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ADAK ENTERPRISES, PLLC

Company Details

Entity Name: ADAK ENTERPRISES, PLLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Active
Date Filed: 05 Aug 2019 (6 years ago)
Last Event: LC NAME CHANGE
Event Date Filed: 09 Sep 2019 (5 years ago)
Document Number: L19000199429
FEI/EIN Number 842773826
Address: 330 E. HIGHLAND DRIVE, LAKELAND, FL, 33813, US
Mail Address: 330 E. HIGHLAND DRIVE, LAKELAND, FL, 33813, US
ZIP code: 33813
County: Polk
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1467194431 2022-04-11 2022-04-11 330 E HIGHLAND DR, LAKELAND, FL, 338131727, US 330 E HIGHLAND DR, LAKELAND, FL, 338131727, US

Contacts

Phone +1 863-644-0430
Fax 8636465902

Authorized person

Name MRS. HEATHER E GRIGSBY
Role INSURANCE COORDINATOR
Phone 8636440430

Taxonomy

Taxonomy Code 1223X0400X - Orthodontics and Dentofacial Orthopedic Dentist
Is Primary Yes

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
DIETRICH KELSO 401(K) PLAN 2023 842773826 2024-07-25 ADAK ENTERPRISES, PLLC 42
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2014-01-01
Business code 621210
Sponsor’s telephone number 8636440430
Plan sponsor’s address 330 E. HIGHLAND DRIVE, LAKELAND, FL, 33813
DIETRICH KELSO 401(K) PLAN 2022 842773826 2023-09-20 ADAK ENTERPRISES, PLLC 38
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2014-01-01
Business code 621210
Sponsor’s telephone number 8636440430
Plan sponsor’s address 330 E. HIGHLAND DRIVE, LAKELAND, FL, 33813
DIETRICH KELSO 401(K) PLAN 2021 842773826 2022-09-27 ADAK ENTERPRISES, PLLC 33
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2014-01-01
Business code 621210
Sponsor’s telephone number 8636440430
Plan sponsor’s address 330 E. HIGHLAND DRIVE, LAKELAND, FL, 33813
DIETRICH KELSO 401(K) PLAN 2020 842773826 2021-08-27 ADAK ENTERPRISES, PLLC 16
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2014-01-01
Business code 621210
Sponsor’s telephone number 8636440430
Plan sponsor’s address 330 E. HIGHLAND DRIVE, LAKELAND, FL, 33813

Agent

Name Role Address
KELSO ANDREW B Agent 330 E. HIGHLAND DRIVE, LAKELAND, FL, 33813

Manager

Name Role Address
KELSO ANDREW B Manager 330 E. HIGHLAND DRIVE, LAKELAND, FL, 33813
DIETRICH ANDREW M Manager 330 E. HIGHLAND DRIVE, LAKELAND, FL, 33813

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G22000056704 DIETRICH & KELSO ORTHODONTICS ACTIVE 2022-05-04 2027-12-31 No data ADAK ENTERPRISES, 330 E. HIGHLAND DR., LAKELAND, FL, 33813

Events

Event Type Filed Date Value Description
LC NAME CHANGE 2019-09-09 ADAK ENTERPRISES, PLLC No data

Documents

Name Date
ANNUAL REPORT 2024-02-02
ANNUAL REPORT 2023-01-28
ANNUAL REPORT 2022-01-22
ANNUAL REPORT 2021-01-15
ANNUAL REPORT 2020-01-17
LC Name Change 2019-09-09
Florida Limited Liability 2019-08-05

Date of last update: 03 Feb 2025

Sources: Florida Department of State