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  5. PAUL G. GRUMBACH, D.D.S., P.A.

PAUL G. GRUMBACH, D.D.S., P.A.

Company Details

Entity Name: PAUL G. GRUMBACH, D.D.S., P.A.
Jurisdiction: FLORIDA
Filing Type: Florida Profit Corporation
Status: Inactive
Date Filed: 01 Oct 1979 (45 years ago)
Date of dissolution: 28 Sep 2018 (6 years ago)
Last Event: ADMIN DISSOLUTION FOR ANNUAL REPORT
Event Date Filed: 28 Sep 2018 (6 years ago)
Document Number: 638053
FEI/EIN Number 59-1936748
Address: 28 Catalpa Court, FORT MYERS, FL 33919
Mail Address: 28 Catalpa Court, FORT MYERS, FL 33919
ZIP code: 33919
County: Lee
Place of Formation: FLORIDA

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
PAUL G. GRUMBACH, D.D.S., P.A. 401(K) PLAN 2017 591936748 2018-12-17 PAUL G. GRUMBACH, D.D.S., P.A. 4
File View Page
Three-digit plan number (PN) 003
Effective date of plan 1994-01-01
Business code 621210
Sponsor’s telephone number 2394820252
Plan sponsor’s address 9411 CYPRESS LAKE DRIVE, FORT MYERS, FL, 33919
PAUL G. GRUMBACH, D.D.S., P.A. 401(K) PLAN 2017 591936748 2018-10-15 PAUL G. GRUMBACH, D.D.S., P.A. 14
File View Page
Three-digit plan number (PN) 003
Effective date of plan 1994-01-01
Business code 621210
Sponsor’s telephone number 2394820252
Plan sponsor’s address 9411 CYPRESS LAKE DRIVE, FORT MYERS, FL, 33919
PAUL G. GRUMBACH, D.D.S., P.A. 401(K) PLAN 2016 591936748 2018-01-17 PAUL G. GRUMBACH, D.D.S., P.A. 15
File View Page
Three-digit plan number (PN) 003
Effective date of plan 1994-01-01
Business code 621210
Sponsor’s telephone number 2394820252
Plan sponsor’s address 9411 CYPRESS LAKE DRIVE, FORT MYERS, FL, 33919
PAUL G. GRUMBACH, D.D.S., P.A. 401(K) PLAN 2015 591936748 2016-10-12 PAUL G. GRUMBACH, D.D.S., P.A. 13
File View Page
Three-digit plan number (PN) 003
Effective date of plan 1994-01-01
Business code 621210
Sponsor’s telephone number 2394820252
Plan sponsor’s address 9411 CYPRESS LAKE DRIVE, FORT MYERS, FL, 33919
PAUL G. GRUMBACH, D.D.S., P.A. 401(K) PLAN 2014 591936748 2015-10-13 PAUL G. GRUMBACH, D.D.S., P.A. 8
File View Page
Three-digit plan number (PN) 003
Effective date of plan 1994-01-01
Business code 621210
Sponsor’s telephone number 2394820252
Plan sponsor’s address 9411 CYPRESS LAKE DRIVE, FORT MYERS, FL, 33919
PAUL G. GRUMBACH, D.D.S., P.A. 401(K) PLAN 2013 591936748 2014-10-14 PAUL G. GRUMBACH, D.D.S., P.A. 9
File View Page
Three-digit plan number (PN) 003
Effective date of plan 1994-01-01
Business code 621210
Sponsor’s telephone number 2394820252
Plan sponsor’s address 9411 CYPRESS LAKE DRIVE, FORT MYERS, FL, 33919

Signature of
Role Plan administrator
Date 2014-10-14
Name of individual signing JAMES RALEY
Valid signature Filed with authorized/valid electronic signature
PAUL G. GRUMBACH, D.D.S., P.A. 401(K) PLAN 2012 591936748 2013-04-24 PAUL G. GRUMBACH, D.D.S., P.A. 11
File View Page
Three-digit plan number (PN) 003
Effective date of plan 1994-01-01
Business code 621210
Sponsor’s telephone number 2394820252
Plan sponsor’s address 9411 CYPRESS LAKE DRIVE, FORT MYERS, FL, 33919

Signature of
Role Plan administrator
Date 2013-04-24
Name of individual signing PAUL GRUMBACH
Valid signature Filed with authorized/valid electronic signature
PAUL G. GRUMBACH, D.D.S., P.A. 401(K) PLAN 2011 591936748 2012-09-25 PAUL G. GRUMBACH, D.D.S., P.A. 15
File View Page
Three-digit plan number (PN) 003
Effective date of plan 1994-01-01
Business code 621210
Sponsor’s telephone number 2394820252
Plan sponsor’s address 9411 CYPRESS LAKE DRIVE, FORT MYERS, FL, 33919

Plan administrator’s name and address
Administrator’s EIN 591936748
Plan administrator’s name PAUL G. GRUMBACH, D.D.S., P.A.
Plan administrator’s address 9411 CYPRESS LAKE DRIVE, FORT MYERS, FL, 33919
Administrator’s telephone number 2394820252

Signature of
Role Plan administrator
Date 2012-09-25
Name of individual signing PAUL GRUMBACH
Valid signature Filed with authorized/valid electronic signature
PAUL G. GRUMBACH, D.D.S., P.A. 401(K) PLAN 2010 591936748 2011-10-05 PAUL G. GRUMBACH, D.D.S., P.A. 15
File View Page
Three-digit plan number (PN) 003
Effective date of plan 1994-01-01
Business code 621210
Sponsor’s telephone number 2394820252
Plan sponsor’s address 9411 CYPRESS LAKE DRIVE, FORT MYERS, FL, 33919

Plan administrator’s name and address
Administrator’s EIN 591936748
Plan administrator’s name PAUL G. GRUMBACH, D.D.S., P.A.
Plan administrator’s address 9411 CYPRESS LAKE DRIVE, FORT MYERS, FL, 33919
Administrator’s telephone number 2394820252

Signature of
Role Plan administrator
Date 2011-10-05
Name of individual signing PAUL GRUMBACH
Valid signature Filed with authorized/valid electronic signature
PAUL G. GRUMBACH, D.D.S., P.A. 401(K) PLAN 2009 591936748 2010-10-04 PAUL G. GRUMBACH, D.D.S., P.A. 15
File View Page
Three-digit plan number (PN) 003
Effective date of plan 1994-01-01
Business code 621210
Sponsor’s telephone number 2394820252
Plan sponsor’s address 9411 CYPRESS LAKE DRIVE, FORT MYERS, FL, 33919

Plan administrator’s name and address
Administrator’s EIN 591936748
Plan administrator’s name PAUL G. GRUMBACH, D.D.S., P.A.
Plan administrator’s address 9411 CYPRESS LAKE DRIVE, FORT MYERS, FL, 33919
Administrator’s telephone number 2394820252

Signature of
Role Plan administrator
Date 2010-10-04
Name of individual signing PAUL GRUMBACH
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
GRUMBACH, PAUL GDR. Agent 28 Catalpa Court, FORT MYERS, FL 33919

President

Name Role Address
GRUMBACH, PAUL G President 28 CATALPA COURT, FORT MYERS, FL 33919

Treasurer

Name Role Address
GRUMBACH, PAUL G Treasurer 28 CATALPA COURT, FORT MYERS, FL 33919

Secretary

Name Role Address
GRUMBACH, PATRICIA Secretary 28 CATALPA COURT, FORT MYERS, FL 33919

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G16000093402 CYPRESS LAKE DENTAL ASSOCIATES EXPIRED 2016-08-28 2021-12-31 No data 9411 CYPRESS LAKE DRIVE, FORT MYERS, FL, 33919
G10000020533 CYPRESS LAKE DENTAL ASSOCIATES EXPIRED 2010-03-02 2015-12-31 No data 9411 CYPRESS LAKE DRIVE, FORT MYERS, FL, 33919

Events

Event Type Filed Date Value Description
ADMIN DISSOLUTION FOR ANNUAL REPORT 2018-09-28 No data No data
CHANGE OF PRINCIPAL ADDRESS 2017-04-29 28 Catalpa Court, FORT MYERS, FL 33919 No data
REGISTERED AGENT ADDRESS CHANGED 2017-04-29 28 Catalpa Court, FORT MYERS, FL 33919 No data
CHANGE OF MAILING ADDRESS 2017-04-29 28 Catalpa Court, FORT MYERS, FL 33919 No data
CANCEL ADM DISS/REV 2009-10-11 No data No data
REGISTERED AGENT NAME CHANGED 2009-10-11 GRUMBACH, PAUL GDR. No data
ADMIN DISSOLUTION FOR ANNUAL REPORT 2009-09-25 No data No data
REINSTATEMENT 1997-02-27 No data No data
INVOLUNTARILY DISSOLVED 1985-11-01 No data No data
REINSTATEMENT 1984-12-26 No data No data

Documents

Name Date
ANNUAL REPORT 2017-04-29
ANNUAL REPORT 2016-03-20
ANNUAL REPORT 2015-04-30
ANNUAL REPORT 2014-04-28
ANNUAL REPORT 2013-04-07
ANNUAL REPORT 2012-01-06
ANNUAL REPORT 2011-01-05
ANNUAL REPORT 2010-01-04
REINSTATEMENT 2009-10-11
ANNUAL REPORT 2008-01-20

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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