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  5. SHAHLA MEDICAL GROUP, P.A.

SHAHLA MEDICAL GROUP, P.A.

Company Details

Entity Name: SHAHLA MEDICAL GROUP, P.A.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Active
Date Filed: 23 Mar 1999 (26 years ago)
Last Event: NAME CHANGE AMENDMENT
Event Date Filed: 17 Feb 2011 (14 years ago)
Document Number: P99000026538
FEI/EIN Number 593562824
Address: 8800 TERRENE COURT, 102, BONITA SPRINGS, FL, 34135
Mail Address: 8800 TERRENE COURT, 102, BONITA SPRINGS, FL, 34135
ZIP code: 34135
County: Lee
Place of Formation: FLORIDA

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
SHAHLA MEDICAL GROUP, P.A. 401(K) PLAN 2022 593562824 2023-08-29 SHAHLA MEDICAL GROUP, P.A. 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-01-01
Business code 621111
Sponsor’s telephone number 2399483444
Plan sponsor’s address 8800 TERRENE CT STE 102, BONITA SPRINGS, FL, 34135

Signature of
Role Plan administrator
Date 2023-08-25
Name of individual signing ZIAD SHAHLA
Valid signature Filed with authorized/valid electronic signature
SHAHLA MEDICAL GROUP, P.A. 401(K) PLAN 2021 593562824 2022-09-16 SHAHLA MEDICAL GROUP, P.A. 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-01-01
Business code 621111
Sponsor’s telephone number 2399483444
Plan sponsor’s address 8800 TERRENE CT STE 102, BONITA SPRINGS, FL, 34135

Signature of
Role Plan administrator
Date 2022-09-16
Name of individual signing ZIAD SHAHLA
Valid signature Filed with authorized/valid electronic signature
SHAHLA MEDICAL GROUP, P.A. 401(K) PLAN 2020 593562824 2021-10-07 SHAHLA MEDICAL GROUP, P.A. 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-01-01
Business code 621111
Sponsor’s telephone number 2399483444
Plan sponsor’s address 8800 TERRENE CT STE 102, BONITA SPRINGS, FL, 34135

Signature of
Role Plan administrator
Date 2021-10-06
Name of individual signing ZIAD SHAHLA
Valid signature Filed with authorized/valid electronic signature
SHAHLA MEDICAL GROUP, P.A. 401(K) PLAN 2019 593562824 2020-09-16 SHAHLA MEDICAL GROUP, P.A. 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-01-01
Business code 621111
Sponsor’s telephone number 2399483444
Plan sponsor’s address 8800 TERRENE CT STE 102, BONITA SPRINGS, FL, 34135

Signature of
Role Plan administrator
Date 2020-09-15
Name of individual signing ZIAD SHAHLA
Valid signature Filed with authorized/valid electronic signature
SHAHLA MEDICAL GROUP, P.A. 401(K) PLAN 2018 593562824 2019-07-24 SHAHLA MEDICAL GROUP, P.A. 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-01-01
Business code 621111
Sponsor’s telephone number 2399483444
Plan sponsor’s address 8800 TERRENE CT STE 102, BONITA SPRINGS, FL, 34135

Signature of
Role Plan administrator
Date 2019-07-24
Name of individual signing ZIAD SHAHLA
Valid signature Filed with authorized/valid electronic signature
SHAHLA MEDICAL GROUP, P.A. 401(K) PLAN 2017 593562824 2018-05-30 SHAHLA MEDICAL GROUP, P.A. 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-01-01
Business code 621111
Sponsor’s telephone number 2399483444
Plan sponsor’s address 8800 TERRENE CT STE 102, BONITA SPRINGS, FL, 34135

Signature of
Role Plan administrator
Date 2018-05-30
Name of individual signing ZIAD SHAHLA
Valid signature Filed with authorized/valid electronic signature
SHAHLA MEDICAL GROUP, P.A. 401(K) PLAN 2016 593562824 2017-07-19 SHAHLA MEDICAL GROUP, P.A. 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-01-01
Business code 621111
Sponsor’s telephone number 2399483444
Plan sponsor’s address 8800 TERRENE CT STE 102, BONITA SPRINGS, FL, 34135

Signature of
Role Plan administrator
Date 2017-07-19
Name of individual signing ZIAD SHAHLA
Valid signature Filed with authorized/valid electronic signature
SHAHLA MEDICAL GROUP, P.A. 401(K) PLAN 2015 593562824 2016-09-14 SHAHLA MEDICAL GROUP, P.A. 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-01-01
Business code 621111
Sponsor’s telephone number 2399483444
Plan sponsor’s address 8800 TERRENE CT STE 102, BONITA SPRINGS, FL, 34135

Signature of
Role Plan administrator
Date 2016-09-14
Name of individual signing ZIAD SHAHLA
Valid signature Filed with authorized/valid electronic signature
SHAHLA MEDICAL GROUP, P.A. 401(K) PLAN 2014 593562824 2015-07-06 SHAHLA MEDICAL GROUP, P.A. 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-01-01
Business code 621111
Sponsor’s telephone number 2399483444
Plan sponsor’s address 8800 TERRACE CT., SUITE 102, BONITA SPRINGS, FL, 34135

Signature of
Role Plan administrator
Date 2015-07-03
Name of individual signing ZIAD SHAHLA
Valid signature Filed with authorized/valid electronic signature
SHAHLA MEDICAL GROUP, P.A. 401(K) PLAN 2013 593562824 2014-03-04 SHAHLA MEDICAL GROUP, P.A. 11
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-01-01
Business code 621111
Sponsor’s telephone number 2399483444
Plan sponsor’s address 8800 TERRACE CT., SUITE 102, BONITA SPRINGS, FL, 34135

Signature of
Role Plan administrator
Date 2014-03-04
Name of individual signing ZIAD SHAHLA
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
SHAHLA ZIAD Agent 8800 TERRENE COURT, BONITA SPRINGS, FL, 34135

Director

Name Role Address
SHAHLA ZIAD Director 8800 TERRENE CT, BONITA SPRINGS, FL, 34135

President

Name Role Address
SHAHLA ZIAD President 8800 TERRENE CT, BONITA SPRINGS, FL, 34135

Vice President

Name Role Address
SHAHLA ZIAD Vice President 8800 TERRENE CT, BONITA SPRINGS, FL, 34135

Events

Event Type Filed Date Value Description
CHANGE OF MAILING ADDRESS 2011-02-26 8800 TERRENE COURT, 102, BONITA SPRINGS, FL 34135 No data
NAME CHANGE AMENDMENT 2011-02-17 SHAHLA MEDICAL GROUP, P.A. No data
CHANGE OF PRINCIPAL ADDRESS 2004-01-24 8800 TERRENE COURT, 102, BONITA SPRINGS, FL 34135 No data
REGISTERED AGENT ADDRESS CHANGED 2004-01-24 8800 TERRENE COURT, 102, BONITA SPRINGS, FL 34135 No data

Documents

Name Date
ANNUAL REPORT 2025-01-04
ANNUAL REPORT 2024-01-25
ANNUAL REPORT 2023-02-01
ANNUAL REPORT 2022-01-24
ANNUAL REPORT 2021-01-19
ANNUAL REPORT 2020-01-16
ANNUAL REPORT 2019-01-15
ANNUAL REPORT 2018-01-16
ANNUAL REPORT 2017-01-21
ANNUAL REPORT 2016-02-24

Related by officers

SHAHLA ZIAD

OLYMPIA SHAHLA, LLC JMMN INVESTMENTS, L.L.C. OLYMPIA BUIDING MANAGEMENT , LLC SOUTHWEST FLORIDA LAND & INVESTMENT GROUP, LLC SHAHLA & MUFDI, CORPORATION

Related by address

No related companies by address

Date of last update: 02 Feb 2025

Sources: Florida Department of State

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