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  5. DAVID A. ZABROCKI, D.D.S., P.A.

DAVID A. ZABROCKI, D.D.S., P.A.

Company Details

Entity Name: DAVID A. ZABROCKI, D.D.S., P.A.
Jurisdiction: FLORIDA
Filing Type: Florida Profit Corporation
Status: Inactive
Date Filed: 10 Feb 1975 (50 years ago)
Date of dissolution: 24 Jun 2016 (9 years ago)
Last Event: VOLUNTARY DISSOLUTION
Event Date Filed: 24 Jun 2016 (9 years ago)
Document Number: 469228
FEI/EIN Number 59-1570007
Address: 2220 Windsong Ct., #1, Safety Harbor, FL 34695
Mail Address: 2220 windsong Ct., Safety Harbor, FL 34695
ZIP code: 34695
County: Pinellas
Place of Formation: FLORIDA

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
DAVID A. ZABROCKI, DDS, PA DB PENSION PLAN AND TRUST 2015 591570007 2016-08-11 DAVID A. ZABROCKI, D.D.S., P.A. 1
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2006-01-01
Business code 621210
Sponsor’s telephone number 7277095606
Plan sponsor’s address 2220 WINDSONG COURT, SAFETY HARBOR, FL, 34695

Signature of
Role Plan administrator
Date 2016-08-11
Name of individual signing DAVID A. ZABROCKI
Valid signature Filed with authorized/valid electronic signature
DAVID A. ZABROCKI, DDS, PA DB PENSION PLAN AND TRUST 2014 591570007 2015-06-15 DAVID A. ZABROCKI, D.D.S., P.A. 1
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2006-01-01
Business code 621210
Sponsor’s telephone number 7277095606
Plan sponsor’s address 2220 WINDSONG COURT, SAFETY HARBOR, FL, 34695

Signature of
Role Plan administrator
Date 2015-06-15
Name of individual signing DAVID A. ZABROCKI
Valid signature Filed with authorized/valid electronic signature
DAVID A. ZABROCKI, DDS, PA DB PENSION PLAN AND TRUST 2013 591570007 2014-07-14 DAVID A. ZABROCKI, D.D.S., P.A. 1
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2006-01-01
Business code 621210
Sponsor’s telephone number 7277095606
Plan sponsor’s address 2220 WINDSONG COURT, SAFETY HARBOR, FL, 34695

Signature of
Role Plan administrator
Date 2014-07-14
Name of individual signing DAVID A. ZABROCKI
Valid signature Filed with authorized/valid electronic signature
DAVID A. ZABROCKI, DDS, PA DB PENSION PLAN AND TRUST 2012 591570007 2013-08-08 DAVID A. ZABROCKI, D.D.S., P.A. 5
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2006-01-01
Business code 621210
Sponsor’s telephone number 7277095606
Plan sponsor’s address 2220 WINDSONG COURT, SAFETY HARBOR, FL, 34695

Signature of
Role Plan administrator
Date 2013-08-08
Name of individual signing DAVID A. ZABROCKI
Valid signature Filed with authorized/valid electronic signature
DAVID A. ZABROCKI, D.D.S., P.A. DEFINED BENEFIT PENSION PLAN AND TRUST 2011 591570007 2012-03-30 DAVID A. ZABROCKI, D.D.S., P.A. 7
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2006-01-01
Business code 621210
Sponsor’s telephone number 7275855675
Plan sponsor’s address 1601 EAST BAY DRIVE, #1, LARGO, FL, 33771

Plan administrator’s name and address
Administrator’s EIN 591570007
Plan administrator’s name DAVID A. ZABROCKI, D.D.S., P.A.
Plan administrator’s address 1601 EAST BAY DRIVE, #1, LARGO, FL, 33771
Administrator’s telephone number 7275855675

Signature of
Role Plan administrator
Date 2012-03-30
Name of individual signing MENDY MCKENDRY
Valid signature Filed with authorized/valid electronic signature
DAVID A. ZABROCKI, D.D.S., P.A. DEFNED BENEFIT PENSION PLAN AND TRUST 2010 591570007 2011-10-17 DAVID A. ZABROCKI, D.D.S., P.A. 7
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2006-01-01
Business code 621210
Sponsor’s telephone number 7275855675
Plan sponsor’s address 1601 EAST BAY DRIVE, #1, LARGO, FL, 33771

Plan administrator’s name and address
Administrator’s EIN 591570007
Plan administrator’s name DAVID A. ZABROCKI, D.D.S., P.A.
Plan administrator’s address 1601 EAST BAY DRIVE, #1, LARGO, FL, 33771
Administrator’s telephone number 7275855675

Signature of
Role Plan administrator
Date 2011-10-17
Name of individual signing MENDY MCKENDRY
Valid signature Filed with authorized/valid electronic signature
DAVID A. ZABROCKI, DDS, PA DB PENSION PLAN AND TRUST 2009 591570007 2010-10-15 DAVID A. ZABROCKI, D.D.S., P.A. 7
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2006-01-01
Business code 621210
Sponsor’s telephone number 7275855675
Plan sponsor’s address 1601 EAST BAY DRIVE, #1, LARGO, FL, 33771

Plan administrator’s name and address
Administrator’s EIN 591570007
Plan administrator’s name DAVID A. ZABROCKI, D.D.S., P.A.
Plan administrator’s address 1601 EAST BAY DRIVE, #1, LARGO, FL, 33771
Administrator’s telephone number 7275855675

Signature of
Role Plan administrator
Date 2010-10-15
Name of individual signing MENDY MCKENDRY
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
ZABROCKI, DAVID A Agent 2220 Windsong Ct., Safety Harbor, FL 34695

President

Name Role Address
ZABROCKI, DAVID AD.D.S. President 2220 WINDSONG COURT, SAFETY HARBOR, FL 34695

Secretary

Name Role Address
ZABROCKI, DAVID AD.D.S. Secretary 2220 WINDSONG COURT, SAFETY HARBOR, FL 34695

Treasurer

Name Role Address
ZABROCKI, DAVID AD.D.S. Treasurer 2220 WINDSONG COURT, SAFETY HARBOR, FL 34695

Director

Name Role Address
ZABROCKI, DAVID AD.D.S. Director 2220 WINDSONG COURT, SAFETY HARBOR, FL 34695

Events

Event Type Filed Date Value Description
VOLUNTARY DISSOLUTION 2016-06-24 No data No data
CHANGE OF PRINCIPAL ADDRESS 2013-03-25 2220 Windsong Ct., #1, Safety Harbor, FL 34695 No data
CHANGE OF MAILING ADDRESS 2013-03-25 2220 Windsong Ct., #1, Safety Harbor, FL 34695 No data
REGISTERED AGENT ADDRESS CHANGED 2013-03-25 2220 Windsong Ct., Safety Harbor, FL 34695 No data
REGISTERED AGENT NAME CHANGED 2011-02-02 ZABROCKI, DAVID A No data

Documents

Name Date
Voluntary Dissolution 2016-06-24
ANNUAL REPORT 2015-01-21
ANNUAL REPORT 2014-02-25
ANNUAL REPORT 2013-03-25
ANNUAL REPORT 2012-02-13
ANNUAL REPORT 2011-02-02
ANNUAL REPORT 2010-04-21
ANNUAL REPORT 2009-04-14
ANNUAL REPORT 2008-04-23
ANNUAL REPORT 2007-04-10

Related by officers

No related officers

Related by address

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Date of last update: 06 Feb 2025

Sources: Florida Department of State

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