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C.R. FORT, D.M.D., PLC - Florida Company Profile

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Company Details

Entity Name: C.R. FORT, D.M.D., PLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Inactive
Date Filed: 15 Jun 2012 (13 years ago)
Date of dissolution: 16 Sep 2019 (6 years ago)
Last Event: LC VOLUNTARY DISSOLUTION
Event Date Filed: 16 Sep 2019 (6 years ago)
Document Number: L12000080504
FEI/EIN Number 46-0570046
Address: 415 Willow Oak Court, FORT MEADE, FL, 33841, US
Mail Address: 415 Wllow Oak Court, FORT MEADE, FL, 33841, US
ZIP code: 33841
City: Fort Meade
County: Polk
Place of Formation: FLORIDA

Key Officers & Management

Name Role Address
FORT CHARLES R Managing Member 415 Willow Oak Court, FORT MEADE, FL, 33841
FORT CHARLES R Agent 415 Willow Oak Court, FORT MEADE, FL, 33841

National Provider Identifier

NPI Number:
1831443258

Authorized Person:

Name:
CHARLES ROBERT FORT
Role:
OWNER
Phone:

Taxonomy:

Selected Taxonomy:
1223G0001X - General Practice Dentistry
Is Primary:
Yes

Contacts:

Fax:
8632858648

Form 5500 Series

Employer Identification Number (EIN):
460570046
Plan Year:
2017
Number Of Participants:
7
Sponsors Telephone Number:
Plan Year:
2016
Number Of Participants:
7
Sponsors Telephone Number:
Plan Year:
2015
Number Of Participants:
7
Sponsors Telephone Number:
Plan Year:
2014
Number Of Participants:
7
Sponsors Telephone Number:

Events

Event Type Filed Date Value Description
LC VOLUNTARY DISSOLUTION 2019-09-16 - -
CHANGE OF PRINCIPAL ADDRESS 2018-01-16 415 Willow Oak Court, FORT MEADE, FL 33841 -
REGISTERED AGENT ADDRESS CHANGED 2018-01-16 415 Willow Oak Court, FORT MEADE, FL 33841 -
CHANGE OF MAILING ADDRESS 2017-01-13 415 Willow Oak Court, FORT MEADE, FL 33841 -

Documents

Name Date
LC Voluntary Dissolution 2019-09-16
ANNUAL REPORT 2019-02-11
ANNUAL REPORT 2018-01-16
ANNUAL REPORT 2017-01-13
ANNUAL REPORT 2016-01-21
ANNUAL REPORT 2015-01-09
ANNUAL REPORT 2014-01-19
ANNUAL REPORT 2013-01-11
Florida Limited Liability 2012-06-15

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Date of last update: 02 Jul 2025

Sources: Florida Department of State