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  5. ROBERT D. PELLARIN, D.D.S., P.A.

ROBERT D. PELLARIN, D.D.S., P.A.

Company Details

Entity Name: ROBERT D. PELLARIN, D.D.S., P.A.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Inactive
Date Filed: 26 Jun 1981 (44 years ago)
Document Number: 693313
FEI/EIN Number 592112747
Address: 725 N. Pine Ave., Oviedo, FL, 32765, US
Mail Address: 725 N. Pine Ave., Oviedo, FL, 32765, US
ZIP code: 32765
County: Seminole
Place of Formation: FLORIDA

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
ROBERT D. PELLARIN, D.D.S., P.A. PROFIT SHARING PLAN 2013 592112747 2014-05-23 ROBERT D. PELLARIN, D.D.S., P.A. 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1981-07-01
Business code 621210
Sponsor’s telephone number 4076453636
Plan sponsor’s address 201 MORAY LANE, WINTER PARK, FL, 32792
ROBERT D. PELLARIN, D.D.S., P.A. PROFIT SHARING PLAN 2012 592112747 2013-06-24 ROBERT D. PELLARIN, D.D.S., P.A. 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1981-07-01
Business code 621210
Sponsor’s telephone number 4076453636
Plan sponsor’s address 201 MORAY LANE, WINTER PARK, FL, 32792

Signature of
Role Plan administrator
Date 2013-06-24
Name of individual signing CRAIG DIVITA
Valid signature Filed with authorized/valid electronic signature
ROBERT D. PELLARIN, D.D.S., P.A. PROFIT SHARING PLAN 2011 592112747 2012-02-26 ROBERT D. PELLARIN, D.D.S., P.A. 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1981-07-01
Business code 621210
Sponsor’s telephone number 4076453636
Plan sponsor’s address 201 MORAY LANE, WINTER PARK, FL, 32792

Plan administrator’s name and address
Administrator’s EIN 592112747
Plan administrator’s name ROBERT D. PELLARIN, D.D.S., P.A.
Plan administrator’s address 201 MORAY LANE, WINTER PARK, FL, 32792
Administrator’s telephone number 4076453636

Signature of
Role Plan administrator
Date 2012-02-26
Name of individual signing CRAIG DIVITA
Valid signature Filed with authorized/valid electronic signature
ROBERT D. PELLARIN, D.D.S., P.A. PROFIT SHARING PLAN 2010 592112747 2011-06-07 ROBERT D. PELLARIN, D.D.S., P.A. 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1981-07-01
Business code 621210
Sponsor’s telephone number 4076453636
Plan sponsor’s address 201 MORAY LANE, WINTER PARK, FL, 32792

Plan administrator’s name and address
Administrator’s EIN 592112747
Plan administrator’s name ROBERT D. PELLARIN, D.D.S., P.A.
Plan administrator’s address 201 MORAY LANE, WINTER PARK, FL, 32792
Administrator’s telephone number 4076453636

Signature of
Role Plan administrator
Date 2011-06-07
Name of individual signing CRAIG DIVITA
Valid signature Filed with authorized/valid electronic signature
ROBERT D. PELLARIN, D.D.S., P.A. PROFIT SHARING PLAN 2009 592112747 2010-06-23 ROBERT D. PELLARIN, D.D.S., P.A. 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1981-07-01
Business code 621210
Sponsor’s telephone number 4076453636
Plan sponsor’s address 201 MORAY LANE, WINTER PARK, FL, 32792

Plan administrator’s name and address
Administrator’s EIN 592112747
Plan administrator’s name ROBERT D. PELLARIN, D.D.S., P.A.
Plan administrator’s address 201 MORAY LANE, WINTER PARK, FL, 32792
Administrator’s telephone number 4076453636

Signature of
Role Plan administrator
Date 2010-06-22
Name of individual signing ROBERT PELLARIN
Valid signature Filed with authorized/valid electronic signature
ROBERT D. PELLARIN, D.D.S., P.A. PROFIT SHARING PLAN 2009 592112747 2010-06-22 ROBERT D. PELLARIN, D.D.S., P.A. 8
Three-digit plan number (PN) 001
Effective date of plan 1981-07-01
Business code 621210
Sponsor’s telephone number 4076453636
Plan sponsor’s address 201 MORAY LANE, WINTER PARK, FL, 32792

Plan administrator’s name and address
Administrator’s EIN 592112747
Plan administrator’s name ROBERT D. PELLARIN, D.D.S., P.A.
Plan administrator’s address 201 MORAY LANE, WINTER PARK, FL, 32792
Administrator’s telephone number 4076453636

Signature of
Role Employer/plan sponsor
Date 2010-06-19
Name of individual signing ROBERT PELLARIN
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
PELLARIN, ROBERT D Agent 725 N. Pine Ave., Oviedo, FL, 32765

Director

Name Role Address
PELLARIN, ROBERT D Director 725 N. Pine Ave., Oviedo, FL, 32765

Events

Event Type Filed Date Value Description
ADMIN DISSOLUTION FOR ANNUAL REPORT 2015-09-25 No data No data

Related by officers

No related officers

Related by address

No related companies by address

Date of last update: 01 Feb 2025

Sources: Florida Department of State

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