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  5. KEVIN D. KILEY, D.D.S., P.A.

KEVIN D. KILEY, D.D.S., P.A.

Company Details

Entity Name: KEVIN D. KILEY, D.D.S., P.A.
Jurisdiction: FLORIDA
Filing Type: Florida Profit Corporation
Status: Inactive
Date Filed: 05 Jul 1989 (36 years ago)
Date of dissolution: 22 Sep 2023 (a year ago)
Last Event: ADMIN DISSOLUTION FOR ANNUAL REPORT
Event Date Filed: 22 Sep 2023 (a year ago)
Document Number: L00168
FEI/EIN Number 59-2958099
Address: 3820 TAMPA ROAD, 201, PALM HARBOR, FL 34684
Mail Address: 100 Carlyle Drive, 201, PALM HARBOR, FL 34683
ZIP code: 34684
County: Pinellas
Place of Formation: FLORIDA

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
KEVIN D. KILEY, D. D. S. , P. A. RETIREMENT PLAN & 2020 592958099 2021-12-27 KEVIN D. KILEY, D.D.S., P.A. 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1995-01-01
Business code 621210
Sponsor’s telephone number 7277877800
Plan sponsor’s address 3820 TAMPA ROAD, SUITE 201, PALM HARBOR, FL, 34684
KEVIN D. KILEY, D.D.S., P.A. RETIREMENT PLAN & TRUST 2020 592958099 2021-05-20 KEVIN D. KILEY, D.D.S., P.A. 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1995-01-01
Business code 621210
Sponsor’s telephone number 7277877800
Plan sponsor’s address 3820 TAMPA ROAD, SUITE 201, PALM HARBOR, FL, 34684
KEVIN D. KILEY, D.D.S., P.A. RETIREMENT PLAN & TRUST 2019 592958099 2020-08-25 KEVIN D. KILEY, D.D.S., P.A. 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1995-01-01
Business code 621210
Sponsor’s telephone number 7277877800
Plan sponsor’s address 3820 TAMPA ROAD, SUITE 201, PALM HARBOR, FL, 34684
KEVIN D. KILEY, D.D.S., P.A. RETIREMENT PLAN & TRUST 2018 592958099 2019-09-11 KEVIN D. KILEY, D.D.S., P.A. 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1995-01-01
Business code 621210
Sponsor’s telephone number 7277877800
Plan sponsor’s address 3820 TAMPA ROAD, SUITE 201, PALM HARBOR, FL, 34684
KEVIN D. KILEY, D.D.S., P.A. RETIREMENT PLAN & TRUST 2017 592958099 2018-08-23 KEVIN D. KILEY, D.D.S., P.A. 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1995-01-01
Business code 621210
Sponsor’s telephone number 7277877800
Plan sponsor’s address 3820 TAMPA ROAD, SUITE 201, PALM HARBOR, FL, 34684
KEVIN D. KILEY, D.D.S., P.A. RETIREMENT PLAN & TRUST 2016 592958099 2017-07-18 KEVIN D. KILEY, D.D.S., P.A. 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1995-01-01
Business code 621210
Sponsor’s telephone number 7277877800
Plan sponsor’s address 3820 TAMPA ROAD, SUITE 201, PALM HARBOR, FL, 34684

Signature of
Role Plan administrator
Date 2017-07-18
Name of individual signing KEVIN D. KILEY, D.D.S.
Valid signature Filed with authorized/valid electronic signature
KEVIN D. KILEY, D.D.S., P.A. RETIREMENT PLAN & TRUST 2015 592958099 2016-10-04 KEVIN D. KILEY, D.D.S., P.A. 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1995-01-01
Business code 621210
Sponsor’s telephone number 7277877800
Plan sponsor’s address 3820 TAMPA ROAD, SUITE 201, PALM HARBOR, FL, 34684

Signature of
Role Plan administrator
Date 2016-10-04
Name of individual signing KEVIN D. KILEY, D.D.S.
Valid signature Filed with authorized/valid electronic signature
KEVIN D. KILEY, D.D.S., P.A. RETIREMENT PLAN & TRUST 2014 592958099 2015-10-06 KEVIN D. KILEY, D.D.S., P.A. 9
Three-digit plan number (PN) 001
Effective date of plan 1995-01-01
Business code 621210
Sponsor’s telephone number 7277877800
Plan sponsor’s address 3820 TAMPA ROAD, SUITE 201, PALM HARBOR, FL, 34684

Signature of
Role Plan administrator
Date 2015-10-06
Name of individual signing KEVIN D. KILEY, D.D.S.
Valid signature Filed with authorized/valid electronic signature
KEVIN D. KILEY, D.D.S., P.A. RETIREMENT PLAN & TRUST 2014 592958099 2015-10-06 KEVIN D. KILEY, D.D.S., P.A. 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1995-01-01
Business code 621210
Sponsor’s telephone number 7277877800
Plan sponsor’s address 3820 TAMPA ROAD, SUITE 201, PALM HARBOR, FL, 34684

Signature of
Role Plan administrator
Date 2015-10-06
Name of individual signing KEVIN D. KILEY, D.D.S.
Valid signature Filed with authorized/valid electronic signature
KEVIN D. KILEY, D.D.S., P.A. RETIREMENT PLAN & TRUST 2013 592958099 2014-09-19 KEVIN D. KILEY, D.D.S., P.A. 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1995-01-01
Business code 621210
Sponsor’s telephone number 7277877800
Plan sponsor’s address 3820 TAMPA ROAD, SUITE 201, PALM HARBOR, FL, 34684

Signature of
Role Plan administrator
Date 2014-09-19
Name of individual signing KEVIN D. KILEY, D.D.S.
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
KUTCHINS, BRYAN A Agent 3974 TAMPA ROAD, OLDSMAR, FL 34677

DR.

Name Role Address
KILEY, KEVIN D DR. 3820 TAMPA RD STE 201, PALM HARBOR, FL 34684

Events

Event Type Filed Date Value Description
ADMIN DISSOLUTION FOR ANNUAL REPORT 2023-09-22 No data No data
CHANGE OF MAILING ADDRESS 2022-02-09 3820 TAMPA ROAD, 201, PALM HARBOR, FL 34684 No data
CHANGE OF PRINCIPAL ADDRESS 1997-07-31 3820 TAMPA ROAD, 201, PALM HARBOR, FL 34684 No data
REGISTERED AGENT ADDRESS CHANGED 1997-07-31 3974 TAMPA ROAD, OLDSMAR, FL 34677 No data
REGISTERED AGENT NAME CHANGED 1996-05-01 KUTCHINS, BRYAN A No data

Documents

Name Date
ANNUAL REPORT 2022-02-09
ANNUAL REPORT 2021-01-31
ANNUAL REPORT 2020-01-17
ANNUAL REPORT 2019-04-08
ANNUAL REPORT 2018-04-29
ANNUAL REPORT 2017-01-25
ANNUAL REPORT 2016-03-09
ANNUAL REPORT 2015-01-09
ANNUAL REPORT 2014-02-03
ANNUAL REPORT 2013-01-30

Related by officers

KUTCHINS, BRYAN A

PLAY IT AGAIN VIDEO OF ST. PETE, INC. THE PUTTING EDGE, INC. ALL FLORIDA DISCOUNT REALTY SERVICES, INC. WATTS SUPPLY CO., INC. DOUBLE Z FARMS, INC. BOOKMEISTER, INC. THE PERMANENT ENDOWMENT FUND COMMITTEE OF THE COMMUNITY UNITED METHODIST CHURCH OF OLDSMAR, FLORIDA, INC. MLP ASSOCIATES, INC. M & M SERVICE COMPANY CRGRASSEL, INC.

Related by address

No related companies by address

Date of last update: 03 Feb 2025

Sources: Florida Department of State

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