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  5. RAJ KHAMBHATI, M.D., P.A.

RAJ KHAMBHATI, M.D., P.A.

Company Details

Entity Name: RAJ KHAMBHATI, M.D., P.A.
Jurisdiction: FLORIDA
Filing Type: Florida Profit Corporation
Status: Active
Date Filed: 05 Nov 1990 (34 years ago)
Document Number: S11204
FEI/EIN Number 65-0226425
Address: 2135 SOUTH CONGRESS AVENUE, SUITE 3A, WEST PALM BEACH, FL 33406
Mail Address: 2135 SOUTH CONGRESS AVENUE, SUITE 3A, WEST PALM BEACH, FL 33406
ZIP code: 33406
County: Palm Beach
Place of Formation: FLORIDA

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
RAJ KHAMBHATI, M.D., P.A. RETIREMENT TRUST 2023 650226425 2024-07-10 RAJ KHAMBHATI, M.D., P.A. 2
File View Page
Three-digit plan number (PN) 004
Effective date of plan 2020-04-01
Business code 541600
Sponsor’s telephone number 5616420307
Plan sponsor’s address 2135 SOUTH CONGRESS AVENUE, SUITE 3A, PALM SPRINGS, FL, 33406

Signature of
Role Plan administrator
Date 2024-07-10
Name of individual signing PLAN SPONSOR
Valid signature Filed with authorized/valid electronic signature
RAJ KHAMBHATI, M.D., P.A. RETIREMENT TRUST 2022 650226425 2023-07-20 RAJ KHAMBHATI, M.D., P.A. 2
File View Page
Three-digit plan number (PN) 004
Effective date of plan 2020-04-01
Business code 541600
Sponsor’s telephone number 5616420307
Plan sponsor’s address 2135 SOUTH CONGRESS AVENUE, SUITE 3A, PALM SPRINGS, FL, 33406

Signature of
Role Plan administrator
Date 2023-07-20
Name of individual signing PLAN SPONSOR
Valid signature Filed with authorized/valid electronic signature
RAJ KHAMBHATI, M.D., P.A. RETIREMENT TRUST 2021 650226425 2022-07-12 RAJ KHAMBHATI, M.D., P.A. 2
File View Page
Three-digit plan number (PN) 004
Effective date of plan 2020-04-01
Business code 541600
Sponsor’s telephone number 5616420307
Plan sponsor’s address 2135 SOUTH CONGRESS AVENUE, SUITE 3A, PALM SPRINGS, FL, 33406

Signature of
Role Plan administrator
Date 2022-07-12
Name of individual signing PLAN SPONSOR
Valid signature Filed with authorized/valid electronic signature
RAJ KHAMBHATI, M.D., P.A. RETIREMENT TRUST 2020 650226425 2021-06-29 RAJ KHAMBHATI, M.D., P.A. 0
File View Page
Three-digit plan number (PN) 004
Effective date of plan 2020-04-01
Business code 541600
Sponsor’s telephone number 5616420307
Plan sponsor’s address 2135 SOUTH CONGRESS AVENUE, SUITE 3A, PALM SPRINGS, FL, 33406

Signature of
Role Plan administrator
Date 2021-06-29
Name of individual signing PLAN SPONSOR
Valid signature Filed with authorized/valid electronic signature
RAJ KHAMBHATI, M.D., P.A. DEFINED BENEFIT PLAN 2019 650226425 2020-10-09 RAJ KHAMBHATI, M.D., P.A. 4
File View Page
Three-digit plan number (PN) 003
Effective date of plan 2007-01-01
Business code 621111
Sponsor’s telephone number 5616429615
Plan sponsor’s address 2135 S CONGRESS AVE., SUITE 3A, WEST PALM BEACH, FL, 33406

Signature of
Role Plan administrator
Date 2020-10-09
Name of individual signing RAJ KHAMBHATI
Valid signature Filed with authorized/valid electronic signature
RAJ KHAMBHATI, M.D., P.A. DEFINED BENEFIT PLAN 2018 650226425 2019-06-06 RAJ KHAMBHATI, M.D., P.A. 3
File View Page
Three-digit plan number (PN) 003
Effective date of plan 2007-01-01
Business code 621111
Sponsor’s telephone number 5616429615
Plan sponsor’s address 2135 S CONGRESS AVE., SUITE 3A, WEST PALM BEACH, FL, 33406

Signature of
Role Plan administrator
Date 2019-06-06
Name of individual signing RAJ KHAMBHATI
Valid signature Filed with authorized/valid electronic signature
RAJ KHAMBHATI, M.D., P.A. DEFINED BENEFIT PLAN 2017 650226425 2018-06-25 RAJ KHAMBHATI, M.D., P.A. 4
File View Page
Three-digit plan number (PN) 003
Effective date of plan 2007-01-01
Business code 621111
Sponsor’s telephone number 5616429615
Plan sponsor’s address 2135 S CONGRESS AVE., SUITE 3A, WEST PALM BEACH, FL, 33406

Signature of
Role Plan administrator
Date 2018-06-25
Name of individual signing RAJ KHAMBHATI
Valid signature Filed with authorized/valid electronic signature
RAJ KHAMBHATI, M.D., P.A. DEFINED BENEFIT PLAN 2016 650226425 2017-09-13 RAJ KHAMBHATI, M.D., P.A. 4
File View Page
Three-digit plan number (PN) 003
Effective date of plan 2007-01-01
Business code 621111
Sponsor’s telephone number 5616429615
Plan sponsor’s address 2135 S CONGRESS AVE., SUITE 3A, WEST PALM BEACH, FL, 33406

Signature of
Role Plan administrator
Date 2017-09-13
Name of individual signing RAJ KHAMBHATI
Valid signature Filed with authorized/valid electronic signature
RAJ KHAMBHATI, M.D., P.A. DEFINED BENEFIT PLAN 2015 650226425 2016-08-05 RAJ KHAMBHATI, M.D., P.A. 2
File View Page
Three-digit plan number (PN) 003
Effective date of plan 2007-01-01
Business code 621111
Sponsor’s telephone number 5616429615
Plan sponsor’s address 2135 S CONGRESS AVE., SUITE 3A, WEST PALM BEACH, FL, 33406

Signature of
Role Plan administrator
Date 2016-08-05
Name of individual signing RAJ KHAMBHATI
Valid signature Filed with authorized/valid electronic signature
RAJ KHAMBHATI, M.D., P.A. DEFINED BENEFIT PLAN 2014 650226425 2015-10-02 RAJ KHAMBHATI, M.D., P.A. 3
File View Page
Three-digit plan number (PN) 003
Effective date of plan 2007-01-01
Business code 621111
Sponsor’s telephone number 5616429615
Plan sponsor’s address 2135 S CONGRESS AVE., SUITE 3A, WEST PALM BEACH, FL, 33406

Signature of
Role Plan administrator
Date 2015-10-02
Name of individual signing RAJ KHAMBHATI
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
KHAMBHATI, RAJ Agent 2135 SOUTH CONGRESS AVENUE, SUITE 3A, WEST PALM BEACH, FL 33406

Director

Name Role Address
KHAMBHATI, RAJ Director 2135 S. CONGRESS AVE., SUITE 3A, WEST PALM BCH, FL 33406

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2007-04-22 2135 SOUTH CONGRESS AVENUE, SUITE 3A, WEST PALM BEACH, FL 33406 No data
CHANGE OF MAILING ADDRESS 2007-04-22 2135 SOUTH CONGRESS AVENUE, SUITE 3A, WEST PALM BEACH, FL 33406 No data
REGISTERED AGENT ADDRESS CHANGED 2007-04-22 2135 SOUTH CONGRESS AVENUE, SUITE 3A, WEST PALM BEACH, FL 33406 No data

Documents

Name Date
ANNUAL REPORT 2024-02-09
ANNUAL REPORT 2023-03-09
ANNUAL REPORT 2022-02-09
ANNUAL REPORT 2021-03-18
ANNUAL REPORT 2020-03-23
ANNUAL REPORT 2019-02-08
ANNUAL REPORT 2018-03-17
ANNUAL REPORT 2017-03-25
ANNUAL REPORT 2016-04-03
ANNUAL REPORT 2015-03-24

Related by officers

KHAMBHATI, RAJ

KHAMBHATI INVESTMENTS, INC. KHAMBHATI FAMILY LIMITED PARTNERSHIP

Related by address

No related companies by address

Date of last update: 03 Feb 2025

Sources: Florida Department of State

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