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  5. RAY L. POLLOCK & ASSOCIATES, D.D.S., P.A.

RAY L. POLLOCK & ASSOCIATES, D.D.S., P.A.

Company Details

Entity Name: RAY L. POLLOCK & ASSOCIATES, D.D.S., P.A.
Jurisdiction: FLORIDA
Filing Type: Florida Profit Corporation
Status: Inactive
Date Filed: 20 Nov 1980 (44 years ago)
Date of dissolution: 25 Sep 2020 (4 years ago)
Last Event: ADMIN DISSOLUTION FOR ANNUAL REPORT
Event Date Filed: 25 Sep 2020 (4 years ago)
Document Number: F06314
FEI/EIN Number 59-2053647
Address: 1325 PINE ST. SUITE 103, MELBOURNE, FL 32901
Mail Address: 1325 PINE ST. SUITE 103, MELBOURNE, FL 32901
ZIP code: 32901
County: Brevard
Place of Formation: FLORIDA

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
RAY L. POLLOCK & ASSOCIATES, D.D.S., P.A. THIRD RESTATED PROFIT SHARING PLAN AND TRUST 2013 592053647 2014-10-09 RAY L. POLLOCK & ASSOCIATES, D.D.S., P.A. 20
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1980-11-01
Business code 621210
Sponsor’s telephone number 3217244520
Plan sponsor’s mailing address 1325 S. PINE STREET, SUITE 103, MELBOURNE, FL, 32901
Plan sponsor’s address 1325 S. PINE STREET, SUITE 103, MELBOURNE, FL, 32901

Number of participants as of the end of the plan year
Active participants 12
Retired or separated participants receiving benefits 0
Other retired or separated participants entitled to future benefits 7
Deceased participants whose beneficiaries are receiving or are entitled to receive benefits 0
Number of participants with account balances as of the end of the plan year 18
Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 3
RAY L. POLLOCK & ASSOCIATES, D.D.S., P.A. THIRD RESTATED PROFIT SHARING PLAN AND TRUST 2012 592053647 2013-09-10 RAY L. POLLOCK & ASSOCIATES, D.D.S., P.A. 19
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1980-11-01
Business code 621210
Sponsor’s telephone number 3217244520
Plan sponsor’s mailing address 1325 S. PINE STREET, SUITE 103, MELBOURNE, FL, 32901
Plan sponsor’s address 1325 S. PINE STREET, SUITE 103, MELBOURNE, FL, 32901

Number of participants as of the end of the plan year
Active participants 13
Retired or separated participants receiving benefits 0
Other retired or separated participants entitled to future benefits 7
Deceased participants whose beneficiaries are receiving or are entitled to receive benefits 0
Number of participants with account balances as of the end of the plan year 20
Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2

Signature of
Role Plan administrator
Date 2013-09-10
Name of individual signing RAY L. POLLOCK
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2013-09-10
Name of individual signing RAY L. POLLOCK
Valid signature Filed with authorized/valid electronic signature
RAY L. POLLOCK & ASSOCIATES, D.D.S., P.A. THIRD RESTATED PROFIT SHARING PLAN AND TRUST 2011 592053647 2012-10-03 RAY L. POLLOCK & ASSOCIATES, D.D.S., P.A. 18
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1980-11-01
Business code 621210
Sponsor’s telephone number 3217244520
Plan sponsor’s mailing address 1325 S. PINE STREET, SUITE 103, MELBOURNE, FL, 32901
Plan sponsor’s address 1325 S. PINE STREET, SUITE 103, MELBOURNE, FL, 32901

Plan administrator’s name and address
Administrator’s EIN 592053647
Plan administrator’s name RAY L. POLLOCK & ASSOCIATES, D.D.S., P.A.
Plan administrator’s address 1325 S. PINE STREET, SUITE 103, MELBOURNE, FL, 32901
Administrator’s telephone number 3217244520

Number of participants as of the end of the plan year
Active participants 12
Retired or separated participants receiving benefits 0
Other retired or separated participants entitled to future benefits 5
Deceased participants whose beneficiaries are receiving or are entitled to receive benefits 0
Number of participants with account balances as of the end of the plan year 10
Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 0

Signature of
Role Plan administrator
Date 2012-10-03
Name of individual signing RAY L. POLLOCK
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2012-10-03
Name of individual signing RAY L. POLLOCK
Valid signature Filed with authorized/valid electronic signature
RAY L. POLLOCK & ASSOCIATES, D.D.S., P.A. THIRD RESTATED PROFIT SHARING PLAN AND TRUST 2010 592053647 2011-07-01 RAY L. POLLOCK & ASSOCIATES, D.D.S., P.A. 17
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1980-11-01
Business code 621210
Sponsor’s telephone number 3217244520
Plan sponsor’s mailing address 1325 S. PINE STREET, SUITE 103, MELBOURNE, FL, 32901
Plan sponsor’s address 1325 S. PINE STREET, SUITE 103, MELBOURNE, FL, 32901

Plan administrator’s name and address
Administrator’s EIN 592053647
Plan administrator’s name RAY L. POLLOCK & ASSOCIATES, D.D.S., P.A.
Plan administrator’s address 1325 S. PINE STREET, SUITE 103, MELBOURNE, FL, 32901
Administrator’s telephone number 3217244520

Number of participants as of the end of the plan year
Active participants 9
Retired or separated participants receiving benefits 0
Other retired or separated participants entitled to future benefits 6
Number of participants with account balances as of the end of the plan year 10
Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2

Signature of
Role Plan administrator
Date 2011-07-01
Name of individual signing RAY L. POLLOCK
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2011-07-01
Name of individual signing RAY L. POLLOCK
Valid signature Filed with authorized/valid electronic signature
RAY L. POLLOCK & ASSOCIATES, D.D.S., P.A. THIRD RESTATED PROFIT SHARING PLAN AND TRUST 2009 592053647 2010-10-08 RAY L. POLLOCK & ASSOCIATES, D.D.S., P.A. 14
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1980-11-01
Business code 621210
Sponsor’s telephone number 3217244520
Plan sponsor’s mailing address 1325 S. PINE STREET, SUITE 103, MELBOURNE, FL, 32901
Plan sponsor’s address 1325 S. PINE STREET, SUITE 103, MELBOURNE, FL, 32901

Plan administrator’s name and address
Administrator’s EIN 592053647
Plan administrator’s name RAY L. POLLOCK & ASSOCIATES, D.D.S., P.A.
Plan administrator’s address 1325 S. PINE STREET, SUITE 103, MELBOURNE, FL, 32901
Administrator’s telephone number 3217244520

Number of participants as of the end of the plan year
Active participants 10
Retired or separated participants receiving benefits 0
Other retired or separated participants entitled to future benefits 2
Deceased participants whose beneficiaries are receiving or are entitled to receive benefits 0
Number of participants with account balances as of the end of the plan year 8
Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 0

Signature of
Role Plan administrator
Date 2010-10-08
Name of individual signing RAY L. POLLOCK
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2010-10-08
Name of individual signing RAY L. POLLOCK
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
KANCILIA, JOHN R Agent 1795 W NASA BLVD, MELBOURNE, FL 32901

DR.

Name Role Address
Pollock, Ray L, DDS DR. 1325 Pine Street, Suite No. 103 Melbourne, FL 32901

Events

Event Type Filed Date Value Description
ADMIN DISSOLUTION FOR ANNUAL REPORT 2020-09-25 No data No data
CHANGE OF PRINCIPAL ADDRESS 2019-02-12 1325 PINE ST. SUITE 103, MELBOURNE, FL 32901 No data
CHANGE OF MAILING ADDRESS 2019-02-12 1325 PINE ST. SUITE 103, MELBOURNE, FL 32901 No data
REGISTERED AGENT ADDRESS CHANGED 2010-02-09 1795 W NASA BLVD, MELBOURNE, FL 32901 No data
REGISTERED AGENT NAME CHANGED 1997-02-18 KANCILIA, JOHN R No data
NAME CHANGE AMENDMENT 1986-04-23 RAY L. POLLOCK & ASSOCIATES, D.D.S., P.A. No data

Documents

Name Date
ANNUAL REPORT 2019-02-12
ANNUAL REPORT 2018-01-26
ANNUAL REPORT 2017-02-13
ANNUAL REPORT 2016-04-01
ANNUAL REPORT 2015-04-27
ANNUAL REPORT 2014-02-03
ANNUAL REPORT 2013-04-22
ANNUAL REPORT 2012-03-30
ANNUAL REPORT 2011-02-23
ANNUAL REPORT 2010-02-09

Related by officers

KANCILIA, JOHN R

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Related by address

No related companies by address

Date of last update: 05 Feb 2025

Sources: Florida Department of State

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