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30A SMILES LLC

Company Details

Entity Name: 30A SMILES LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Active
Date Filed: 16 Oct 2013 (11 years ago)
Document Number: L13000145873
FEI/EIN Number 46-3884516
Address: 12805 HWY 98 EAST, INLET BEACH, FL, 32461, US
Mail Address: 12805 HWY 98 EAST, INLET BEACH, FL, 32461, US
ZIP code: 32461
County: Walton
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1649648502 2015-09-09 2015-09-09 12805 US HIGHWAY 98 E, SUITE K 201, INLET BEACH, FL, 324139630, US 12805 US HIGHWAY 98 E, SUITE K 201, INLET BEACH, FL, 324139630, US

Contacts

Phone +1 850-231-0070

Authorized person

Name KIM FLEITZ
Role CSO
Phone 8502310070

Taxonomy

Taxonomy Code 1223G0001X - General Practice Dentistry
License Number DN15148
State FL
Is Primary Yes

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
30A SMILES RETIREMENT PLAN & TRUST 2023 463884516 2024-08-13 30A SMILES LLC 15
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2020-01-01
Business code 621210
Sponsor’s telephone number 8502310070
Plan sponsor’s address 12805 HIGHWAY 98E, SUITE K201, INLET BEACH, FL, 32461
30A SMILES RETIREMENT PLAN & TRUST 2022 463884516 2023-08-18 30A SMILES LLC 11
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2020-01-01
Business code 621210
Sponsor’s telephone number 8502310070
Plan sponsor’s address 12805 HIGHWAY 98E, SUITE K201, INLET BEACH, FL, 32461
30A SMILES RETIREMENT PLAN & TRUST 2021 463884516 2022-08-31 30A SMILES LLC 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2020-01-01
Business code 621210
Sponsor’s telephone number 8502310070
Plan sponsor’s address 12805 HIGHWAY 98E, SUITE K201, INLET BEACH, FL, 32461
30A SMILES RETIREMENT PLAN & TRUST 2020 463884516 2021-08-04 30A SMILES LLC 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2020-01-01
Business code 621210
Sponsor’s telephone number 8502310070
Plan sponsor’s address 12805 HIGHWAY 98E, SUITE K201, INLET BEACH, FL, 32413

Agent

Name Role Address
FLEITZ Kimberly h Agent 179 Splash Dr, INLET BEACH, FL, 32461

Managing Member

Name Role Address
FLEITZ SMILES PA Managing Member No data
Lindsey M Hoppe DDS PA Managing Member 12805 HWY 98 EAST, INLET BEACH, FL, 32461

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G13000113564 DEREK R FLEITZ DDS EXPIRED 2013-11-19 2018-12-31 No data 2407 W 11TH STREET, PANAMA CITY, FL, 32401

Events

Event Type Filed Date Value Description
REGISTERED AGENT ADDRESS CHANGED 2024-03-05 179 Splash Dr, INLET BEACH, FL 32461 No data
CHANGE OF PRINCIPAL ADDRESS 2017-02-09 12805 HWY 98 EAST, SUITE K201, INLET BEACH, FL 32461 No data
CHANGE OF MAILING ADDRESS 2017-02-09 12805 HWY 98 EAST, SUITE K201, INLET BEACH, FL 32461 No data
REGISTERED AGENT NAME CHANGED 2015-05-01 FLEITZ, Kimberly h No data

Documents

Name Date
ANNUAL REPORT 2024-03-05
ANNUAL REPORT 2023-02-01
ANNUAL REPORT 2022-03-03
ANNUAL REPORT 2021-02-05
ANNUAL REPORT 2020-01-17
ANNUAL REPORT 2019-03-13
ANNUAL REPORT 2018-03-19
ANNUAL REPORT 2017-02-09
ANNUAL REPORT 2016-04-28
ANNUAL REPORT 2015-05-01

Date of last update: 01 Feb 2025

Sources: Florida Department of State