| Entity Name: | JAMES T. CROWTHER, D.M.D., P.A. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 31 May 1985 (40 years ago) |
| Document Number: | H59657 |
| FEI/EIN Number | 592541612 |
| Address: | DR. JAMES T. CROWTHER, 272 E. GRAVES AVE., ORANGE CITY, FL, 32763 |
| Mail Address: | DR. JAMES T. CROWTHER, 272 E. GRAVES AVE., ORANGE CITY, FL, 32763 |
| ZIP code: | 32763 |
| County: | Volusia |
| Place of Formation: | FLORIDA |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| JAMES T. CROWTHER, D.M.D., P.A. MONEY PURCHASE PENSION PLAN | 2011 | 592541612 | 2012-02-29 | JAMES T. CROWTHER, D.M.D., P.A. | 1 | |||||||||||||||||||||||||||||||||||||||||
|
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| Administrator’s EIN | 592541612 |
| Plan administrator’s name | JAMES T. CROWTHER, D.M.D., P.A. |
| Plan administrator’s address | 272 EAST GRAVES AVENUE, ORANGE CITY, FL, 32763 |
| Administrator’s telephone number | 3867754300 |
Signature of
| Role | Plan administrator |
| Date | 2012-02-29 |
| Name of individual signing | JAMES CROWTHER |
| Valid signature | Filed with authorized/valid electronic signature |
| Role | Employer/plan sponsor |
| Date | 2012-02-29 |
| Name of individual signing | JAMES CROWTHER |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 1985-07-01 |
| Business code | 621210 |
| Sponsor’s telephone number | 3867754300 |
| Plan sponsor’s address | 272 EAST GRAVES AVENUE, ORANGE CITY, FL, 32763 |
Plan administrator’s name and address
| Administrator’s EIN | 592541612 |
| Plan administrator’s name | JAMES T. CROWTHER, D.M.D., P.A. |
| Plan administrator’s address | 272 EAST GRAVES AVENUE, ORANGE CITY, FL, 32763 |
| Administrator’s telephone number | 3867754300 |
Signature of
| Role | Plan administrator |
| Date | 2011-07-19 |
| Name of individual signing | JAMES CROWTHER |
| Valid signature | Filed with authorized/valid electronic signature |
| Role | Employer/plan sponsor |
| Date | 2011-07-19 |
| Name of individual signing | JAMES CROWTHER |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 1985-07-01 |
| Business code | 621210 |
| Sponsor’s telephone number | 3867754300 |
| Plan sponsor’s address | 272 EAST GRAVES AVENUE, ORANGE CITY, FL, 32763 |
Plan administrator’s name and address
| Administrator’s EIN | 592541612 |
| Plan administrator’s name | JAMES T. CROWTHER, D.M.D., P.A. |
| Plan administrator’s address | 272 EAST GRAVES AVENUE, ORANGE CITY, FL, 32763 |
| Administrator’s telephone number | 3867754300 |
Signature of
| Role | Plan administrator |
| Date | 2010-12-17 |
| Name of individual signing | DR. JAMES CROWTHER |
| Valid signature | Filed with authorized/valid electronic signature |
| Role | Employer/plan sponsor |
| Date | 2010-12-17 |
| Name of individual signing | DR. JAMES CROWTHER |
| Valid signature | Filed with authorized/valid electronic signature |
| Name | Role | Address |
|---|---|---|
| CROWTHER, JAMES T. | Agent | DR. JAMES T. CROWTHER, ORANGE CITY, FL, 32763 |
| Name | Role | Address |
|---|---|---|
| CROWTHER, JAMES T | President | 272 E. GRAVES AVE., ORANGE CITY, FL, 32763 |
| Name | Role | Address |
|---|---|---|
| CROWTHER, JAMES T | Vice President | 272 E. GRAVES AVE., ORANGE CITY, FL, 32763 |
| Name | Role | Address |
|---|---|---|
| CROWTHER, JAMES T | Treasurer | 272 E. GRAVES AVE., ORANGE CITY, FL, 32763 |
| Name | Role | Address |
|---|---|---|
| CROWTHER, JAMES T | Secretary | 272 E. GRAVES AVE., ORANGE CITY, FL, 32763 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G23000074186 | IMPLANT DENTISTRY OF MID-FLORIDA | ACTIVE | 2023-06-20 | 2028-12-31 | No data | 272 EAST GRAVES AVENUE, ORANGE CITY, FL, 32763 |
| G10000084929 | IMPLANT DENTISTRY OF MID-FLORIDA | EXPIRED | 2010-09-15 | 2015-12-31 | No data | 272 E. GRAVES AVE., ORANGE CITY, FL, 32763 |
Date of last update: 02 Jan 2025
Sources: Florida Department of State
