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ANDRES R. VILLAR, M.D.,P.A.

Company Details

Entity Name: ANDRES R. VILLAR, M.D.,P.A.
Jurisdiction: FLORIDA
Filing Type: Florida Profit Corporation
Status: Active
Date Filed: 16 Apr 1992 (33 years ago)
Document Number: V29225
FEI/EIN Number 59-3116186
Address: 789 W DUVAL ST, LAKE CITY, FL 32055
Mail Address: 789 W DUVAL ST, LAKE CITY, FL 32055
ZIP code: 32055
County: Columbia
Place of Formation: FLORIDA

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
CHILDREN'S MEDICAL CENTER 401(K) PLAN 2023 593116186 2024-10-04 ANDRES R. VILLAR, M.D., P.A. 29
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2010-01-01
Business code 621111
Sponsor’s telephone number 3867555044
Plan sponsor’s address 789 W. DUVAL STREET, LAKE CITY, FL, 32055
CHILDREN'S MEDICAL CENTER 401(K) PLAN 2022 593116186 2023-09-12 ANDRES R. VILLAR, M.D., P.A. 29
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2010-01-01
Business code 621111
Sponsor’s telephone number 3867555044
Plan sponsor’s address 789 W. DUVAL STREET, LAKE CITY, FL, 32055
CHILDREN'S MEDICAL CENTER 401(K) PLAN 2021 593116186 2022-07-26 ANDRES R. VILLAR, M.D., P.A. 31
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2010-01-01
Business code 621111
Sponsor’s telephone number 3867555044
Plan sponsor’s address 789 W. DUVAL STREET, LAKE CITY, FL, 32055
CHILDREN'S MEDICAL CENTER 401(K) PLAN 2020 593116186 2021-07-27 ANDRES R. VILLAR, M.D., P.A. 29
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2010-01-01
Business code 621111
Sponsor’s telephone number 3867555044
Plan sponsor’s address 789 W. DUVAL STREET, LAKE CITY, FL, 32055
CHILDREN'S MEDICAL CENTER 401(K) PROFIT SHARING PLAN 2019 593116186 2020-07-28 ANDRES R. VILLAR, M.D., P.A. 29
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2010-01-01
Business code 621111
Sponsor’s telephone number 3867555044
Plan sponsor’s address 789 W. DUVAL STREET, LAKE CITY, FL, 32055
CHILDREN'S MEDICAL CENTER 401(K) PROFIT SHARING PLAN 2018 593116186 2019-02-08 ANDRES R. VILLAR, M.D., P.A. 31
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2010-01-01
Business code 621111
Sponsor’s telephone number 3867555044
Plan sponsor’s address 789 W. DUVAL STREET, LAKE CITY, FL, 32055

Signature of

Role Plan administrator
Date 2019-02-08
Name of individual signing SHERRY MILLER
Valid signature Filed with authorized/valid electronic signature
CHILDREN'S MEDICAL CENTER 401(K) PROFIT SHARING PLAN 2017 593116186 2018-02-27 ANDRES R. VILLAR, M.D., P.A. 32
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2010-01-01
Business code 621111
Sponsor’s telephone number 3867555044
Plan sponsor’s address 789 W. DUVAL STREET, LAKE CITY, FL, 32055

Signature of

Role Plan administrator
Date 2018-02-27
Name of individual signing SHERRY MILLER
Valid signature Filed with authorized/valid electronic signature
CHILDREN'S MEDICAL CENTER 401(K) PROFIT SHARING PLAN 2016 593116186 2017-03-02 ANDRES R. VILLAR, M.D., P.A. 34
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2010-01-01
Business code 621111
Sponsor’s telephone number 3867555044
Plan sponsor’s address 789 W. DUVAL STREET, LAKE CITY, FL, 32055

Plan administrator’s name and address

Administrator’s EIN 593116186
Plan administrator’s name ANDRES R. VILLAR, M.D., P.A.
Plan administrator’s address 871 SW STATE ROAD 47, LAKE CITY, FL, 32025
Administrator’s telephone number 3867555044

Signature of

Role Plan administrator
Date 2017-03-02
Name of individual signing SHERRY MILLER
Valid signature Filed with authorized/valid electronic signature
CHILDREN'S MEDICAL CENTER 401(K) PROFIT SHARING PLAN 2015 593116186 2016-02-10 ANDRES R. VILLAR, M.D., P.A. 34
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2010-01-01
Business code 621111
Sponsor’s telephone number 3867555044
Plan sponsor’s address 789 W. DUVAL STREET, LAKE CITY, FL, 32055

Plan administrator’s name and address

Administrator’s EIN 593116186
Plan administrator’s name ANDRES R. VILLAR, M.D., P.A.
Plan administrator’s address 871 SW STATE ROAD 47, LAKE CITY, FL, 32025
Administrator’s telephone number 3867555044

Signature of

Role Plan administrator
Date 2016-02-10
Name of individual signing SHERRY MILLER
Valid signature Filed with authorized/valid electronic signature
CHILDREN'S MEDICAL CENTER 401(K) PROFIT SHARING PLAN 2014 593116186 2015-02-27 ANDRES R. VILLAR, M.D., P.A. 29
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2010-01-01
Business code 621111
Sponsor’s telephone number 3867555044
Plan sponsor’s address 871 SW STATE ROAD 47, LAKE CITY, FL, 32025

Plan administrator’s name and address

Administrator’s EIN 593116186
Plan administrator’s name ANDRES R. VILLAR, M.D., P.A.
Plan administrator’s address 871 SW STATE ROAD 47, LAKE CITY, FL, 32025
Administrator’s telephone number 3867555044

Signature of

Role Plan administrator
Date 2015-02-27
Name of individual signing SHERRY MILLER
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
LEUKEL, JEFFREY M. Agent 996 NORTH TEMPLE AVE, STARKE, FL 32091

President

Name Role Address
VILLAR, ANDRES R President 789 W DUVAL ST, LAKE CITY, FL 32055

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2003-02-10 789 W DUVAL ST, LAKE CITY, FL 32055 No data
CHANGE OF MAILING ADDRESS 2003-02-10 789 W DUVAL ST, LAKE CITY, FL 32055 No data

Documents

Name Date
ANNUAL REPORT 2024-01-08
ANNUAL REPORT 2023-01-20
ANNUAL REPORT 2022-01-12
ANNUAL REPORT 2021-01-21
ANNUAL REPORT 2020-01-23
ANNUAL REPORT 2019-01-17
ANNUAL REPORT 2018-01-17
ANNUAL REPORT 2017-02-01
ANNUAL REPORT 2016-01-25
ANNUAL REPORT 2015-01-11

Date of last update: 03 Feb 2025

Sources: Florida Department of State