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  5. ATLANTIC FAMILY DENTISTRY LLC

ATLANTIC FAMILY DENTISTRY LLC

Company Details

Entity Name: ATLANTIC FAMILY DENTISTRY LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Company
Status: Active
Date Filed: 12 Nov 2014 (10 years ago)
Last Event: LC AMENDMENT
Event Date Filed: 28 Jun 2021 (4 years ago)
Document Number: L14000175005
FEI/EIN Number 47-2306046
Address: 611 S. DIXIE FREEWAY, SUITE A, NEW SMYRNA BEACH, FL 32168
Mail Address: 611 S. DIXIE FREEWAY, SUITE A, NEW SMYRNA BEACH, FL 32168
ZIP code: 32168
County: Volusia
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1912374430 2015-09-01 2015-09-01 611 S DIXIE FWY, NEW SMYRNA BEACH, FL, 321687355, US 611 S DIXIE FWY, NEW SMYRNA BEACH, FL, 321687355, US

Contacts
Phone +1 386-426-2191
Fax 3864260195

Authorized person
Name DR. STEVEN J MITCHELL
Role OWNER
Phone 3864262191

Taxonomy
Taxonomy Code 122300000X - Dentist
Is Primary Yes

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
ATLANTIC FAMILY DENTISTRY LLC 401(K) PROFIT SHARING PLAN & TRUST 2023 472306046 2024-04-05 ATLANTIC FAMILY DENTISTRY LLC 13
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2017-01-01
Business code 621210
Sponsor’s telephone number 3864262191
Plan sponsor’s address 611 S DIXIE FREEWAY, NEW SMYRNA BEACH, FL, 32168

Signature of
Role Plan administrator
Date 2024-04-05
Name of individual signing STEVEN MITCHELL
Valid signature Filed with authorized/valid electronic signature
ATLANTIC FAMILY DENTISTRY LLC 401(K) PROFIT SHARING PLAN & TRUST 2022 472306046 2023-03-29 ATLANTIC FAMILY DENTISTRY LLC 14
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2017-01-01
Business code 621210
Sponsor’s telephone number 3864262191
Plan sponsor’s address 611 S DIXIE FREEWAY, NEW SMYRNA BEACH, FL, 32168

Signature of
Role Plan administrator
Date 2023-03-29
Name of individual signing STEVEN MITCHELL
Valid signature Filed with authorized/valid electronic signature
ATLANTIC FAMILY DENTISTRY LLC 401(K) PROFIT SHARING PLAN & TRUST 2021 472306046 2022-04-18 ATLANTIC FAMILY DENTISTRY LLC 16
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2017-01-01
Business code 621210
Sponsor’s telephone number 3864262191
Plan sponsor’s address 611 S DIXIE FREEWAY, NEW SMYRNA BEACH, FL, 32168

Signature of
Role Plan administrator
Date 2022-04-18
Name of individual signing STEVEN MITCHELL
Valid signature Filed with authorized/valid electronic signature
ATLANTIC FAMILY DENTISTRY LLC 401(K) PROFIT SHARING PLAN & TRUST 2020 472306046 2021-04-01 ATLANTIC FAMILY DENTISTRY LLC 15
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2017-01-01
Business code 621210
Sponsor’s telephone number 3864262191
Plan sponsor’s address 611 S DIXIE FREEWAY, NEW SMYRNA BEACH, FL, 32168

Signature of
Role Plan administrator
Date 2021-04-01
Name of individual signing STEVEN MITCHELL
Valid signature Filed with authorized/valid electronic signature
ATLANTIC FAMILY DENTISTRY LLC 401(K) PROFIT SHARING PLAN & TRUST 2019 472306046 2020-06-08 ATLANTIC FAMILY DENTISTRY LLC 12
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2017-01-01
Business code 621210
Sponsor’s telephone number 3864262191
Plan sponsor’s address 611 S DIXIE FREEWAY, NEW SMYRNA BEACH, FL, 32168

Signature of
Role Plan administrator
Date 2020-06-08
Name of individual signing STEVEN MITCHELL
Valid signature Filed with authorized/valid electronic signature
ATLANTIC FAMILY DENTISTRY LLC 401 K PROFIT SHARING PLAN TRUST 2018 472306046 2019-06-19 ATLANTIC FAMILY DENTISTRY LLC 12
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2017-01-01
Business code 621210
Sponsor’s telephone number 3864262191
Plan sponsor’s address 611 S DIXIE FREEWAY, NEW SMYRNA BEACH, FL, 32168

Signature of
Role Plan administrator
Date 2019-06-19
Name of individual signing STEVEN MITCHELL
Valid signature Filed with authorized/valid electronic signature
ATLANTIC FAMILY DENTISTRY LLC 401 K PROFIT SHARING PLAN TRUST 2017 472306046 2018-07-24 ATLANTIC FAMILY DENTISTRY LLC 12
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2017-01-01
Business code 621210
Sponsor’s telephone number 3864262191
Plan sponsor’s address 611 S DIXIE FREEWAY, NEW SMYRNA BEACH, FL, 32168

Signature of
Role Plan administrator
Date 2018-07-24
Name of individual signing STEVEN J MITCHELL
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
LANKFORD LAW FIRM, PA Agent 140 SOUTH BEACH STREET, SUITE 310, DAYTONA BEACH, FL 32114

Authorized Member

Name Role Address
MITCHELL, STEVEN J Authorized Member 611 S. DIXIE FREEWAY, SUITE A NEW SMYRNA BEACH, FL 32168

Events

Event Type Filed Date Value Description
LC AMENDMENT 2021-06-28 No data No data
REGISTERED AGENT NAME CHANGED 2021-06-28 LANKFORD LAW FIRM, PA No data
REGISTERED AGENT ADDRESS CHANGED 2021-06-28 140 SOUTH BEACH STREET, SUITE 310, DAYTONA BEACH, FL 32114 No data

Documents

Name Date
ANNUAL REPORT 2024-02-06
ANNUAL REPORT 2023-02-15
ANNUAL REPORT 2022-02-27
LC Amendment 2021-06-28
ANNUAL REPORT 2021-01-13
ANNUAL REPORT 2020-02-12
ANNUAL REPORT 2019-02-10
ANNUAL REPORT 2018-03-20
ANNUAL REPORT 2017-03-16
ANNUAL REPORT 2016-03-04

Related by officers

MITCHELL, STEVEN J

PHA DENTISTRY INC.

LANKFORD LAW FIRM, PA

H & R IMPORTS, LLC SSS 4 FOUR, LLC SSS 7 SEVEN, LLC SSS 8 EIGHT, LLC SSS 9 NINE, LLC SSS 1 ONE, LLC THE BARE INITIATIVE, LLC SSS 10, LLC SSS 12, LLC SSS 13, LLC

Related by address

No related companies by address

Date of last update: 21 Jan 2025

Sources: Florida Department of State

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