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  5. THOMAS J. BOLAND, D.M.D., M.D., P.A.

THOMAS J. BOLAND, D.M.D., M.D., P.A.

Company Details

Entity Name: THOMAS J. BOLAND, D.M.D., M.D., P.A.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Active
Date Filed: 02 Aug 1989 (36 years ago)
Document Number: L06515
FEI/EIN Number 592963825
Address: 6540 FOURTH ST N, SUITE A, SAINT PETERSBURG, FL, 33702
Mail Address: 6540 FOURTH ST N, SUITE A, SAINT PETERSBURG, FL, 33702
ZIP code: 33702
County: Pinellas
Place of Formation: FLORIDA

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
THOMAS J. BOLAND D.M.D. , M.D. , P.A. PROFIT SHARING PLAN 2023 592963825 2024-06-07 THOMAS J. BOLAND D.M.D., M.D., P.A. 22
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1999-01-01
Business code 621111
Sponsor’s telephone number 7275250155
Plan sponsor’s address 6540 4TH STREET NORTH SUITE A, ST. PETERSBURG, FL, 33702

Signature of
Role Plan administrator
Date 2024-06-07
Name of individual signing THOMAS J. BOLAND
Valid signature Filed with authorized/valid electronic signature
THOMAS J. BOLAND D.M.D. , M.D. , P.A. PROFIT SHARING PLAN 2022 592963825 2023-03-28 THOMAS J. BOLAND D.M.D., M.D., P.A. 19
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1999-01-01
Business code 621111
Sponsor’s telephone number 7275250155
Plan sponsor’s address 6540 4TH STREET NORTH SUITE A, ST. PETERSBURG, FL, 33702

Signature of
Role Plan administrator
Date 2023-03-28
Name of individual signing THOMAS J. BOLAND
Valid signature Filed with authorized/valid electronic signature
THOMAS J. BOLAND D.M.D. , M.D. , P.A. PROFIT SHARING PLAN 2021 592963825 2022-06-10 THOMAS J. BOLAND D.M.D., M.D., P.A. 18
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1999-01-01
Business code 621111
Sponsor’s telephone number 7275250155
Plan sponsor’s address 6540 4TH STREET NORTH SUITE A, ST. PETERSBURG, FL, 33702

Signature of
Role Plan administrator
Date 2022-06-10
Name of individual signing THOMAS J. BOLAND
Valid signature Filed with authorized/valid electronic signature
THOMAS J. BOLAND D.M.D. , M.D. , P.A. PROFIT SHARING PLAN 2020 592963825 2021-07-01 THOMAS J. BOLAND D.M.D., M.D., P.A. 16
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1999-01-01
Business code 621111
Sponsor’s telephone number 7275250155
Plan sponsor’s address 6540 4TH STREET NORTH SUITE A, ST. PETERSBURG, FL, 33702

Signature of
Role Plan administrator
Date 2021-07-01
Name of individual signing THOMAS J. BOLAND
Valid signature Filed with authorized/valid electronic signature
THOMAS J. BOLAND D.M.D. , M.D. , P.A. PROFIT SHARING PLAN 2019 592963825 2020-06-05 THOMAS J. BOLAND D.M.D., M.D., P.A. 15
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1999-01-01
Business code 621111
Sponsor’s telephone number 7275250155
Plan sponsor’s address 6540 4TH STREET NORTH SUITE A, ST. PETERSBURG, FL, 33702

Signature of
Role Plan administrator
Date 2020-06-05
Name of individual signing THOMAS J. BOLAND
Valid signature Filed with authorized/valid electronic signature
THOMAS J. BOLAND D.M.D. , M.D. , P.A. PROFIT SHARING PLAN 2018 592963825 2019-05-28 THOMAS J. BOLAND D.M.D., M.D., P.A. 17
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1999-01-01
Business code 621111
Sponsor’s telephone number 7275250155
Plan sponsor’s address 6540 4TH STREET NORTH SUITE A, ST. PETERSBURG, FL, 33702

Signature of
Role Plan administrator
Date 2019-05-28
Name of individual signing THOMAS J. BOLAND
Valid signature Filed with authorized/valid electronic signature
THOMAS J. BOLAND D.M.D. , M.D. , P.A. PROFIT SHARING PLAN 2017 592963825 2018-05-21 THOMAS J. BOLAND D.M.D., M.D., P.A. 16
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1999-01-01
Business code 621111
Sponsor’s telephone number 7275250155
Plan sponsor’s address 6540 4TH STREET NORTH SUITE A, ST. PETERSBURG, FL, 33702

Signature of
Role Plan administrator
Date 2018-05-21
Name of individual signing THOMAS J. BOLAND
Valid signature Filed with authorized/valid electronic signature
THOMAS J. BOLAND, D.M.D., M.D., P.A. PROFIT SHARING PLAN 2016 592963825 2017-05-24 THOMAS J. BOLAND, D.M.D., M.D., P.A 14
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1999-01-01
Business code 621111
Sponsor’s telephone number 7275250155
Plan sponsor’s address 6540 4TH STREET NORTH, SUITE A, ST. PETERSBURG, FL, 337026822

Signature of
Role Plan administrator
Date 2017-05-23
Name of individual signing THOMAS J. BOLAND
Valid signature Filed with authorized/valid electronic signature
THOMAS J. BOLAND, D.M.D., M.D., P.A. PROFIT SHARING PLAN 2015 592963825 2016-09-28 THOMAS J. BOLAND, D.M.D., M.D., P.A 14
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1999-01-01
Business code 621111
Sponsor’s telephone number 7275250155
Plan sponsor’s address 6540 4TH STREET NORTH, SUITE A, ST. PETERSBURG, FL, 337026822

Signature of
Role Plan administrator
Date 2016-09-28
Name of individual signing THOMAS J. BOLAND
Valid signature Filed with authorized/valid electronic signature
THOMAS J. BOLAND, D.M.D., M.D., P.A. PROFIT SHARING PLAN 2014 592963825 2015-06-19 THOMAS J. BOLAND, D.M.D., M.D., P.A 12
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1999-01-01
Business code 621111
Sponsor’s telephone number 7275250155
Plan sponsor’s address 6540 4TH STREET NORTH, SUITE A, ST. PETERSBURG, FL, 337026822

Signature of
Role Plan administrator
Date 2015-06-19
Name of individual signing THOMAS J. BOLAND
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
BOLAND, THOMAS J. D.M.D., M.D. Agent 261 Bayview Drive N.E., Saint Petersburg, FL, 33704

Director

Name Role Address
BOLAND, THOMAS J. Director 6540 FOURTH ST. N., ST. PETERSBURG, FL, 33702

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G22000085336 BOLAND AND MANNARI ACTIVE 2022-07-19 2027-12-31 No data 6540 4TH ST N, SUITE A, SAINT PETERSBURG, FL, 33702

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Date of last update: 02 Feb 2025

Sources: Florida Department of State

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