| Entity Name: | THOMAS L. KLECHAK, D.D.S., P.A. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Profit Corporation |
| Status: | Inactive |
| Date Filed: | 31 Dec 1973 (51 years ago) |
| Date of dissolution: | 04 Feb 2013 (12 years ago) |
| Last Event: | VOLUNTARY DISSOLUTION |
| Event Date Filed: | 04 Feb 2013 (12 years ago) |
| Document Number: | 604894 |
| FEI/EIN Number | 59-1498150 |
| Address: | 943 CESERY BLVD., BLDG E, JACKSONVILLE, FL 32211 |
| Mail Address: | 943 CESERY BLVD., BLDG E, JACKSONVILLE, FL 32211 |
| ZIP code: | 32211 |
| County: | Duval |
| Place of Formation: | FLORIDA |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| THOMAS L. KLECHAK, D.D.S., P.A. PROFIT SHARING PLAN & TRUST | 2009 | 591498150 | 2010-05-18 | THOMAS L. KLECHAK, D.D.S., P.A. | 5 | |||||||||||||||||||||||||||||||
|
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| Administrator’s EIN | 591498150 |
| Plan administrator’s name | THOMAS L. KLECHAK, D.D.S., P.A. |
| Plan administrator’s address | 943 CESERY BOULEVARD, JACKSONVILLE, FL, 32211 |
| Administrator’s telephone number | 9049431100 |
Signature of
| Role | Plan administrator |
| Date | 2010-05-18 |
| Name of individual signing | THOMAS L. KLECHAK, D.D.S., P.A. |
| Valid signature | Filed with authorized/valid electronic signature |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 1976-01-01 |
| Business code | 621210 |
| Sponsor’s telephone number | 9049431100 |
| Plan sponsor’s address | 943 CESERY BOULEVARD, JACKSONVILLE, FL, 32211 |
Plan administrator’s name and address
| Administrator’s EIN | 591498150 |
| Plan administrator’s name | THOMAS L. KLECHAK, D.D.S., P.A. |
| Plan administrator’s address | 943 CESERY BOULEVARD, JACKSONVILLE, FL, 32211 |
| Administrator’s telephone number | 9049431100 |
| Name | Role | Address |
|---|---|---|
| KLECHAK, THOMAS L | Agent | 943 CESERY BLVD, BLDG E, JACKSONVILLE, FL 32211 |
| Name | Role | Address |
|---|---|---|
| KLECHAK, THOMAS L | President | 943 CESERY BLVD., JACKSONVILLE, FL 32211 |
| Name | Role | Address |
|---|---|---|
| KLECHAK, DIANE | Secretary | 943 CESERY BLVD., JACKSONVILLE, FL 32211 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| VOLUNTARY DISSOLUTION | 2013-02-04 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2010-04-11 | 943 CESERY BLVD., BLDG E, JACKSONVILLE, FL 32211 | No data |
| CHANGE OF MAILING ADDRESS | 2010-04-11 | 943 CESERY BLVD., BLDG E, JACKSONVILLE, FL 32211 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2010-04-11 | 943 CESERY BLVD, BLDG E, JACKSONVILLE, FL 32211 | No data |
| Name | Date |
|---|---|
| Voluntary Dissolution | 2013-02-04 |
| ANNUAL REPORT | 2012-02-12 |
| ANNUAL REPORT | 2011-04-09 |
| ANNUAL REPORT | 2010-04-11 |
| ANNUAL REPORT | 2009-02-21 |
| ANNUAL REPORT | 2008-04-04 |
| ANNUAL REPORT | 2007-02-27 |
| ANNUAL REPORT | 2006-02-14 |
| ANNUAL REPORT | 2005-04-06 |
| ANNUAL REPORT | 2004-03-02 |
Date of last update: 06 Feb 2025
Sources: Florida Department of State
