| Entity Name: | BRIGHT SMILES PEDIATRIC DENTISTRY, PLLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 06 Apr 2016 (9 years ago) |
| Document Number: | L16000070667 |
| FEI/EIN Number | 81-2208373 |
| Address: | 196 EVEREST LANE, Suite 1, ST. JOHNS, FL, 32259, US |
| Mail Address: | 196 EVEREST LANE, Suite 1, ST. JOHNS, FL, 32259, US |
| ZIP code: | 32259 |
| County: | St. Johns |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1598114233 | 2016-06-03 | 2016-06-03 | 196 EVEREST LN UNIT 1, SAINT JOHNS, FL, 32259, US | 196 EVEREST LN UNIT 1, SAINT JOHNS, FL, 32259, US | |||||||||||||||||
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| Phone | +1 904-239-1714 |
Authorized person
| Name | DR. BRYAN MATTHEW BRIGHT |
| Role | OWNER/MANAGER |
| Phone | 8594336146 |
Taxonomy
| Taxonomy Code | 1223P0221X - Pediatric Dentist |
| License Number | DN21734 |
| State | FL |
| Is Primary | Yes |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| RETIREMENT INCOME SECURITY PLAN-BRIGHT SMILES PEDIATRIC DENTISTRY | 2021 | 812208373 | 2022-07-26 | BRIGHT SMILES PEDIATRIC DENTISTRY, PLLC | 11 | |||||||||||||||||||||||||||||||
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| Administrator’s EIN | 821222973 |
| Plan administrator’s name | HEALTHEQUITY RETIREMENT SERVICES, LLC |
| Plan administrator’s address | 15 W SCENIC POINTE DR., STE 100, DRAPER, UT, 84020 |
| Administrator’s telephone number | 8778602664 |
Signature of
| Role | Plan administrator |
| Date | 2022-07-26 |
| Name of individual signing | STEVEN STOUT |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2020-01-01 |
| Business code | 621210 |
| Sponsor’s telephone number | 9045849004 |
| Plan sponsor’s address | 196 EVEREST LANE, SUITE 1, ST. JOHNS, FL, 32259 |
Plan administrator’s name and address
| Administrator’s EIN | 821222973 |
| Plan administrator’s name | HEALTHEQUITY RETIREMENT SERVICES, LLC |
| Plan administrator’s address | 15 W SCENIC POINTE DR., STE 100, DRAPER, UT, 84020 |
| Administrator’s telephone number | 8778602664 |
Signature of
| Role | Plan administrator |
| Date | 2022-11-28 |
| Name of individual signing | STEVEN STOUT |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2020-01-01 |
| Business code | 621210 |
| Sponsor’s telephone number | 9045849004 |
| Plan sponsor’s address | 196 EVEREST LANE, SUITE 1, ST. JOHNS, FL, 32259 |
Plan administrator’s name and address
| Administrator’s EIN | 821222973 |
| Plan administrator’s name | HEALTHEQUITY RETIREMENT SERVICES, LLC |
| Plan administrator’s address | 15 W SCENIC POINTE DR., STE 100, DRAPER, UT, 84020 |
| Administrator’s telephone number | 8778602664 |
Signature of
| Role | Plan administrator |
| Date | 2021-07-22 |
| Name of individual signing | STEVEN STOUT |
| Valid signature | Filed with authorized/valid electronic signature |
| Name | Role | Address |
|---|---|---|
| BRIGHT MATTHEW | Agent | 196 EVEREST LANE, ST. JOHNS, FL, 32259 |
| Name | Role | Address |
|---|---|---|
| Bright Bryan M | Dr | 196 EVEREST LANE, ST. JOHNS, FL, 32259 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2020-03-16 | 196 EVEREST LANE, Suite 1, ST. JOHNS, FL 32259 | No data |
| CHANGE OF MAILING ADDRESS | 2020-03-16 | 196 EVEREST LANE, Suite 1, ST. JOHNS, FL 32259 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2020-03-16 | 196 EVEREST LANE, Suite 1, ST. JOHNS, FL 32259 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-01-08 |
| ANNUAL REPORT | 2023-01-03 |
| ANNUAL REPORT | 2022-03-14 |
| ANNUAL REPORT | 2021-04-30 |
| ANNUAL REPORT | 2020-03-16 |
| ANNUAL REPORT | 2019-01-10 |
| ANNUAL REPORT | 2018-01-02 |
| ANNUAL REPORT | 2017-01-09 |
| Florida Limited Liability | 2016-04-06 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
