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JOHN J. NELSON, D.D.S., P.A.

Company Details

Entity Name: JOHN J. NELSON, D.D.S., P.A.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Inactive
Date Filed: 25 Sep 1981 (43 years ago)
Document Number: F46437
FEI/EIN Number 592124683
Address: C/O JOHN J. NELSON, D.D.S., 865 BALCH AVE., WINTER PARK, FL, 32789
Mail Address: C/O JOHN J. NELSON, D.D.S., 865 BALCH AVE., WINTER PARK, FL, 32789
ZIP code: 32789
County: Orange
Place of Formation: FLORIDA

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
JOHN J. NELSON, D.D.S., P.A. 401(K) PLAN AND TRUST 2012 592124683 2014-03-12 JOHN J. NELSON, D.D.S., P.A. 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-01-01
Business code 621210
Sponsor’s telephone number 4076292161
Plan sponsor’s address 865 BALCH AVENUE, WINTER PARK, FL, 32789

Signature of

Role Plan administrator
Date 2014-03-12
Name of individual signing JOHN J. NELSON
Valid signature Filed with authorized/valid electronic signature
JOHN J. NELSON, D.D.S., P.A. 401(K) PLAN AND TRUST 2011 592124683 2013-02-07 JOHN J. NELSON, D.D.S., P.A. 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-01-01
Business code 621210
Sponsor’s telephone number 4076292161
Plan sponsor’s address 865 BALCH AVENUE, WINTER PARK, FL, 32789

Plan administrator’s name and address

Administrator’s EIN 592124683
Plan administrator’s name JOHN J. NELSON, D.D.S., P.A.
Plan administrator’s address 865 BALCH AVENUE, WINTER PARK, FL, 32789
Administrator’s telephone number 4076292161

Signature of

Role Plan administrator
Date 2013-02-07
Name of individual signing JOHN J. NELSON
Valid signature Filed with authorized/valid electronic signature
JOHN J. NELSON, D.D.S., P.A. 401(K) PLAN AND TRUST 2010 592124683 2012-04-17 JOHN J. NELSON, D.D.S., P.A. 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-01-01
Business code 621210
Sponsor’s telephone number 4076292161
Plan sponsor’s address 865 BALCH AVENUE, WINTER PARK, FL, 32789

Plan administrator’s name and address

Administrator’s EIN 592124683
Plan administrator’s name JOHN J. NELSON, D.D.S., P.A.
Plan administrator’s address 865 BALCH AVENUE, WINTER PARK, FL, 32789
Administrator’s telephone number 4076292161

Signature of

Role Plan administrator
Date 2012-04-17
Name of individual signing CHARLES A. BROWN
Valid signature Filed with authorized/valid electronic signature
JOHN J. NELSON, D.D.S., P.A. 401(K) PLAN AND TRUST 2009 592124683 2011-01-20 JOHN J. NELSON, D.D.S., P.A. 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-01-01
Business code 621210
Sponsor’s telephone number 4076292161
Plan sponsor’s address 865 BALCH AVENUE, WINTER PARK, FL, 32789

Plan administrator’s name and address

Administrator’s EIN 592124683
Plan administrator’s name JOHN J. NELSON, D.D.S., P.A.
Plan administrator’s address 865 BALCH AVENUE, WINTER PARK, FL, 32789
Administrator’s telephone number 4076292161

Signature of

Role Plan administrator
Date 2011-01-20
Name of individual signing JOHN J. NELSON, D.D.S.
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
NELSON, JOHN J. Agent 865 BALCH AVE., WINTER PARK, FL, 32789

President

Name Role Address
NELSON, JOHN J. President 865 BALCH AVE., WINTER PARK, FL, 32789

Treasurer

Name Role Address
NELSON, JOHN J. Treasurer 865 BALCH AVE., WINTER PARK, FL, 32789

Director

Name Role Address
NELSON, JOHN J. Director 865 BALCH AVE., WINTER PARK, FL, 32789

Secretary

Name Role Address
NELSON, GAIL M. Secretary 865 BALCH AVE., WINTER PARK, FL, 32789

Events

Event Type Filed Date Value Description
ADMIN DISSOLUTION FOR ANNUAL REPORT 2014-09-26 No data No data

Date of last update: 02 Jan 2025

Sources: Florida Department of State