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  5. KENNETH F. HAAS, M.D., P.A.

KENNETH F. HAAS, M.D., P.A.

Company Details

Entity Name: KENNETH F. HAAS, M.D., P.A.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Inactive
Date Filed: 19 Apr 1999 (26 years ago)
Date of dissolution: 20 Mar 2018 (7 years ago)
Last Event: VOLUNTARY DISSOLUTION
Event Date Filed: 20 Mar 2018 (7 years ago)
Document Number: P99000035961
FEI/EIN Number 650919290
Address: 940 SE 23rd Street, OKEECHOBEE, FL, 34974, US
Mail Address: 940 SE 23rd Street, OKEECHOBEE, FL, 34974, US
ZIP code: 34974
County: Okeechobee
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1871748269 2008-11-26 2008-12-05 115 NE 3RD ST, OKEECHOBEE, FL, 349722901, US 115 NE 3RD ST, OKEECHOBEE, FL, 349722901, US

Contacts
Phone +1 863-357-7447
Fax 8633571844

Authorized person
Name KENNETH F HAAS
Role PRESIDENT
Phone 8633577447

Taxonomy
Taxonomy Code 207RG0100X - Gastroenterology Physician
License Number ME77693
State FL
Is Primary Yes

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
KENNETH F. HAAS, M.D., P.A. DEFINED BENEFIT PLAN 2014 650919290 2015-09-08 KENNETH F. HAAS, M.D., P.A. 2
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2001-01-01
Business code 621111
Sponsor’s telephone number 8633577110
Plan sponsor’s address 115 NE THIRD STREET SUITE C, OKEECHOBEE, FL, 34972

Signature of
Role Plan administrator
Date 2015-09-08
Name of individual signing KENNETH F. HAAS
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2015-09-08
Name of individual signing KENNETH F. HAAS
Valid signature Filed with authorized/valid electronic signature
KENNETH F. HAAS, M.D., P.A. DEFINED BENEFIT PLAN 2013 650919290 2014-06-20 KENNETH F. HAAS, M.D., P.A. 2
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2001-01-01
Business code 621111
Sponsor’s telephone number 8633577110
Plan sponsor’s address 115 NE THIRD STREET SUITE C, OKEECHOBEE, FL, 34972

Signature of
Role Plan administrator
Date 2014-06-20
Name of individual signing KENNETH F. HAAS
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2014-06-20
Name of individual signing KENNETH F. HAAS
Valid signature Filed with authorized/valid electronic signature
KENNETH F. HAAS, M.D., P.A. DEFINED BENEFIT PLAN 2012 650919290 2013-10-10 KENNETH F. HAAS, M.D., P.A. 2
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2001-01-01
Business code 621111
Sponsor’s telephone number 8633577110
Plan sponsor’s address 115 NE THIRD STREET SUITE C, OKEECHOBEE, FL, 34972

Signature of
Role Plan administrator
Date 2013-10-10
Name of individual signing KENNETH F. HAAS
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2013-10-10
Name of individual signing KENNETH F. HAAS
Valid signature Filed with authorized/valid electronic signature
KENNETH F. HAAS, M.D., P.A. DEFINED BENEFIT PLAN 2011 650919290 2012-09-25 KENNETH F. HAAS, M.D., P.A. 2
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2001-01-01
Business code 621111
Sponsor’s telephone number 8633577110
Plan sponsor’s address 115 NE THIRD STREET SUITE C, OKEECHOBEE, FL, 34972

Plan administrator’s name and address
Administrator’s EIN 650919290
Plan administrator’s name KENNETH F. HAAS, M.D., P.A.
Plan administrator’s address 115 NE THIRD STREET SUITE C, OKEECHOBEE, FL, 34972
Administrator’s telephone number 8633577110

Signature of
Role Plan administrator
Date 2012-09-25
Name of individual signing KENNETH F. HAAS
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2012-09-25
Name of individual signing KENNETH F. HAAS
Valid signature Filed with authorized/valid electronic signature
KENNETH F. HAAS, M.D., P.A. DEFINED BENEFIT PLAN 2010 650919290 2011-05-26 KENNETH F. HAAS, M.D., P.A. 2
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2001-01-01
Business code 621111
Sponsor’s telephone number 8633577110
Plan sponsor’s address 115 NE THIRD STREET SUITE C, OKEECHOBEE, FL, 34972

Plan administrator’s name and address
Administrator’s EIN 650919290
Plan administrator’s name KENNETH F. HAAS, M.D., P.A.
Plan administrator’s address 115 NE THIRD STREET SUITE C, OKEECHOBEE, FL, 34972
Administrator’s telephone number 8633577110

Signature of
Role Plan administrator
Date 2011-05-25
Name of individual signing KENNETH F. HAAS
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2011-05-25
Name of individual signing KENNETH F. HAAS
Valid signature Filed with authorized/valid electronic signature
KENNETH F. HAAS, M.D., P.A. DEFINED BENEFIT PLAN 2009 650919290 2010-10-12 KENNETH F. HAAS, M.D., P.A. 2
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2001-01-01
Business code 621111
Sponsor’s telephone number 8633577110
Plan sponsor’s address 115 NE THIRD STREET SUITE C, OKEECHOBEE, FL, 34972

Plan administrator’s name and address
Administrator’s EIN 650919290
Plan administrator’s name KENNETH F. HAAS, M.D., P.A.
Plan administrator’s address 115 NE THIRD STREET SUITE C, OKEECHOBEE, FL, 34972
Administrator’s telephone number 8633577110

Signature of
Role Plan administrator
Date 2010-10-12
Name of individual signing KENNETH F. HAAS
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2010-10-12
Name of individual signing KENNETH F. HAAS
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
HAAS KENNETH F Agent 940 SE 23RD STREET, OKEECHOBEE, FL, 34972

Director

Name Role Address
HAAS KENNETH F Director 940 SE 23rd Street, OKEECHOBEE, FL, 34974

Events

Event Type Filed Date Value Description
VOLUNTARY DISSOLUTION 2018-03-20 No data No data
CHANGE OF PRINCIPAL ADDRESS 2018-03-14 940 SE 23rd Street, OKEECHOBEE, FL 34974 No data
CHANGE OF MAILING ADDRESS 2018-03-14 940 SE 23rd Street, OKEECHOBEE, FL 34974 No data
REGISTERED AGENT ADDRESS CHANGED 2016-03-04 940 SE 23RD STREET, OKEECHOBEE, FL 34972 No data
REINSTATEMENT 2016-03-04 No data No data
REGISTERED AGENT NAME CHANGED 2016-03-04 HAAS, KENNETH F No data
ADMIN DISSOLUTION FOR ANNUAL REPORT 2009-09-25 No data No data
REINSTATEMENT 2001-10-31 No data No data
ADMIN DISSOLUTION FOR ANNUAL REPORT 2001-09-21 No data No data

Documents

Name Date
Voluntary Dissolution 2018-03-20
ANNUAL REPORT 2018-03-14
ANNUAL REPORT 2017-02-22
REINSTATEMENT 2016-03-04
ANNUAL REPORT 2008-01-23
ANNUAL REPORT 2007-04-23
ANNUAL REPORT 2006-04-18
ANNUAL REPORT 2005-03-08
ANNUAL REPORT 2004-08-26
ANNUAL REPORT 2003-03-19

Related by officers

No related officers

Related by address

No related companies by address

Date of last update: 01 Feb 2025

Sources: Florida Department of State

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