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  5. JACOBS AND THATCHER DENTISTRY, PLLC

JACOBS AND THATCHER DENTISTRY, PLLC

Company Details

Entity Name: JACOBS AND THATCHER DENTISTRY, PLLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Active
Date Filed: 05 Nov 2014 (10 years ago)
Document Number: L14000172358
FEI/EIN Number 47-2293210
Address: 16557 S US Highway 301, Wimauma, FL, 33598, US
Mail Address: 16557 S US Highway 301, Wimauma, FL, 33598, US
ZIP code: 33598
County: Hillsborough
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1407244189 2015-01-02 2015-01-02 1601 RICKENBACKER DR, SUITE #7, SUN CITY CENTER, FL, 335735332, US 1601 RICKENBACKER DR, SUITE #7, SUN CITY CENTER, FL, 335735332, US

Contacts
Phone +1 813-634-1932
Fax 8136348612

Authorized person
Name DR. BRYAN R. THATCHER
Role MANAGING MEMBER
Phone 8136341932

Taxonomy
Taxonomy Code 1223G0001X - General Practice Dentistry
Is Primary Yes
Taxonomy Code 1223P0700X - Prosthodontist
Is Primary No

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
DENTISTRY FOR SUN CITY CENTER RETIREMENT PLAN & TRUST 2023 472293210 2024-10-03 JACOBS AND THATCHER DENTISTRY, PLLC 16
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2000-07-01
Business code 621210
Sponsor’s telephone number 8136341932
Plan sponsor’s address 16557 S. US 301 HWY, WIMAUMA, FL, 33598
DENTISTRY FOR SUN CITY CENTER RETIREMENT PLAN & TRUST 2022 472293210 2023-09-27 JACOBS AND THATCHER DENTISTRY, PLLC 13
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2000-07-01
Business code 621210
Sponsor’s telephone number 8136341932
Plan sponsor’s address 16557 S. US 301 HWY, WIMAUMA, FL, 33598
DENTISTRY FOR SUN CITY CENTER RETIREMENT PLAN & TRUST 2021 472293210 2022-09-28 JACOBS AND THATCHER DENTISTRY, PLLC 13
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2000-07-01
Business code 621210
Sponsor’s telephone number 8136341932
Plan sponsor’s address 1601 RICKENBACKER DRIVE, SUITE 7, SUN CITY CENTER, FL, 33573
DENTISTRY FOR SUN CITY CENTER RETIREMENT PLAN & TRUST 2020 472293210 2021-08-12 JACOBS AND THATCHER DENTISTRY, PLLC 15
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2000-07-01
Business code 621210
Sponsor’s telephone number 8136341932
Plan sponsor’s address 1601 RICKENBACKER DRIVE, SUITE #7, SUN CITY CENTER, FL, 33573
DENTISTRY FOR SUN CITY CENTER RETIREMENT PLAN & TRUST 2019 472293210 2020-09-15 JACOBS AND THATCHER DENTISTRY, PLLC 14
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2000-07-01
Business code 621210
Sponsor’s telephone number 8136341932
Plan sponsor’s address 1601 RICKENBACKER DRIVE, SUITE #7, SUN CITY CENTER, FL, 33573
DENTISTRY FOR SUN CITY CENTER RETIREMENT PLAN & TRUST 2018 472293210 2019-09-04 JACOBS AND THATCHER DENTISTRY, PLLC 15
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2000-07-01
Business code 621210
Sponsor’s telephone number 8136341932
Plan sponsor’s address 1601 RICKENBACKER DRIVE, SUITE #7, SUN CITY CENTER, FL, 33573
DENTISTRY FOR SUN CITY CENTER RETIREMENT PLAN & TRUST 2017 472293210 2018-06-26 JACOBS AND THATCHER DENTISTRY, PLLC 15
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2000-07-01
Business code 621210
Sponsor’s telephone number 8136341932
Plan sponsor’s address 1601 RICKENBACKER DRIVE, SUITE #7, SUN CITY CENTER, FL, 33573
DENTISTRY FOR SUN CITY CENTER RETIREMENT PLAN & TRUST 2016 472293210 2017-09-07 JACOBS AND THATCHER DENTISTRY, PLLC 14
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2000-07-01
Business code 621210
Sponsor’s telephone number 8136341932
Plan sponsor’s address 1601 RICKENBACKER DRIVE, SUITE #7, SUN CITY CENTER, FL, 33573

Signature of
Role Plan administrator
Date 2017-09-07
Name of individual signing T. GREGORY JACOBS, D.D.S., P.A.
Valid signature Filed with authorized/valid electronic signature
DENTISTRY FOR SUN CITY CENTER RETIREMENT PLAN & TRUST 2015 472293210 2016-08-25 JACOBS AND THATCHER DENTISTRY, PLLC 16
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2000-07-01
Business code 621210
Sponsor’s telephone number 8136341932
Plan sponsor’s address 1601 RICKENBACKER DRIVE, SUITE #7, SUN CITY CENTER, FL, 33573

Signature of
Role Plan administrator
Date 2016-08-25
Name of individual signing T. GREGORY JACOBS, D.D.S., P.A.
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
THATCHER BRYAN Dr. Agent 16557 S US Highway 301, Wimauma, FL, 33598

Manager

Name Role
BRYAN R. THATCHER, D.M.D., P.A. Manager

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2022-04-29 16557 S US Highway 301, Wimauma, FL 33598 No data
CHANGE OF MAILING ADDRESS 2022-04-29 16557 S US Highway 301, Wimauma, FL 33598 No data
REGISTERED AGENT ADDRESS CHANGED 2022-04-29 16557 S US Highway 301, Wimauma, FL 33598 No data
REGISTERED AGENT NAME CHANGED 2019-04-11 THATCHER, BRYAN, Dr. No data

Documents

Name Date
ANNUAL REPORT 2024-04-03
ANNUAL REPORT 2023-04-12
ANNUAL REPORT 2022-04-29
ANNUAL REPORT 2021-03-08
ANNUAL REPORT 2020-07-18
ANNUAL REPORT 2019-04-11
ANNUAL REPORT 2018-03-18
ANNUAL REPORT 2017-03-18
ANNUAL REPORT 2016-03-28
ANNUAL REPORT 2015-02-25

Related by officers

No related officers

Related by address

16557 S US Highway 301, Wimauma, FL, 33598, US

BRYAN R. THATCHER, D.M.D., P.A.

16557 S US Highway 301, Wimauma, FL, 33598, US

BRYAN R. THATCHER, D.M.D., P.A.

Date of last update: 03 Feb 2025

Sources: Florida Department of State

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