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  5. SOUTHEASTERN DENTAL GROUP, LLC

SOUTHEASTERN DENTAL GROUP, LLC

Company Details

Entity Name: SOUTHEASTERN DENTAL GROUP, LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Inactive
Date Filed: 17 Mar 2004 (21 years ago)
Date of dissolution: 22 Sep 2017 (7 years ago)
Last Event: ADMIN DISSOLUTION FOR ANNUAL REPORT
Event Date Filed: 22 Sep 2017 (7 years ago)
Document Number: L04000020547
FEI/EIN Number 270089979
Address: 6415 S. CHICKASAW TRAIL, ORLANDO, FL, 32829
Mail Address: 6415 S. CHICKASAW TRAIL, ORLANDO, FL, 32829
ZIP code: 32829
County: Orange
Place of Formation: FLORIDA

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
SOUTHEASTERN DENTAL GROUP LLC 401K PLAN 2017 270089979 2019-12-30 SOUTHEASTERN DENTAL GROUP LLC 21
Three-digit plan number (PN) 001
Effective date of plan 2006-02-01
Business code 621210
Sponsor’s telephone number 4073822282
Plan sponsor’s address 6415 S. CHICKASAW TRAIL, ORLANDO, FL, 32829

Signature of
Role Plan administrator
Date 2019-12-30
Name of individual signing MARC CHAPKIS
Valid signature Filed with authorized/valid electronic signature
SOUTHEASTERN DENTAL GROUP LLC 401K PLAN 2017 270089979 2019-12-30 SOUTHEASTERN DENTAL GROUP LLC 21
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-02-01
Business code 621210
Sponsor’s telephone number 4073822282
Plan sponsor’s address 6415 S. CHICKASAW TRAIL, ORLANDO, FL, 32829

Signature of
Role Plan administrator
Date 2019-12-30
Name of individual signing MARC CHAPKIS
Valid signature Filed with authorized/valid electronic signature
SOUTHEASTERN DENTAL GROUP LLC 401K PLAN 2016 270089979 2017-06-05 SOUTHEASTERN DENTAL GROUP LLC 17
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-02-01
Business code 621210
Sponsor’s telephone number 4073822282
Plan sponsor’s address 6415 S. CHICKASAW TRAIL, ORLANDO, FL, 32829

Signature of
Role Plan administrator
Date 2017-06-05
Name of individual signing MARC CHAPKIS
Valid signature Filed with authorized/valid electronic signature
SOUTHEASTERN DENTAL GROUP LLC 401K PLAN 2015 270089979 2016-07-11 SOUTHEASTERN DENTAL GROUP LLC 18
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-02-01
Business code 621210
Sponsor’s telephone number 4073822282
Plan sponsor’s address 6415 S. CHICKASAW TRAIL, ORLANDO, FL, 32829

Signature of
Role Plan administrator
Date 2016-07-11
Name of individual signing MARC CHAPKIS
Valid signature Filed with authorized/valid electronic signature
SOUTHEASTERN DENTAL GROUP LLC 401K PLAN 2014 270089979 2015-07-09 SOUTHEASTERN DENTAL GROUP LLC 15
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-02-01
Business code 621210
Sponsor’s telephone number 4073822282
Plan sponsor’s address 6415 S. CHICKASAW TRAIL, ORLANDO, FL, 32829

Signature of
Role Plan administrator
Date 2015-07-09
Name of individual signing MARC CHAPKIS
Valid signature Filed with authorized/valid electronic signature
SOUTHEASTERN DENTAL GROUP LLC 401K PLAN 2013 270089979 2014-08-08 SOUTHEASTERN DENTAL GROUP LLC 15
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-02-01
Business code 621210
Sponsor’s telephone number 4073822282
Plan sponsor’s address 6415 S. CHICKASAW TRAIL, ORLANDO, FL, 32829

Signature of
Role Plan administrator
Date 2014-08-08
Name of individual signing MARC CHAPKIS
Valid signature Filed with authorized/valid electronic signature
SOUTHEASTERN DENTAL GROUP LLC 401K PLAN 2013 270089979 2014-08-07 SOUTHEASTERN DENTAL GROUP LLC 15
Three-digit plan number (PN) 001
Effective date of plan 2006-02-01
Business code 621210
Sponsor’s telephone number 4073822282
Plan sponsor’s address 6415 S. CHICKASAW TRAIL, ORLANDO, FL, 32829

Signature of
Role Plan administrator
Date 2014-08-07
Name of individual signing MARC CHAPKIS
Valid signature Filed with authorized/valid electronic signature
SOUTHEASTERN DENTAL GROUP LLC 401K PLAN 2012 270089979 2013-07-08 SOUTHEASTERN DENTAL GROUP LLC 14
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-02-01
Business code 621210
Sponsor’s telephone number 4073822282
Plan sponsor’s address 6415 S. CHICKASAW TRAIL, ORLANDO, FL, 32829

Signature of
Role Plan administrator
Date 2013-07-08
Name of individual signing MARC CHAPKIS
Valid signature Filed with authorized/valid electronic signature
SOUTHEASTERN DENTAL GROUP LLC 401K PLAN 2011 270089979 2012-06-29 SOUTHEASTERN DENTAL GROUP LLC 12
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-02-01
Business code 621210
Sponsor’s telephone number 4073822282
Plan sponsor’s address 6415 S. CHICKASAW TRAIL, ORLANDO, FL, 32829

Plan administrator’s name and address
Administrator’s EIN 270089979
Plan administrator’s name SOUTHEASTERN DENTAL GROUP LLC
Plan administrator’s address 6415 S. CHICKASAW TRAIL, ORLANDO, FL, 32829
Administrator’s telephone number 4073822282

Signature of
Role Plan administrator
Date 2012-06-29
Name of individual signing MARC CHAPKIS
Valid signature Filed with authorized/valid electronic signature
SOUTHEASTERN DENTAL GROUP LLC 401K PLAN 2010 270089979 2011-11-23 SOUTHEASTERN DENTAL GROUP LLC 17
Three-digit plan number (PN) 001
Effective date of plan 2006-02-01
Business code 621210
Sponsor’s telephone number 4073822282
Plan sponsor’s address 6415 S. CHICKASAW TRAIL, ORLANDO, FL, 32829

Plan administrator’s name and address
Administrator’s EIN 270089979
Plan administrator’s name SOUTHEASTERN DENTAL GROUP LLC
Plan administrator’s address 6415 S. CHICKASAW TRAIL, ORLANDO, FL, 32829
Administrator’s telephone number 4073822282

Signature of
Role Plan administrator
Date 2011-11-23
Name of individual signing MARC CHAPKIS
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
MORRA MICHAEL D Agent 6415 S. CHICKASAW TRAIL, ORLANDO, FL, 32829

Manager

Name Role Address
CHAPKIS MARC D Manager 6415 S. CHICKASAW TRAIL, ORLANDO, FL, 32829
MORRA MICHAEL D Manager 6415 S. CHICKASAW TRAIL, ORLANDO, FL, 32829

Events

Event Type Filed Date Value Description
ADMIN DISSOLUTION FOR ANNUAL REPORT 2017-09-22 No data No data
REGISTERED AGENT NAME CHANGED 2009-01-14 MORRA, MICHAEL DMD No data
CHANGE OF PRINCIPAL ADDRESS 2005-04-27 6415 S. CHICKASAW TRAIL, ORLANDO, FL 32829 No data
CHANGE OF MAILING ADDRESS 2005-04-27 6415 S. CHICKASAW TRAIL, ORLANDO, FL 32829 No data
REGISTERED AGENT ADDRESS CHANGED 2005-04-27 6415 S. CHICKASAW TRAIL, ORLANDO, FL 32829 No data

Documents

Name Date
ANNUAL REPORT 2016-03-03
ANNUAL REPORT 2015-03-19
ANNUAL REPORT 2014-02-25
ANNUAL REPORT 2013-03-21
ANNUAL REPORT 2012-03-14
ANNUAL REPORT 2011-02-21
ANNUAL REPORT 2010-02-16
ANNUAL REPORT 2009-01-14
ANNUAL REPORT 2008-01-23
ANNUAL REPORT 2007-04-27

Related by officers

No related officers

Related by address

6415 S. CHICKASAW TRAIL, ORLANDO, FL, 32829

MJM DENTISTRY, INC.

6415 S. CHICKASAW TRAIL, ORLANDO, FL, 32829

MJM DENTISTRY, INC.

Date of last update: 02 Feb 2025

Sources: Florida Department of State

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