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THURSTON & ACOSTA DENTAL ASSOCIATES, PL

Company Details

Entity Name: THURSTON & ACOSTA DENTAL ASSOCIATES, PL
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Inactive
Date Filed: 21 Dec 2005 (19 years ago)
Date of dissolution: 27 Sep 2013 (11 years ago)
Last Event: ADMIN DISSOLUTION FOR ANNUAL REPORT
Event Date Filed: 27 Sep 2013 (11 years ago)
Document Number: L05000121535
FEI/EIN Number 203974549
Address: 308 E PARK STREET, AUBURNDALE, FL, 33823
Mail Address: 308 E PARK STREET, AUBURNDALE, FL, 33823
ZIP code: 33823
County: Polk
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1508943796 2006-11-01 2009-08-20 308 E PARK ST, AUBURNDALE, FL, 338233411, US 308 E PARK ST, AUBURNDALE, FL, 338233411, US

Contacts

Phone +1 863-967-7548
Fax 8639677693

Authorized person

Name DR. FREDERICK D THURSTON
Role DR OWNER
Phone 8639677548

Taxonomy

Taxonomy Code 1223G0001X - General Practice Dentistry
License Number 8413
State FL
Is Primary Yes

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
THURSTON & ACOSTA DENTAL ASSOCIATES, PL NEW COMPARABILITY 401(K) PLAN & TRUST 2009 203974549 2010-07-21 THURSTON & ACOSTA DENTAL ASSOCIATES, PL 19
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1999-01-01
Business code 621210
Sponsor’s telephone number 8639677548
Plan sponsor’s address 308 E. PARK STREET, AUBURNDALE, FL, 33823

Plan administrator’s name and address

Administrator’s EIN 203974549
Plan administrator’s name THURSTON & ACOSTA DENTAL ASSOCIATES, PL
Plan administrator’s address 308 E. PARK STREET, AUBURNDALE, FL, 33823
Administrator’s telephone number 8639677548

Signature of

Role Plan administrator
Date 2010-07-21
Name of individual signing FREDERICK D THURSTON
Valid signature Filed with authorized/valid electronic signature
THURSTON & ACOSTA DENTAL ASSOCIATES, PL NEW COMPARABILITY 401(K) PLAN & TRUST 2009 203974549 2010-07-09 THURSTON & ACOSTA DENTAL ASSOCIATES, PL 19
Three-digit plan number (PN) 001
Effective date of plan 1999-01-01
Business code 621210
Sponsor’s telephone number 8639677548
Plan sponsor’s address 308 E. PARK STREET, AUBURNDALE, FL, 33823

Plan administrator’s name and address

Administrator’s EIN 203974549
Plan administrator’s name THURSTON & ACOSTA DENTAL ASSOCIATES, PL
Plan administrator’s address 308 E. PARK STREET, AUBURNDALE, FL, 33823
Administrator’s telephone number 8639677548

Agent

Name Role Address
THURSTON FREDERICK D Agent 308 E. PARK STREET, AUBURNDALE, FL, 33823

Managing Member

Name Role Address
THURSTON DENTAL ASSOCIATES, PA Managing Member 308 E PARK STREET, AUBURNDALE, FL, 33823
ACOSTA DENTAL ASSOCIATES PL Managing Member No data

Events

Event Type Filed Date Value Description
ADMIN DISSOLUTION FOR ANNUAL REPORT 2013-09-27 No data No data

Documents

Name Date
ANNUAL REPORT 2012-04-11
ANNUAL REPORT 2011-06-21
ANNUAL REPORT 2010-01-05
ANNUAL REPORT 2009-02-12
ANNUAL REPORT 2008-02-15
ANNUAL REPORT 2007-03-30
Florida Limited Liability 2005-12-21

Date of last update: 02 Feb 2025

Sources: Florida Department of State