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  5. MATTHEW L. DAVIS, D.D.S., P.A.

MATTHEW L. DAVIS, D.D.S., P.A.

Company Details

Entity Name: MATTHEW L. DAVIS, D.D.S., P.A.
Jurisdiction: FLORIDA
Filing Type: Florida Profit Corporation
Status: Active
Date Filed: 18 Dec 1987 (37 years ago)
Last Event: REINSTATEMENT
Event Date Filed: 30 Sep 2013 (11 years ago)
Document Number: K07857
FEI/EIN Number 59-2864897
Address: 6120 Winkler Road, Suite I, Fort Myers, FL 33919
Mail Address: 6120 Winkler Road, Suite I, Fort Myers, FL 33919
ZIP code: 33919
County: Lee
Place of Formation: FLORIDA

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
MATTHEW L. DAVIS, D.D.S., P.A. 401(K) PROFIT SHARING PLAN AND TRUST 2016 592864897 2017-11-17 MATTHEW L. DAVIS, D.D.S., P.A. 6
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1985-01-01
Business code 621210
Sponsor’s telephone number 2399392272
Plan sponsor’s address 40-2 BARKLEY CIRCLE, FORT MYERS, FL, 33907

Signature of
Role Plan administrator
Date 2017-11-17
Name of individual signing MATT DAVIS
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2017-11-17
Name of individual signing MATT DAVIS
Valid signature Filed with authorized/valid electronic signature
MATTHEW L. DAVIS, D.D.S., P.A. 401(K) PROFIT SHARING PLAN AND TRUST 2015 592864897 2016-10-06 MATTHEW L. DAVIS, D.D.S., P.A. 7
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1985-01-01
Business code 621210
Sponsor’s telephone number 2399392272
Plan sponsor’s address 40-2 BARKLEY CIRCLE, FORT MYERS, FL, 33907

Signature of
Role Plan administrator
Date 2016-10-06
Name of individual signing MATTHEW DAVIS
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2016-10-06
Name of individual signing MATTHEW DAVIS
Valid signature Filed with authorized/valid electronic signature
MATTHEW L. DAVIS, D.D.S., P.A. 401(K) PROFIT SHARING PLAN AND TRUST 2014 592864897 2016-09-22 MATTHEW L. DAVIS, D.D.S., P.A. 6
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1985-01-01
Business code 621210
Sponsor’s telephone number 2399392272
Plan sponsor’s address 40-2 BARKLEY CIRCLE, FORT MYERS, FL, 33907

Signature of
Role Plan administrator
Date 2016-09-22
Name of individual signing MATT DAVIS
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2016-09-22
Name of individual signing MATT DAVIS
Valid signature Filed with authorized/valid electronic signature
MATTHEW L. DAVIS, D.D.S., P.A. 401(K) PROFIT SHARING PLAN AND TRUST 2014 592864897 2015-10-08 MATTHEW L. DAVIS, D.D.S., P.A. 6
Three-digit plan number (PN) 002
Effective date of plan 1985-01-01
Business code 621210
Sponsor’s telephone number 2399392272
Plan sponsor’s address 40-2 BARKLEY CIRCLE, FORT MYERS, FL, 33907

Signature of
Role Plan administrator
Date 2015-10-08
Name of individual signing MATHHEW DAVIS
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2015-10-08
Name of individual signing MATHHEW DAVIS
Valid signature Filed with authorized/valid electronic signature
MATTHEW L. DAVIS, D.D.S., P.A. 401(K) PROFIT SHARING PLAN AND TRUST 2013 592864897 2016-09-22 MATTHEW L. DAVIS, D.D.S., P.A. 8
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1985-01-01
Business code 621210
Sponsor’s telephone number 2399392272
Plan sponsor’s address 40-2 BARKLEY CIRCLE, FORT MYERS, FL, 33907

Signature of
Role Plan administrator
Date 2016-09-22
Name of individual signing MATT DAVIS
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2016-09-22
Name of individual signing MATT DAVIS
Valid signature Filed with authorized/valid electronic signature
MATTHEW L. DAVIS, D.D.S., P.A. 401(K) PROFIT SHARING PLAN AND TRUST 2013 592864897 2014-09-22 MATTHEW L. DAVIS, D.D.S., P.A. 6
Three-digit plan number (PN) 002
Effective date of plan 1985-01-01
Business code 621210
Sponsor’s telephone number 2399392272
Plan sponsor’s address 40-2 BARKLEY CIRCLE, FORT MYERS, FL, 33907

Signature of
Role Plan administrator
Date 2014-09-22
Name of individual signing MATTHEW DAVIS
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2014-09-22
Name of individual signing MATTHEW DAVIS
Valid signature Filed with authorized/valid electronic signature
MATTHEW L. DAVIS, D.D.S., P.A. 401(K) PROFIT SHARING PLAN AND TRUST 2012 592864897 2013-09-17 MATTHEW L. DAVIS, D.D.S., P.A. 6
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1985-01-01
Business code 621210
Sponsor’s telephone number 2399392272
Plan sponsor’s address 40-2 BARKLEY CIRCLE, FORT MYERS, FL, 33907

Signature of
Role Plan administrator
Date 2013-09-17
Name of individual signing MATTHEW DAVIS
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2013-09-17
Name of individual signing MATTHEW DAVIS
Valid signature Filed with authorized/valid electronic signature
MATTHEW L. DAVIS, D.D.S., P.A. 401(K) PROFIT SHARING PLAN AND TRUST 2011 592864897 2012-10-12 MATTHEW L. DAVIS, D.D.S., P.A. 6
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1985-01-01
Business code 621210
Sponsor’s telephone number 2399392272
Plan sponsor’s address 40-2 BARKLEY CIRCLE, FORT MYERS, FL, 33907

Plan administrator’s name and address
Administrator’s EIN 592864897
Plan administrator’s name MATTHEW L. DAVIS, D.D.S., P.A.
Plan administrator’s address 40-2 BARKLEY CIRCLE, FORT MYERS, FL, 33907
Administrator’s telephone number 2399392272

Signature of
Role Plan administrator
Date 2012-10-12
Name of individual signing MATTHEW DAVIS
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2012-10-12
Name of individual signing MATTHEW DAVIS
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
DAVIS, MATTHEW L., D.D.S. Agent 6120 Winkler Road, Suite I, Fort Myers, FL 33919

DIRECTOR

Name Role Address
DAVIS , MATTHEW L, DDS DIRECTOR 6120 Winkler Road, Suite I Fort Myers, FL 33919

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2022-04-18 6120 Winkler Road, Suite I, Fort Myers, FL 33919 No data
CHANGE OF MAILING ADDRESS 2022-04-18 6120 Winkler Road, Suite I, Fort Myers, FL 33919 No data
REGISTERED AGENT ADDRESS CHANGED 2022-04-18 6120 Winkler Road, Suite I, Fort Myers, FL 33919 No data
REINSTATEMENT 2013-09-30 No data No data
ADMIN DISSOLUTION FOR ANNUAL REPORT 1995-08-25 No data No data

Documents

Name Date
ANNUAL REPORT 2024-04-24
ANNUAL REPORT 2023-02-13
ANNUAL REPORT 2022-04-18
ANNUAL REPORT 2021-04-14
ANNUAL REPORT 2020-06-09
ANNUAL REPORT 2019-03-08
ANNUAL REPORT 2018-04-03
ANNUAL REPORT 2017-01-20
ANNUAL REPORT 2016-02-16
ANNUAL REPORT 2015-04-10

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Date of last update: 04 Feb 2025

Sources: Florida Department of State

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