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  5. EVERGLADES PEDIATRIC DENTISTRY, LLC

EVERGLADES PEDIATRIC DENTISTRY, LLC

Company Details

Entity Name: EVERGLADES PEDIATRIC DENTISTRY, LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Active
Date Filed: 12 Jul 2010 (15 years ago)
Last Event: LC AMENDMENT
Event Date Filed: 11 Aug 2010 (14 years ago)
Document Number: L10000072802
FEI/EIN Number 453245309
Address: 2029 HWY 441 N, OKEECHOBEE, FL, 34972, US
Mail Address: 2029 HWY 441 N, OKEECHOBEE, FL, 34972, US
ZIP code: 34972
County: Okeechobee
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1538436522 2011-11-19 2011-11-19 2029 HIGHWAY 441 NORTH, OKEECHOBEE, FL, 34972, US 2029 HIGHWAY 441 NORTH, OKEECHOBEE, FL, 34972, US

Contacts
Phone +1 863-467-2332
Fax 8634672347

Authorized person
Name DR. MELISSA KINDELL
Role OWNER / DOCTOR
Phone 8634672332

Taxonomy
Taxonomy Code 1223P0221X - Pediatric Dentist
License Number DN16660
State FL
Is Primary Yes

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
EVERGLADES PEDIATRIC DENTISTRY, LLC 401(K) PLAN 2023 453245309 2024-05-20 EVERGLADES PEDIATRIC DENTISTRY, LLC 17
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-03-01
Business code 621210
Sponsor’s telephone number 8633577338
Plan sponsor’s address 2029 HWY 441 N, OKEECHOBEE, FL, 34972

Signature of
Role Plan administrator
Date 2024-05-20
Name of individual signing MELISSA KINDELL
Valid signature Filed with authorized/valid electronic signature
EVERGLADES PEDIATRIC DENTISTRY, LLC 401(K) PLAN 2022 453245309 2023-07-25 EVERGLADES PEDIATRIC DENTISTRY, LLC 13
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-03-01
Business code 621210
Sponsor’s telephone number 8633577338
Plan sponsor’s address 2029 HWY 441 N, OKEECHOBEE, FL, 34972

Signature of
Role Plan administrator
Date 2023-07-25
Name of individual signing MELISSA KINDELL
Valid signature Filed with authorized/valid electronic signature
EVERGLADES PEDIATRIC DENTISTRY, LLC 401(K) PLAN 2021 453245309 2022-07-18 EVERGLADES PEDIATRIC DENTISTRY, LLC 11
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-03-01
Business code 621210
Sponsor’s telephone number 8633577338
Plan sponsor’s address 2029 HWY 441 N, OKEECHOBEE, FL, 34972

Signature of
Role Plan administrator
Date 2022-07-18
Name of individual signing MELISSA KINDELL
Valid signature Filed with authorized/valid electronic signature
EVERGLADES PEDIATRIC DENTISTRY, LLC 401(K) PLAN 2020 453245309 2021-07-18 EVERGLADES PEDIATRIC DENTISTRY, LLC 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-03-01
Business code 621210
Sponsor’s telephone number 8633577338
Plan sponsor’s address 2029 HWY 441 N, OKEECHOBEE, FL, 34972

Signature of
Role Plan administrator
Date 2021-07-18
Name of individual signing MELISSA KINDELL
Valid signature Filed with authorized/valid electronic signature
EVERGLADES PEDIATRIC DENTISTRY, LLC 401(K) PLAN 2019 453245309 2020-08-02 EVERGLADES PEDIATRIC DENTISTRY, LLC 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-03-01
Business code 621210
Sponsor’s telephone number 8633577338
Plan sponsor’s address 2029 HWY 441 N, OKEECHOBEE, FL, 34972

Signature of
Role Plan administrator
Date 2020-08-02
Name of individual signing MELISSA KINDELL
Valid signature Filed with authorized/valid electronic signature
EVERGLADES PEDIATRIC DENTISTRY, LLC 401(K) PLAN 2018 453245309 2019-07-22 EVERGLADES PEDIATRIC DENTISTRY, LLC 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-03-01
Business code 621210
Sponsor’s telephone number 8633577338
Plan sponsor’s address 2029 HWY 441 N, OKEECHOBEE, FL, 34972

Signature of
Role Plan administrator
Date 2019-07-22
Name of individual signing MELISSA KINDELL
Valid signature Filed with authorized/valid electronic signature
EVERGLADES PEDIATRIC DENTISTRY, LLC 401(K) PLAN 2017 453245309 2018-07-16 EVERGLADES PEDIATRIC DENTISTRY, LLC 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-03-01
Business code 621210
Sponsor’s telephone number 8633577338
Plan sponsor’s address 2029 HWY 441 N, OKEECHOBEE, FL, 34972

Signature of
Role Plan administrator
Date 2018-07-16
Name of individual signing MELISSA KINDELL
Valid signature Filed with authorized/valid electronic signature
EVERGLADES PEDIATRIC DENTISTRY, LLC 401(K) PLAN 2017 453245309 2018-08-29 EVERGLADES PEDIATRIC DENTISTRY, LLC 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-03-01
Business code 621210
Sponsor’s telephone number 8633577338
Plan sponsor’s address 2029 HWY 44 N, OKEEHOBEE, FL, 34972

Signature of
Role Plan administrator
Date 2018-08-29
Name of individual signing MELISSA KINDELL
Valid signature Filed with authorized/valid electronic signature
EVERGLADES PEDIATRIC DENTISTRY, LLC 401(K) PLAN 2016 453245309 2018-08-29 EVERGLADES PEDIATRIC DENTISTRY, LLC 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-03-01
Business code 621210
Sponsor’s telephone number 8633577338
Plan sponsor’s address 2029 HWY 441 N, OKEECHOBEE, FL, 34972

Signature of
Role Plan administrator
Date 2018-08-29
Name of individual signing MELISSA KINDELL
Valid signature Filed with authorized/valid electronic signature
EVERGLADES PEDIATRIC DENTISTRY, LLC 401(K) PLAN 2016 261873127 2017-08-15 EVERGLADES PEDIATRIC DENTISTRY, LLC 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-03-01
Business code 621210
Sponsor’s telephone number 8633577338
Plan sponsor’s address 2029 HWY 441 N, OKEECHOBEE, FL, 34972

Signature of
Role Plan administrator
Date 2017-08-15
Name of individual signing MELISSA KINDELL
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
KINDELL MELISSA D Agent 2234 NE 7th St, OKEECHOBEE, FL, 34972

Manager

Name Role Address
KINDELL MELISSA D Manager 2234 NE 7th St, OKEECHOBEE, FL, 34972

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G15000065797 EVERGLADES PEDIATRIC DENTISTRY EXPIRED 2015-06-24 2020-12-31 No data 2029 HWY 441 NORTH, OKEECHOBEE, FL, 34972

Events

Event Type Filed Date Value Description
REGISTERED AGENT ADDRESS CHANGED 2013-01-15 2234 NE 7th St, OKEECHOBEE, FL 34972 No data
CHANGE OF PRINCIPAL ADDRESS 2012-04-30 2029 HWY 441 N, OKEECHOBEE, FL 34972 No data
CHANGE OF MAILING ADDRESS 2012-04-30 2029 HWY 441 N, OKEECHOBEE, FL 34972 No data
LC AMENDMENT 2010-08-11 No data No data

Documents

Name Date
ANNUAL REPORT 2024-02-04
ANNUAL REPORT 2023-01-27
ANNUAL REPORT 2022-07-14
ANNUAL REPORT 2021-01-31
ANNUAL REPORT 2020-01-19
ANNUAL REPORT 2019-06-08
ANNUAL REPORT 2018-03-07
ANNUAL REPORT 2017-01-11
ANNUAL REPORT 2016-01-26
ANNUAL REPORT 2015-01-14

Related by officers

KINDELL MELISSA D

KINDELL VENTURES, LLC OKEECHOBEE MEDICAL SPECIALISTS CONDOMINIUM ASSOCIATION, LLC EVERGLADES PEDIATRIC DENTISTRY II, LLC GAV & MAS II, 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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