| Entity Name: | T. DAVID PULLIAM, D.D.S., P.A. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Inactive |
| Date Filed: | 31 Oct 1980 (44 years ago) |
| Document Number: | F04660 |
| FEI/EIN Number | 592058064 |
| Address: | 4105 Stillwater Ter Cv, TAMPA, FL, 33618, US |
| Mail Address: | 4105 Stillwater Ter Cv, TAMPA, FL, 33618, US |
| ZIP code: | 33618 |
| County: | Hillsborough |
| Place of Formation: | FLORIDA |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| T. DAVID PULLIAM, D. D. S. , P. A. 401(K) PROFIT | 2015 | 592058064 | 2016-11-17 | T. DAVID PULLIAM, D. D. S. , P. A. | 2 | |||||||||||||||||||||||||||||||||
|
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| Role | Plan administrator |
| Date | 2016-11-17 |
| Name of individual signing | T. DAVID PULLIAM |
| Valid signature | Filed with authorized/valid electronic signature |
| Role | Employer/plan sponsor |
| Date | 2016-11-17 |
| Name of individual signing | T DAVID PULLIAM |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 1991-01-01 |
| Business code | 621210 |
| Sponsor’s telephone number | 8139102345 |
| Plan sponsor’s address | 4446 E. FLETCHER AVENUE, SUITE F, TAMPA, FL, 336134942 |
Signature of
| Role | Plan administrator |
| Date | 2016-09-22 |
| Name of individual signing | T. DAVID PULLIAM |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 1991-01-01 |
| Business code | 621210 |
| Sponsor’s telephone number | 8139102345 |
| Plan sponsor’s address | 4446 E. FLETCHER AVENUE, SUITE F, TAMPA, FL, 336134942 |
Signature of
| Role | Plan administrator |
| Date | 2015-07-28 |
| Name of individual signing | T. DAVID PULLIAM |
| Valid signature | Filed with authorized/valid electronic signature |
| Name | Role | Address |
|---|---|---|
| Pulliam Thomas David DDS | Agent | 4105 Stillwater Ter Cv, TAMPA, FL, 33618 |
| Name | Role | Address |
|---|---|---|
| Pulliam Thomas David DDS | President | 4105 STILLWATER TERR COV, TAMPA, FL, 33618 |
| Name | Role | Address |
|---|---|---|
| Pulliam Thomas David DDS | Director | 4105 STILLWATER TERR COV, TAMPA, FL, 33618 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2019-09-27 | No data | No data |
| REINSTATEMENT | 2015-03-19 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2014-09-26 | No data | No data |
| NAME CHANGE AMENDMENT | 2006-03-29 | T. DAVID PULLIAM, D.D.S., P.A. | No data |
Date of last update: 01 Jan 2025
Sources: Florida Department of State
