| Entity Name: | BLUE WAVE DENTAL GROUP, PLLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 21 Jan 2016 (9 years ago) |
| Last Event: | LC AMENDMENT |
| Event Date Filed: | 13 Aug 2020 (4 years ago) |
| Document Number: | L16000012354 |
| FEI/EIN Number | 352552668 |
| Mail Address: | 1773 W Fletcher Avenue, Tampa, FL, 33612, US |
| Address: | 1773 W FLETCHER AVE, TAMPA, FL, 33612-1820, US |
| Place of Formation: | FLORIDA |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| BLUE WAVE DENTAL GROUP 401(K) PLAN | 2023 | 352552668 | 2024-07-30 | BLUE WAVE DENTAL GROUP, PLLC | 73 | |||||||||||||||||||||||
|
||||||||||||||||||||||||||||
| Role | Plan administrator |
| Date | 2024-07-30 |
| Name of individual signing | NEELY JORDAN |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2019-01-01 |
| Business code | 621210 |
| Sponsor’s telephone number | 8139682483 |
| Plan sponsor’s address | 1773 WEST FLETCHER AVENUE, TAMPA, FL, 33612 |
Signature of
| Role | Plan administrator |
| Date | 2023-08-23 |
| Name of individual signing | NEELY JORDAN |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2019-01-01 |
| Business code | 621210 |
| Sponsor’s telephone number | 8139682483 |
| Plan sponsor’s address | 1773 WEST FLETCHER AVENUE, TAMPA, FL, 33612 |
Signature of
| Role | Plan administrator |
| Date | 2022-08-03 |
| Name of individual signing | NEELY JORDAN |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2019-01-01 |
| Business code | 621210 |
| Sponsor’s telephone number | 8139682483 |
| Plan sponsor’s address | 1773 WEST FLETCHER AVENUE, TAMPA, FL, 33612 |
Signature of
| Role | Plan administrator |
| Date | 2021-09-08 |
| Name of individual signing | NEELY JORDAN |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2019-01-01 |
| Business code | 621210 |
| Sponsor’s telephone number | 8139682483 |
| Plan sponsor’s address | 1773 WEST FLETCHER AVENUE, TAMPA, FL, 33612 |
| Name | Role |
|---|---|
| BLUE WAVE ORTHO PARTNERS, PLLC | Agent |
| Name | Role | Address |
|---|---|---|
| Sierra Frank J | Manager | 1773 W Fletcher Avenue, Tampa, FL, 33612 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF MAILING ADDRESS | 2022-04-05 | 1773 W FLETCHER AVE, TAMPA, FL 33612-1820 | No data |
| LC AMENDMENT | 2020-08-13 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2018-04-16 | Blue Wave Ortho Partners, PLLC | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2018-04-16 | 1773 W Fletcher Avenue, Tampa, FL 33612 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-25 |
| ANNUAL REPORT | 2023-01-24 |
| ANNUAL REPORT | 2022-04-05 |
| ANNUAL REPORT | 2021-02-11 |
| LC Amendment | 2020-08-13 |
| ANNUAL REPORT | 2020-06-08 |
| ANNUAL REPORT | 2019-04-25 |
| ANNUAL REPORT | 2018-04-16 |
| ANNUAL REPORT | 2017-03-20 |
| Florida Limited Liability | 2016-01-21 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
