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  5. WHITESIDES ORTHODONTICS, PLLC

WHITESIDES ORTHODONTICS, PLLC

Company Details

Entity Name: WHITESIDES ORTHODONTICS, PLLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Active
Date Filed: 29 Mar 2012 (13 years ago)
Document Number: L12000043430
FEI/EIN Number 45-4958919
Address: 2286 TAMIAMI TRAIL, PORT CHARLOTTE, FL, 33952
Mail Address: 2286 TAMIAMI TRAIL, PORT CHARLOTTE, FL, 33952
ZIP code: 33952
County: Charlotte
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1376800714 2012-04-23 2012-04-23 2286 TAMIAMI TRL, PORT CHARLOTTE, FL, 339523924, US 2286 TAMIAMI TRL, PORT CHARLOTTE, FL, 339523924, US

Contacts
Phone +1 941-627-2011
Fax 9416276716

Authorized person
Name DR. JOSEPH M WHITESIDES
Role MANAGING MEMBER
Phone 9416272011

Taxonomy
Taxonomy Code 1223X0400X - Orthodontics and Dentofacial Orthopedic Dentist
License Number DN18814
State FL
Is Primary Yes

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
WHITESIDES ORTHODONTICS, PLLC 401(K) PLAN & TRUST 2022 454958919 2024-02-12 WHITESIDES ORTHODONTICS, PLLC 11
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2017-01-01
Business code 621210
Sponsor’s telephone number 9416272011
Plan sponsor’s address 2286 TAMIAMI TRAIL, PORT CHARLOTTE, FL, 33952

Signature of
Role Plan administrator
Date 2024-02-12
Name of individual signing JOSEPH M. WHITESIDES
Valid signature Filed with authorized/valid electronic signature
WHITESIDES ORTHODONTICS, PLLC 401(K) PLAN & TRUST 2021 454958919 2022-08-25 WHITESIDES ORTHODONTICS, PLLC 11
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2017-01-01
Business code 621210
Sponsor’s telephone number 9416272011
Plan sponsor’s address 2286 TAMIAMI TRAIL, PORT CHARLOTTE, FL, 33952

Signature of
Role Plan administrator
Date 2022-08-25
Name of individual signing JOSEPH M. WHITESIDES
Valid signature Filed with authorized/valid electronic signature
WHITESIDES ORTHODONTICS, PLLC 401(K) PLAN & TRUST 2020 454958919 2021-10-15 WHITESIDES ORTHODONTICS, PLLC 12
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2017-01-01
Business code 621210
Sponsor’s telephone number 9416272011
Plan sponsor’s address 2286 TAMIAMI TRAIL, PORT CHARLOTTE, FL, 33952

Signature of
Role Plan administrator
Date 2021-10-15
Name of individual signing JENNIFER WHITESIDES
Valid signature Filed with authorized/valid electronic signature
WHITESIDES ORTHODONTICS, PLLC 401(K) PLAN & TRUST 2019 454958919 2020-10-15 WHITESIDES ORTHODONTICS, PLLC 12
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2017-01-01
Business code 621210
Sponsor’s telephone number 9416272011
Plan sponsor’s address 2286 TAMIAMI TRAIL, PORT CHARLOTTE, FL, 33952

Signature of
Role Plan administrator
Date 2020-10-15
Name of individual signing JOSEPH M. WHITESIDES
Valid signature Filed with authorized/valid electronic signature
WHITESIDES ORTHODONTICS, PLLC 401(K) PLAN & TRUST 2018 454958919 2019-10-14 WHITESIDES ORTHODONTICS, PLLC 11
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2017-01-01
Business code 621210
Sponsor’s telephone number 9416272011
Plan sponsor’s address 2286 TAMIAMI TRAIL, PORT CHARLOTTE, FL, 33952

Signature of
Role Plan administrator
Date 2019-10-14
Name of individual signing JOSEPH M. WHITESIDES
Valid signature Filed with authorized/valid electronic signature
WHITESIDES ORTHODONTICS, PLLC 401(K) PLAN & TRUST 2017 454958919 2018-10-15 WHITESIDES ORTHODONTICS, PLLC 11
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2017-01-01
Business code 621210
Sponsor’s telephone number 9416272011
Plan sponsor’s address 2286 TAMIAMI TRAIL, PORT CHARLOTTE, FL, 33952

Signature of
Role Plan administrator
Date 2018-10-15
Name of individual signing JOSEPH M. WHITESIDES
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
CT CORPORATION SYSTEM Agent 1200 SOUTH PINE ISLAND ROAD, PLANTATION, FL, 33324

Managing Member

Name Role Address
WHITESIDES JOSEPH M Managing Member 2286 TAMIAMI TRAIL, PORT CHARLOTTE, FL, 33952

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2024-10-04 2286 TAMIAMI TRAIL, PORT CHARLOTTE, FL 33952 No data
CHANGE OF MAILING ADDRESS 2024-10-04 2286 TAMIAMI TRAIL, PORT CHARLOTTE, FL 33952 No data
REGISTERED AGENT NAME CHANGED 2024-10-04 CT CORPORATION SYSTEM No data
REGISTERED AGENT ADDRESS CHANGED 2024-10-04 1200 SOUTH PINE ISLAND ROAD, PLANTATION, FL 33324 No data

Documents

Name Date
Reg. Agent Change 2024-10-04
ANNUAL REPORT 2024-04-19
ANNUAL REPORT 2023-04-27
ANNUAL REPORT 2022-04-27
ANNUAL REPORT 2021-04-08
ANNUAL REPORT 2020-01-13
ANNUAL REPORT 2019-01-21
ANNUAL REPORT 2018-04-10
ANNUAL REPORT 2017-01-11
ANNUAL REPORT 2016-03-01

Related by officers

CT CORPORATION SYSTEM

TMB PANAMA, LLC NAPLES FLORIDA II, LIMITED PARTNERSHIP EXTRA SPACE OF COCONUT POINT LLC MORAN SHIPPING AGENCIES INC. CS KEY WEST I, LLC. MARINA MANAGER, INC. DALLAS NATIONAL INSURANCE COMPANY MAYARAINBOW II, LLC PRESTON STABLES, LLC NW FLORIDA EMERGENCY PHYSICIANS, LLC

WHITESIDES JOSEPH M

BRACEHOUSE LLC

Related by address

2286 TAMIAMI TRAIL, PORT CHARLOTTE, FL, 33952

BRACEHOUSE PORT CHARLOTTE LLC MAD DASH CONSULTING, INC.

2286 TAMIAMI TRAIL, PORT CHARLOTTE, FL, 33952

BRACEHOUSE PORT CHARLOTTE LLC MAD DASH CONSULTING, INC.

Date of last update: 01 Feb 2025

Sources: Florida Department of State

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