| Entity Name: | BLUE WATER DENTAL, L.L.C. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 22 Jul 2010 (15 years ago) |
| Document Number: | L10000077001 |
| FEI/EIN Number | 800627555 |
| Address: | 19651 Bruce B Downs Blvd., TAMPA, FL, 33647, US |
| Mail Address: | 19651 Bruce B Downs Blvd., Suite A-1, TAMPA, FL, 33647, US |
| ZIP code: | 33647 |
| County: | Hillsborough |
| Place of Formation: | FLORIDA |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| BLUE WATER DENTAL 401(K) PLAN | 2022 | 800627555 | 2023-08-11 | BLUE WATER DENTAL | 18 | |||||||||||||||||||||||||||||||||
|
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| BLUE WATER DENTAL 401(K) PLAN | 2021 | 800627555 | 2022-09-21 | BLUE WATER DENTAL | 16 | |||||||||||||||||||||||||||||||||
|
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| BLUE WATER DENTAL 401(K) PLAN | 2020 | 800627555 | 2021-08-17 | BLUE WATER DENTAL | 10 | |||||||||||||||||||||||||||||||||
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| Role | Plan administrator |
| Date | 2021-08-17 |
| Name of individual signing | NICOLE MITCHELL |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2016-01-01 |
| Business code | 541990 |
| Sponsor’s telephone number | 8139575887 |
| Plan sponsor’s address | 19651 BRUCE B DOWNS BLVD STE A1, TAMPA, FL, 336472438 |
Signature of
| Role | Plan administrator |
| Date | 2020-10-06 |
| Name of individual signing | NICOLE MITCHELL |
| Valid signature | Filed with authorized/valid electronic signature |
| Role | Employer/plan sponsor |
| Date | 2020-10-06 |
| Name of individual signing | NICOLE MITCHELL |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2016-01-01 |
| Business code | 541990 |
| Sponsor’s telephone number | 8139575887 |
| Plan sponsor’s address | 18043 HIGHWOODS PRESERVE PARKWAY, TAMPA, FL, 33647 |
Signature of
| Role | Plan administrator |
| Date | 2019-10-10 |
| Name of individual signing | NICOLE MITCHELL |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2016-01-01 |
| Business code | 541990 |
| Sponsor’s telephone number | 8139575887 |
| Plan sponsor’s address | 18043 HIGHWOODS PRESERVE PARKWAY, TAMPA, FL, 33647 |
Signature of
| Role | Plan administrator |
| Date | 2018-09-04 |
| Name of individual signing | NICOLE MITCHELL |
| Valid signature | Filed with authorized/valid electronic signature |
| Name | Role | Address |
|---|---|---|
| The Health Law Firm | Agent | 1101 Douglas Avenue, Altamonte Springs, FL, 33714 |
| Name | Role | Address |
|---|---|---|
| MITCHELL-TOTH NICOLE | Managing Member | 19651 Bruce B Downs Blvd., TAMPA, FL, 33647 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G10000070153 | NICOLE MITCHELL, D.M.D. | EXPIRED | 2010-07-29 | 2015-12-31 | No data | 18043 HIGHWOODS PRESERVE PKWY., TAMPA, FL, 33647 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2020-03-23 | 19651 Bruce B Downs Blvd., Suite A-1, TAMPA, FL 33647 | No data |
| CHANGE OF MAILING ADDRESS | 2020-03-23 | 19651 Bruce B Downs Blvd., Suite A-1, TAMPA, FL 33647 | No data |
| REGISTERED AGENT NAME CHANGED | 2013-11-22 | The Health Law Firm | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2013-11-22 | 1101 Douglas Avenue, Altamonte Springs, FL 33714 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-07 |
| ANNUAL REPORT | 2023-04-04 |
| ANNUAL REPORT | 2022-04-10 |
| ANNUAL REPORT | 2021-04-05 |
| ANNUAL REPORT | 2020-03-23 |
| ANNUAL REPORT | 2019-03-30 |
| ANNUAL REPORT | 2018-02-20 |
| ANNUAL REPORT | 2017-01-30 |
| ANNUAL REPORT | 2016-03-27 |
| ANNUAL REPORT | 2015-04-23 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
