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DOUGLAS L. BATES, P.A.

Company Details

Entity Name: DOUGLAS L. BATES, P.A.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Active
Date Filed: 25 Nov 1991 (33 years ago)
Document Number: S97062
FEI/EIN Number 650303991
Address: 77 GREENWOOD FIELDS DRIVE, ASHEVILLE, NC, 28804, US
Mail Address: 77 GREENWOOD FIELDS DRIVE, ASHEVILLE, NC, 28804, US
Place of Formation: FLORIDA

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
DOUGLAS L. BATES, P.A. 401(K) AND PROFIT SHARING PLAN 2016 650303991 2017-06-19 DOUGLAS L. BATES, P.A. 1
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2011-06-01
Business code 541110
Sponsor’s telephone number 9543707875
Plan sponsor’s address 11938 NW 82 STREET, PARKLAND, FL, 33076
DOUGLAS L. BATES, P.A. 401(K) AND PROFIT SHARING PLAN 2015 650303991 2016-06-28 DOUGLAS L. BATES, P.A. 1
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2011-06-01
Business code 541110
Sponsor’s telephone number 9543707875
Plan sponsor’s address 11938 NW 82 STREET, PARKLAND, FL, 33076
DOUGLAS L. BATES, P.A. 401(K) AND PROFIT SHARING PLAN 2014 650303991 2015-06-12 DOUGLAS L. BATES, P.A. 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2011-06-01
Business code 541110
Sponsor’s telephone number 9543707875
Plan sponsor’s address 817 SOUTH UNIVERSITY DRIVE, SUITE 100, PLANTATION, FL, 33324

Signature of

Role Plan administrator
Date 2015-06-12
Name of individual signing LESLIE BATES
Valid signature Filed with authorized/valid electronic signature
DOUGLAS L. BATES, P.A. 401(K) AND PROFIT SHARING PLAN 2013 650303991 2014-07-24 DOUGLAS L. BATES, P.A. 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2011-06-01
Business code 541110
Sponsor’s telephone number 9543707875
Plan sponsor’s address 817 SOUTH UNIVERSITY DRIVE, SUITE 100, PLANTATION, FL, 33324

Signature of

Role Plan administrator
Date 2014-07-24
Name of individual signing LESLIE BATES
Valid signature Filed with authorized/valid electronic signature
DOUGLAS L. BATES, P.A. 401(K) AND PROFIT SHARING PLAN 2012 650303991 2013-09-13 DOUGLAS L. BATES, P.A. 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2011-06-01
Business code 541110
Sponsor’s telephone number 9543707875
Plan sponsor’s address 817 SOUTH UNIVERSITY DRIVE, SUITE 100, PLANTATION, FL, 33324

Signature of

Role Plan administrator
Date 2013-09-13
Name of individual signing DOUGLAS L. BATES
Valid signature Filed with authorized/valid electronic signature
DOUGLAS L. BATES, P.A. 401(K) AND PROFIT SHARING PLAN 2011 650303991 2012-10-03 DOUGLAS L. BATES, P.A. 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2011-06-01
Business code 541110
Sponsor’s telephone number 9543707875
Plan sponsor’s address 817 SOUTH UNIVERSITY DRIVE, SUITE 100, PLANTATION, FL, 33324

Plan administrator’s name and address

Administrator’s EIN 650303991
Plan administrator’s name DOUGLAS L. BATES, P.A.
Plan administrator’s address 817 SOUTH UNIVERSITY DRIVE, SUITE 100, PLANTATION, FL, 33324
Administrator’s telephone number 9543707875

Signature of

Role Plan administrator
Date 2012-10-03
Name of individual signing KATHI IOSSA
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role
TERESA A. SIBERIO, CPA, PLLC Agent

President

Name Role Address
BATES DOUGLAS L President 77 GREENWOOD FIELDS DRIVE, ASHEVILLE, NC, 28804

Vice President

Name Role Address
BATES LESLIE Vice President 77 GREENWOOD FIELDS DRIVE, ASHEVILLE, NC, 28804

Date of last update: 01 Jan 2025

Sources: Florida Department of State