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  5. CLARK ORTHODONTICS, PLLC

CLARK ORTHODONTICS, PLLC - Florida Company Profile

Company Details

Entity Name: CLARK ORTHODONTICS, PLLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.

CLARK ORTHODONTICS, PLLC is structured as a Limited Liability Company (LLC), a common business structure that offers its members limited liability protection, separating their personal assets from the company's debts and obligations.
In Florida, LLCs are governed by Title XXXVI, Chapter 605, Florida Revised Limited Liability Company Act
Status: Active

The business entity is active. This status indicates that the business is currently operating and compliant with state regulations, suggesting a lower risk profile for lenders and potentially better creditworthiness.

Date Filed: 02 Aug 2013 (12 years ago)
Last Event: REINSTATEMENT
Event Date Filed: 04 Oct 2021 (3 years ago)
Document Number: L13000109626
FEI/EIN Number 46-3458934

Federal Employer Identification (FEI) Number assigned by the IRS.
Address: 5555 Roanoke Trail, Tallahassee, FL, 32312, US
Mail Address: 5555 Roanoke Trail, Tallahassee, FL, 32312, US
ZIP code: 32312
County: Leon
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1154712818 2015-02-16 2015-02-16 5555 ROANOKE TRL, TALLAHASSEE, FL, 323124868, US 5555 ROANOKE TRL, TALLAHASSEE, FL, 323124868, US

Contacts
Phone +1 850-385-2822

Authorized person
Name DR. ANDREW CLARK
Role PRESIDENT
Phone 8503852822

Taxonomy
Taxonomy Code 1223X0400X - Orthodontics and Dentofacial Orthopedic Dentist
License Number 19032
State FL
Is Primary Yes

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
CLARK ORTHODONTICS, PLLC 401(K) PLAN 2023 463458934 2024-04-30 CLARK ORTHODONTICS, PLLC 18
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2014-01-01
Business code 621210
Sponsor’s telephone number 8503852822
Plan sponsor’s address 5555 ROANOKE TRAIL, TALLAHASSEE, FL, 32312
CLARK ORTHODONTICS, PLLC 401(K) PLAN 2022 463458934 2023-05-08 CLARK ORTHODONTICS, PLLC 17
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2014-01-01
Business code 621210
Sponsor’s telephone number 8503852822
Plan sponsor’s address 5555 ROANOKE TRAIL, TALLAHASSEE, FL, 32312
CLARK ORTHODONTICS, PLLC 401(K) PLAN 2021 463458934 2022-02-07 CLARK ORTHODONTICS, PLLC 13
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2014-01-01
Business code 621210
Sponsor’s telephone number 8503852822
Plan sponsor’s address 5555 ROANOKE TRAIL, TALLAHASSEE, FL, 32312

Signature of
Role Plan administrator
Date 2022-02-07
Name of individual signing ANDREW CLARK
Valid signature Filed with authorized/valid electronic signature
CLARK ORTHODONTICS, PLLC 401(K) PLAN 2020 463458934 2021-04-21 CLARK ORTHODONTICS, PLLC 16
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2014-01-01
Business code 621210
Sponsor’s telephone number 8503852822
Plan sponsor’s address 5555 ROANOKE TRAIL, TALLAHASSEE, FL, 32312

Signature of
Role Plan administrator
Date 2021-04-21
Name of individual signing ANDREW CLARK
Valid signature Filed with authorized/valid electronic signature
CLARK ORTHODONTICS, PLLC 401(K) PLAN 2019 463458934 2020-01-29 CLARK ORTHODONTICS, PLLC 13
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2014-01-01
Business code 621210
Sponsor’s telephone number 8503852822
Plan sponsor’s address 5555 ROANOKE TRAIL, TALLAHASSEE, FL, 32312
CLARK ORTHODONTICS, PLLC 401(K) PLAN 2018 463458934 2019-07-03 CLARK ORTHODONTICS, PLLC 12
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2014-01-01
Business code 621210
Sponsor’s telephone number 8503852822
Plan sponsor’s address 5555 ROANOKE TRAIL, TALLAHASSEE, FL, 32312
CLARK ORTHODONTICS, PLLC 401(K) PLAN 2017 463458934 2018-10-15 CLARK ORTHODONTICS, PLLC 12
Three-digit plan number (PN) 001
Effective date of plan 2014-01-01
Business code 621210
Sponsor’s telephone number 8503852822
Plan sponsor’s address 5555 ROANOKE TRAIL, TALLAHASSEE, FL, 32312
CLARK ORTHODONTICS, PLLC 401(K) PLAN 2017 463458934 2019-07-03 CLARK ORTHODONTICS, PLLC 12
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2014-01-01
Business code 621210
Sponsor’s telephone number 8503852822
Plan sponsor’s address 5555 ROANOKE TRAIL, TALLAHASSEE, FL, 32312
CLARK ORTHODONTICS, PLLC 401(K) PLAN 2016 463458934 2017-06-13 CLARK ORTHODONTICS, PLLC 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2014-01-01
Business code 621210
Sponsor’s telephone number 8503852822
Plan sponsor’s address 5555 ROANOKE TRAIL, TALLAHASSEE, FL, 32312

Signature of
Role Plan administrator
Date 2017-06-13
Name of individual signing MELISSA FOGGY
Valid signature Filed with authorized/valid electronic signature
CLARK ORTHODONTICS, PLLC 401(K) PLAN 2015 463458934 2016-03-18 CLARK ORTHODONTICS, PLLC 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2014-01-01
Business code 621210
Sponsor’s telephone number 8503852822
Plan sponsor’s address 5555 ROANOKE TRAIL, TALLAHASSEE, FL, 32312

Signature of
Role Plan administrator
Date 2016-03-18
Name of individual signing MELISSA FOGGY
Valid signature Filed with authorized/valid electronic signature

Key Officers & Management

Name Role Address
CLARK ANDREW E Manager 5555 Roanoke Trail, Tallahassee, FL, 32312
CLARK ANDREW Agent 5555 ROANOKE TRAIL, Tallahassee, FL, 32312

Events

Event Type Filed Date Value Description
REGISTERED AGENT NAME CHANGED 2023-04-29 CLARK, ANDREW -
REGISTERED AGENT ADDRESS CHANGED 2023-04-29 5555 ROANOKE TRAIL, Tallahassee, FL 32312 -
REINSTATEMENT 2021-10-04 - -
ADMIN DISSOLUTION FOR ANNUAL REPORT 2021-09-24 - -
CHANGE OF PRINCIPAL ADDRESS 2015-01-21 5555 Roanoke Trail, Tallahassee, FL 32312 -
CHANGE OF MAILING ADDRESS 2014-01-14 5555 Roanoke Trail, Tallahassee, FL 32312 -
LC ARTICLE OF CORRECTION 2013-08-16 - -

Documents

Name Date
ANNUAL REPORT 2025-02-03
ANNUAL REPORT 2024-02-06
ANNUAL REPORT 2023-04-29
ANNUAL REPORT 2022-01-25
REINSTATEMENT 2021-10-04
ANNUAL REPORT 2020-03-24
ANNUAL REPORT 2019-02-14
ANNUAL REPORT 2018-03-06
ANNUAL REPORT 2017-01-19
ANNUAL REPORT 2016-01-23

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Companies related by address

No other companies in our directory share the same address as CLARK ORTHODONTICS, PLLC

Date of last update: 02 Mar 2025

Sources: Florida Department of State

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