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  5. PETER B. CLAUSSEN, D.D.S., P.A.

PETER B. CLAUSSEN, D.D.S., P.A.

Company Details

Entity Name: PETER B. CLAUSSEN, D.D.S., P.A.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Inactive
Date Filed: 03 Sep 1980 (44 years ago)
Document Number: 686380
FEI/EIN Number 592021641
Address: 2636 JENKS AVENUE, PANAMA CITY, FL, 32405, US
Mail Address: 2636 JENKS AVENUE, PANAMA CITY, FL, 32405, US
ZIP code: 32405
County: Bay
Place of Formation: FLORIDA

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
PETER B. CLAUSSEN, D.D.S., P.A. EMPLOYEES 401K PROFIT SHARING PLAN 2016 592021641 2017-01-25 PETER B. CLAUSSEN, D.D.S., P.A. 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1990-01-01
Business code 621210
Sponsor’s telephone number 8507693597
Plan sponsor’s address 3310 HARBOUR PLACE, PANAMA CITY, FL, 32405
PETER B. CLAUSSEN, D.D.S., P.A. EMPLOYEES 401K PROFIT SHARING PLAN 2015 592021641 2016-05-19 PETER B. CLAUSSEN, D.D.S., P.A. 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1990-01-01
Business code 621210
Sponsor’s telephone number 8507693597
Plan sponsor’s address 3310 HARBOUR PLACE, PANAMA CITY, FL, 32405
PETER B. CLAUSSEN, D.D.S., P.A. EMPLOYEES 401K PROFIT SHARING PLAN 2014 592021641 2015-06-05 PETER B. CLAUSSEN, D.D.S., P.A. 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1990-01-01
Business code 621210
Sponsor’s telephone number 8507693597
Plan sponsor’s address 3310 HARBOUR PLACE, PANAMA CITY, FL, 32405
PETER B. CLAUSSEN, D.D.S., P.A. EMPLOYEES 401K PROFIT SHARING PLAN 2013 592021641 2014-07-01 PETER B. CLAUSSEN, D.D.S., P.A. 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1990-01-01
Business code 621210
Sponsor’s telephone number 8507693597
Plan sponsor’s address 3310 HARBOUR PLACE, PANAMA CITY, FL, 32405
PETER B. CLAUSSEN, D.D.S., P.A. EMPLOYEES 401K PROFIT SHARING PLAN 2012 592021641 2013-03-13 PETER B. CLAUSSEN, D.D.S., P.A. 12
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1990-01-01
Business code 621210
Sponsor’s telephone number 8507693597
Plan sponsor’s address 3310 HARBOUR PLACE, PANAMA CITY, FL, 32405

Signature of
Role Plan administrator
Date 2013-03-13
Name of individual signing PETER B CLAUSSEN DDS
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2013-03-13
Name of individual signing PETER B CLAUSSEN DDS
Valid signature Filed with authorized/valid electronic signature
PETER B. CLAUSSEN, D.D.S., P.A. EMPLOYEES 401K PROFIT SHARING PLAN 2011 592021641 2012-04-09 PETER B. CLAUSSEN, D.D.S., P.A. 11
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1990-01-01
Business code 621210
Sponsor’s telephone number 8507693597
Plan sponsor’s address 3310 HARBOUR PLACE, PANAMA CITY, FL, 32405

Plan administrator’s name and address
Administrator’s EIN 592021641
Plan administrator’s name PETER B. CLAUSSEN, D.D.S., P.A.
Plan administrator’s address 3310 HARBOUR PLACE, PANAMA CITY, FL, 32405
Administrator’s telephone number 8507693597

Signature of
Role Plan administrator
Date 2012-04-09
Name of individual signing PETER B CLAUSSEN DDS
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2012-04-09
Name of individual signing PETER B CLAUSSEN DDS
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
CLAUSSEN, PETER B DDS Agent 2636 JENKS AVENUE, PANAMA CITY, FL, 32405

President

Name Role Address
CLAUSSEN, PETER B President 2636 JENKS AVENUE, PANAMA CITY, FL, 32405

Vice President

Name Role Address
CLAUSSEN, PETER B Vice President 2636 JENKS AVENUE, PANAMA CITY, FL, 32405

Director

Name Role Address
CLAUSSEN, PETER B Director 2636 JENKS AVENUE, PANAMA CITY, FL, 32405

Secretary

Name Role Address
CLAUSSEN, PETER B Secretary 2636 JENKS AVENUE, PANAMA CITY, FL, 32405

Treasurer

Name Role Address
CLAUSSEN, PETER B Treasurer 2636 JENKS AVENUE, PANAMA CITY, FL, 32405

Events

Event Type Filed Date Value Description
VOLUNTARY DISSOLUTION 2017-01-21 No data No data

Related by officers

No related officers

Related by address

2636 JENKS AVENUE, PANAMA CITY, FL, 32405, US

PANAMA CITY SPINE PROPERTIES, LLC

2636 JENKS AVENUE, PANAMA CITY, FL, 32405, US

PANAMA CITY SPINE PROPERTIES, LLC

Date of last update: 01 Feb 2025

Sources: Florida Department of State

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