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  5. WILLIAM B. HOLBROOK, D.M.D., P.A.

WILLIAM B. HOLBROOK, D.M.D., P.A.

Company Details

Entity Name: WILLIAM B. HOLBROOK, D.M.D., P.A.
Jurisdiction: FLORIDA
Filing Type: Florida Profit Corporation
Status: Inactive
Date Filed: 02 Apr 1979 (46 years ago)
Date of dissolution: 23 Sep 2016 (8 years ago)
Last Event: ADMIN DISSOLUTION FOR ANNUAL REPORT
Event Date Filed: 23 Sep 2016 (8 years ago)
Document Number: 616449
FEI/EIN Number 59-1894857
Address: 401 N HOWELL AVE, BROOKSVILLE, FL 34601
Mail Address: 401 N HOWELL AVE, BROOKSVILLE, FL 34601
ZIP code: 34601
County: Hernando
Place of Formation: FLORIDA

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
WILLIAM B. HOLBROOK, D.M.D., P.A. PROFIT SHARING PLAN AND TRUST 2012 591894857 2013-02-07 WILLIAM B. HOLBROOK, D.M.D., P.A. 9
File View Page
Three-digit plan number (PN) 003
Effective date of plan 1990-04-01
Business code 621210
Sponsor’s telephone number 3527963931
Plan sponsor’s address 401 NORTH HOWELL AVENUE, BROOKSVILLE, FL, 346012044

Signature of
Role Plan administrator
Date 2013-02-07
Name of individual signing STEPHEN A. BROOKS
Valid signature Filed with authorized/valid electronic signature
WILLIAM B. HOLBROOK, D.M.D., P.A. PROFIT SHARING PLAN AND TRUST 2011 591894857 2012-07-03 WILLIAM B. HOLBROOK, D.M.D., P.A. 9
File View Page
Three-digit plan number (PN) 003
Effective date of plan 1990-04-01
Business code 621210
Sponsor’s telephone number 3527963931
Plan sponsor’s address 401 NORTH HOWELL AVENUE, BROOKSVILLE, FL, 346012044

Plan administrator’s name and address
Administrator’s EIN 591894857
Plan administrator’s name WILLIAM B. HOLBROOK, D.M.D., P.A.
Plan administrator’s address 401 NORTH HOWELL AVENUE, BROOKSVILLE, FL, 346012044
Administrator’s telephone number 3527963931

Signature of
Role Plan administrator
Date 2012-07-03
Name of individual signing MENDY MCKENDRY
Valid signature Filed with authorized/valid electronic signature
WILLIAM B. HOLBROOK, D.M.D., P.A. PROFIT SHARING PLAN AND TRUST 2010 591894857 2011-04-11 WILLIAM B. HOLBROOK, D.M.D., P.A. 9
File View Page
Three-digit plan number (PN) 003
Effective date of plan 1990-04-01
Business code 621210
Sponsor’s telephone number 3527963931
Plan sponsor’s address 401 NORTH HOWELL AVENUE, BROOKSVILLE, FL, 346012044

Plan administrator’s name and address
Administrator’s EIN 591894857
Plan administrator’s name WILLIAM B. HOLBROOK, D.M.D., P.A.
Plan administrator’s address 401 NORTH HOWELL AVENUE, BROOKSVILLE, FL, 346012044
Administrator’s telephone number 3527963931

Signature of
Role Plan administrator
Date 2011-04-11
Name of individual signing MENDY MCKENDRY
Valid signature Filed with authorized/valid electronic signature
WILLIAM B. HOLBROOK, D.M.D., P.A. PROFIT SHARING PLAN AND TRUST 2010 591894857 2011-04-11 WILLIAM B. HOLBROOK, D.M.D., P.A. 9
Three-digit plan number (PN) 003
Effective date of plan 1990-04-01
Business code 621210
Sponsor’s telephone number 3527963931
Plan sponsor’s address 401 NORTH HOWELL AVENUE, BROOKSVILLE, FL, 346012044

Plan administrator’s name and address
Administrator’s EIN 591894857
Plan administrator’s name WILLIAM B. HOLBROOK, D.M.D., P.A.
Plan administrator’s address 401 NORTH HOWELL AVENUE, BROOKSVILLE, FL, 346012044
Administrator’s telephone number 3527963931

Signature of
Role Plan administrator
Date 2011-04-11
Name of individual signing WILLIAM B. HOLBROOK
Valid signature Filed with incorrect/unrecognized electronic signature
Role Employer/plan sponsor
Date 2011-04-11
Name of individual signing WILLIAM B. HOLBROOK
Valid signature Filed with incorrect/unrecognized electronic signature
WILLIAM B. HOLBROOK, D.M.D., P.A. PROFIT SHARING PLAN AND TRUST 2009 591894857 2010-05-07 WILLIAM B. HOLBROOK, D.M.D., P.A. 9
File View Page
Three-digit plan number (PN) 003
Effective date of plan 1990-04-01
Business code 621210
Sponsor’s telephone number 3527963931
Plan sponsor’s address 401 NORTH HOWELL AVENUE, BROOKSVILLE, FL, 346012044

Plan administrator’s name and address
Administrator’s EIN 591894857
Plan administrator’s name WILLIAM B. HOLBROOK, D.M.D., P.A.
Plan administrator’s address 401 NORTH HOWELL AVENUE, BROOKSVILLE, FL, 346012044
Administrator’s telephone number 3527963931

Signature of
Role Plan administrator
Date 2010-05-07
Name of individual signing WILLIAM B HOLBROOK
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
HOLBROOK, WILLIAM BP Agent 401 N HOWELL AVE, BROOKSVILLE, FL 34601

President

Name Role Address
HOLBROOK, WILLIAM BP President 401 N HOWELL AVE, BROOKSVILLE, FL 34601

Events

Event Type Filed Date Value Description
ADMIN DISSOLUTION FOR ANNUAL REPORT 2016-09-23 No data No data
CHANGE OF MAILING ADDRESS 2011-01-03 401 N HOWELL AVE, BROOKSVILLE, FL 34601 No data
REINSTATEMENT 2011-01-03 No data No data
ADMIN DISSOLUTION FOR ANNUAL REPORT 2009-09-25 No data No data
CHANGE OF PRINCIPAL ADDRESS 2008-01-07 401 N HOWELL AVE, BROOKSVILLE, FL 34601 No data
REGISTERED AGENT NAME CHANGED 2008-01-07 HOLBROOK, WILLIAM BP No data
REGISTERED AGENT ADDRESS CHANGED 1990-02-21 401 N HOWELL AVE, BROOKSVILLE, FL 34601 No data

Documents

Name Date
ANNUAL REPORT 2015-01-26
ANNUAL REPORT 2014-04-17
ANNUAL REPORT 2013-01-23
ANNUAL REPORT 2012-02-08
REINSTATEMENT 2011-01-03
ANNUAL REPORT 2008-01-07
ANNUAL REPORT 2007-01-11
ANNUAL REPORT 2006-01-12
ANNUAL REPORT 2005-02-20
ANNUAL REPORT 2004-01-07

Related by officers

No related officers

Related by address

No related companies by address

Date of last update: 05 Feb 2025

Sources: Florida Department of State

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