| Entity Name: | FORRESTER FAMILY DENTAL, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 19 May 2020 (5 years ago) |
| Document Number: | L20000136244 |
| FEI/EIN Number | 85-1349644 |
| Address: | 215 E. Burleigh Blvd, Tavares, FL, 32778, US |
| Mail Address: | 215 E. Burleigh Blvd, Tavares, FL, 32778, US |
| ZIP code: | 32778 |
| County: | Lake |
| Place of Formation: | FLORIDA |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| FORRESTER FAMILY DENTAL LLC 401(K) PROFIT SHARING PLAN & TRUST | 2023 | 851349644 | 2025-01-13 | FORRESTER FAMILY DENTAL LLC | 14 | |||||||||||||||||||||||
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| Role | Plan administrator |
| Date | 2025-01-13 |
| Name of individual signing | TIM FORRESTER |
| Valid signature | Filed with authorized/valid electronic signature |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2021-01-01 |
| Business code | 621210 |
| Sponsor’s telephone number | 3524142061 |
| Plan sponsor’s address | 215 E BURLEIGH BLVD, TAVARES, FL, 32778 |
Signature of
| Role | Plan administrator |
| Date | 2025-01-10 |
| Name of individual signing | TIM FORRESTER |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2021-01-01 |
| Business code | 621210 |
| Sponsor’s telephone number | 3524142061 |
| Plan sponsor’s address | 215 E BURLEIGH BLVD, TAVARES, FL, 32778 |
Signature of
| Role | Plan administrator |
| Date | 2023-04-02 |
| Name of individual signing | TIM FORRESTER |
| Valid signature | Filed with authorized/valid electronic signature |
| Name | Role | Address |
|---|---|---|
| FORRESTER TIM | Agent | 215 E. Burleigh Blvd, Tavares, FL, 32778 |
| Name | Role | Address |
|---|---|---|
| Forrester JUDY J | President | 215 E. Burleigh Blvd, Tavares, FL, 32778 |
| Name | Role | Address |
|---|---|---|
| Forrester Timothy B | Manager | 215 E. Burleigh Blvd, Tavares, FL, 32778 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2021-03-06 | 215 E. Burleigh Blvd, Tavares, FL 32778 | No data |
| CHANGE OF MAILING ADDRESS | 2021-03-06 | 215 E. Burleigh Blvd, Tavares, FL 32778 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2021-03-06 | 215 E. Burleigh Blvd, Tavares, FL 32778 | No data |
| Name | Date |
|---|---|
| AMENDED ANNUAL REPORT | 2024-05-31 |
| ANNUAL REPORT | 2024-02-06 |
| ANNUAL REPORT | 2023-01-30 |
| ANNUAL REPORT | 2022-02-15 |
| ANNUAL REPORT | 2021-03-06 |
| Florida Limited Liability | 2020-05-19 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
