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  5. JAY M. LERNER D.D.S., P.A.

JAY M. LERNER D.D.S., P.A.

Company Details

Entity Name: JAY M. LERNER D.D.S., P.A.
Jurisdiction: FLORIDA
Filing Type: Florida Profit Corporation
Status: Inactive
Date Filed: 29 Aug 1986 (38 years ago)
Date of dissolution: 03 Feb 2022 (3 years ago)
Last Event: VOLUNTARY DISSOLUTION
Event Date Filed: 03 Feb 2022 (3 years ago)
Document Number: J31041
FEI/EIN Number 59-2716819
Address: 5602 PGA BLVD., PGA CONCOURSE, SUITE 201, PALM BEACH GARDENS, FL 33418
Mail Address: 5602 PGA BLVD., PGA CONCOURSE, SUITE 201, PALM BEACH GARDENS, FL 33418
ZIP code: 33418
County: Palm Beach
Place of Formation: FLORIDA

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
JAY M. LERNER, D.D.S., P.A. 2020 592716819 2021-03-18 JAY M. LERNER, D.D.S., P.A. 2
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2018-01-01
Business code 621210
Sponsor’s telephone number 5616279000
Plan sponsor’s address 7856 STEEPLECHASE DRIVE, PALM BEACH GARDNES, FL, 33418

Signature of
Role Plan administrator
Date 2021-03-17
Name of individual signing JAY LERNER
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2021-03-17
Name of individual signing JAY LERNER
Valid signature Filed with authorized/valid electronic signature
LERNER AND LEMONGELLO DENTISTRY PARTNERSHIP RETIREMENT PLAN AND TRUST 2017 592716819 2018-03-06 JAY M. LERNER, D.D.S., P.A. 11
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1988-01-01
Business code 621210
Sponsor’s telephone number 5616279000
Plan sponsor’s address 5602 PGA BLVD, SUITE 201, PALM BEACH GARDENS, FL, 33418

Plan administrator’s name and address
Administrator’s EIN 592716819
Plan administrator’s name JAY M. LERNER, D.D.S., P.A.
Plan administrator’s address 5602 PGA BLVD, SUITE 201, PALM BEACH GARDENS, FL, 33418
Administrator’s telephone number 5616279000

Signature of
Role Plan administrator
Date 2018-03-06
Name of individual signing JAY M. LERNER
Valid signature Filed with authorized/valid electronic signature
LERNER AND LEMONGELLO DENTISTRY PARTNERSHIP RETIREMENT PLAN AND TRUST 2016 592716819 2017-05-10 JAY M. LERNER, D.D.S., P.A. 11
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1988-01-01
Business code 621210
Sponsor’s telephone number 5616279000
Plan sponsor’s address 5602 PGA BLVD, SUITE 201, PALM BEACH GARDENS, FL, 33418

Plan administrator’s name and address
Administrator’s EIN 592716819
Plan administrator’s name JAY M. LERNER, D.D.S., P.A.
Plan administrator’s address 5602 PGA BLVD, SUITE 201, PALM BEACH GARDENS, FL, 33418
Administrator’s telephone number 5616279000

Signature of
Role Plan administrator
Date 2017-05-10
Name of individual signing JAY M. LERNER
Valid signature Filed with authorized/valid electronic signature
LERNER AND LEMONGELLO DENTISTRY PARTNERSHIP RETIREMENT PLAN AND TRUST 2015 592716819 2016-04-26 JAY M. LERNER, D.D.S., P.A. 13
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1988-01-01
Business code 621210
Sponsor’s telephone number 5616279000
Plan sponsor’s address 5602 PGA BLVD, SUITE 201, PALM BEACH GARDENS, FL, 33418

Plan administrator’s name and address
Administrator’s EIN 592716819
Plan administrator’s name JAY M. LERNER, D.D.S., P.A.
Plan administrator’s address 5602 PGA BLVD, SUITE 201, PALM BEACH GARDENS, FL, 33418
Administrator’s telephone number 5616279000

Signature of
Role Plan administrator
Date 2016-04-26
Name of individual signing JAY M. LERNER
Valid signature Filed with authorized/valid electronic signature
LERNER AND LEMONGELLO DENTISTRY PARTNERSHIP RETIREMENT PLAN AND TRUST 2014 592716819 2015-04-13 JAY M. LERNER, D.D.S., P.A. 10
Three-digit plan number (PN) 001
Effective date of plan 1988-01-01
Business code 621210
Sponsor’s telephone number 5616279000
Plan sponsor’s address 5602 PGA BLVD, SUITE 201, PALM BEACH GARDENS, FL, 33418

Plan administrator’s name and address
Administrator’s EIN 592716819
Plan administrator’s name JAY M. LERNER, D.D.S., P.A.
Plan administrator’s address 5602 PGA BLVD, SUITE 201, PALM BEACH GARDENS, FL, 33418
Administrator’s telephone number 5616279000

Signature of
Role Plan administrator
Date 2015-04-13
Name of individual signing JAY M. LERNER
Valid signature Filed with authorized/valid electronic signature
LERNER AND LEMONGELLO DENTISTRY PARTNERSHIP RETIREMENT PLAN AND TRUST 2014 592716819 2015-12-03 JAY M. LERNER, D.D.S., P.A. 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1988-01-01
Business code 621210
Sponsor’s telephone number 5616279000
Plan sponsor’s address 5602 PGA BLVD, SUITE 201, PALM BEACH GARDENS, FL, 33418

Plan administrator’s name and address
Administrator’s EIN 592716819
Plan administrator’s name JAY M. LERNER, D.D.S., P.A.
Plan administrator’s address 5602 PGA BLVD, SUITE 201, PALM BEACH GARDENS, FL, 33418
Administrator’s telephone number 5616279000

Signature of
Role Plan administrator
Date 2015-12-03
Name of individual signing JAY M. LERNER
Valid signature Filed with authorized/valid electronic signature
LERNER AND LEMONGELLO DENTISTRY PARTNERSHIP RETIREMENT PLAN AND TRUST 2013 592716819 2014-03-18 JAY M. LERNER, D.D.S., P.A. 11
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1988-01-01
Business code 621210
Sponsor’s telephone number 5616279000
Plan sponsor’s address 5602 PGA BLVD, SUITE 201, PALM BEACH GARDENS, FL, 33418

Plan administrator’s name and address
Administrator’s EIN 592716819
Plan administrator’s name JAY M. LERNER, D.D.S., P.A.
Plan administrator’s address 5602 PGA BLVD, SUITE 201, PALM BEACH GARDENS, FL, 33418
Administrator’s telephone number 5616279000

Signature of
Role Plan administrator
Date 2014-03-18
Name of individual signing JAY M. LERNER
Valid signature Filed with authorized/valid electronic signature
LERNER AND LEMONGELLO DENTISTRY PARTNERSHIP RETIREMENT PLAN AND TRUST 2012 592716819 2013-03-11 JAY M. LERNER, D.D.S., P.A. 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1988-01-01
Business code 621210
Sponsor’s telephone number 5616279000
Plan sponsor’s address 5602 PGA BLVD, SUITE 201, PALM BEACH GARDENS, FL, 33418

Plan administrator’s name and address
Administrator’s EIN 592716819
Plan administrator’s name JAY M. LERNER, D.D.S., P.A.
Plan administrator’s address 5602 PGA BLVD, SUITE 201, PALM BEACH GARDENS, FL, 33418
Administrator’s telephone number 5616279000

Signature of
Role Plan administrator
Date 2013-03-11
Name of individual signing JAY M. LERNER
Valid signature Filed with authorized/valid electronic signature
LERNER AND LEMONGELLO DENTISTRY PARTNERSHIP RETIREMENT PLAN AND TRUST 2011 592716819 2012-05-29 JAY M. LERNER, D.D.S., P.A. 12
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1988-01-01
Business code 621210
Plan sponsor’s address 5602 PGA BLVD, SUITE 201, PALM BEACH GARDENS, FL, 33418

Plan administrator’s name and address
Administrator’s EIN 592716819
Plan administrator’s name JAY M. LERNER, D.D.S., P.A.
Plan administrator’s address 5602 PGA BLVD, SUITE 201, PALM BEACH GARDENS, FL, 33418
Administrator’s telephone number 5616279000

Signature of
Role Plan administrator
Date 2012-05-29
Name of individual signing JAY M. LERNER
Valid signature Filed with authorized/valid electronic signature
LERNER AND LEMONGELLO DENTISTRY PARTNERSHIP RETIREMENT PLAN AND TRUST 2010 592716819 2011-05-02 JAY M. LERNER, D.D.S., P.A. 12
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1988-01-01
Business code 621210
Sponsor’s telephone number 5616279000
Plan sponsor’s address 5602 PGA BLVD, SUITE 201, PALM BEACH GARDENS, FL, 33418

Plan administrator’s name and address
Administrator’s EIN 592716819
Plan administrator’s name JAY M. LERNER, D.D.S., P.A.
Plan administrator’s address 5602 PGA BLVD, SUITE 201, PALM BEACH GARDENS, FL, 33418
Administrator’s telephone number 5616279000

Signature of
Role Plan administrator
Date 2011-05-02
Name of individual signing JAY M. LERNER
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
LERNER, JAY M. Agent 5602 PGA BLVD., PGA CONCOURSE, SUITE 201, PALM BEACH GARDENS, FL 33418

President

Name Role Address
LERNER, JAY M. President 5602 PGA BLVD. #201, PALM BCH GARDENS, FL

Secretary

Name Role Address
LERNER, JAY M. Secretary 5602 PGA BLVD. #201, PALM BCH GARDENS, FL

Treasurer

Name Role Address
LERNER, JAY M. Treasurer 5602 PGA BLVD. #201, PALM BCH GARDENS, FL

Director

Name Role Address
LERNER, JAY M. Director 5602 PGA BLVD. #201, PALM BCH GARDENS, FL

Events

Event Type Filed Date Value Description
VOLUNTARY DISSOLUTION 2022-02-03 No data No data
CHANGE OF PRINCIPAL ADDRESS 1988-02-25 5602 PGA BLVD., PGA CONCOURSE, SUITE 201, PALM BEACH GARDENS, FL 33418 No data
CHANGE OF MAILING ADDRESS 1988-02-25 5602 PGA BLVD., PGA CONCOURSE, SUITE 201, PALM BEACH GARDENS, FL 33418 No data
REGISTERED AGENT ADDRESS CHANGED 1988-02-25 5602 PGA BLVD., PGA CONCOURSE, SUITE 201, PALM BEACH GARDENS, FL 33418 No data

Documents

Name Date
VOLUNTARY DISSOLUTION 2022-02-03
ANNUAL REPORT 2021-01-11
ANNUAL REPORT 2020-01-21
ANNUAL REPORT 2019-02-09
ANNUAL REPORT 2018-01-23
ANNUAL REPORT 2017-01-11
ANNUAL REPORT 2016-01-25
ANNUAL REPORT 2015-01-07
ANNUAL REPORT 2014-03-10
ANNUAL REPORT 2013-01-21

Related by officers

No related officers

Related by address

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Date of last update: 04 Feb 2025

Sources: Florida Department of State

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