| Entity Name: | BONITA BEACH DENTAL, PLLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 05 Jul 2017 (8 years ago) |
| Last Event: | LC NAME CHANGE |
| Event Date Filed: | 16 Nov 2017 (7 years ago) |
| Document Number: | L17000144497 |
| FEI/EIN Number | 82-1989394 |
| Address: | 28811 S. Tamiami Trail, STE 14, BONITA SPRINGS, FL, 34134, US |
| Mail Address: | 28811 S. Tamiami Trail, STE 14, BONITA SPRINGS, FL, 34134, US |
| ZIP code: | 34134 |
| County: | Lee |
| Place of Formation: | FLORIDA |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| BONITA BEACH DENTAL 401(K) PROFIT SHARING PLAN | 2023 | 821989394 | 2024-07-31 | BONITA BEACH DENTAL, PLLC | 7 | |||||||||||||||||||||||
|
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| Role | Plan administrator |
| Date | 2024-07-31 |
| Name of individual signing | GRADY SCOTT |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2021-01-01 |
| Business code | 621210 |
| Sponsor’s telephone number | 2399475858 |
| Plan sponsor’s address | 3635 BONITA BEACH ROAD, SUITE 1, BONITA SPRINGS, FL, 34134 |
Signature of
| Role | Plan administrator |
| Date | 2023-06-28 |
| Name of individual signing | GRADY SCOTT |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2021-01-01 |
| Business code | 621210 |
| Sponsor’s telephone number | 2399475858 |
| Plan sponsor’s address | 3635 BONITA BEACH ROAD, SUITE 1, BONITA SPRINGS, FL, 34134 |
Signature of
| Role | Plan administrator |
| Date | 2022-04-19 |
| Name of individual signing | GRADY SCOTT |
| Valid signature | Filed with authorized/valid electronic signature |
| Name | Role | Address |
|---|---|---|
| SCOTT GRADY | Agent | 28811 S. Tamiami Trail, STE 14, Bonita Springs, FL, 34134 |
| Name | Role | Address |
|---|---|---|
| Scott Grady | Authorized Member | 28811 S. Tamiami Trail, STE 14, Bonita Springs, FL, 34134 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT ADDRESS CHANGED | 2023-01-30 | 28811 S. Tamiami Trail, STE 14, Bonita Springs, FL 34134 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2022-09-26 | 28811 S. Tamiami Trail, STE 14, BONITA SPRINGS, FL 34134 | No data |
| CHANGE OF MAILING ADDRESS | 2022-09-26 | 28811 S. Tamiami Trail, STE 14, BONITA SPRINGS, FL 34134 | No data |
| LC NAME CHANGE | 2017-11-16 | BONITA BEACH DENTAL, PLLC | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-01-16 |
| ANNUAL REPORT | 2023-01-30 |
| ANNUAL REPORT | 2022-01-26 |
| ANNUAL REPORT | 2021-02-01 |
| ANNUAL REPORT | 2020-01-24 |
| ANNUAL REPORT | 2019-05-30 |
| ANNUAL REPORT | 2018-04-30 |
| LC Name Change | 2017-11-16 |
| Florida Limited Liability | 2017-07-05 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
