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 |
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 | |||||||||||||||
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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 |
Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||
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DIETRICH KELSO 401(K) PLAN | 2023 | 842773826 | 2024-07-25 | ADAK ENTERPRISES, PLLC | 42 | |||||||||||||
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DIETRICH KELSO 401(K) PLAN | 2022 | 842773826 | 2023-09-20 | ADAK ENTERPRISES, PLLC | 38 | |||||||||||||
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DIETRICH KELSO 401(K) PLAN | 2021 | 842773826 | 2022-09-27 | ADAK ENTERPRISES, PLLC | 33 | |||||||||||||
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DIETRICH KELSO 401(K) PLAN | 2020 | 842773826 | 2021-08-27 | ADAK ENTERPRISES, PLLC | 16 | |||||||||||||
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Name | Role | Address |
---|---|---|
KELSO ANDREW B | Agent | 330 E. HIGHLAND DRIVE, LAKELAND, FL, 33813 |
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 |
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 |
Event Type | Filed Date | Value | Description |
---|---|---|---|
LC NAME CHANGE | 2019-09-09 | ADAK ENTERPRISES, PLLC | No data |
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