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  5. PALM HARBOR DENTAL CARE, PLLC

PALM HARBOR DENTAL CARE, PLLC

Company Details

Entity Name: PALM HARBOR DENTAL CARE, PLLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Active
Date Filed: 05 Dec 2017 (7 years ago)
Document Number: L17000249326
FEI/EIN Number 82-3766526
Address: 1954 South Pinellas Avenue, Tarpon Springs, FL, 34689, US
Mail Address: 1954 South Pinellas Avenue, Tarpon Springs, FL, 34689, US
ZIP code: 34689
County: Pinellas
Place of Formation: FLORIDA

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
PALM HARBOR DENTAL CARE 401(K) P/S PLAN 2023 823766526 2024-09-11 PALM HARBOR DENTAL CARE 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2018-01-25
Business code 621210
Sponsor’s telephone number 7277869144
Plan sponsor’s address 34669 US HIGHWAY 19 N, PALM HARBOR, FL, 34684

Signature of
Role Plan administrator
Date 2024-09-11
Name of individual signing RITU CHADHA
Valid signature Filed with authorized/valid electronic signature
PALM HARBOR DENTAL CARE 401(K) P/S PLAN 2022 823766526 2023-09-13 PALM HARBOR DENTAL CARE 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2018-01-25
Business code 621210
Sponsor’s telephone number 7277869144
Plan sponsor’s address 34669 US HIGHWAY 19 N, PALM HARBOR, FL, 34684

Plan administrator’s name and address
Administrator’s EIN 823766526
Plan administrator’s name PALM HARBOR DENTAL CARE
Plan administrator’s address 34669 US HIGHWAY 19 N, PALM HARBOR, FL, 34684
Administrator’s telephone number 7277869144

Signature of
Role Plan administrator
Date 2023-09-13
Name of individual signing RITU CHADHA
Valid signature Filed with authorized/valid electronic signature
PALM HARBOR DENTAL CARE 401(K) P/S PLAN 2021 823766526 2022-08-24 PALM HARBOR DENTAL CARE 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2018-01-25
Business code 621210
Sponsor’s telephone number 7277869144
Plan sponsor’s address 34669 US HIGHWAY 19 N, PALM HARBOR, FL, 34684

Plan administrator’s name and address
Administrator’s EIN 823766526
Plan administrator’s name PALM HARBOR DENTAL CARE
Plan administrator’s address 34669 US HIGHWAY 19 N, PALM HARBOR, FL, 34684
Administrator’s telephone number 7277869144

Signature of
Role Plan administrator
Date 2022-08-24
Name of individual signing RITU CHADHA
Valid signature Filed with authorized/valid electronic signature
PALM HARBOR DENTAL CARE 401(K) P/S PLAN 2020 823766526 2021-08-31 PALM HARBOR DENTAL CARE 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2018-01-25
Business code 621210
Sponsor’s telephone number 7277869144
Plan sponsor’s address 34669 US HIGHWAY 19 N, PALM HARBOR, FL, 34684

Plan administrator’s name and address
Administrator’s EIN 823766526
Plan administrator’s name PALM HARBOR DENTAL CARE
Plan administrator’s address 34669 US HIGHWAY 19 N, PALM HARBOR, FL, 34684
Administrator’s telephone number 7277869144

Signature of
Role Plan administrator
Date 2021-08-31
Name of individual signing RITU CHADHA
Valid signature Filed with authorized/valid electronic signature
PALM HARBOR DENTAL CARE 401(K) P/S PLAN 2019 823766526 2020-06-16 PALM HARBOR DENTAL CARE 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2018-01-25
Business code 621210
Sponsor’s telephone number 7277869144
Plan sponsor’s address 34669 US HIGHWAY 19 N, PALM HARBOR, FL, 34684

Plan administrator’s name and address
Administrator’s EIN 823766526
Plan administrator’s name PALM HARBOR DENTAL CARE
Plan administrator’s address 34669 US HIGHWAY 19 N, PALM HARBOR, FL, 34684
Administrator’s telephone number 7277869144

Signature of
Role Plan administrator
Date 2020-06-16
Name of individual signing RITU CHADHA
Valid signature Filed with authorized/valid electronic signature
PALM HARBOR DENTAL CARE 401(K) P/S PLAN 2018 823766526 2019-09-17 PALM HARBOR DENTAL CARE 0
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2018-01-25
Business code 621210
Sponsor’s telephone number 7277869144
Plan sponsor’s address 34669 US HIGHWAY 19 N, PALM HARBOR, FL, 34684

Plan administrator’s name and address
Administrator’s EIN 823766526
Plan administrator’s name PALM HARBOR DENTAL CARE
Plan administrator’s address 34669 US HIGHWAY 19 N, PALM HARBOR, FL, 34684
Administrator’s telephone number 7277869144

Signature of
Role Plan administrator
Date 2019-09-17
Name of individual signing RITU CHADHA
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
MAGIDSON MICHAEL DESQ Agent 333 3RD AVENUE NORTH, SUITE 200, ST. PETERSBURG, FL, 33701

Manager

Name Role Address
CHADHA RITU DMD Manager 1954 S PINELLAS AVE, TARPON SPRINGS, FL, 34689

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G21000108253 TRUE DENTAL CARE ACTIVE 2021-08-20 2026-12-31 No data 1954 S PINELLAS AVE, TARPON SPRINGS, FL, 34689
G21000108264 TRUDENTAL CARE ACTIVE 2021-08-20 2026-12-31 No data 1954 S PINELLAS AVE, TARPON SPRINGS, FL, 34684

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2023-09-26 1954 South Pinellas Avenue, Tarpon Springs, FL 34689 No data
CHANGE OF MAILING ADDRESS 2023-09-26 1954 South Pinellas Avenue, Tarpon Springs, FL 34689 No data

Documents

Name Date
ANNUAL REPORT 2024-04-15
ANNUAL REPORT 2023-01-24
ANNUAL REPORT 2022-01-19
ANNUAL REPORT 2021-02-10
ANNUAL REPORT 2020-06-08
ANNUAL REPORT 2019-01-16
ANNUAL REPORT 2018-03-20
Florida Limited Liability 2017-12-05

Related by officers

MAGIDSON MICHAEL DESQ

MICHAEL D. MAGIDSON, PLLC

Related by address

No related companies by address

Date of last update: 02 Feb 2025

Sources: Florida Department of State

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