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  5. ELY FAMILY DENTISTRY, LLC

ELY FAMILY DENTISTRY, LLC

Company Details

Entity Name: ELY FAMILY DENTISTRY, LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Active
Date Filed: 18 Aug 2009 (15 years ago)
Document Number: L09000079332
FEI/EIN Number 270503618
Address: 4140 NW 27TH LANE, SUITE H, GAINESVILLE, FL, 32606, US
Mail Address: 4140 NW 27TH LANE, SUITE H, GAINESVILLE, FL, 32606, US
ZIP code: 32606
County: Alachua
Place of Formation: FLORIDA

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
ELY FAMILY DENTISTRY, LLC PROFIT SHARING PLAN 2018 270503618 2019-06-26 ELY FAMILY DENTISTRY, LLC 1
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1998-01-01
Business code 621210
Sponsor’s telephone number 3523737373
Plan sponsor’s address 4140 NW 27TH LN STE H, GAINESVILLE, FL, 326066600

Signature of
Role Plan administrator
Date 2019-06-26
Name of individual signing SHERYL ELY
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2019-06-26
Name of individual signing SHERYL ELY
Valid signature Filed with authorized/valid electronic signature
ELY FAMILY DENTISTRY, LLC PROFIT SHARING PLAN 2014 270503618 2015-10-07 ELY FAMILY DENTISTRY, LLC 1
Three-digit plan number (PN) 001
Effective date of plan 1998-01-01
Business code 621210
Sponsor’s telephone number 3523737373
Plan sponsor’s address 4140 NW 27TH LANE SUITE H, GAINESVILLE, FL, 326067429

Signature of
Role Plan administrator
Date 2015-10-07
Name of individual signing SHERYL ELY
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2015-10-07
Name of individual signing SHERYL ELY
Valid signature Filed with authorized/valid electronic signature
ELY FAMILY DENTISTRY, LLC PROFIT SHARING PLAN 2013 270503618 2014-07-14 ELY FAMILY DENTISTRY, LLC 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1998-01-01
Business code 621210
Sponsor’s telephone number 3523737373
Plan sponsor’s address 4140 NW 27TH LANE SUITE H, GAINESVILLE, FL, 326067429

Signature of
Role Plan administrator
Date 2014-07-14
Name of individual signing SKITSKAT11
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2014-07-14
Name of individual signing SKITSKAT11
Valid signature Filed with authorized/valid electronic signature
ELY FAMILY DENTISTRY, LLC PROFIT SHARING PLAN 2012 270503618 2013-07-10 ELY FAMILY DENTISTRY, LLC 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1998-01-01
Business code 621210
Sponsor’s telephone number 3523737373
Plan sponsor’s address 4140 NW 27TH LANE SUITE H, GAINESVILLE, FL, 326067429

Signature of
Role Plan administrator
Date 2013-07-10
Name of individual signing SHERYL ELY
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2013-07-10
Name of individual signing SHERYL ELY
Valid signature Filed with authorized/valid electronic signature
ELY FAMILY DENTISTRY, LLC PROFIT SHARING PLAN 2011 270503618 2012-06-12 ELY FAMILY DENTISTRY, LLC 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1998-01-01
Business code 621210
Sponsor’s telephone number 3523737373
Plan sponsor’s address 4140 NW 27TH LANE SUITE H, GAINESVILLE, FL, 326067429

Plan administrator’s name and address
Administrator’s EIN 270503618
Plan administrator’s name SAME
Plan administrator’s address 4140 NW 27TH LANE SUITE H, GAINESVILLE, FL, 326067429
Administrator’s telephone number 3523737373

Signature of
Role Plan administrator
Date 2012-06-12
Name of individual signing SHERYL ELY
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2012-06-12
Name of individual signing SHERYL ELY
Valid signature Filed with authorized/valid electronic signature
ELY FAMILY DENTISTRY, LLC PROFIT SHARING PLAN 2010 270503618 2011-03-15 ELY FAMILY DENTISTRY, LLC 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1998-01-01
Business code 621210
Sponsor’s telephone number 3523737373
Plan sponsor’s address 4140 NW 27TH LANE SUITE H, GAINSVILLE, FL, 326067429

Plan administrator’s name and address
Administrator’s EIN 270503618
Plan administrator’s name SAME
Plan administrator’s address 4140 NW 27TH LANE SUITE H, GAINSVILLE, FL, 326067429
Administrator’s telephone number 3523737373

Signature of
Role Plan administrator
Date 2011-03-15
Name of individual signing SHERYL ELY
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2011-03-15
Name of individual signing SHERYL ELY
Valid signature Filed with authorized/valid electronic signature
ELY FAMILY DENTISTRY, LLC PROFIT SHARING PLAN 2009 270503618 2010-08-10 ELY FAMILY DENTISTRY, LLC 6
Three-digit plan number (PN) 001
Effective date of plan 1998-01-01
Business code 621210
Sponsor’s telephone number 3523737373
Plan sponsor’s address 4140 NW 27TH LANE, GAINSVILLE, FL, 326067429

Plan administrator’s name and address
Administrator’s EIN 270503618
Plan administrator’s name SAME
Plan administrator’s address 4140 NW 27TH LANE, GAINSVILLE, FL, 326067429
Administrator’s telephone number 3523737373

Signature of
Role Plan administrator
Date 2010-08-10
Name of individual signing SHERYL ELY
Valid signature Filed with incorrect/unrecognized electronic signature
Role Employer/plan sponsor
Date 2010-08-10
Name of individual signing SHERYL ELY
Valid signature Filed with incorrect/unrecognized electronic signature
ELY FAMILY DENTISTRY, LLC PROFIT SHARING PLAN 2009 270503618 2010-08-11 ELY FAMILY DENTISTRY, LLC 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1998-01-01
Business code 621210
Sponsor’s telephone number 3523737373
Plan sponsor’s address 4140 NW 27TH LANE, GAINSVILLE, FL, 326067429

Plan administrator’s name and address
Administrator’s EIN 270503618
Plan administrator’s name SAME
Plan administrator’s address 4140 NW 27TH LANE, GAINSVILLE, FL, 326067429
Administrator’s telephone number 3523737373

Signature of
Role Plan administrator
Date 2010-08-11
Name of individual signing SHERYL ELY
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2010-08-11
Name of individual signing SHERYL ELY
Valid signature Filed with authorized/valid electronic signature
ELY FAMILY DENTISTRY, LLC PROFIT SHARING PLAN 2009 270503618 2010-08-10 ELY FAMILY DENTISTRY, LLC 6
Three-digit plan number (PN) 001
Effective date of plan 1998-01-01
Business code 621210
Sponsor’s telephone number 3523737373
Plan sponsor’s address 4140 NW 27TH LANE, GAINSVILLE, FL, 326067429

Plan administrator’s name and address
Administrator’s EIN 270503618
Plan administrator’s name SAME
Plan administrator’s address 4140 NW 27TH LANE, GAINSVILLE, FL, 326067429
Administrator’s telephone number 3523737373

Signature of
Role Plan administrator
Date 2010-08-10
Name of individual signing SHERYL ELY
Valid signature Filed with incorrect/unrecognized electronic signature
Role Employer/plan sponsor
Date 2010-08-10
Name of individual signing SHERYL ELY
Valid signature Filed with incorrect/unrecognized electronic signature

Agent

Name Role Address
ELY SHERYL B Agent 4140 NW 27TH LANE, GAINESVILLE, FL, 32606

Managing Member

Name Role Address
ELY SHERYL B Managing Member 4140 NW 27TH LANE, GAINESVILLE, FL, 32606

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2010-03-01 4140 NW 27TH LANE, SUITE H, GAINESVILLE, FL 32606 No data
CHANGE OF MAILING ADDRESS 2010-03-01 4140 NW 27TH LANE, SUITE H, GAINESVILLE, FL 32606 No data
REGISTERED AGENT ADDRESS CHANGED 2010-03-01 4140 NW 27TH LANE, SUITE H, GAINESVILLE, FL 32606 No data

Documents

Name Date
ANNUAL REPORT 2024-04-16
ANNUAL REPORT 2023-05-01
ANNUAL REPORT 2022-03-07
ANNUAL REPORT 2021-01-28
ANNUAL REPORT 2020-03-19
ANNUAL REPORT 2019-02-11
ANNUAL REPORT 2018-01-16
ANNUAL REPORT 2017-01-12
ANNUAL REPORT 2016-03-02
ANNUAL REPORT 2015-01-13

Related by officers

ELY SHERYL B

DR. SHERYL ELY, LLC

Related by address

No related companies by address

Date of last update: 01 Feb 2025

Sources: Florida Department of State

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