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  5. G.W. SCHAMBACK, D.D.S., P.A.

G.W. SCHAMBACK, D.D.S., P.A.

Company Details

Entity Name: G.W. SCHAMBACK, D.D.S., P.A.
Jurisdiction: FLORIDA
Filing Type: Florida Profit Corporation
Status: Inactive
Date Filed: 19 Jan 1990 (35 years ago)
Date of dissolution: 26 Sep 2014 (10 years ago)
Last Event: ADMIN DISSOLUTION FOR ANNUAL REPORT
Event Date Filed: 26 Sep 2014 (10 years ago)
Document Number: L43695
FEI/EIN Number 65-0162924
Address: 821 E. OCEAN BLVD, SUITE E, STUART, FL 34994
Mail Address: 821 E. OCEAN BLVD, SUITE E, STUART, FL 34994
ZIP code: 34994
County: Martin
Place of Formation: FLORIDA

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
G.W. SCHAMBACK, D.D.S., P.A. PENSION PLAN 2013 650162924 2014-06-04 G.W. SCHAMBACK, D.D.S., P.A. 4
File View Page
Three-digit plan number (PN) 003
Effective date of plan 2003-01-01
Business code 621210
Sponsor’s telephone number 7722834424
Plan sponsor’s address 821 E. OCEAN BLVD., SUITE E, STUART, FL, 349942482

Signature of
Role Plan administrator
Date 2014-06-04
Name of individual signing G. W. SCHAMBACK
Valid signature Filed with authorized/valid electronic signature
G.W. SCHAMBACK, D.D.S., P.A. PENSION PLAN 2013 650162924 2014-06-04 G.W. SCHAMBACK, D.D.S., P.A. 4
File View Page
Three-digit plan number (PN) 003
Effective date of plan 2003-01-01
Business code 621210
Sponsor’s telephone number 7722834424
Plan sponsor’s address 821 E. OCEAN BLVD., SUITE E, STUART, FL, 349942482

Plan administrator’s name and address
Administrator’s EIN 650162924
Plan administrator’s name G.W. SCHAMBACK, D.D.S., P.A.
Plan administrator’s address 821 E. OCEAN BLVD., SUITE E, STUART, FL, 349942482
Administrator’s telephone number 7722834424

Signature of
Role Plan administrator
Date 2014-06-04
Name of individual signing G. W. SCHAMBACK
Valid signature Filed with authorized/valid electronic signature
G.W. SCHAMBACK, D.D.S., P.A. PENSION PLAN 2012 650162924 2013-07-03 G.W. SCHAMBACK, D.D.S., P.A. 4
File View Page
Three-digit plan number (PN) 003
Effective date of plan 2003-01-01
Business code 621210
Sponsor’s telephone number 7722834424
Plan sponsor’s address 821 E. OCEAN BLVD., SUITE E, STUART, FL, 349942482

Plan administrator’s name and address
Administrator’s EIN 650162924
Plan administrator’s name G.W. SCHAMBACK, D.D.S., P.A.
Plan administrator’s address 821 E. OCEAN BLVD., SUITE E, STUART, FL, 349942482
Administrator’s telephone number 7722834424

Signature of
Role Plan administrator
Date 2013-07-03
Name of individual signing G. W. SCHAMBACK
Valid signature Filed with authorized/valid electronic signature
G.W. SCHAMBACK, D.D.S., P.A. PENSION PLAN 2011 650162924 2012-07-25 G.W. SCHAMBACK, D.D.S., P.A. 4
File View Page
Three-digit plan number (PN) 003
Effective date of plan 2003-01-01
Business code 621210
Sponsor’s telephone number 7722834424
Plan sponsor’s address 821 E. OCEAN BLVD., SUITE E, STUART, FL, 349942482

Plan administrator’s name and address
Administrator’s EIN 650162924
Plan administrator’s name G.W. SCHAMBACK, D.D.S., P.A.
Plan administrator’s address 821 E. OCEAN BLVD., SUITE E, STUART, FL, 349942482
Administrator’s telephone number 7722834424

Signature of
Role Plan administrator
Date 2012-07-25
Name of individual signing G. W. SCHAMBACK
Valid signature Filed with authorized/valid electronic signature
G.W. SCHAMBACK, D.D.S., P.A. PENSION PLAN 2010 650162924 2011-07-27 G.W. SCHAMBACK, D.D.S., P.A. 4
File View Page
Three-digit plan number (PN) 003
Effective date of plan 2003-01-01
Business code 621210
Sponsor’s telephone number 7722834424
Plan sponsor’s address 821 E. OCEAN BLVD., SUITE E, STUART, FL, 349942482

Plan administrator’s name and address
Administrator’s EIN 650162924
Plan administrator’s name G.W. SCHAMBACK, D.D.S., P.A.
Plan administrator’s address 821 E. OCEAN BLVD., SUITE E, STUART, FL, 349942482
Administrator’s telephone number 7722834424

Signature of
Role Plan administrator
Date 2011-07-27
Name of individual signing G. W. SCHAMBACK
Valid signature Filed with authorized/valid electronic signature
G.W. SCHAMBACK, D.D.S., P.A. PENSION PLAN 2009 650162924 2010-08-04 G.W. SCHAMBACK, D.D.S., P.A. 4
File View Page
Three-digit plan number (PN) 003
Effective date of plan 2003-01-01
Business code 621210
Sponsor’s telephone number 7722834424
Plan sponsor’s address 821 E. OCEAN BLVD., SUITE E, STUART, FL, 349942482

Plan administrator’s name and address
Administrator’s EIN 650162924
Plan administrator’s name G.W. SCHAMBACK, D.D.S., P.A.
Plan administrator’s address 821 E. OCEAN BLVD., SUITE E, STUART, FL, 349942482
Administrator’s telephone number 7722834424

Signature of
Role Plan administrator
Date 2010-08-04
Name of individual signing G. W. SCHAMBACK
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
SCHAMBACK, G.W. Agent 821 E OCEAN BLVD, SUITE E, STUART, FL 34994

Director

Name Role Address
SCHAMBACK, G.W. Director 821 E. OCEAN BLVD. SUITE E, STUART, FL 34994

Events

Event Type Filed Date Value Description
ADMIN DISSOLUTION FOR ANNUAL REPORT 2014-09-26 No data No data
CHANGE OF PRINCIPAL ADDRESS 2001-03-05 821 E. OCEAN BLVD, SUITE E, STUART, FL 34994 No data
CHANGE OF MAILING ADDRESS 2001-03-05 821 E. OCEAN BLVD, SUITE E, STUART, FL 34994 No data
REGISTERED AGENT ADDRESS CHANGED 2001-03-05 821 E OCEAN BLVD, SUITE E, STUART, FL 34994 No data

Documents

Name Date
ANNUAL REPORT 2013-03-11
ANNUAL REPORT 2012-04-11
ANNUAL REPORT 2011-04-11
ANNUAL REPORT 2010-04-12
ANNUAL REPORT 2009-04-15
ANNUAL REPORT 2008-02-19
ANNUAL REPORT 2007-04-16
ANNUAL REPORT 2006-01-24
ANNUAL REPORT 2005-01-12
ANNUAL REPORT 2004-01-21

Related by officers

No related officers

Related by address

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Date of last update: 03 Feb 2025

Sources: Florida Department of State

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