| Entity Name: | GERALD M. KLUFT, D.D.S., P.A. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Profit Corporation |
| Status: | Inactive |
| Date Filed: | 11 Oct 1977 (47 years ago) |
| Date of dissolution: | 27 Sep 2019 (5 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 27 Sep 2019 (5 years ago) |
| Document Number: | 548925 |
| FEI/EIN Number | 59-1771045 |
| Address: | 401 East Jackson Street, Suite 2700, TAMPA, FL 33602 |
| Mail Address: | 401 East Jackson Street, Suite 2700, TAMPA, FL 33602 |
| ZIP code: | 33602 |
| County: | Hillsborough |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1558579334 | 2007-05-18 | 2020-08-22 | 5208 E FOWLER AVE, SUITE F, TAMPA, FL, 336171906, US | 5208 E FOWLER AVE, SUITE F, TAMPA, FL, 336171906, US | |||||||||||||||||
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| Phone | +1 813-988-1103 |
Authorized person
| Name | DR. GERALD MCELROY KLUFT |
| Role | PRESIDENT |
| Phone | 8139881103 |
Taxonomy
| Taxonomy Code | 1223P0300X - Periodontist |
| License Number | 6516 |
| State | FL |
| Is Primary | Yes |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| GERALD M. KLUFT, D.D.S., P.A. PENSION PLAN | 2011 | 591771045 | 2012-07-07 | GERALD M. KLUFT, D.D.S., P.A. | 6 | |||||||||||||||||||||||||||||||
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| Administrator’s EIN | 591771045 |
| Plan administrator’s name | GERALD M. KLUFT, D.D.S., P.A. |
| Plan administrator’s address | 275 BAYSHORE BOULEVARD, UNIT 708, TAMPA, FL, 336062306 |
| Administrator’s telephone number | 8132444169 |
Signature of
| Role | Plan administrator |
| Date | 2012-07-07 |
| Name of individual signing | GERALD M. KLUFT |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 003 |
| Effective date of plan | 2007-01-01 |
| Business code | 621210 |
| Sponsor’s telephone number | 8139881103 |
| Plan sponsor’s address | 5208 E. FOWLER AVENUE, SUITE F, TAMPA, FL, 336172152 |
Plan administrator’s name and address
| Administrator’s EIN | 591771045 |
| Plan administrator’s name | GERALD M. KLUFT, D.D.S., P.A. |
| Plan administrator’s address | 5208 E. FOWLER AVENUE, SUITE F, TAMPA, FL, 336172152 |
| Administrator’s telephone number | 8139881103 |
Signature of
| Role | Plan administrator |
| Date | 2011-10-08 |
| Name of individual signing | GERALD M. KLUFT |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 003 |
| Effective date of plan | 2007-01-01 |
| Business code | 621210 |
| Sponsor’s telephone number | 8139881103 |
| Plan sponsor’s address | 5208 E. FOWLER AVENUE, SUITE F, TAMPA, FL, 336172152 |
Plan administrator’s name and address
| Administrator’s EIN | 591771045 |
| Plan administrator’s name | GERALD M. KLUFT, D.D.S., P.A. |
| Plan administrator’s address | 5208 E. FOWLER AVENUE, SUITE F, TAMPA, FL, 336172152 |
| Administrator’s telephone number | 8139881103 |
Signature of
| Role | Plan administrator |
| Date | 2010-09-29 |
| Name of individual signing | GERALD M. KLUFT |
| Valid signature | Filed with authorized/valid electronic signature |
| Name | Role | Address |
|---|---|---|
| Johnson, Robert E, Esq. | Agent | 401 East Jackson Street, Suite 2700, TAMPA, FL 33602 |
| Name | Role | Address |
|---|---|---|
| Kluft, Gerald M | President | 401 East Jackson Street, Suite 2700 TAMPA, FL 33602 |
| Name | Role | Address |
|---|---|---|
| Kluft, Gerald M | Secretary | 401 East Jackson Street, Suite 2700 TAMPA, FL 33602 |
| Name | Role | Address |
|---|---|---|
| Kluft, Gerald M | Director | 401 East Jackson Street, Suite 2700 TAMPA, FL 33602 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2019-09-27 | No data | No data |
| CHANGE OF MAILING ADDRESS | 2017-02-03 | 401 East Jackson Street, Suite 2700, TAMPA, FL 33602 | No data |
| REINSTATEMENT | 2017-02-03 | No data | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2017-02-03 | 401 East Jackson Street, Suite 2700, TAMPA, FL 33602 | No data |
| REGISTERED AGENT NAME CHANGED | 2017-02-03 | Johnson, Robert E, Esq. | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2017-02-03 | 401 East Jackson Street, Suite 2700, TAMPA, FL 33602 | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2013-09-27 | No data | No data |
| NAME CHANGE AMENDMENT | 1989-10-06 | GERALD M. KLUFT, D.D.S., P.A. | No data |
| NAME CHANGE AMENDMENT | 1985-08-01 | KLUFT & RASMUSSEN, D.D.S., P.A. | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2018-04-11 |
| REINSTATEMENT | 2017-02-03 |
| ANNUAL REPORT | 2012-01-19 |
| ANNUAL REPORT | 2011-01-04 |
| ANNUAL REPORT | 2010-01-07 |
| ANNUAL REPORT | 2009-01-13 |
| ANNUAL REPORT | 2008-07-08 |
| ANNUAL REPORT | 2007-01-23 |
| ANNUAL REPORT | 2006-03-05 |
| ANNUAL REPORT | 2005-01-21 |
Date of last update: 05 Feb 2025
Sources: Florida Department of State
