| Entity Name: | FAMILY PRACTICE ASSOCIATES, P.A. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 22 Apr 1999 (26 years ago) |
| Last Event: | AMENDMENT |
| Event Date Filed: | 05 Nov 2015 (9 years ago) |
| Document Number: | P99000036726 |
| FEI/EIN Number | 593571597 |
| Address: | 326 SOUTH LINE AVENUE, INVERNESS, FL, 34452, US |
| Mail Address: | 326 S Line Ave., Inverness, FL, 34452, US |
| ZIP code: | 34452 |
| County: | Citrus |
| Place of Formation: | FLORIDA |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| PROFIT SHARING PLAN AND TRUST FOR EMPLOYEES OF FAMILY PRACTICE ASSOCIATES, MD, PA | 2011 | 592166939 | 2013-04-04 | FAMILY PRACTICE ASSOCIATES, P.A. | 66 | |||||||||||||||||||||||||||||||||||||||||||
|
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| Administrator’s EIN | 592166939 |
| Plan administrator’s name | FAMILY PRACTICE ASSOCIATES, P.A. |
| Plan administrator’s address | 461 W OAK ST STE A, KISSIMMEE, FL, 347416624 |
| Administrator’s telephone number | 4078468600 |
Signature of
| Role | Plan administrator |
| Date | 2013-04-04 |
| Name of individual signing | MICHAEL LINK |
| Valid signature | Filed with authorized/valid electronic signature |
| Role | Employer/plan sponsor |
| Date | 2013-04-04 |
| Name of individual signing | ANGELO CANALES |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 1983-07-01 |
| Business code | 621111 |
| Sponsor’s telephone number | 4078468600 |
| Plan sponsor’s DBA name | ES, MD, PA |
| Plan sponsor’s address | 461 W OAK ST STE A, KISSIMMEE, FL, 347416624 |
Plan administrator’s name and address
| Administrator’s EIN | 592166939 |
| Plan administrator’s name | FAMILY PRACTICE ASSOCIATES, P.A. |
| Plan administrator’s address | 461 W OAK ST STE A, KISSIMMEE, FL, 347416624 |
| Administrator’s telephone number | 4078468600 |
Signature of
| Role | Plan administrator |
| Date | 2012-04-09 |
| Name of individual signing | MICHAEL LINK |
| Valid signature | Filed with authorized/valid electronic signature |
| Role | Employer/plan sponsor |
| Date | 2012-04-09 |
| Name of individual signing | ANGELO CANALES |
| Valid signature | Filed with authorized/valid electronic signature |
| Name | Role | Address |
|---|---|---|
| ELYAMAN MOSTAFA MD | Agent | 326 SOUTH LINE AVENUE, INVERNESS, FL, 34452 |
| Name | Role | Address |
|---|---|---|
| ELYAMAN MOSTAFA MD | President | 326 SOUTH LINE AVENUE, INVERNESS, FL, 34452 |
| Name | Role | Address |
|---|---|---|
| ELYAMAN MOSTAFA MD | Vice President | 326 SOUTH LINE AVENUE, INVERNESS, FL, 34452 |
| Name | Role | Address |
|---|---|---|
| ELYAMAN MOSTAFA MD | Secretary | 326 SOUTH LINE AVENUE, INVERNESS, FL, 34452 |
| Name | Role | Address |
|---|---|---|
| ELYAMAN MOSTAFA MD | Treasurer | 326 SOUTH LINE AVENUE, INVERNESS, FL, 34452 |
| Name | Role | Address |
|---|---|---|
| Vickers-Kilgore Carrie L | Administrator | 326 SOUTH LINE AVENUE, INVERNESS, FL, 34452 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF MAILING ADDRESS | 2022-11-11 | 326 SOUTH LINE AVENUE, INVERNESS, FL 34452 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2019-02-13 | 326 SOUTH LINE AVENUE, INVERNESS, FL 34452 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2019-02-13 | 326 SOUTH LINE AVENUE, INVERNESS, FL 34452 | No data |
| AMENDMENT | 2015-11-05 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2015-11-05 | ELYAMAN, MOSTAFA, MD | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-01-22 |
| ANNUAL REPORT | 2023-01-27 |
| AMENDED ANNUAL REPORT | 2022-11-11 |
| ANNUAL REPORT | 2022-04-04 |
| ANNUAL REPORT | 2021-04-30 |
| ANNUAL REPORT | 2020-06-24 |
| ANNUAL REPORT | 2019-02-13 |
| ANNUAL REPORT | 2018-03-08 |
| ANNUAL REPORT | 2017-02-08 |
| ANNUAL REPORT | 2016-04-27 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
