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PALM DENTAL, PLLC

Company Details

Entity Name: PALM DENTAL, PLLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Company
Status: Active
Date Filed: 05 Oct 2007 (17 years ago)
Document Number: L07000102167
FEI/EIN Number 26-1207731
Address: 6039 Cypress Gardens Blvd, Suite 532, Winter Haven, FL 33884
Mail Address: 6039 Cypress Gardens Blvd, Ste 532, Winter Haven, FL 33884
ZIP code: 33884
County: Polk
Place of Formation: FLORIDA

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
PALM DENTAL, PLLC 401(K) PLAN 2023 261207731 2024-07-25 PALM DENTAL, PLLC 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-01-01
Business code 621210
Sponsor’s telephone number 8633261600
Plan sponsor’s address 5535 CYPRESS GARDENS BLVD., SUITE 120, WINTER HAVEN, FL, 33884
PALM DENTAL, PLLC 401(K) PLAN 2022 261207731 2023-05-26 PALM DENTAL, PLLC 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-01-01
Business code 621210
Sponsor’s telephone number 8633261600
Plan sponsor’s address 5535 CYPRESS GARDENS BLVD., SUITE 120, WINTER HAVEN, FL, 33884
PALM DENTAL, PLLC 401(K) PLAN 2021 261207731 2022-09-12 PALM DENTAL, PLLC 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-01-01
Business code 621210
Sponsor’s telephone number 8633261600
Plan sponsor’s address 5535 CYPRESS GARDENS BLVD., SUITE 120, WINTER HAVEN, FL, 33884
PALM DENTAL, PLLC 401(K) PLAN 2020 261207731 2021-07-01 PALM DENTAL, PLLC 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-01-01
Business code 621210
Sponsor’s telephone number 8633261600
Plan sponsor’s address 5535 CYPRESS GARDENS BLVD., SUITE 120, WINTER HAVEN, FL, 33884
PALM DENTAL, PLLC 401(K) PLAN 2019 261207731 2020-06-23 PALM DENTAL, PLLC 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-01-01
Business code 621210
Sponsor’s telephone number 8633261600
Plan sponsor’s address 5535 CYPRESS GARDENS BLVD., SUITE 120, WINTER HAVEN, FL, 33884
PALM DENTAL, PLLC 401(K) PLAN 2018 261207731 2019-06-04 PALM DENTAL, PLLC 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-01-01
Business code 621210
Sponsor’s telephone number 8633261600
Plan sponsor’s address 5535 CYPRESS GARDENS BLVD., SUITE 120, WINTER HAVEN, FL, 33884
PALM DENTAL, PLLC 401(K) PLAN 2017 261207731 2018-07-18 PALM DENTAL, PLLC 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-01-01
Business code 621210
Sponsor’s telephone number 8633261600
Plan sponsor’s address 5535 CYPRESS GARDENS BLVD., SUITE 120, WINTER HAVEN, FL, 33884

Signature of

Role Plan administrator
Date 2018-07-18
Name of individual signing DR. NHUNG NONG
Valid signature Filed with authorized/valid electronic signature
PALM DENTAL, PLLC 401(K) PLAN 2016 261207731 2017-06-21 PALM DENTAL, PLLC 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-01-01
Business code 621210
Sponsor’s telephone number 8633261600
Plan sponsor’s address 5535 CYPRESS GARDENS BLVD., SUITE 120, WINTER HAVEN, FL, 33884

Signature of

Role Plan administrator
Date 2017-06-21
Name of individual signing DR. NHUNG NONG
Valid signature Filed with authorized/valid electronic signature
PALM DENTAL, PLLC 401(K) PLAN 2015 261207731 2016-07-18 PALM DENTAL, PLLC 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-01-01
Business code 621210
Sponsor’s telephone number 8633261600
Plan sponsor’s address 5535 CYPRESS GARDENS BLVD., SUITE 120, WINTER HAVEN, FL, 33884

Signature of

Role Plan administrator
Date 2016-07-18
Name of individual signing DR. NHUNG NONG
Valid signature Filed with authorized/valid electronic signature
PALM DENTAL, PLLC 401(K) PLAN 2014 261207731 2015-05-27 PALM DENTAL, PLLC 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-01-01
Business code 621210
Sponsor’s telephone number 8633261600
Plan sponsor’s address 5535 CYPRESS GARDENS BLVD., SUITE 120, WINTER HAVEN, FL, 33884

Signature of

Role Plan administrator
Date 2015-05-27
Name of individual signing DR. NHUNG NONG
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
NONG, NHUNG T Agent 6039 Cypress Gardens Blvd, Ste 532, Winter Haven, FL 33884

Managing Member

Name Role Address
NONG, NHUNG Managing Member 5535 Cypress Gardens Blvd, Suite 120 WINTER HAVEN, FL 33884

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2024-04-03 6039 Cypress Gardens Blvd, Suite 532, Winter Haven, FL 33884 No data
CHANGE OF MAILING ADDRESS 2023-03-08 6039 Cypress Gardens Blvd, Suite 532, Winter Haven, FL 33884 No data
REGISTERED AGENT ADDRESS CHANGED 2023-03-08 6039 Cypress Gardens Blvd, Ste 532, Winter Haven, FL 33884 No data

Documents

Name Date
ANNUAL REPORT 2024-04-03
ANNUAL REPORT 2023-03-08
ANNUAL REPORT 2022-04-07
ANNUAL REPORT 2021-03-18
ANNUAL REPORT 2020-04-30
ANNUAL REPORT 2019-04-22
ANNUAL REPORT 2018-03-13
ANNUAL REPORT 2017-04-06
ANNUAL REPORT 2016-03-08
ANNUAL REPORT 2015-03-09

Date of last update: 26 Jan 2025

Sources: Florida Department of State