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  5. DENTISTRY OF SARASOTA, LLC

DENTISTRY OF SARASOTA, LLC

Company Details

Entity Name: DENTISTRY OF SARASOTA, LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Inactive
Date Filed: 28 Dec 2009 (15 years ago)
Date of dissolution: 23 Sep 2022 (2 years ago)
Last Event: ADMIN DISSOLUTION FOR ANNUAL REPORT
Event Date Filed: 23 Sep 2022 (2 years ago)
Document Number: L09000122631
FEI/EIN Number 271554700
Address: 3990 CLARK ROAD, SARASOTA, FL, 34233
Mail Address: 3990 CLARK ROAD, SARASOTA, FL, 34233
ZIP code: 34233
County: Sarasota
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1720408917 2014-04-26 2015-04-07 3990 CLARK RD, SARASOTA, FL, 342332363, US 3990 CLARK RD, SARASOTA, FL, 342332363, US

Contacts
Phone +1 941-921-7055
Fax 9419230764

Authorized person
Name CINDY LOYAL
Role OFFICE MANAGER
Phone 9419217055

Taxonomy
Taxonomy Code 122300000X - Dentist
License Number DN16194
State FL
Is Primary No
Taxonomy Code 332BC3200X - Customized Equipment (DME)
License Number DN16194
State FL
Is Primary Yes

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
DENTISTRY OF SARASOTA 401(K) AND PROFIT SHARING PLAN 2021 271554700 2022-04-12 DENTISTRY OF SARASOTA, LLC 20
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2010-01-01
Business code 621210
Sponsor’s telephone number 9419217055
Plan sponsor’s address 3990 CLARK ROAD, SARASOTA, FL, 34233
DENTISTRY OF SARASOTA 401(K) AND PROFIT SHARING PLAN 2021 271554700 2022-04-12 DENTISTRY OF SARASOTA, LLC 14
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2010-01-01
Business code 621210
Sponsor’s telephone number 9419217055
Plan sponsor’s address 3990 CLARK ROAD, SARASOTA, FL, 34233
DENTISTRY OF SARASOTA 401(K) AND PROFIT SHARING PLAN 2020 271554700 2021-05-04 DENTISTRY OF SARASOTA, LLC 22
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2010-01-01
Business code 621210
Sponsor’s telephone number 9419217055
Plan sponsor’s address 3990 CLARK ROAD, SARASOTA, FL, 34233

Signature of
Role Plan administrator
Date 2021-05-04
Name of individual signing BENJAMIN MORICZ
Valid signature Filed with authorized/valid electronic signature
DENTISTRY OF SARASOTA 401(K) AND PROFIT SHARING PLAN 2019 271554700 2020-10-15 DENTISTRY OF SARASOTA, LLC 22
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2010-01-01
Business code 621210
Sponsor’s telephone number 9419217055
Plan sponsor’s address 3990 CLARK ROAD, SARASOTA, FL, 34233
DENTISTRY OF SARASOTA 401(K) AND PROFIT SHARING PLAN 2018 271554700 2019-09-05 DENTISTRY OF SARASOTA, LLC 22
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2010-01-01
Business code 621210
Sponsor’s telephone number 9419217055
Plan sponsor’s address 3990 CLARK ROAD, SARASOTA, FL, 34233
DENTISTRY OF SARASOTA 401(K) AND PROFIT SHARING PLAN 2017 271554700 2018-06-19 DENTISTRY OF SARASOTA, LLC 22
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2010-01-01
Business code 621210
Sponsor’s telephone number 9419217055
Plan sponsor’s address 3990 CLARK ROAD, SARASOTA, FL, 34233
DENTISTRY OF SARASOTA 401(K) AND PROFIT SHARING PLAN 2016 271554700 2017-05-04 DENTISTRY OF SARASOTA, LLC 20
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2010-01-01
Business code 621210
Sponsor’s telephone number 9419217055
Plan sponsor’s address 3990 CLARK ROAD, SARASOTA, FL, 34233

Signature of
Role Plan administrator
Date 2017-05-04
Name of individual signing BENJAMIN MORICZ
Valid signature Filed with authorized/valid electronic signature
DENTISTRY OF SARASOTA 401(K) AND PROFIT SHARING PLAN 2015 271554700 2016-09-15 DENTISTRY OF SARASOTA, LLC 21
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2010-01-01
Business code 621210
Sponsor’s telephone number 9419217055
Plan sponsor’s address 3990 CLARK ROAD, SARASOTA, FL, 34233

Signature of
Role Plan administrator
Date 2016-09-15
Name of individual signing BENJAMIN MORICZ
Valid signature Filed with authorized/valid electronic signature
DENTISTRY OF SARASOTA 401(K) AND PROFIT SHARING PLAN 2014 271554700 2015-10-15 DENTISTRY OF SARASOTA, LLC 19
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2010-01-01
Business code 621210
Sponsor’s telephone number 9419217055
Plan sponsor’s address 3990 CLARK ROAD, SARASOTA, FL, 34233

Signature of
Role Plan administrator
Date 2015-10-15
Name of individual signing BENJAMIN MORICZ
Valid signature Filed with authorized/valid electronic signature
DENTISTRY OF SARASOTA 401(K) AND PROFIT SHARING PLAN 2013 271554700 2014-10-15 DENTISTRY OF SARASOTA, LLC 19
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2010-01-01
Business code 621210
Sponsor’s telephone number 9419217055
Plan sponsor’s address 3990 CLARK ROAD, SARASOTA, FL, 34233

Signature of
Role Plan administrator
Date 2014-10-15
Name of individual signing BENJAMIN MORICZ
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
JAWORSKI PAUL H Agent 3990 CLARK ROAD, SARASOTA, FL, 34233

President

Name Role Address
JAWORSKI PAUL H President 3990 CLARK RD., SARASOTA, FL, 34233

Events

Event Type Filed Date Value Description
ADMIN DISSOLUTION FOR ANNUAL REPORT 2022-09-23 No data No data

Documents

Name Date
ANNUAL REPORT 2021-01-31
ANNUAL REPORT 2020-06-05
ANNUAL REPORT 2019-04-13
ANNUAL REPORT 2018-03-12
ANNUAL REPORT 2017-04-10
ANNUAL REPORT 2016-03-03
ANNUAL REPORT 2015-01-30
ANNUAL REPORT 2014-04-06
ANNUAL REPORT 2013-03-11
ANNUAL REPORT 2012-02-23

Related by officers

JAWORSKI PAUL H

PAUL H. JAWORSKI, D.D.S., P.A. PELT, INC. JAWORSKI DENTISTRY, P.A.

Related by address

3990 CLARK ROAD, SARASOTA, FL, 34233

PAUL H. JAWORSKI, D.D.S., P.A. JAWORSKI DENTAL SERVICE LABORATORY, P.A. JAWORSKI DENTISTRY, P.A.

3990 CLARK ROAD, SARASOTA, FL, 34233

PAUL H. JAWORSKI, D.D.S., P.A. JAWORSKI DENTAL SERVICE LABORATORY, P.A. JAWORSKI DENTISTRY, P.A.

Date of last update: 01 Jan 2025

Sources: Florida Department of State

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