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  5. BAYSHORE DENTAL STUDIO LLC

BAYSHORE DENTAL STUDIO LLC

Company Details

Entity Name: BAYSHORE DENTAL STUDIO LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Active
Date Filed: 30 Jul 2004 (21 years ago)
Last Event: LC NAME CHANGE
Event Date Filed: 03 Dec 2008 (16 years ago)
Document Number: L04000056777
FEI/EIN Number 201436588
Mail Address: 501 E Jackson St, Tampa, FL, 33602, US
Address: 501 E Jackson Street, Suite 301, TAMPA, FL, 33602, US
ZIP code: 33602
County: Hillsborough
Place of Formation: FLORIDA

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
BAYSHORE DENTAL STUDIO, LLC RETIREMENT TRUST 2022 201436588 2023-06-27 BAYSHORE DENTAL STUDIO, LLC 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2011-02-01
Business code 621210
Sponsor’s telephone number 8779546243
Plan sponsor’s address 501 EAST JACKSON ST, TAMPA, FL, 33602

Signature of
Role Plan administrator
Date 2023-06-27
Name of individual signing TIM DIASTI
Valid signature Filed with authorized/valid electronic signature
BAYSHORE DENTAL STUDIO, LLC RETIREMENT TRUST 2021 201436588 2022-07-14 BAYSHORE DENTAL STUDIO, LLC 5
Three-digit plan number (PN) 001
Effective date of plan 2011-02-01
Business code 621210
Sponsor’s telephone number 8139546243
Plan sponsor’s address 501 E JACKSON ST, TAMPA, FL, 336024929

Signature of
Role Plan administrator
Date 2022-07-14
Name of individual signing STEVEN FLEMING
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2022-07-14
Name of individual signing STEVEN FLEMING
Valid signature Filed with authorized/valid electronic signature
BAYSHORE DENTAL STUDIO, LLC RETIREMENT TRUST 2021 201436588 2022-07-27 BAYSHORE DENTAL STUDIO, LLC 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2011-02-01
Business code 621210
Sponsor’s telephone number 8779546243
Plan sponsor’s address 501 EAST JACKSON ST, TAMPA, FL, 33602

Signature of
Role Plan administrator
Date 2022-07-27
Name of individual signing STEVEN FLEMING
Valid signature Filed with authorized/valid electronic signature
BAYSHORE DENTAL STUDIO, LLC RETIREMENT TRUST 2020 201436588 2021-06-25 BAYSHORE DENTAL STUDIO, LLC 11
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2011-02-01
Business code 621210
Sponsor’s telephone number 8779546243
Plan sponsor’s address 501 EAST JACKSON ST, TAMPA, FL, 33602

Signature of
Role Plan administrator
Date 2021-06-25
Name of individual signing STEVEN FLEMING
Valid signature Filed with authorized/valid electronic signature
BAYSHORE DENTAL STUDIO, LLC RETIREMENT TRUST 2019 201436588 2020-07-02 BAYSHORE DENTAL STUDIO, LLC 11
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2011-02-01
Business code 621210
Sponsor’s telephone number 8779546243
Plan sponsor’s address 501 EAST JACKSON ST, TAMPA, FL, 33602

Signature of
Role Plan administrator
Date 2020-07-02
Name of individual signing TIM DIASTI
Valid signature Filed with authorized/valid electronic signature
BAYSHORE DENTAL STUDIO, LLC RETIREMENT TRUST 2018 201436588 2019-07-15 BAYSHORE DENTAL STUDIO, LLC 12
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2011-02-01
Business code 621210
Sponsor’s telephone number 8779546243
Plan sponsor’s address 501 EAST JACKSON ST, TAMPA, FL, 33602

Signature of
Role Plan administrator
Date 2019-07-15
Name of individual signing JAIMEE BORDEN
Valid signature Filed with authorized/valid electronic signature
BAYSHORE DENTAL STUDIO, LLC RETIREMENT TRUST 2017 201436588 2018-07-16 BAYSHORE DENTAL STUDIO, LLC 14
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2011-02-01
Business code 621210
Sponsor’s telephone number 8779546243
Plan sponsor’s address 3901 COCONUT PALM DRIVE, STE 100, TAMPA, FL, 33619

Signature of
Role Plan administrator
Date 2018-07-16
Name of individual signing JAIMEE BORDEN
Valid signature Filed with authorized/valid electronic signature
BAYSHORE DENTAL STUDIO, LLC RETIREMENT TRUST 2016 201436588 2017-07-17 BAYSHORE DENTAL STUDIO, LLC 13
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2011-02-01
Business code 621210
Sponsor’s telephone number 8779546243
Plan sponsor’s address 3901 COCONUT PALM DRIVE, STE 100, TAMPA, FL, 33619

Signature of
Role Plan administrator
Date 2017-07-17
Name of individual signing STEVE FLEMING
Valid signature Filed with authorized/valid electronic signature
BAYSHORE DENTAL STUDIO, LLC RETIREMENT TRUST 2015 201436588 2016-07-12 BAYSHORE DENTAL STUDIO, LLC 13
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2011-02-01
Business code 621210
Sponsor’s telephone number 8779546243
Plan sponsor’s address 3901 COCONUT PALM DRIVE, STE 100, TAMPA, FL, 33619

Signature of
Role Plan administrator
Date 2016-07-12
Name of individual signing MATT BARTH
Valid signature Filed with authorized/valid electronic signature
BAYSHORE DENTAL STUDIO, LLC RETIREMENT TRUST 2014 201436588 2015-07-22 BAYSHORE DENTAL STUDIO, LLC 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2011-01-01
Business code 621210
Sponsor’s telephone number 8779546243
Plan sponsor’s address 3901 COCONUT PALM DRIVE, STE 100, TAMPA, FL, 33619

Signature of
Role Plan administrator
Date 2015-07-22
Name of individual signing MATTHEW BARTH
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2015-07-22
Name of individual signing MATTHEW BARTH
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
Tallyn Samantha Agent 501 E Jackson St, Tampa, FL, 33602

Manager

Name Role Address
Diasti Tim Manager 501 E Jackson St, Tampa, FL, 33602

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G08340900087 NEW IMAGE CREATION LLC EXPIRED 2008-12-05 2013-12-31 No data 2502 N ROCKY POINT DRIVE, SUITE 1000, TAMPA, FL, 33607

Events

Event Type Filed Date Value Description
CHANGE OF MAILING ADDRESS 2024-04-23 501 E Jackson Street, Suite 301, TAMPA, FL 33602 No data
REGISTERED AGENT NAME CHANGED 2024-04-23 Tallyn, Samantha No data
REGISTERED AGENT ADDRESS CHANGED 2024-04-23 501 E Jackson St, Suite 301, Tampa, FL 33602 No data
CHANGE OF PRINCIPAL ADDRESS 2014-01-23 501 E Jackson Street, Suite 301, TAMPA, FL 33602 No data
LC NAME CHANGE 2008-12-03 BAYSHORE DENTAL STUDIO LLC No data

Documents

Name Date
ANNUAL REPORT 2024-04-23
ANNUAL REPORT 2023-02-07
ANNUAL REPORT 2022-02-11
ANNUAL REPORT 2021-01-28
ANNUAL REPORT 2020-05-19
ANNUAL REPORT 2019-04-18
ANNUAL REPORT 2018-04-30
ANNUAL REPORT 2017-05-05
ANNUAL REPORT 2016-04-26
ANNUAL REPORT 2015-01-14

Related by officers

Diasti Tim

BALLAST POINT PROPERTIES, LLC MARION JACKSON PROPERTIES, LLC BAYSHORE DENTAL HOLDINGS, LLC ORASCAN 3D, LLC SEASCAPE PARTNERS, LLC DIASTI FLORIDA FAMILY LIMITED PARTNERSHIP SPRING PROPERTY DEVELOPMENT, LLC DIASTI TIERRA VERDE HOLDINGS, LLC INTELISCAN 3D, LLC

Tallyn Samantha

THE KIND MOUSE PRODUCTIONS, INC. MARION JACKSON PROPERTIES, LLC BAYSHORE DENTAL HOLDINGS, LLC 675 GULFVIEW BLVD 505, L.L.C. NORTH HOWARD HOLDINGS, LLC AUSAR, LLC SEASCAPE PARTNERS, LLC DIASTI MANAGEMENT, INC.

Related by address

501 E Jackson St, Tampa, FL, 33602, US

BAYSHORE DENTAL HOLDINGS, LLC SEASCAPE PARTNERS, LLC SPRING PROPERTY DEVELOPMENT, LLC

Date of last update: 02 Feb 2025

Sources: Florida Department of State

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