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SAWGRASS ORTHODONTICS, LLC

Company Details

Entity Name: SAWGRASS ORTHODONTICS, LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Active
Date Filed: 28 Apr 2010 (15 years ago)
Last Event: CONVERSION
Event Date Filed: 28 Apr 2010 (15 years ago)
Document Number: L10000045287
FEI/EIN Number 275473032
Address: 175 NW 136TH AVE, SUNRISE, FL, 33325
Mail Address: 175 NW 136TH AVE, SUNRISE, FL, 33325
ZIP code: 33325
County: Broward
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1528369014 2010-11-15 2011-04-11 175 NW 136TH AVE, PLANTATION, FL, 333252624, US 175 NW 136TH AVE, PLANTATION, FL, 333252624, US

Contacts

Phone +1 954-514-2111

Authorized person

Name DR. PENELOPE REINGOWSKY
Role ORTHODONTIST
Phone 9545142111

Taxonomy

Taxonomy Code 1223X0400X - Orthodontics and Dentofacial Orthopedic Dentist
License Number DN16902
State FL
Is Primary Yes
Taxonomy Code 1223X0400X - Orthodontics and Dentofacial Orthopedic Dentist
License Number DN16748
State FL
Is Primary No

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
SAWGRASS ORTHODONTICS LLC 401(K) PROFIT SHARING PLAN & TRUST 2023 275473032 2024-05-16 SAWGRASS ORTHODONTICS LLC 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-01-01
Business code 621210
Sponsor’s telephone number 9545142111
Plan sponsor’s address 175 NW 136TH AVE, SUNRISE, FL, 33325

Signature of

Role Plan administrator
Date 2024-05-16
Name of individual signing LAURA RODRIGUEZ
Valid signature Filed with authorized/valid electronic signature
SAWGRASS ORTHODONTICS LLC 401(K) PROFIT SHARING PLAN & TRUST 2022 275473032 2023-03-29 SAWGRASS ORTHODONTICS LLC 11
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-01-01
Business code 621210
Sponsor’s telephone number 9545142111
Plan sponsor’s address 175 NW 136TH AVE, SUNRISE, FL, 33325

Signature of

Role Plan administrator
Date 2023-03-29
Name of individual signing LAURA RODRIGUEZ
Valid signature Filed with authorized/valid electronic signature
SAWGRASS ORTHODONTICS LLC 401(K) PROFIT SHARING PLAN & TRUST 2021 275473032 2022-03-30 SAWGRASS ORTHODONTICS LLC 12
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-01-01
Business code 621210
Sponsor’s telephone number 9545142111
Plan sponsor’s address 175 NW 136TH AVE, SUNRISE, FL, 33325

Signature of

Role Plan administrator
Date 2022-03-30
Name of individual signing LAURA RODRIGUEZ
Valid signature Filed with authorized/valid electronic signature
SAWGRASS ORTHODONTICS LLC 401(K) PROFIT SHARING PLAN & TRUST 2020 275473032 2021-04-01 SAWGRASS ORTHODONTICS LLC 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-01-01
Business code 621210
Sponsor’s telephone number 9545142111
Plan sponsor’s address 175 NW 136TH AVE, SUNRISE, FL, 33325

Signature of

Role Plan administrator
Date 2021-04-01
Name of individual signing LAURA RODRIGUEZ
Valid signature Filed with authorized/valid electronic signature
SAWGRASS ORTHODONTICS LLC 401(K) PROFIT SHARING PLAN & TRUST 2019 275473032 2020-04-29 SAWGRASS ORTHODONTICS LLC 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-01-01
Business code 621210
Sponsor’s telephone number 9545142111
Plan sponsor’s address 175 NW 136TH AVE, SUNRISE, FL, 33325

Signature of

Role Plan administrator
Date 2020-04-29
Name of individual signing LAURA RODRIGUEZ
Valid signature Filed with authorized/valid electronic signature
SAWGRASS ORTHODONTICS LLC 401 K PROFIT SHARING PLAN TRUST 2018 275473032 2019-05-08 SAWGRASS ORTHODONTICS LLC 11
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-01-01
Business code 621210
Sponsor’s telephone number 9545142111
Plan sponsor’s address 175 NW 136TH AVE, SUNRISE, FL, 33325

Signature of

Role Plan administrator
Date 2019-05-08
Name of individual signing LAURA RODRIGUEZ
Valid signature Filed with authorized/valid electronic signature
SAWGRASS ORTHODONTICS LLC 401 K PROFIT SHARING PLAN TRUST 2017 275473032 2018-07-20 SAWGRASS ORTHODONTICS LLC 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-01-01
Business code 621210
Sponsor’s telephone number 9545142111
Plan sponsor’s address 175 NW 136TH AVE, SUNRISE, FL, 33325

Signature of

Role Plan administrator
Date 2018-07-20
Name of individual signing LAURA
Valid signature Filed with authorized/valid electronic signature
SAWGRASS ORTHODONTICS LLC 401 K PROFIT SHARING PLAN TRUST 2016 275473032 2017-07-26 SAWGRASS ORTHODONTICS LLC 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-01-01
Business code 621210
Sponsor’s telephone number 9545142111
Plan sponsor’s address 175 NW 136TH AVE, SUNRISE, FL, 33325

Signature of

Role Plan administrator
Date 2017-07-26
Name of individual signing KRISTEN IGUALADA-HEINE
Valid signature Filed with authorized/valid electronic signature
SAWGRASS ORTHODONTICS LLC 401 K PROFIT SHARING PLAN TRUST 2015 275473032 2016-07-13 SAWGRASS ORTHODONTICS LLC 12
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-01-01
Business code 621210
Sponsor’s telephone number 9545142111
Plan sponsor’s address 175 NW 136TH AVE, SUNRISE, FL, 33325

Signature of

Role Plan administrator
Date 2016-07-13
Name of individual signing KRISTEN IGUALADA-HEINE
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
REINGOWSKY PENELOPE V Agent 175 NW 136TH AVE, SUNRISE, FL, 33325

Manager

Name Role Address
IGUALADA-HEINE KRISTEN Manager 710 NW 71ST AVE, PLANTATION, FL, 33317

Owne

Name Role Address
REINGOWSKY PENELOPE V Owne 12540 SW 15th Manor, DAVIE, FL, 33325

Officer

Name Role Address
Rodriguez Laura F Officer 175 NW 136TH AVE, SUNRISE, FL, 33325

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2011-03-30 175 NW 136TH AVE, SUNRISE, FL 33325 No data
CHANGE OF MAILING ADDRESS 2011-03-30 175 NW 136TH AVE, SUNRISE, FL 33325 No data
REGISTERED AGENT NAME CHANGED 2011-03-30 REINGOWSKY, PENELOPE V No data
REGISTERED AGENT ADDRESS CHANGED 2011-03-30 175 NW 136TH AVE, SUNRISE, FL 33325 No data
CONVERSION 2010-04-28 No data CORPORATION WAS A CONVERSION RESULT. CONVERTING CORPORATION WAS P10000018693. CONVERSION NUMBER 300000104593

Documents

Name Date
ANNUAL REPORT 2024-01-14
ANNUAL REPORT 2023-02-28
ANNUAL REPORT 2022-01-31
ANNUAL REPORT 2021-01-28
ANNUAL REPORT 2020-01-17
ANNUAL REPORT 2019-04-03
ANNUAL REPORT 2018-02-28
ANNUAL REPORT 2017-01-13
ANNUAL REPORT 2016-03-08
ANNUAL REPORT 2015-03-19

Date of last update: 02 Feb 2025

Sources: Florida Department of State