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  5. STEVEN R. FREEMAN, DDS, PL

STEVEN R. FREEMAN, DDS, PL

Company Details

Entity Name: STEVEN R. FREEMAN, DDS, PL
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Active
Date Filed: 27 Apr 2007 (18 years ago)
Last Event: LC AMENDMENT
Event Date Filed: 23 Sep 2019 (5 years ago)
Document Number: L07000045474
FEI/EIN Number 208935457
Address: 3043 INTERNATIONAL GOLF PARKWAY, ST. AUGUSTINE, FL, 32092, US
Mail Address: 3043 INTERNATIONAL GOLF PARKWAY, ST. AUGUSTINE, FL, 32092, US
ZIP code: 32092
County: St. Johns
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1982868634 2008-07-11 2008-07-11 319 W TOWN PL STE 21, ST AUGUSTINE, FL, 320923103, US 319 W TOWN PL STE 21, ST AUGUSTINE, FL, 320923103, US

Contacts
Phone +1 904-940-3933

Authorized person
Name STEVEN RONALD FREEMAN
Role DENTIST
Phone 9049403933

Taxonomy
Taxonomy Code 122300000X - Dentist
License Number DN17155
State FL
Is Primary Yes

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
ELITE SMILES 401(K) PLAN 2023 208935457 2024-07-16 STEVEN R. FREEMAN, DDS, PL 29
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2012-01-01
Business code 621210
Sponsor’s telephone number 9049403933
Plan sponsor’s address 3043 INTERNATIONAL GOLF PARKWAY, ST. AUGUSTINE, FL, 32092
ELITE SMILES 401(K) PLAN 2022 208935457 2023-07-19 STEVEN R. FREEMAN, DDS, PL 28
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2012-01-01
Business code 621210
Sponsor’s telephone number 9049403933
Plan sponsor’s address 3043 INTERNATIONAL GOLF PARKWAY, ST. AUGUSTINE, FL, 32092
ELITE SMILES 401(K) PLAN 2021 208935457 2022-09-19 STEVEN R. FREEMAN, DDS, PL 25
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2012-01-01
Business code 621210
Sponsor’s telephone number 9049403933
Plan sponsor’s address 3043 INTERNATIONAL GOLF PARKWAY, ST. AUGUSTINE, FL, 32092

Signature of
Role Plan administrator
Date 2022-09-19
Name of individual signing JENNIFER FREEMAN
Valid signature Filed with authorized/valid electronic signature
ELITE SMILES 401(K) PLAN 2020 208935457 2021-06-08 STEVEN R. FREEMAN, DDS, PL 19
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2012-01-01
Business code 621210
Sponsor’s telephone number 9049403933
Plan sponsor’s address 3043 INTERNATIONAL GOLF PARKWAY, ST. AUGUSTINE, FL, 32092
ELITE SMILES 401(K) PLAN 2019 208935457 2020-07-29 STEVEN R. FREEMAN, DDS, PL 16
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2012-01-01
Business code 621210
Sponsor’s telephone number 9049403933
Plan sponsor’s address 3043 INTERNATIONAL GOLF PARKWAY, ST. AUGUSTINE, FL, 32092
ELITE SMILES 401(K) PLAN 2018 208935457 2019-07-15 STEVEN R. FREEMAN, DDS, PL 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2012-01-01
Business code 621210
Sponsor’s telephone number 9049403933
Plan sponsor’s address 319 WEST TOWNE PLACE / SUITE 21, ST. AUGUSTINE, FL, 32092
ELITE SMILES 401(K) PLAN 2017 208935457 2018-07-11 STEVEN R. FREEMAN, DDS, PL 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2012-01-01
Business code 621210
Sponsor’s telephone number 9049403933
Plan sponsor’s address 319 WEST TOWNE PLACE / SUITE 21, ST. AUGUSTINE, FL, 32092
ELITE SMILES 401(K) PLAN 2016 208935457 2017-09-27 STEVEN R. FREEMAN, DDS, PL 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2012-01-01
Business code 621210
Sponsor’s telephone number 9049403933
Plan sponsor’s address 319 WEST TOWNE PLACE / SUITE 21, ST. AUGUSTINE, FL, 32092
ELITE SMILES DENTISTRY 401(K) PLAN 2015 208935457 2016-09-16 STEVEN R. FREEMAN, DDS, PL 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2012-01-01
Business code 621210
Sponsor’s telephone number 9049403933
Plan sponsor’s address 319 WEST TOWNE PLACE / SUITE 21, ST. AUGUSTINE, FL, 32092
ELITE SMILES DENTISTRY 401(K) PLAN 2014 208935457 2015-10-13 STEVEN R. FREEMAN, DDS, PL 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2012-01-01
Business code 621210
Sponsor’s telephone number 9049403933
Plan sponsor’s address 319 WEST TOWNE PLACE / SUITE 21, ST. AUGUSTINE, FL, 32092

Signature of
Role Plan administrator
Date 2015-10-13
Name of individual signing STEVEN R. FREEMAN, DDS
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
Freeman Steven Agent 3043 INTERNATIONAL GOLF PARKWAY, ST. AUGUSTINE, FL, 32092

Owne

Name Role Address
FREEMAN STEVEN R Owne 3043 INTERNATIONAL GOLF PARKWAY, ST. AUGUSTINE, FL, 32092

Prac

Name Role Address
Shindler Amy Prac 3043 INTERNATIONAL GOLF PARKWAY, ST. AUGUSTINE, FL, 32092

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G09000154741 PALENCIA DENTAL EXPIRED 2009-09-11 2014-12-31 No data 159 PALENCIA VILLAGE DRIVE, SUITE 109, ST. AUGUSTINE, FL, 32095
G07123900217 ELITE SMILES ACTIVE 2007-05-03 2027-12-31 No data 3043 INTERNATIONAL GOLF PARKWAY, ST. AUGUSTINE, FL, 32092

Events

Event Type Filed Date Value Description
REGISTERED AGENT NAME CHANGED 2021-01-26 Freeman, Steven No data
CHANGE OF PRINCIPAL ADDRESS 2019-10-04 3043 INTERNATIONAL GOLF PARKWAY, ST. AUGUSTINE, FL 32092 No data
CHANGE OF MAILING ADDRESS 2019-10-04 3043 INTERNATIONAL GOLF PARKWAY, ST. AUGUSTINE, FL 32092 No data
LC AMENDMENT 2019-09-23 No data No data
REGISTERED AGENT ADDRESS CHANGED 2019-09-23 3043 INTERNATIONAL GOLF PARKWAY, ST. AUGUSTINE, FL 32092 No data

Documents

Name Date
ANNUAL REPORT 2024-01-04
ANNUAL REPORT 2023-01-26
ANNUAL REPORT 2022-01-25
ANNUAL REPORT 2021-01-26
ANNUAL REPORT 2020-01-20
LC Amendment 2019-09-23
ANNUAL REPORT 2019-02-08
ANNUAL REPORT 2018-03-06
ANNUAL REPORT 2017-03-16
ANNUAL REPORT 2016-04-13

Related by officers

FREEMAN STEVEN R

WARRIOR SMILES, INC.

Related by address

No related companies by address

Date of last update: 02 Feb 2025

Sources: Florida Department of State

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