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  5. SUNDANCE FAMILY DENTISTRY LLC

SUNDANCE FAMILY DENTISTRY LLC

Company Details

Entity Name: SUNDANCE FAMILY DENTISTRY LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Inactive
Date Filed: 16 Nov 2011 (13 years ago)
Date of dissolution: 25 Sep 2020 (4 years ago)
Last Event: ADMIN DISSOLUTION FOR ANNUAL REPORT
Event Date Filed: 25 Sep 2020 (4 years ago)
Document Number: L11000130259
FEI/EIN Number 454322741
Address: 5380 STADIUM PARKWAY, SUITE 119, VIERA, FL, 32955, US
Mail Address: 5380 STADIUM PARKWAY, SUITE 119, VIERA, FL, 32955, US
ZIP code: 32955
County: Brevard
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1386009017 2015-12-23 2015-12-23 5380 STADIUM PKWY, SUITE 119, VIERA, FL, 329556001, US 5380 STADIUM PKWY, SUITE 119, VIERA, FL, 329556001, US

Contacts
Phone +1 321-837-3700

Authorized person
Name CHRISTOPHER RYAN OSORIO
Role DENTIST/OWNER
Phone 3218373700

Taxonomy
Taxonomy Code 1223G0001X - General Practice Dentistry
License Number DN18740
State FL
Is Primary Yes
Taxonomy Code 1223G0001X - General Practice Dentistry
License Number DN17167
State FL
Is Primary No

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
SUNDANCE FAMILY DENTISTRY 401(K) PLAN 2019 454322741 2020-07-20 SUNDANCE FAMILY DENTISTRY 14
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2014-01-01
Business code 621210
Sponsor’s telephone number 3212718201
Plan sponsor’s address 5380 STADIUM PKWY, SUITE 119, VIERA, FL, 32940

Signature of
Role Plan administrator
Date 2020-07-20
Name of individual signing CHRISTOPHER OSORIO
Valid signature Filed with authorized/valid electronic signature
SUNDANCE FAMILY DENTISTRY 401(K) PLAN 2018 454322741 2019-10-03 SUNDANCE FAMILY DENTISTRY 14
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2014-01-01
Business code 621210
Sponsor’s telephone number 3212718201
Plan sponsor’s address 5380 STADIUM PKWY, SUITE 119, VIERA, FL, 32940

Signature of
Role Plan administrator
Date 2019-10-03
Name of individual signing CHRISTOPHER OSORIO
Valid signature Filed with authorized/valid electronic signature
SUNDANCE FAMILY DENTISTRY 401(K) PLAN 2017 454322741 2018-10-12 SUNDANCE FAMILY DENTISTRY 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2014-01-01
Business code 621210
Sponsor’s telephone number 3212718201
Plan sponsor’s address 5380 STADIUM PKWY, SUITE 119, VIERA, FL, 32940

Signature of
Role Plan administrator
Date 2018-10-12
Name of individual signing CHRISTOPHER OSORIO
Valid signature Filed with authorized/valid electronic signature
SUNDANCE FAMILY DENTISTRY 401(K) PLAN 2016 454322741 2017-10-16 SUNDANCE FAMILY DENTISTRY 11
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2014-01-01
Business code 621210
Sponsor’s telephone number 3212718201
Plan sponsor’s address 5380 STADIUM PKWY, SUITE 119, VIERA, FL, 32940

Signature of
Role Plan administrator
Date 2017-10-16
Name of individual signing CHRISTOPHER OSORIO
Valid signature Filed with authorized/valid electronic signature
SUNDANCE FAMILY DENTISTRY 401(K) PLAN 2015 454322741 2016-10-11 SUNDANCE FAMILY DENTISTRY 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2014-01-01
Business code 621210
Sponsor’s telephone number 3212718201
Plan sponsor’s address 5380 STADIUM PKWY, SUITE 119, VIERA, FL, 32940

Signature of
Role Plan administrator
Date 2016-10-11
Name of individual signing CHRISTOPHER OSORIO
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
Osorio Christopher RDr. Agent 5380 STADIUM PARKWAY, SUITE 119, VIERA, FL, 32955

Managing Member

Name Role Address
OSORIO CHRISTOPHER R Managing Member 5988 CROYDON CT., VIERA, FL, 32940

Events

Event Type Filed Date Value Description
ADMIN DISSOLUTION FOR ANNUAL REPORT 2020-09-25 No data No data
REGISTERED AGENT NAME CHANGED 2014-04-24 Osorio, Christopher R, Dr. No data
REGISTERED AGENT ADDRESS CHANGED 2014-04-24 5380 STADIUM PARKWAY, SUITE 119, VIERA, FL 32955 No data
CHANGE OF PRINCIPAL ADDRESS 2012-06-05 5380 STADIUM PARKWAY, SUITE 119, VIERA, FL 32955 No data
CHANGE OF MAILING ADDRESS 2012-06-05 5380 STADIUM PARKWAY, SUITE 119, VIERA, FL 32955 No data

Documents

Name Date
ANNUAL REPORT 2019-01-30
ANNUAL REPORT 2018-03-06
ANNUAL REPORT 2017-03-21
ANNUAL REPORT 2016-03-07
ANNUAL REPORT 2015-03-20
ANNUAL REPORT 2014-04-24
ANNUAL REPORT 2013-04-23
ANNUAL REPORT 2012-04-09
Florida Limited Liability 2011-11-16

Related by officers

OSORIO CHRISTOPHER R

VUELA, LLC

Related by address

No related companies by address

Date of last update: 03 Feb 2025

Sources: Florida Department of State

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