| Entity Name: | ST. JOHNS FAMILY DENTISTRY, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Inactive |
| Date Filed: | 19 Feb 2007 (18 years ago) |
| Date of dissolution: | 25 Sep 2009 (15 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 25 Sep 2009 (15 years ago) |
| Document Number: | L07000018354 |
| FEI/EIN Number | 260383883 |
| Address: | 2225 SR A1A S., SUITE A3, ST. AUGUSTINE, FL, 32080 |
| Mail Address: | 2225 SR A1A S., SUITE A3, ST. AUGUSTINE, FL, 32080 |
| ZIP code: | 32080 |
| County: | St. Johns |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1538322441 | 2008-07-10 | 2018-05-14 | 2225 A1A SOUTH SUITE A3, ST. AUGUSTINE, FL, 320806374, US | 2225 A1A S STE A3, ST AUGUSTINE, FL, 32080, US | |||||||||||||||||||
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| Phone | +1 904-471-7300 |
| Fax | 9044712708 |
Authorized person
| Name | ANTHONY R. CORRAL |
| Role | DMD |
| Phone | 9044426000 |
Taxonomy
| Taxonomy Code | 122300000X - Dentist |
| License Number | DN8386 |
| State | FL |
| Is Primary | Yes |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| ST. JOHNS FAMILY DENTISTRY, LLC, 401K PLAN | 2009 | 260383883 | 2010-07-16 | ST. JOHNS FAMILY DENTISTRY, LLC | 10 | |||||||||||||||||||||||||||||||||||||||||
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| Administrator’s EIN | 260383883 |
| Plan administrator’s name | ST. JOHNS FAMILY DENTISTRY, LLC |
| Plan administrator’s address | 2225 STATE ROAD 3 SUITE 3, ST. AUGUSTINE, FL, 32080 |
| Administrator’s telephone number | 9044717300 |
Signature of
| Role | Plan administrator |
| Date | 2010-07-16 |
| Name of individual signing | MICHELLE HUCKE |
| Valid signature | Filed with authorized/valid electronic signature |
| Role | Employer/plan sponsor |
| Date | 2010-07-16 |
| Name of individual signing | MICHELLE HUCKE |
| Valid signature | Filed with authorized/valid electronic signature |
| Name | Role | Address |
|---|---|---|
| LUDWIG & ASSOCIATES, P.A. | Agent | 52150 BELFORT RD. S., JACKSONVILLE, FL, 32256 |
| Name | Role | Address |
|---|---|---|
| HUCKE RONALD D | Manager | 2225 SR A1A S, ST. AUGUSTINE, FL, 32080 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2009-09-25 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2008-03-10 |
| Florida Limited Liability | 2007-02-19 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
