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DEBORAH BARCKHAUSEN, D.M.D., M.S., PLLC

Company Details

Entity Name: DEBORAH BARCKHAUSEN, D.M.D., M.S., PLLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Active
Date Filed: 22 Jul 2010 (15 years ago)
Document Number: L10000077349
FEI/EIN Number 273099687
Address: 7668 S.W. 60TH AVENUE, SUITE 300, OCALA, FL, 34476, US
Mail Address: 1630 SE 73rd Place, OCALA, FL, 34480, US
ZIP code: 34476
County: Marion
Place of Formation: FLORIDA

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
DEBORAH BARCKHAUSEN DMD MS PLLC 401K 2023 273099687 2024-06-28 DEBORAH BARCKHAUSEN, D.M.D., M.S., PLLC 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2020-01-01
Business code 621210
Sponsor’s telephone number 3524271640
Plan sponsor’s address 7668 SW 60TH AVE STE 300, OCALA, FL, 34476

Signature of

Role Plan administrator
Date 2024-06-28
Name of individual signing DEBORAH BARCKHAUSEN
Valid signature Filed with authorized/valid electronic signature
DEBORAH BARCKHAUSEN DMD MS PLLC 401K 2023 273099687 2024-11-25 DEBORAH BARCKHAUSEN, D.M.D., M.S., PLLC 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2020-01-01
Business code 621210
Sponsor’s telephone number 3524271640
Plan sponsor’s address 7668 SW 60TH AVE STE 300, OCALA, FL, 34476

Signature of

Role Plan administrator
Date 2024-11-25
Name of individual signing DEBORAH BARCKHAUSEN
Valid signature Filed with authorized/valid electronic signature
DEBORAH BARCKHAUSEN, D.M.D., M.S., PLLC 401(K) P/S PLAN 2022 273099687 2023-05-17 DEBORAH BARCKHAUSEN, D.M.D., M.S., PLLC 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2020-01-01
Business code 621210
Sponsor’s telephone number 3524271640
Plan sponsor’s address 7668 SW 60TH AVE STE 300, OCALA, FL, 34476

Plan administrator’s name and address

Administrator’s EIN 273099687
Plan administrator’s name DEBORAH BARCKHAUSEN, D.M.D., M.S., PLLC
Plan administrator’s address 7668 SW 60TH AVE STE 300, OCALA, FL, 34476
Administrator’s telephone number 3524271640

Signature of

Role Plan administrator
Date 2023-05-17
Name of individual signing DEBORAH BARCKHAUSEN
Valid signature Filed with authorized/valid electronic signature
DEBORAH BARCKHAUSEN, D.M.D., M.S., PLLC 401(K) P/S PLAN 2021 273099687 2022-06-05 DEBORAH BARCKHAUSEN, D.M.D., M.S., PLLC 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2020-01-01
Business code 621210
Sponsor’s telephone number 3524271640
Plan sponsor’s address 7668 SW 60TH AVE STE 300, OCALA, FL, 34476

Plan administrator’s name and address

Administrator’s EIN 273099687
Plan administrator’s name DEBORAH BARCKHAUSEN, D.M.D., M.S., PLLC
Plan administrator’s address 7668 SW 60TH AVE STE 300, OCALA, FL, 34476
Administrator’s telephone number 3524271640

Signature of

Role Plan administrator
Date 2022-06-05
Name of individual signing DEBORAH BARCKHAUSEN
Valid signature Filed with authorized/valid electronic signature
DEBORAH BARCKHAUSEN, D.M.D., M.S., PLLC 401(K) P/S PLAN 2020 273099687 2021-05-24 DEBORAH BARCKHAUSEN, D.M.D., M.S., PLLC 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2020-01-01
Business code 621210
Sponsor’s telephone number 3524271640
Plan sponsor’s address 7668 SW 60TH AVE STE 300, OCALA, FL, 34476

Plan administrator’s name and address

Administrator’s EIN 273099687
Plan administrator’s name DEBORAH BARCKHAUSEN, D.M.D., M.S., PLLC
Plan administrator’s address 7668 SW 60TH AVE STE 300, OCALA, FL, 34476
Administrator’s telephone number 3524271640

Signature of

Role Plan administrator
Date 2021-05-24
Name of individual signing DEBORAH BARCKHAUSEN
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
BARCKHAUSEN DEBORAH Agent 7668 S.W. 60TH AVENUE, OCALA, FL, 34476

Auth

Name Role Address
BARCKHAUSEN DEBORAH D Auth 7668 S.W. 60TH AVENUE, SUITE 300, OCALA, FL, 34476

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G20000039373 INLINE ORTHODONTICS ACTIVE 2020-04-08 2025-12-31 No data 7668 SW 60TH AVENUE, SUITE300, OCALA, FL, 34476
G10000084765 INLINE ORTHODONTICS EXPIRED 2010-09-15 2015-12-31 No data 7668 SW 60TH AVE, STE 2, OCALA, FL, 34476
G10000068920 INLINE ORTHODONTICS EXPIRED 2010-07-27 2015-12-31 No data 7668 S.W. 60TH AVENUE, SUITE 2, OCALA, FL, 34476

Events

Event Type Filed Date Value Description
CHANGE OF MAILING ADDRESS 2025-01-02 7668 S.W. 60TH AVENUE, SUITE 300, OCALA, FL 34476 No data
CHANGE OF PRINCIPAL ADDRESS 2011-03-31 7668 S.W. 60TH AVENUE, SUITE 300, OCALA, FL 34476 No data
CHANGE OF MAILING ADDRESS 2011-03-31 7668 S.W. 60TH AVENUE, SUITE 300, OCALA, FL 34476 No data
REGISTERED AGENT ADDRESS CHANGED 2011-03-31 7668 S.W. 60TH AVENUE, SUITE 300, OCALA, FL 34476 No data

Documents

Name Date
ANNUAL REPORT 2025-01-02
ANNUAL REPORT 2024-01-27
ANNUAL REPORT 2023-01-31
ANNUAL REPORT 2022-02-03
ANNUAL REPORT 2021-03-02
ANNUAL REPORT 2020-01-27
ANNUAL REPORT 2019-02-12
ANNUAL REPORT 2018-01-18
ANNUAL REPORT 2017-01-21
ANNUAL REPORT 2016-02-09

Date of last update: 03 Feb 2025

Sources: Florida Department of State