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  5. BRUCE G. JACOBS, D.D.S., P.A.

BRUCE G. JACOBS, D.D.S., P.A.

Company Details

Entity Name: BRUCE G. JACOBS, D.D.S., P.A.
Jurisdiction: FLORIDA
Filing Type: Florida Profit Corporation
Status: Inactive
Date Filed: 01 Mar 1978 (47 years ago)
Date of dissolution: 22 Sep 2023 (a year ago)
Last Event: ADMIN DISSOLUTION FOR ANNUAL REPORT
Event Date Filed: 22 Sep 2023 (a year ago)
Document Number: 566928
FEI/EIN Number 59-1799505
Address: 1708 E HALLANDALE BEACH BLVD, HALLANDALE BEACH, FL 33009
Mail Address: 1708 E HALLANDALE BEACH BLVD, HALLANDALE BEACH, FL 33009
ZIP code: 33009
County: Broward
Place of Formation: FLORIDA

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
BRUCE G. JACOBS, D. D. S, P. A. PROFIT SHARING PLAN 2017 591799505 2018-12-10 BRUCE G. JACOBS, D.D.S., P.A. 2
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1978-03-01
Business code 621210
Sponsor’s telephone number 9544563366
Plan sponsor’s address 1708 E. HALLANDALE BEACH BLVD., HALLANDALE, FL, 33009
BRUCE G. JACOBS, D. D. S. , P. A. PROFIT SHARING PLAN 2016 591799505 2017-12-15 BRUCE G. JACOBS, D.D.S., P.A. 2
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1978-03-01
Business code 621210
Sponsor’s telephone number 9544563366
Plan sponsor’s address 1708 E. HALLANDALE BEACH BLVD., HALLANDALE, FL, 33009
BRUCE G. JACOBS, D. D. S. , P. A. PROFIT SHARING PLAN 2015 591799505 2016-12-08 BRUCE G. JACOBS, D.D.S., P.A. 2
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1978-03-01
Business code 621210
Sponsor’s telephone number 9544563366
Plan sponsor’s address 1708 E. HALLANDALE BEACH BLVD., HALLANDALE, FL, 33009

Signature of
Role Plan administrator
Date 2016-12-08
Name of individual signing BRUCE G. JACOBS, D.D.S.
Valid signature Filed with authorized/valid electronic signature
BRUCE G. JACOBS, D. D. S. , P. A. PROFIT SHARING PLAN 2014 591799505 2015-12-14 BRUCE G. JACOBS, D.D.S., P.A. 2
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1978-03-01
Business code 621210
Sponsor’s telephone number 9544563366
Plan sponsor’s address 1708 E. HALLANDALE BEACH BLVD., HALLANDALE, FL, 33009

Signature of
Role Plan administrator
Date 2015-12-14
Name of individual signing BRUCE G. JACOBS, D.D.S.
Valid signature Filed with authorized/valid electronic signature
BRUCE G. JACOBS, D.D.S., P.A. PROFIT SHARING PLAN 2013 591799505 2014-11-19 BRUCE G. JACOBS, D.D.S., P.A. 2
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1978-03-01
Business code 621210
Sponsor’s telephone number 9544563366
Plan sponsor’s address 1708 E. HALLANDALE BEACH BLVD., HALLANDALE, FL, 33009

Signature of
Role Plan administrator
Date 2014-11-19
Name of individual signing BRUCE G. JACOBS, D.D.S
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2014-11-19
Name of individual signing BRUCE G. JACOBS, D.D.S.
Valid signature Filed with authorized/valid electronic signature
BRUCE G. JACOBS, D.D.S., P.A. PROFIT SHARING PLAN 2012 591799505 2013-12-13 BRUCE G. JACOBS, D.D.S., P.A. 2
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1978-03-01
Business code 621210
Sponsor’s telephone number 9544563366
Plan sponsor’s address 1708 E. HALLANDALE BEACH BLVD., HALLANDALE, FL, 33009

Signature of
Role Plan administrator
Date 2013-12-13
Name of individual signing BRUCE G. JACOBS, DDS
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2013-12-13
Name of individual signing BRUCE G. JACOBS, DDS
Valid signature Filed with authorized/valid electronic signature
BRUCE G. JACOBS, D.D.S., P.A. PROFIT SHARING PLAN 2011 591799505 2012-12-17 BRUCE G. JACOBS, D.D.S., P.A. 2
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1978-03-01
Business code 621210
Sponsor’s telephone number 9544563366
Plan sponsor’s address 1708 E. HALLANDALE BEACH BLVD., HALLANDALE, FL, 33009

Plan administrator’s name and address
Administrator’s EIN 591799505
Plan administrator’s name BRUCE G. JACOBS, D.D.S., P.A.
Plan administrator’s address 1708 E. HALLANDALE BEACH BLVD., HALLANDALE, FL, 33009
Administrator’s telephone number 9544563366

Signature of
Role Plan administrator
Date 2012-12-17
Name of individual signing BRUCE G. JACOBS, DDS
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2012-12-17
Name of individual signing BRUCE G. JACOBS, DDS
Valid signature Filed with authorized/valid electronic signature
BRUCE G. JACOBS, D.D.S., P.A. PROFIT SHARING PLAN 2010 591799505 2011-12-09 BRUCE G. JACOBS, D.D.S., P.A. 1
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1978-03-01
Business code 621210
Sponsor’s telephone number 9544563366
Plan sponsor’s address 1708 E. HALLANDALE BEACH BLVD., HALLANDALE, FL, 33009

Plan administrator’s name and address
Administrator’s EIN 591799505
Plan administrator’s name BRUCE G. JACOBS, D.D.S., P.A.
Plan administrator’s address 1708 E. HALLANDALE BEACH BLVD., HALLANDALE, FL, 33009
Administrator’s telephone number 9544563366

Signature of
Role Plan administrator
Date 2011-12-09
Name of individual signing BRUCE G. JACOBS, DDS
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2011-12-09
Name of individual signing BRUCE G. JACOBS, DDS
Valid signature Filed with authorized/valid electronic signature
BRUCE G. JACOBS, D.D.S., P.A. PROFIT SHARING PLAN 2010 591799505 2011-12-09 BRUCE G. JACOBS, D.D.S., P.A. 1
Three-digit plan number (PN) 001
Effective date of plan 1978-03-01
Business code 621210
Sponsor’s telephone number 9544563366
Plan sponsor’s address 1708 E. HALLANDALE BEACH BLVD., HALLANDALE, FL, 33009

Plan administrator’s name and address
Administrator’s EIN 591799505
Plan administrator’s name BRUCE G. JACOBS, D.D.S., P.A.
Plan administrator’s address 1708 E. HALLANDALE BEACH BLVD., HALLANDALE, FL, 33009
Administrator’s telephone number 9544563366

Signature of
Role Plan administrator
Date 2011-12-09
Name of individual signing BRUCE G. JACOBS, DDS
Valid signature Filed with incorrect/unrecognized electronic signature
Role Employer/plan sponsor
Date 2011-12-09
Name of individual signing BRUCE G. JACOBS, DDS
Valid signature Filed with incorrect/unrecognized electronic signature
BRUCE G. JACOBS, D.D.S., P.A. PROFIT SHARING PLAN 2010 591799505 2011-12-09 BRUCE G. JACOBS, D.D.S., P.A. 1
Three-digit plan number (PN) 001
Effective date of plan 1978-03-01
Business code 621210
Sponsor’s telephone number 9544563366
Plan sponsor’s address 1708 E. HALLANDALE BEACH BLVD., HALLANDALE, FL, 33009

Plan administrator’s name and address
Administrator’s EIN 591799505
Plan administrator’s name BRUCE G. JACOBS, D.D.S., P.A.
Plan administrator’s address 1708 E. HALLANDALE BEACH BLVD., HALLANDALE, FL, 33009
Administrator’s telephone number 9544563366

Signature of
Role Plan administrator
Date 2011-12-09
Name of individual signing BRUCE G. JACOBS, DDS
Valid signature Filed with incorrect/unrecognized electronic signature
Role Employer/plan sponsor
Date 2011-12-09
Name of individual signing BRUCE G. JACOBS, DDS
Valid signature Filed with incorrect/unrecognized electronic signature

Agent

Name Role Address
JACOBS, BRUCE G., D.D.S. Agent 1708 EAST HALLANDALE BEACH BOULEVARD, HALLANDALE, FL 33009

Manager

Name Role Address
Prattas, Heather Manager 1708 E HALLANDALE BEACH BLVD, HALLANDALE BEACH, FL 33009

President

Name Role Address
JACOBS, BRUCE G., D.D.S. President 1708 E. HALLANDALE BCH, HALLANDALE, FL 33009

Director

Name Role Address
JACOBS, BRUCE G., D.D.S. Director 1708 E. HALLANDALE BCH, HALLANDALE, FL 33009

Events

Event Type Filed Date Value Description
ADMIN DISSOLUTION FOR ANNUAL REPORT 2023-09-22 No data No data
REGISTERED AGENT NAME CHANGED 2019-01-30 JACOBS, BRUCE G., D.D.S. No data
REINSTATEMENT 2019-01-30 No data No data
ADMIN DISSOLUTION FOR ANNUAL REPORT 2018-09-28 No data No data
CHANGE OF PRINCIPAL ADDRESS 2010-01-06 1708 E HALLANDALE BEACH BLVD, HALLANDALE BEACH, FL 33009 No data
CHANGE OF MAILING ADDRESS 2010-01-06 1708 E HALLANDALE BEACH BLVD, HALLANDALE BEACH, FL 33009 No data
REINSTATEMENT 1999-10-20 No data No data
ADMIN DISSOLUTION FOR ANNUAL REPORT 1999-09-24 No data No data

Documents

Name Date
ANNUAL REPORT 2022-04-07
ANNUAL REPORT 2021-03-12
ANNUAL REPORT 2020-02-04
AMENDED ANNUAL REPORT 2019-02-13
REINSTATEMENT 2019-01-30
ANNUAL REPORT 2017-02-08
ANNUAL REPORT 2016-01-23
ANNUAL REPORT 2015-06-10
ANNUAL REPORT 2014-02-24
ANNUAL REPORT 2013-01-24

Related by officers

No related officers

Related by address

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Date of last update: 05 Feb 2025

Sources: Florida Department of State

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