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  5. RICHARD W. BLAKE, D.D.S., P.A.

RICHARD W. BLAKE, D.D.S., P.A.

Company Details

Entity Name: RICHARD W. BLAKE, D.D.S., P.A.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Active
Date Filed: 07 Mar 1979 (46 years ago)
Document Number: 611967
FEI/EIN Number 591882745
Address: 3006 Hargett Ln, Safery Harbor, FL, 34695, US
Mail Address: 3006 Hargett Ln, Safery Harbor, FL, 34695, US
ZIP code: 34695
County: Pinellas
Place of Formation: FLORIDA

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
RICHARD W. BLAKE, D.D.S., P.A. EMPLOYEES' PROFIT SHARING PLAN AND TRUST 2022 591882745 2023-05-15 RICHARD W. BLAKE, D.D.S., P.A. 7
File View Page
Three-digit plan number (PN) 004
Effective date of plan 1989-03-01
Business code 621210
Sponsor’s telephone number 7277962187
Plan sponsor’s address 3006 HARGETT LN, SAFETY HARBOR, FL, 346955249
RICHARD W. BLAKE, D.D.S., P.A. EMPLOYEES' PROFIT SHARING PLAN AND TRUST 2021 591882745 2022-08-23 RICHARD W. BLAKE, D.D.S., P.A. 9
File View Page
Three-digit plan number (PN) 004
Effective date of plan 1989-03-01
Business code 621210
Sponsor’s telephone number 7277962187
Plan sponsor’s address 3006 HARGETT LN, SAFETY HARBOR, FL, 346955249
RICHARD W. BLAKE, D.D.S., P.A. EMPLOYEES' PROFIT SHARING PLAN AND TRUST 2020 591882745 2021-04-01 RICHARD W. BLAKE, D.D.S., P.A. 12
File View Page
Three-digit plan number (PN) 004
Effective date of plan 1989-03-01
Business code 621210
Sponsor’s telephone number 7277962187
Plan sponsor’s address 3006 HARGETT LN, SAFETY HARBOR, FL, 346955249
RICHARD W. BLAKE, D.D.S., P.A. EMPLOYEES' PROFIT SHARING PLAN AND TRUST 2019 591882745 2020-09-21 RICHARD W. BLAKE, D.D.S., P.A. 12
File View Page
Three-digit plan number (PN) 004
Effective date of plan 1989-03-01
Business code 621210
Sponsor’s telephone number 7277962187
Plan sponsor’s address 2701 PARK DRIVE, SUITE 1, CLEARWATER, FL, 337631098
RICHARD W. BLAKE, D.D.S., P.A. EMPLOYEES' PROFIT SHARING PLAN AND TRUST 2018 591882745 2019-05-30 RICHARD W. BLAKE, D.D.S., P.A. 14
File View Page
Three-digit plan number (PN) 004
Effective date of plan 1989-03-01
Business code 621210
Sponsor’s telephone number 7277962187
Plan sponsor’s address 2701 PARK DRIVE, SUITE 1, CLEARWATER, FL, 337631098
RICHARD W. BLAKE, D.D.S., P.A. EMPLOYEES' PROFIT SHARING PLAN AND TRUST 2017 591882745 2018-04-19 RICHARD W. BLAKE, D.D.S., P.A. 13
File View Page
Three-digit plan number (PN) 004
Effective date of plan 1989-03-01
Business code 621210
Sponsor’s telephone number 7277962187
Plan sponsor’s address 2701 PARK DRIVE, SUITE 1, CLEARWATER, FL, 337631098
RICHARD W. BLAKE, D.D.S., P.A. EMPLOYEES' PROFIT SHARING PLAN AND TRUST 2016 591882745 2017-04-27 RICHARD W. BLAKE, D.D.S., P.A. 12
File View Page
Three-digit plan number (PN) 004
Effective date of plan 1989-03-01
Business code 621210
Sponsor’s telephone number 7277962187
Plan sponsor’s address 2701 PARK DRIVE, SUITE 1, CLEARWATER, FL, 337631098
RICHARD W. BLAKE, D.D.S., P.A. EMPLOYEES' PROFIT SHARING PLAN AND TRUST 2015 591882745 2016-03-23 RICHARD W. BLAKE, D.D.S., P.A. 12
File View Page
Three-digit plan number (PN) 004
Effective date of plan 1989-03-01
Business code 621210
Sponsor’s telephone number 7277962187
Plan sponsor’s address 2701 PARK DRIVE, SUITE 1, CLEARWATER, FL, 337631098
RICHARD W. BLAKE, D.D.S., P.A. EMPLOYEES' PROFIT SHARING PLAN AND TRUST 2014 591882745 2015-03-12 RICHARD W. BLAKE, D.D.S., P.A. 12
File View Page
Three-digit plan number (PN) 004
Effective date of plan 1989-03-01
Business code 621210
Sponsor’s telephone number 7277962187
Plan sponsor’s address 2701 PARK DRIVE, SUITE 1, CLEARWATER, FL, 337631098

Signature of
Role Plan administrator
Date 2015-03-12
Name of individual signing RICHARD W. BLAKE, D.D.S., PRESIDENT
Valid signature Filed with authorized/valid electronic signature
RICHARD W. BLAKE, D.D.S., P.A. EMPLOYEES' PROFIT SHARING PLAN AND TRUST 2013 591882745 2014-04-22 RICHARD W. BLAKE, D.D.S., P.A. 12
File View Page
Three-digit plan number (PN) 004
Effective date of plan 1989-03-01
Business code 621210
Sponsor’s telephone number 7277962187
Plan sponsor’s address 2701 PARK DRIVE, SUITE 1, CLEARWATER, FL, 337631098

Signature of
Role Plan administrator
Date 2014-04-22
Name of individual signing RICHARD W. BLAKE, D.D.S., PRESIDENT
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
BLAKE, RICHARD W Agent 3006 HARGETT LANE, Safety Harbor, FL, 34695

President

Name Role Address
BLAKE RICHARD W President 3006 HARGETT LANE, Safety Harbor, FL, 34695

Director

Name Role Address
BLAKE RICHARD W Director 3006 HARGETT LANE, Safety Harbor, FL, 34695

Secretary

Name Role Address
BLAKE, RICHARD II Secretary 3006 HARGETT LANE, SAFETY HARBOR, FL, 34695

Assistant Treasurer

Name Role Address
BLAKE SABRINA M Assistant Treasurer 3006 HARGETT LANE, SAFETY HARBOR, FL, 34695

Events

Event Type Filed Date Value Description
AMENDMENT 2011-04-11 No data No data

Related by officers

BLAKE, RICHARD W

RBL HOLDINGS GROUP, LLC INVESTMENTS RELATED, LLC LAW OFFICES OF RICHARD BLAKE, P.A. LOVE, BLAKE & SCHAPIRA, A PROFESSIONAL LIMITED COMPANY TITLE EXCHANGE ONE, LLC

Related by address

No related companies by address

Date of last update: 02 Jan 2025

Sources: Florida Department of State

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