| Entity Name: | SCOTT D. TANNENBAUM, M.D., P.A. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Profit Corporation |
| Status: | Active |
| Date Filed: | 07 Oct 1991 (33 years ago) |
| Document Number: | S85546 |
| FEI/EIN Number | 65-0294047 |
| Address: | 4399 NOB HILL ROAD, SUNRISE, FL 33351 |
| Mail Address: | 2572 MAYFAIR LANE, WESTON, FL 33327 |
| ZIP code: | 33351 |
| County: | Broward |
| Place of Formation: | FLORIDA |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| SCOTT D. TANNENBAUM, M.D., P.A. 401(K) PROFIT SHARING PLAN & TRUST | 2023 | 650294047 | 2024-08-15 | SCOTT D. TANNENBAUM, M.D., P.A. | 8 | |||||||||||||||||||||||
|
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| Role | Plan administrator |
| Date | 2024-08-15 |
| Name of individual signing | LESLIE DRAPER |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2016-01-01 |
| Business code | 812990 |
| Sponsor’s telephone number | 9457461338 |
| Plan sponsor’s address | 4399 NOB HILL ROAD, SUNRISE, FL, 33351 |
Signature of
| Role | Plan administrator |
| Date | 2024-08-15 |
| Name of individual signing | LESLIE DRAPER |
| Valid signature | Filed with authorized/valid electronic signature |
| Name | Role |
|---|---|
| FILINGS, INC. | Agent |
| Name | Role | Address |
|---|---|---|
| TANNENBAUM, SCOTT D | Founder | 2572 MAYFAIR LANE, WESTON, FL 33327 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF MAILING ADDRESS | 2001-03-27 | 4399 NOB HILL ROAD, SUNRISE, FL 33351 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 1996-05-01 | 4399 NOB HILL ROAD, SUNRISE, FL 33351 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-03-05 |
| ANNUAL REPORT | 2023-02-10 |
| ANNUAL REPORT | 2022-04-05 |
| ANNUAL REPORT | 2021-02-05 |
| ANNUAL REPORT | 2020-02-18 |
| ANNUAL REPORT | 2019-04-16 |
| ANNUAL REPORT | 2018-03-29 |
| ANNUAL REPORT | 2017-03-21 |
| ANNUAL REPORT | 2016-02-16 |
| ANNUAL REPORT | 2015-06-10 |
Date of last update: 03 Feb 2025
Sources: Florida Department of State
