC

Date of last update: 01 Feb 2025

Sources: Florida Department of State

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