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  5. L.D. PANKEY DENTAL FOUNDATION, INC.

L.D. PANKEY DENTAL FOUNDATION, INC.

Company Details

Entity Name: L.D. PANKEY DENTAL FOUNDATION, INC.
Jurisdiction: FLORIDA
Filing Type: Florida Not For Profit Corporation
Status: Active
Date Filed: 05 Aug 1969 (56 years ago)
Last Event: REINSTATEMENT
Event Date Filed: 08 Oct 2018 (6 years ago)
Document Number: 716989
FEI/EIN Number 59-1298070
Address: ONE CRANDON BLVD., KEY BISCAYNE, FL 33149
Mail Address: ONE CRANDON BLVD., KEY BISCAYNE, FL 33149
ZIP code: 33149
County: Miami-Dade
Place of Formation: FLORIDA

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
L.D. PANKEY DENTAL FOUNDATION, INC. TAX DEFERRED ANNUITY PLAN 2023 591298070 2024-08-22 L.D. PANKEY DENTAL FOUNDATION, INC. 23
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1985-01-01
Business code 813000
Sponsor’s telephone number 3054285500
Plan sponsor’s address ONE CRANDON BOULEVARD, KEY BISCAYNE, FL, 33149

Signature of
Role Plan administrator
Date 2024-08-22
Name of individual signing CRIS CASANUEVA
Valid signature Filed with authorized/valid electronic signature
L.D. PANKEY DENTAL FOUNDATION, INC. TAX DEFERRED ANNUITY PLAN 2022 591298070 2023-08-11 L.D. PANKEY DENTAL FOUNDATION, INC. 22
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1985-01-01
Business code 813000
Sponsor’s telephone number 3054285500
Plan sponsor’s address ONE CRANDON BOULEVARD, KEY BISCAYNE, FL, 33149

Signature of
Role Plan administrator
Date 2023-08-11
Name of individual signing CRIS CASANUEVA
Valid signature Filed with authorized/valid electronic signature
L.D. PANKEY DENTAL FOUNDATION, INC. TAX DEFERRED ANNUITY PLAN 2021 591298070 2022-05-17 L.D. PANKEY DENTAL FOUNDATION, INC. 27
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1985-01-01
Business code 813000
Sponsor’s telephone number 3054285500
Plan sponsor’s address ONE CRANDON BOULEVARD, KEY BISCAYNE, FL, 33149

Signature of
Role Plan administrator
Date 2022-05-17
Name of individual signing CRIS CASANUEVA
Valid signature Filed with authorized/valid electronic signature
L.D. PANKEY DENTAL FOUNDATION, INC. TAX DEFERRED ANNUITY PLAN 2020 591298070 2021-05-19 L.D. PANKEY DENTAL FOUNDATION, INC. 26
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1985-01-01
Business code 813000
Sponsor’s telephone number 3054285500
Plan sponsor’s address ONE CRANDON BOULEVARD, KEY BISCAYNE, FL, 33149

Signature of
Role Plan administrator
Date 2021-05-19
Name of individual signing CRIS CASANUEVA
Valid signature Filed with authorized/valid electronic signature
L.D. PANKEY DENTAL FOUNDATION, INC. TAX DEFERRED ANNUITY PLAN 2019 591298070 2020-07-08 L.D. PANKEY DENTAL FOUNDATION, INC. 27
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1985-01-01
Business code 813000
Sponsor’s telephone number 3053615433
Plan sponsor’s address ONE CRANDON BOULEVARD, KEY BISCAYNE, FL, 33149

Signature of
Role Plan administrator
Date 2020-07-08
Name of individual signing CRIS CASANUEVA
Valid signature Filed with authorized/valid electronic signature
L.D. PANKEY DENTAL FOUNDATION, INC. TAX DEFERRED ANNUITY PLAN 2018 591298070 2019-07-01 L.D. PANKEY DENTAL FOUNDATION, INC. 29
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1985-01-01
Business code 813000
Sponsor’s telephone number 3053615433
Plan sponsor’s address ONE CRANDON BOULEVARD, KEY BISCAYNE, FL, 33149

Signature of
Role Plan administrator
Date 2019-07-01
Name of individual signing CRIS CASANUEVA
Valid signature Filed with authorized/valid electronic signature
L.D. PANKEY DENTAL FOUNDATION, INC. TAX DEFERRED ANNUITY PLAN 2017 591298070 2018-09-26 L.D. PANKEY DENTAL FOUNDATION, INC. 28
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1985-01-01
Business code 813000
Sponsor’s telephone number 3053615433
Plan sponsor’s address ONE CRANDON BOULEVARD, KEY BISCAYNE, FL, 33149

Signature of
Role Plan administrator
Date 2018-09-26
Name of individual signing RICKI BRASWELL
Valid signature Filed with authorized/valid electronic signature
L.D. PANKEY DENTAL FOUNDATION, INC. TAX DEFERRED ANNUITY PLAN 2016 591298070 2017-08-14 L.D. PANKEY DENTAL FOUNDATION, INC. 26
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1985-01-01
Business code 813000
Sponsor’s telephone number 3053615433
Plan sponsor’s address ONE CRANDON BOULEVARD, KEY BISCAYNE, FL, 33149

Signature of
Role Plan administrator
Date 2017-08-14
Name of individual signing RICKI BRASWELL
Valid signature Filed with authorized/valid electronic signature
L.D. PANKEY DENTAL FOUNDATION, INC. TAX DEFERRED ANNUITY PLAN 2015 591298070 2016-09-19 L.D. PANKEY DENTAL FOUNDATION, INC. 27
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1985-01-01
Business code 813000
Sponsor’s telephone number 3053615433
Plan sponsor’s address ONE CRANDON BOULEVARD, KEY BISCAYNE, FL, 33149

Plan administrator’s name and address
Administrator’s EIN 591298070
Plan administrator’s name L.D. PANKEY DENTAL FOUNDATION, INC.
Plan administrator’s address ONE CRANDON BOULEVARD, KEY BISCAYNE, FL, 33149
Administrator’s telephone number 3053615433

Signature of
Role Plan administrator
Date 2016-09-19
Name of individual signing RICKI BRASWELL
Valid signature Filed with authorized/valid electronic signature
L.D. PANKEY DENTAL FOUNDATION, INC. TAX DEFERRED ANNUITY PLAN 2014 591298070 2015-07-23 L.D. PANKEY DENTAL FOUNDATION, INC. 30
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1985-01-01
Business code 813000
Sponsor’s telephone number 3053615433
Plan sponsor’s address ONE CRANDON BOULEVARD, KEY BISCAYNE, FL, 33149

Plan administrator’s name and address
Administrator’s EIN 591298070
Plan administrator’s name L.D. PANKEY DENTAL FOUNDATION, INC.
Plan administrator’s address ONE CRANDON BOULEVARD, KEY BISCAYNE, FL, 33149
Administrator’s telephone number 3053615433

Signature of
Role Plan administrator
Date 2015-07-23
Name of individual signing RICKI BRASWELL
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
BRADY, LEE ANN Agent ONE CRANDON BLVD, KEY BISCAYNE, FL 33149

DIRECTOR

Name Role Address
DAVIS, CLAYTON DIRECTOR ONE CRANDON BLVD., KEY BISCAYNE, FL 33149
SANDER, TODD DIRECTOR ONE CRANDON BLVD., KEY BISCAYNE, FL 33149
SWAN, DAVID DIRECTOR ONE CRANDON BLVD., KEY BISCAYNE, FL 33149
DUBOSE, KEVIN DIRECTOR ONE CRANDON BLVD., KEY BISCAYNE, FL 33149

TREASURER

Name Role Address
SANDER, TODD TREASURER ONE CRANDON BLVD., KEY BISCAYNE, FL 33149

Vice President

Name Role Address
DUBOSE, KEVIN Vice President ONE CRANDON BLVD., KEY BISCAYNE, FL 33149

EXECUTIVE DIRECTOR

Name Role Address
BRADY, LEE ANN EXECUTIVE DIRECTOR ONE CRANDON BLVD., KEY BISCAYNE, FL 33149

CHAIRMAN OF THE BOARD

Name Role Address
SWAN, DAVID CHAIRMAN OF THE BOARD ONE CRANDON BLVD., KEY BISCAYNE, FL 33149
DUBOSE, KEVIN CHAIRMAN OF THE BOARD ONE CRANDON BLVD., KEY BISCAYNE, FL 33149

SECRETARY

Name Role Address
DAVIS, CLAYTON SECRETARY ONE CRANDON BLVD., KEY BISCAYNE, FL 33149

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G20000157470 RESTORATIVE NATION ACTIVE 2020-12-11 2025-12-31 No data 1 CRANDON BLVD, KEY BISCAYNE, FL, 33149
G92022000145 L.D. PANKEY INSTITUTE ACTIVE 1992-01-22 2027-12-31 No data ONE CRANDON BOULEVARD, KEY BISCAYNE, FL, 33149

Events

Event Type Filed Date Value Description
REGISTERED AGENT NAME CHANGED 2020-01-15 BRADY, LEE ANN No data
REINSTATEMENT 2018-10-08 No data No data
ADMIN DISSOLUTION FOR ANNUAL REPORT 2018-09-28 No data No data
REGISTERED AGENT ADDRESS CHANGED 2012-01-03 ONE CRANDON BLVD, KEY BISCAYNE, FL 33149 No data
AMENDED AND RESTATEDARTICLES 2007-10-17 No data No data
CHANGE OF MAILING ADDRESS 2000-01-14 ONE CRANDON BLVD., KEY BISCAYNE, FL 33149 No data
CHANGE OF PRINCIPAL ADDRESS 2000-01-14 ONE CRANDON BLVD., KEY BISCAYNE, FL 33149 No data
AMENDMENT 1985-09-20 No data No data

Documents

Name Date
ANNUAL REPORT 2024-02-21
ANNUAL REPORT 2023-02-16
ANNUAL REPORT 2022-03-11
ANNUAL REPORT 2021-04-08
ANNUAL REPORT 2020-01-15
ANNUAL REPORT 2019-02-05
REINSTATEMENT 2018-10-08
ANNUAL REPORT 2017-03-15
ANNUAL REPORT 2016-03-04
ANNUAL REPORT 2015-03-17

Related by officers

DAVIS, CLAYTON

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SWAN, DAVID

RUSSELL PROGRAM MANAGEMENT, INC.

Related by address

No related companies by address

Date of last update: 06 Feb 2025

Sources: Florida Department of State

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