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  5. JEFFREY S. GORODETSKY, M.D., P.A.

JEFFREY S. GORODETSKY, M.D., P.A.

Company Details

Entity Name: JEFFREY S. GORODETSKY, M.D., P.A.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Inactive
Date Filed: 24 Jun 1991 (34 years ago)
Document Number: S61538
FEI/EIN Number 650268134
Address: 633 E 5TH ST, STUART, FL, 34994, US
Mail Address: 633 E 5TH ST, STUART, FL, 34994, US
ZIP code: 34994
County: Martin
Place of Formation: FLORIDA

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
JEFFREY S. GORODETSKY, M.D., P.A., 401(K) PROFIT SHARING PLAN 2015 550907821 2016-02-17 JEFFREY S. GORODETSKY, M.D., P.A. 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-01-01
Business code 621111
Sponsor’s telephone number 7722234504
Plan sponsor’s address P.O. BOX 2333, STUART, FL, 34995

Signature of
Role Plan administrator
Date 2016-02-17
Name of individual signing JEFFREY GORODETSKY
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2016-02-17
Name of individual signing JEFFREY GORODETSKY
Valid signature Filed with authorized/valid electronic signature
JEFFREY S. GORODETSKY, M.D., P.A., 401(K) PROFIT SHARING PLAN 2014 550907821 2015-05-08 JEFFREY S. GORODETSKY, M.D., P.A. 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-01-01
Business code 621111
Sponsor’s telephone number 7722234504
Plan sponsor’s address 433 EAST OCEAN BOULEVARD, STUART, FL, 349942573

Signature of
Role Plan administrator
Date 2015-05-08
Name of individual signing JEFFREY GORODETSKY
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2015-05-08
Name of individual signing JEFFREY GORODETSKY
Valid signature Filed with authorized/valid electronic signature
JEFFREY S. GORODETSKY, M.D., P.A., 401(K) PROFIT SHARING PLAN 2013 550907821 2014-04-24 JEFFREY S. GORODETSKY, M.D., P.A. 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-01-01
Business code 621111
Sponsor’s telephone number 7722234504
Plan sponsor’s address 433 EAST OCEAN BOULEVARD, STUART, FL, 349942573

Signature of
Role Plan administrator
Date 2014-04-24
Name of individual signing JEFFREY GORODETSKY
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2014-04-24
Name of individual signing JEFFREY GORODETSKY
Valid signature Filed with authorized/valid electronic signature
JEFFREY S. GORODETSKY, M.D., P.A., 401(K) PROFIT SHARING PLAN 2012 550907821 2013-07-10 JEFFREY S. GORODETSKY, M.D., P.A. 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-01-01
Business code 621111
Sponsor’s telephone number 7722234504
Plan sponsor’s address 433 EAST OCEAN BOULEVARD, STUART, FL, 349942573

Signature of
Role Plan administrator
Date 2013-07-10
Name of individual signing JEFFREY GORODETSKY
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2013-07-10
Name of individual signing JEFFREY GORODETSKY
Valid signature Filed with authorized/valid electronic signature
JEFFREY S. GORODETSKY, M.D., P.A., 401(K) PROFIT SHARING PLAN 2011 550907821 2012-03-21 JEFFREY S. GORODETSKY, M.D., P.A. 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-01-01
Business code 621111
Sponsor’s telephone number 7722234504
Plan sponsor’s address 433 EAST OCEAN BOULEVARD, STUART, FL, 349942573

Plan administrator’s name and address
Administrator’s EIN 550907821
Plan administrator’s name JEFFREY S. GORODETSKY, M.D., P.A.
Plan administrator’s address 433 EAST OCEAN BOULEVARD, STUART, FL, 349942573
Administrator’s telephone number 7722234504

Signature of
Role Plan administrator
Date 2012-03-21
Name of individual signing JEFFREY GORODETSKY
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2012-03-21
Name of individual signing JEFFREY GORODETSKY
Valid signature Filed with authorized/valid electronic signature
JEFFREY S. GORODETSKY, M.D., P.A., 401(K) PROFIT SHARING PLAN 2010 550907821 2011-08-30 JEFFREY S. GORODETSKY, M.D., P.A. 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-01-01
Business code 621111
Sponsor’s telephone number 7722234504
Plan sponsor’s address 433 EAST OCEAN BOULEVARD, STUART, FL, 349942573

Plan administrator’s name and address
Administrator’s EIN 550907821
Plan administrator’s name JEFFREY S. GORODETSKY, M.D., P.A.
Plan administrator’s address 433 EAST OCEAN BOULEVARD, STUART, FL, 349942573
Administrator’s telephone number 7722234504

Signature of
Role Plan administrator
Date 2011-08-30
Name of individual signing JEFFREY GORODETSKY
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2011-08-30
Name of individual signing JEFFREY GORODETSKY
Valid signature Filed with authorized/valid electronic signature
JEFFREY S. GORODETSKY, M.D., P.A., 401(K) PROFIT SHARING PLAN 2009 550907821 2010-07-14 JEFFREY S. GORODETSKY, M.D., P.A. 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-01-01
Business code 621111
Sponsor’s telephone number 7722234504
Plan sponsor’s address 433 EAST OCEAN BOULEVARD, STUART, FL, 349942573

Plan administrator’s name and address
Administrator’s EIN 550907821
Plan administrator’s name JEFFREY S. GORODETSKY, M.D., P.A.
Plan administrator’s address 433 EAST OCEAN BOULEVARD, STUART, FL, 349942573
Administrator’s telephone number 7722234504

Signature of
Role Plan administrator
Date 2010-07-14
Name of individual signing JEFFREY S GORODETSKY
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2010-07-14
Name of individual signing JEFFREY S GORODETSKY
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
GORODETSKY, JEFFREY S. Agent 633 E 5TH ST, STUART, FL, 34994

Director

Name Role Address
GORODETSKY, JEFFREY S. Director 633E. 5TH ST., STUART, FL

Vice President

Name Role Address
GORODETSKY, JEFFREY S. Vice President 633E. 5TH ST., STUART, FL

Secretary

Name Role Address
GORODETSKY, JEFFREY S. Secretary 633E. 5TH ST., STUART, FL

Treasurer

Name Role Address
GORODETSKY, JEFFREY S. Treasurer 633E. 5TH ST., STUART, FL

Events

Event Type Filed Date Value Description
ADMIN DISSOLUTION FOR ANNUAL REPORT 1997-09-26 No data No data

Related by officers

No related officers

Related by address

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Date of last update: 03 Feb 2025

Sources: Florida Department of State

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