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  5. THOMAS F. BENDOWSKI, M.D., P.A.

THOMAS F. BENDOWSKI, M.D., P.A.

Company Details

Entity Name: THOMAS F. BENDOWSKI, M.D., P.A.
Jurisdiction: FLORIDA
Filing Type: Florida Profit Corporation
Status: Active
Date Filed: 08 Sep 1992 (32 years ago)
Document Number: V62748
FEI/EIN Number 59-3152576
Address: 6480 W GULF TO LAKE HWY, CRYSTAL RIVER, FL 34429
Mail Address: PO BOX 637, CRYSTAL RIVER, FL 34423
ZIP code: 34429
County: Citrus
Place of Formation: FLORIDA

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
THOMAS F. BENDOWSKI, M.D., P.A. 401K PROFIT SHARING PLAN 2020 593152576 2021-11-04 THOMAS F. BENDOWSKI, M.D., P.A. 3
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2006-01-01
Business code 621111
Sponsor’s telephone number 3527954422
Plan sponsor’s address P.O. BOX 637, CRYSTAL RIVER, FL, 34423
THOMAS F. BENDOWSKI, M.D., P.A. 401K PROFIT SHARING PLAN 2020 593152576 2021-07-30 THOMAS F. BENDOWSKI, M.D., P.A. 3
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2006-01-01
Business code 621111
Sponsor’s telephone number 3527954422
Plan sponsor’s address P.O. BOX 637, CRYSTAL RIVER, FL, 34423
THOMAS F. BENDOWSKI, M.D., P.A. 401K PROFIT SHARING PLAN 2019 593152576 2020-07-29 THOMAS F. BENDOWSKI, M.D., P.A. 3
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2006-01-01
Business code 621111
Sponsor’s telephone number 3527954422
Plan sponsor’s address P.O. BOX 637, CRYSTAL RIVER, FL, 34423
THOMAS F. BENDOWSKI, M.D., P.A. 401K PROFIT SHARING PLAN 2018 593152576 2019-06-07 THOMAS F. BENDOWSKI, M.D., P.A. 3
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2006-01-01
Business code 621111
Sponsor’s telephone number 3527954422
Plan sponsor’s address P.O. BOX 637, CRYSTAL RIVER, FL, 34423
THOMAS F. BENDOWSKI, M.D., P.A. 401K PROFIT SHARING PLAN 2017 593152576 2018-05-17 THOMAS F. BENDOWSKI, M.D., P.A. 3
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2006-01-01
Business code 621111
Sponsor’s telephone number 3527954422
Plan sponsor’s address P.O. BOX 637, CRYSTAL RIVER, FL, 34423
THOMAS F. BENDOWSKI, M.D., P.A. 401K PROFIT SHARING PLAN 2016 593152576 2017-10-12 THOMAS F. BENDOWSKI, M.D., P.A. 3
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2006-01-01
Business code 621111
Sponsor’s telephone number 3527954422
Plan sponsor’s address P.O. BOX 637, CRYSTAL RIVER, FL, 34423
THOMAS F. BENDOWSKI, M.D., P.A. 401K PROFIT SHARING PLAN 2015 593152576 2016-08-04 THOMAS F. BENDOWSKI, M.D., P.A. 4
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2006-01-01
Business code 621111
Sponsor’s telephone number 3527954422
Plan sponsor’s address P.O. BOX 637, CRYSTAL RIVER, FL, 34423

Plan administrator’s name and address
Administrator’s EIN 593152576
Plan administrator’s name THOMAS F. BENDOWSKI, M.D., P.A.
Plan administrator’s address P.O. BOX 637, CRYSTAL RIVER, FL, 34423
Administrator’s telephone number 3527954422

Signature of
Role Plan administrator
Date 2016-08-04
Name of individual signing THOMAS BENDOWSKI
Valid signature Filed with authorized/valid electronic signature
THOMAS F. BENDOWSKI, M.D., P.A. 401K PROFIT SHARING PLAN 2014 593152576 2015-09-09 THOMAS F. BENDOWSKI, M.D., P.A. 5
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2006-01-01
Business code 621111
Sponsor’s telephone number 3527954422
Plan sponsor’s address P.O. BOX 637, CRYSTAL RIVER, FL, 34423

Plan administrator’s name and address
Administrator’s EIN 593152576
Plan administrator’s name THOMAS F. BENDOWSKI, M.D., P.A.
Plan administrator’s address P.O. BOX 637, CRYSTAL RIVER, FL, 34423
Administrator’s telephone number 3527954422

Signature of
Role Plan administrator
Date 2015-09-09
Name of individual signing THOMAS BENDOWSKI
Valid signature Filed with authorized/valid electronic signature
THOMAS F. BENDOWSKI, M.D., P.A. 401K PROFIT SHARING PLAN 2013 593152576 2014-04-21 THOMAS F. BENDOWSKI, M.D., P.A. 6
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2006-01-01
Business code 621111
Sponsor’s telephone number 3527954422
Plan sponsor’s address P.O. BOX 637, CRYSTAL RIVER, FL, 34423

Plan administrator’s name and address
Administrator’s EIN 593152576
Plan administrator’s name THOMAS F. BENDOWSKI, M.D., P.A.
Plan administrator’s address P.O. BOX 637, CRYSTAL RIVER, FL, 34423
Administrator’s telephone number 3527954422

Signature of
Role Plan administrator
Date 2014-04-21
Name of individual signing THOMAS BENDOWSKI
Valid signature Filed with authorized/valid electronic signature
THOMAS F. BENDOWSKI, M.D., P.A. 401K PROFIT SHARING PLAN 2012 593152576 2013-07-26 THOMAS F. BENDOWSKI, M.D., P.A. 6
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2006-01-01
Business code 621111
Sponsor’s telephone number 3527954422
Plan sponsor’s address P.O. BOX 637, CRYSTAL RIVER, FL, 34423

Plan administrator’s name and address
Administrator’s EIN 593152576
Plan administrator’s name THOMAS F. BENDOWSKI, M.D., P.A.
Plan administrator’s address P.O. BOX 637, CRYSTAL RIVER, FL, 34423
Administrator’s telephone number 3527954422

Signature of
Role Plan administrator
Date 2013-07-26
Name of individual signing THOMAS BENDOWSKI
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
BENDOWSKI, THOMAS F. Agent 6480 W. GULF LAKE HWY, CRYSTAL RIVER, FL 34429

Director

Name Role Address
Bendowski, Thomas F, Dr. Director P.O. BOX 637, CRYSTAL RIVER, FL 34423

Vice President

Name Role Address
BENDOWSKI, LYNETTE S Vice President P.O. BOX 637, CRYSTAL RIVER, FL 34423

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G95006000040 GULF TO LAKE ORTHOPEDICS ACTIVE 1995-01-06 2025-12-31 No data P.O. BOX 637, CRYSTAL RIVER, FL, 34423

Events

Event Type Filed Date Value Description
REGISTERED AGENT ADDRESS CHANGED 2002-04-21 6480 W. GULF LAKE HWY, CRYSTAL RIVER, FL 34429 No data
CHANGE OF PRINCIPAL ADDRESS 1995-02-08 6480 W GULF TO LAKE HWY, CRYSTAL RIVER, FL 34429 No data
CHANGE OF MAILING ADDRESS 1995-02-08 6480 W GULF TO LAKE HWY, CRYSTAL RIVER, FL 34429 No data

Documents

Name Date
ANNUAL REPORT 2024-04-24
ANNUAL REPORT 2023-04-27
ANNUAL REPORT 2022-04-27
ANNUAL REPORT 2021-02-10
ANNUAL REPORT 2020-01-22
ANNUAL REPORT 2019-02-28
ANNUAL REPORT 2018-01-25
ANNUAL REPORT 2017-01-11
ANNUAL REPORT 2016-01-29
ANNUAL REPORT 2015-02-10

Related by officers

No related officers

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Date of last update: 03 Feb 2025

Sources: Florida Department of State

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