Menu
Search icon
  1. Home Page
    2. ›
  2. Counties
    3. ›
  3. Lake
    4. ›
  4. 34748
    5. ›
  5. GARY M. CHRISTENSEN, D.D.S., P.A.

GARY M. CHRISTENSEN, D.D.S., P.A.

Company Details

Entity Name: GARY M. CHRISTENSEN, D.D.S., P.A.
Jurisdiction: FLORIDA
Filing Type: Florida Profit Corporation
Status: Inactive
Date Filed: 01 Jan 1980 (45 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: 650283
FEI/EIN Number 59-1963176
Address: 106 N LEE ST, LEESBURG, FL 34748
Mail Address: 9381 Silver Lake Dr, LEESBURG, FL 34788
ZIP code: 34748
County: Lake
Place of Formation: FLORIDA

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
GARY M. CHRISTENSEN, D. D. S. , P. A. 401(K) PLAN 2015 591963176 2016-02-24 GARY M. CHRISTENSEN, D.D.S., P.A. 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-01-01
Business code 621210
Sponsor’s telephone number 3527283303
Plan sponsor’s address 9381 SILVER LAKE DR., LEESBURG, FL, 347883407

Signature of
Role Plan administrator
Date 2016-02-24
Name of individual signing GARY M. CHRISTENSEN, D.D.S.
Valid signature Filed with authorized/valid electronic signature
GARY M. CHRISTENSEN, D. D. S. , P. A. 401(K) PLAN AND TRUST 2014 591963176 2015-06-11 GARY M. CHRISTENSEN, D.D.S., P.A. 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-01-01
Business code 621210
Sponsor’s telephone number 3527283303
Plan sponsor’s address 9381 SILVER LAKE DR., LEESBURG, FL, 347883407

Signature of
Role Plan administrator
Date 2015-06-11
Name of individual signing GARY M. CHRISTENSEN, D.D.S.
Valid signature Filed with authorized/valid electronic signature
GARY M. CHRISTENSEN, D.D.S., P.A. 401(K) PLAN & TRUST 2013 591963176 2014-10-03 GARY M. CHRISTENSEN, D.D.S., P.A. 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-01-01
Business code 621210
Sponsor’s telephone number 3527285957
Plan sponsor’s address 106 N. LEE STREET, LEESBURG, FL, 347484913

Signature of
Role Plan administrator
Date 2014-10-03
Name of individual signing GARY M. CHRISTENSEN, D.D.S.
Valid signature Filed with authorized/valid electronic signature
GARY M. CHRISTENSEN, D.D.S., P.A. 401(K) PLAN & TRUST 2012 591963176 2013-04-16 GARY M. CHRISTENSEN, D.D.S., P.A. 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-01-01
Business code 621210
Sponsor’s telephone number 3527285957
Plan sponsor’s address 106 N. LEE STREET, LEESBURG, FL, 347484913

Signature of
Role Plan administrator
Date 2013-04-16
Name of individual signing GARY M. CHRISTENSEN, D.D.S.
Valid signature Filed with authorized/valid electronic signature
GARY M. CHRISTENSEN, D.D.S., P.A. 401(K) PLAN & TRUST 2011 591963176 2012-03-15 GARY M. CHRISTENSEN, D.D.S., P.A. 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-01-01
Business code 621210
Sponsor’s telephone number 3527285957
Plan sponsor’s address 106 N. LEE STREET, LEESBURG, FL, 347484913

Plan administrator’s name and address
Administrator’s EIN 591963176
Plan administrator’s name GARY M. CHRISTENSEN, D.D.S., P.A.
Plan administrator’s address 106 N. LEE STREET, LEESBURG, FL, 347484913
Administrator’s telephone number 3527285957

Signature of
Role Plan administrator
Date 2012-03-15
Name of individual signing GARY M. CHRISTENSEN, D.D.S.
Valid signature Filed with authorized/valid electronic signature
GARY M. CHRISTENSEN, D.D.S., P.A. 401(K) PLAN & TRUST 2010 591963176 2011-08-04 GARY M. CHRISTENSEN, D.D.S., P.A. 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-01-01
Business code 621210
Sponsor’s telephone number 3527285957
Plan sponsor’s address 106 N. LEE STREET, LEESBURG, FL, 347484913

Plan administrator’s name and address
Administrator’s EIN 591963176
Plan administrator’s name GARY M. CHRISTENSEN, D.D.S., P.A.
Plan administrator’s address 106 N. LEE STREET, LEESBURG, FL, 347484913
Administrator’s telephone number 3527285957

Signature of
Role Plan administrator
Date 2011-08-04
Name of individual signing GARY M. CHRISTENSEN, D.D.S.
Valid signature Filed with authorized/valid electronic signature
GARY M. CHRISTENSEN, D.D.S., P.A. 401(K) PLAN & TRUST 2009 591963176 2010-10-05 GARY M. CHRISTENSEN, D.D.S., P.A. 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-01-01
Business code 621210
Sponsor’s telephone number 3527285957
Plan sponsor’s address 106 N. LEE STREET, LEESBURG, FL, 347484913

Plan administrator’s name and address
Administrator’s EIN 591963176
Plan administrator’s name GARY M. CHRISTENSEN, D.D.S., P.A.
Plan administrator’s address 106 N. LEE STREET, LEESBURG, FL, 347484913
Administrator’s telephone number 3527285957

Signature of
Role Plan administrator
Date 2010-10-05
Name of individual signing GARY M. CHRISTENSEN, D.D.S.
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
CHRISTENSEN, GARY M Agent 106 N LEE ST, LEESBURG, FL 34748

Director

Name Role Address
CHRISTENSEN, GARY M Director 106 N LEE ST, LEESBURG, FL

President

Name Role Address
CHRISTENSEN, GARY M President 106 N LEE ST, LEESBURG, FL

Events

Event Type Filed Date Value Description
ADMIN DISSOLUTION FOR ANNUAL REPORT 2016-09-23 No data No data
CHANGE OF MAILING ADDRESS 2015-02-23 106 N LEE ST, LEESBURG, FL 34748 No data
REGISTERED AGENT ADDRESS CHANGED 1994-04-20 106 N LEE ST, LEESBURG, FL 34748 No data
CHANGE OF PRINCIPAL ADDRESS 1990-05-10 106 N LEE ST, LEESBURG, FL 34748 No data

Documents

Name Date
ANNUAL REPORT 2015-02-23
ANNUAL REPORT 2014-03-05
ANNUAL REPORT 2013-01-28
ANNUAL REPORT 2012-01-26
ANNUAL REPORT 2011-03-30
ANNUAL REPORT 2010-01-20
ANNUAL REPORT 2009-02-13
ANNUAL REPORT 2008-01-07
ANNUAL REPORT 2007-04-09
ANNUAL REPORT 2006-01-03

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

Privacy policy Policy
About us About us
Contacts Contact us

© 2025 flprofile.com, Part of Big Data Integrated