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  5. ADC VENTURES, PLLC

ADC VENTURES, PLLC

Company Details

Entity Name: ADC VENTURES, PLLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Active
Date Filed: 23 Apr 2014 (11 years ago)
Document Number: L14000066497
FEI/EIN Number 46-5494711
Address: 4041 HIGHWAY 90, PACE, FL, 32571
Mail Address: 4041 HIGHWAY 90, PACE, FL, 32571
ZIP code: 32571
County: Santa Rosa
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1265501084 2006-11-07 2024-06-13 4041 HIGHWAY 90, PACE, FL, 325711917, US 4041 HIGHWAY 90, PACE, FL, 325711917, US

Contacts
Phone +1 850-994-8185

Authorized person
Name DR. CHARLES E FAULKNER
Role OWNER
Phone 8509948185

Taxonomy
Taxonomy Code 122300000X - Dentist
State FL
Is Primary Yes

Other Provider Identifiers
Issuer BCBS I.D.
Number 86052
State FL
Issuer UNITED CONCORDIA I.D.
Number 484973
State FL

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
ADC VENTURES 401(K) PLAN 2023 465494711 2024-07-09 ADC VENTURES, PLLC 25
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2017-01-01
Business code 523900
Sponsor’s telephone number 8509948185
Plan sponsor’s address 4041 HIGHWAY 90, PACE, FL, 32571
ADC VENTURES 401(K) PLAN 2022 465494711 2023-07-28 ADC VENTURES, PLLC 26
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2017-01-01
Business code 523900
Sponsor’s telephone number 8509948185
Plan sponsor’s address 4041 HIGHWAY 90, PACE, FL, 32571
ADC VENTURES 401(K) PLAN 2021 465494711 2022-09-19 ADC VENTURES, PLLC 26
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2017-01-01
Business code 523900
Sponsor’s telephone number 8509948185
Plan sponsor’s address 4041 HWY 90, PACE, FL, 32571
ADC VENTURES 401(K) PLAN 2020 465494711 2021-06-15 ADC VENTURES, PLLC 26
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2017-01-01
Business code 523900
Sponsor’s telephone number 8509948185
Plan sponsor’s address 4041 HWY 90, PACE, FL, 32571
ADC VENTURES 401(K) PLAN 2019 465494711 2020-05-26 ADC VENTURES, PLLC 27
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2017-01-01
Business code 523900
Sponsor’s telephone number 8509948185
Plan sponsor’s address 4041 HWY 90, PACE, FL, 32571
ADC VENTURES 401(K) PLAN 2018 465494711 2019-07-26 ADC VENTURES, PLLC 26
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2017-01-01
Business code 523900
Sponsor’s telephone number 8509948185
Plan sponsor’s address 4041 HWY 90, PACE, FL, 32571

Signature of
Role Plan administrator
Date 2019-07-26
Name of individual signing CHARLES FAULKNER
Valid signature Filed with authorized/valid electronic signature
ADC VENTURES 401(K) PLAN 2017 465494711 2018-08-06 ADC VENTURES, PLLC 32
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2017-01-01
Business code 523900
Sponsor’s telephone number 8509948185
Plan sponsor’s address 4041 HWY 90, PACE, FL, 32571

Signature of
Role Plan administrator
Date 2018-08-06
Name of individual signing CHARLES FAULKNER
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
Forshee Kaitlin VDr. Agent 2471 Semur Road, PENSACOLA, FL, 32503

Member

Name Role Address
Forshee Kaitlin V Member 4041 HIGHWAY 90, PACE, FL, 32571
Faulkner Charles E Member 4041 HIGHWAY 90, PACE, FL, 32571

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G14000082971 ADVANCED DENTAL CONCEPTS ACTIVE 2014-08-12 2029-12-31 No data 4041 HIGHWAY 90, PACE, FL, 32571

Events

Event Type Filed Date Value Description
REGISTERED AGENT NAME CHANGED 2022-03-07 Forshee, Kaitlin V, Dr. No data
REGISTERED AGENT ADDRESS CHANGED 2022-03-07 2471 Semur Road, PENSACOLA, FL 32503 No data

Documents

Name Date
ANNUAL REPORT 2024-02-06
ANNUAL REPORT 2023-01-19
ANNUAL REPORT 2022-03-07
ANNUAL REPORT 2021-04-29
ANNUAL REPORT 2020-06-15
ANNUAL REPORT 2019-04-23
ANNUAL REPORT 2018-04-26
ANNUAL REPORT 2017-04-28
AMENDED ANNUAL REPORT 2016-09-09
ANNUAL REPORT 2016-04-18

Related by officers

No related officers

Related by address

4041 HIGHWAY 90, PACE, FL, 32571

OWSLEY DENTAL LAB, INC.

4041 HIGHWAY 90, PACE, FL, 32571

OWSLEY DENTAL LAB, INC.

Date of last update: 02 Feb 2025

Sources: Florida Department of State

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