| Entity Name: | CARROLLWOOD DENTAL GROUP LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 29 Aug 2018 (6 years ago) |
| Last Event: | LC STMNT OF RA/RO CHG |
| Event Date Filed: | 02 Aug 2022 (3 years ago) |
| Document Number: | L18000207181 |
| FEI/EIN Number | 83-1734909 |
| Address: | 12603 HENDERSON ROAD, TAMPA, FL, 33625, US |
| Mail Address: | 12603 HENDERSON ROAD, TAMPA, FL, 33625, US |
| ZIP code: | 33625 |
| County: | Hillsborough |
| Place of Formation: | FLORIDA |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| CARROLLWOOD DENTAL GROUP 401(K) PLAN | 2023 | 831734909 | 2024-05-13 | CARROLLWOOD DENTAL GROUP | 9 | |||||||||||||||||||||||||||||||
|
||||||||||||||||||||||||||||||||||||
| Administrator’s EIN | 474474775 |
| Plan administrator’s name | GUIDELINE, INC. |
| Plan administrator’s address | 1412 CHAPIN AVENUE, BURLINGAME, CA, 94010 |
| Administrator’s telephone number | 8882283491 |
Signature of
| Role | Plan administrator |
| Date | 2024-05-13 |
| Name of individual signing | QIAN LIU |
| Valid signature | Filed with authorized/valid electronic signature |
| Name | Role | Address |
|---|---|---|
| JONES MARIO | Agent | 12603 HENDERSON ROAD, TAMPA, FL, 33625 |
| Name | Role | Address |
|---|---|---|
| MACK BRANDON T | Manager | 12603 HENDERSON ROAD, TAMPA, FL, 33625 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G18000125055 | EDEN DENTAL AESTHETICS | ACTIVE | 2018-11-26 | 2028-12-31 | No data | 12603 HENDERSON ROAD, TAMPA, FL, 33625 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| LC STMNT OF RA/RO CHG | 2022-08-02 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2022-08-02 | JONES, MARIO | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-14 |
| ANNUAL REPORT | 2023-03-03 |
| CORLCRACHG | 2022-08-02 |
| ANNUAL REPORT | 2022-03-18 |
| ANNUAL REPORT | 2021-01-12 |
| ANNUAL REPORT | 2020-01-14 |
| ANNUAL REPORT | 2019-02-10 |
| Florida Limited Liability | 2018-08-29 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
