| Entity Name: | MARIELLE BEAUCHAMP, D.M.D., PLLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 23 Aug 2019 (5 years ago) |
| Document Number: | L19000216386 |
| FEI/EIN Number | 84-3075977 |
| Address: | 3890 TURTLE CREEK DR, STE A, PORT ORANGE, FL, 32127-9352, US |
| Mail Address: | 3890 TURTLE CREEK DR, STE A, PORT ORANGE, FL, 32127-9352, US |
| Place of Formation: | FLORIDA |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| MARIELLE BEAUCHAMP, D.M.D., PLLC 401(K) RETIREMENT PLAN | 2023 | 843075977 | 2024-05-02 | MARIELLE BEAUCHAMP, D.M.D., PLLC | 11 | |||||||||||||||||||||||
|
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| Role | Plan administrator |
| Date | 2024-05-02 |
| Name of individual signing | DR. MARIELLE BEAUCHAMP |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2022-01-01 |
| Business code | 621210 |
| Sponsor’s telephone number | 3867615440 |
| Plan sponsor’s address | 3890 TURTLE CREEK DRIVE, SUITE A, PORT ORANGE, FL, 32127 |
Signature of
| Role | Plan administrator |
| Date | 2023-08-31 |
| Name of individual signing | DR. MARIELLE BEAUCHAMP |
| Valid signature | Filed with authorized/valid electronic signature |
| Name | Role | Address |
|---|---|---|
| YOUMANS AND GARDNER LLC | Agent | 113 NORTH MADISON ST, QUINCY, FL, 32351 |
| Name | Role | Address |
|---|---|---|
| Beauchamp Marielle Y | Manager | 825 Upland Drive, Port Orange, FL, 32127 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2021-03-16 | 3890 TURTLE CREEK DR, STE A, PORT ORANGE, FL 32127-9352 | No data |
| CHANGE OF MAILING ADDRESS | 2021-03-16 | 3890 TURTLE CREEK DR, STE A, PORT ORANGE, FL 32127-9352 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-01-28 |
| ANNUAL REPORT | 2023-01-21 |
| ANNUAL REPORT | 2022-01-28 |
| ANNUAL REPORT | 2021-03-16 |
| ANNUAL REPORT | 2020-03-26 |
| Florida Limited Liability | 2019-08-23 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
