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  5. JACK COHN, D.D.S., P.A.

JACK COHN, D.D.S., P.A.

Company Details

Entity Name: JACK COHN, D.D.S., P.A.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Inactive
Date Filed: 30 Apr 1980 (45 years ago)
Document Number: 662280
FEI/EIN Number 591998741
Address: 9840 S.W. 77 AVENUE, SUITE 201, MIAMI, FL, 33156, US
Mail Address: 9840 S.W. 77 AVENUE, SUITE 201, MIAMI, FL, 33156, US
ZIP code: 33156
County: Miami-Dade
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1154530665 2007-05-21 2020-08-22 8970 SW 87TH CT STE 22, MIAMI, FL, 331762207, US 8970 SW 87TH CT STE 22, MIAMI, FL, 331762207, US

Contacts
Phone +1 305-598-1428
Fax 3055985365

Authorized person
Name DR. JACK COHN
Role PRESIDENT
Phone 3055981428

Taxonomy
Taxonomy Code 1223G0001X - General Practice Dentistry
License Number FL 6748
State FL
Is Primary Yes

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
JACK COHN, D.D.S., P.A. 401(K) PLAN 2017 591998741 2018-10-09 JACK COHN, D.D.S., P.A. 9
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2007-01-01
Business code 621210
Sponsor’s telephone number 3055981428
Plan sponsor’s address 9840 S.W. 77TH AVENUE, SUITE 201, MIAMI, FL, 33156
JACK COHN, D.D.S., P.A. 401(K) PLAN 2016 591998741 2017-10-03 JACK COHN, D.D.S., P.A. 8
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2007-01-01
Business code 621210
Sponsor’s telephone number 3055981428
Plan sponsor’s address 9840 S.W. 77TH AVENUE, SUITE 201, MIAMI, FL, 33156
JACK COHN D.D.S., P.A. 401(K) PLAN 2015 591998741 2016-10-15 JACK COHN D.D.S., P.A. 8
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2007-01-01
Business code 621210
Sponsor’s telephone number 3055981428
Plan sponsor’s address 9840 S.W. 77TH AVENUE, SUITE 201, MIAMI, FL, 33156
JACK COHN D.D.S., P.A. 401(K) PLAN 2014 591998741 2015-09-21 JACK COHN D.D.S., P.A. 9
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2007-01-01
Business code 621210
Sponsor’s telephone number 3055981428
Plan sponsor’s address 9840 S.W. 77TH AVENUE, SUITE 201, MIAMI, FL, 33156
JACK COHN D.D.S., P.A. 401(K) PLAN 2013 591998741 2014-07-21 JACK COHN D.D.S., P.A. 9
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2007-01-01
Business code 621210
Sponsor’s telephone number 3055981428
Plan sponsor’s address 9840 S.W. 77TH AVENUE, SUITE 201, MIAMI, FL, 33156
JACK COHN, D.D.S., P.A. 401(K) PLAN 2012 591998741 2013-09-10 JACK COHN, D.D.S., P.A. 9
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2007-01-01
Business code 621210
Sponsor’s telephone number 3055981428
Plan sponsor’s address 9840 S.W. 77TH AVENUE, SUITE 201, MIAMI, FL, 33156

Signature of
Role Plan administrator
Date 2013-09-10
Name of individual signing MARCIA COHN
Valid signature Filed with authorized/valid electronic signature
JACK COHN, D.D.S., P.A. 401(K) PLAN 2011 591998741 2012-07-11 JACK COHN, D.D.S., P.A. 9
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2007-01-01
Business code 621210
Sponsor’s telephone number 3055981428
Plan sponsor’s address 9840 S.W. 77TH AVENUE, SUITE 201, MIAMI, FL, 33156

Plan administrator’s name and address
Administrator’s EIN 591998741
Plan administrator’s name JACK COHN, D.D.S., P.A.
Plan administrator’s address 9840 S.W. 77TH AVENUE, SUITE 201, MIAMI, FL, 33156
Administrator’s telephone number 3055981428

Signature of
Role Plan administrator
Date 2012-07-11
Name of individual signing MARCIA COHN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2012-07-11
Name of individual signing JACK COHN DDS, P.A.
Valid signature Filed with authorized/valid electronic signature
JACK COHN, D.D.S., P.A. 401(K) PLAN 2010 591998741 2011-10-12 JACK COHN, D.D.S., P.A. 10
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2007-01-01
Business code 621210
Sponsor’s telephone number 3055981428
Plan sponsor’s address 9840 S.W. 77TH AVENUE, SUITE 201, MIAMI, FL, 33156

Plan administrator’s name and address
Administrator’s EIN 591998741
Plan administrator’s name JACK COHN, D.D.S., P.A.
Plan administrator’s address 9840 S.W. 77TH AVENUE, SUITE 201, MIAMI, FL, 33156
Administrator’s telephone number 3055981428

Signature of
Role Plan administrator
Date 2011-10-12
Name of individual signing MARCIA COHN
Valid signature Filed with authorized/valid electronic signature
JACK COHN, D.D.S., P.A. 401(K) PLAN 2009 591998741 2010-10-06 JACK COHN, D.D.S., P.A. 11
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2007-01-01
Business code 621210
Sponsor’s telephone number 3055981428
Plan sponsor’s address 9840 S.W. 77TH AVENUE, SUITE 201, MIAMI, FL, 33156

Plan administrator’s name and address
Administrator’s EIN 591998741
Plan administrator’s name JACK COHN, D.D.S., P.A.
Plan administrator’s address 9840 S.W. 77TH AVENUE, SUITE 201, MIAMI, FL, 33156
Administrator’s telephone number 3055981428

Signature of
Role Plan administrator
Date 2010-10-06
Name of individual signing MARCIA COHN
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
COHN, JACK Agent 9840 S.W. 77 AVENUE SUITE 201, MIAMI, FL, 33156

President

Name Role Address
COHN, JACK President 9840 S.W. 77 AVUNEU SUITE 201, MIAMI, FL, 33156

Director

Name Role Address
COHN, JACK Director 9840 S.W. 77 AVUNEU SUITE 201, MIAMI, FL, 33156

Events

Event Type Filed Date Value Description
ADMIN DISSOLUTION FOR ANNUAL REPORT 2019-09-27 No data No data

Related by officers

COHN, JACK

ELRO DISTRIBUTING, INC. GRECOLS, INC.

Related by address

No related companies by address

Date of last update: 01 Feb 2025

Sources: Florida Department of State

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