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  5. SHAH DENTAL SERVICES, P.A.

SHAH DENTAL SERVICES, P.A.

Company Details

Entity Name: SHAH DENTAL SERVICES, P.A.
Jurisdiction: FLORIDA
Filing Type: Florida Profit Corporation
Status: Active
Date Filed: 10 Aug 1981 (43 years ago)
Document Number: 698203
FEI/EIN Number 59-2123701
Address: 123 S. INDUSTRIAL DRIVE, ORANGE CITY, FL 32763
Mail Address: 123 S. INDUSTRIAL DRIVE, ORANGE CITY, FL 32763
ZIP code: 32763
County: Volusia
Place of Formation: FLORIDA

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
SHAH DENTAL SERVICES, P.A. PENSION PLAN 2011 592123701 2012-02-16 SHAH DENTAL SERVICES, P.A. 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1982-01-01
Business code 621210
Sponsor’s telephone number 3867758737
Plan sponsor’s address 123 SOUTH INDUSTRIAL DRIVE, SUITE 101, ORANGE CITY, FL, 32763

Plan administrator’s name and address
Administrator’s EIN 592123701
Plan administrator’s name SHAH DENTAL SERVICES, P.A.
Plan administrator’s address 123 SOUTH INDUSTRIAL DRIVE, SUITE 101, ORANGE CITY, FL, 32763
Administrator’s telephone number 3867758737

Signature of
Role Plan administrator
Date 2012-02-16
Name of individual signing SHASHIKANT SHAH
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2012-02-16
Name of individual signing SHASHIKANT SHAH
Valid signature Filed with authorized/valid electronic signature
SHAH DENTAL SERVICES, P.A. PENSION PLAN 2011 592123701 2012-02-14 SHAH DENTAL SERVICES, P.A. 4
Three-digit plan number (PN) 001
Effective date of plan 1982-01-01
Business code 621210
Sponsor’s telephone number 3867758737
Plan sponsor’s address 123 SOUTH INDUSTRIAL DRIVE, SUITE 101, ORANGE CITY, FL, 32763

Plan administrator’s name and address
Administrator’s EIN 592123701
Plan administrator’s name SHAH DENTAL SERVICES, P.A.
Plan administrator’s address 123 SOUTH INDUSTRIAL DRIVE, SUITE 101, ORANGE CITY, FL, 32763
Administrator’s telephone number 3867758737

Signature of
Role Plan administrator
Date 2012-02-14
Name of individual signing SHASHIKANT SHAH
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2012-02-14
Name of individual signing SHASHIKANT SHAH
Valid signature Filed with authorized/valid electronic signature
SHAH DENTAL SERVICES, P.A. PENSION PLAN 2010 592123701 2011-06-15 SHAH DENTAL SERVICES, P.A. 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1982-01-01
Business code 621210
Sponsor’s telephone number 3867758737
Plan sponsor’s address 123 SOUTH INDUSTRIAL DRIVE, SUITE 101, ORANGE CITY, FL, 32763

Plan administrator’s name and address
Administrator’s EIN 592123701
Plan administrator’s name SHAH DENTAL SERVICES, P.A.
Plan administrator’s address 123 SOUTH INDUSTRIAL DRIVE, SUITE 101, ORANGE CITY, FL, 32763
Administrator’s telephone number 3867758737

Signature of
Role Plan administrator
Date 2011-06-15
Name of individual signing SHASHIKANT SHAH
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2011-06-15
Name of individual signing SHASHIKANT SHAH
Valid signature Filed with authorized/valid electronic signature
SHAH DENTAL SERVICES, P.A. PENSION PLAN 2009 592123701 2010-07-01 SHAH DENTAL SERVICES, P.A. 4
Three-digit plan number (PN) 001
Effective date of plan 1982-01-01
Business code 621210
Sponsor’s telephone number 3867758737
Plan sponsor’s address 123 SOUTH INDUSTRIAL DRIVE, SUITE 101, ORANGE CITY, FL, 32763

Plan administrator’s name and address
Administrator’s EIN 592123701
Plan administrator’s name SHAH DENTAL SERVICES, P.A.
Plan administrator’s address 123 SOUTH INDUSTRIAL DRIVE, SUITE 101, ORANGE CITY, FL, 32763
Administrator’s telephone number 3867758737

Signature of
Role Plan administrator
Date 2010-07-01
Name of individual signing SHASHIKANT SHAH
Valid signature Filed with incorrect/unrecognized electronic signature
Role Employer/plan sponsor
Date 2010-07-01
Name of individual signing SHASHIKANT SHAH
Valid signature Filed with incorrect/unrecognized electronic signature
SHAH DENTAL SERVICES, P.A. PENSION PLAN 2009 592123701 2010-07-01 SHAH DENTAL SERVICES, P.A. 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1982-01-01
Business code 621210
Sponsor’s telephone number 3867758737
Plan sponsor’s address 123 SOUTH INDUSTRIAL DRIVE, SUITE 101, ORANGE CITY, FL, 32763

Plan administrator’s name and address
Administrator’s EIN 592123701
Plan administrator’s name SHAH DENTAL SERVICES, P.A.
Plan administrator’s address 123 SOUTH INDUSTRIAL DRIVE, SUITE 101, ORANGE CITY, FL, 32763
Administrator’s telephone number 3867758737

Signature of
Role Plan administrator
Date 2010-07-01
Name of individual signing SHASHIKANT SHAH
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2010-07-01
Name of individual signing SHASHIKANT SHAH
Valid signature Filed with authorized/valid electronic signature
SHAH DENTAL SERVICES, P.A. PENSION PLAN 2009 592123701 2010-06-30 SHAH DENTAL SERVICES, P.A. 4
Three-digit plan number (PN) 001
Effective date of plan 1982-01-01
Business code 621210
Sponsor’s telephone number 3867758737
Plan sponsor’s address 123 SOUTH INDUSTRIAL DRIVE, SUITE 101, ORANGE CITY, FL, 32763

Plan administrator’s name and address
Administrator’s EIN 592123701
Plan administrator’s name SHAH DENTAL SERVICES, P.A.
Plan administrator’s address 123 SOUTH INDUSTRIAL DRIVE, SUITE 101, ORANGE CITY, FL, 32763
Administrator’s telephone number 3867758737

Signature of
Role Plan administrator
Date 2010-06-30
Name of individual signing SHASHIKANT SHAH
Valid signature Filed with incorrect/unrecognized electronic signature
Role Employer/plan sponsor
Date 2010-06-30
Name of individual signing SHASHIKANT SHAH
Valid signature Filed with incorrect/unrecognized electronic signature

Agent

Name Role Address
SHASHIKANT SHAH Agent 123 S. INDUSTRIAL DRIVE, ORANGE CITY, FL 32763

President

Name Role Address
SHASHIKANT SHAH President 724 SILVERWOOD DR., LAKE MARY, FL 32746

Secretary

Name Role Address
SHASHIKANT SHAH Secretary 724 SILVERWOOD DR., LAKE MARY, FL 32746

Treasurer

Name Role Address
SHASHIKANT SHAH Treasurer 724 SILVERWOOD DR., LAKE MARY, FL 32746

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G17000076996 SHAH DENTAL SERVICES P.A. ACTIVE 2017-07-18 2027-12-31 No data 123 S. INDUSTRIAL DR. #101, ORANGE CITY, FL, 32763

Events

Event Type Filed Date Value Description
REGISTERED AGENT NAME CHANGED 2009-02-10 SHASHIKANT SHAH No data
CHANGE OF MAILING ADDRESS 1993-02-24 123 S. INDUSTRIAL DRIVE, ORANGE CITY, FL 32763 No data
CHANGE OF PRINCIPAL ADDRESS 1985-05-17 123 S. INDUSTRIAL DRIVE, ORANGE CITY, FL 32763 No data
REGISTERED AGENT ADDRESS CHANGED 1985-05-17 123 S. INDUSTRIAL DRIVE, ORANGE CITY, FL 32763 No data

Documents

Name Date
ANNUAL REPORT 2025-01-03
ANNUAL REPORT 2024-01-30
ANNUAL REPORT 2023-01-13
ANNUAL REPORT 2022-01-18
ANNUAL REPORT 2021-01-27
ANNUAL REPORT 2020-01-15
ANNUAL REPORT 2019-01-31
ANNUAL REPORT 2018-01-15
ANNUAL REPORT 2017-01-12
ANNUAL REPORT 2016-01-12

Related by officers

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Date of last update: 05 Feb 2025

Sources: Florida Department of State

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