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KARIN J. LEISTER, D.M.D., P.A.

Company Details

Entity Name: KARIN J. LEISTER, D.M.D., P.A.
Jurisdiction: FLORIDA
Filing Type: Florida Profit Corporation
Status: Active
Date Filed: 15 Aug 1990 (34 years ago)
Last Event: REINSTATEMENT
Event Date Filed: 24 Jan 2011 (14 years ago)
Document Number: L93797
FEI/EIN Number 59-3030468
Address: 1751 SARNO RD, STE 4, MELBOURNE, FL 32935
Mail Address: 1751 SARNO RD, SUITE 4, MELBOURNE, FL 32935
ZIP code: 32935
County: Brevard
Place of Formation: FLORIDA

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
KARIN J. LEISTER, D.M.D., P.A. 401(K) PROFIT SHARING PLAN 2023 593030468 2024-05-07 KARIN J. LEISTER, D.M.D., P.A. 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-01-01
Business code 621210
Sponsor’s telephone number 3212548425
Plan sponsor’s address 1751 SARNO ROAD, SUITE 4, MELBOURNE, FL, 32935

Signature of

Role Plan administrator
Date 2024-05-07
Name of individual signing KARIN LEISTER
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2024-05-07
Name of individual signing KARIN LEISTER
Valid signature Filed with authorized/valid electronic signature
KARIN J. LEISTER, D.M.D., P.A. 401(K) PROFIT SHARING PLAN 2022 593030468 2023-06-08 KARIN J. LEISTER, D.M.D., P.A. 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-01-01
Business code 621210
Sponsor’s telephone number 3212548425
Plan sponsor’s address 1751 SARNO ROAD, SUITE 4, MELBOURNE, FL, 32935

Signature of

Role Plan administrator
Date 2023-06-08
Name of individual signing KARIN LEISTER
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2023-06-08
Name of individual signing KARIN LEISTER
Valid signature Filed with authorized/valid electronic signature
KARIN J. LEISTER, D.M.D., P.A. 401(K) PROFIT SHARING PLAN 2021 593030468 2022-04-25 KARIN J. LEISTER, D.M.D., P.A. 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-01-01
Business code 621210
Sponsor’s telephone number 3212548425
Plan sponsor’s address 1751 SARNO ROAD, SUITE 4, MELBOURNE, FL, 32935

Signature of

Role Plan administrator
Date 2022-04-22
Name of individual signing KARIN LEISTER
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2022-04-22
Name of individual signing KARIN LEISTER
Valid signature Filed with authorized/valid electronic signature
KARIN J. LEISTER, D.M.D., P.A. 401(K) PROFIT SHARING PLAN 2020 593030468 2021-04-14 KARIN J. LEISTER, D.M.D., P.A. 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-01-01
Business code 621210
Sponsor’s telephone number 3212548425
Plan sponsor’s address 1751 SARNO ROAD, SUITE 4, MELBOURNE, FL, 32935

Signature of

Role Plan administrator
Date 2021-04-14
Name of individual signing KARIN LEISTER
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2021-04-14
Name of individual signing KARIN LEISTER
Valid signature Filed with authorized/valid electronic signature
KARIN J. LEISTER, D.M.D., P.A. 401(K) PROFIT SHARING PLAN 2019 593030468 2020-05-07 KARIN J. LEISTER, D.M.D., P.A. 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-01-01
Business code 621210
Sponsor’s telephone number 3212548425
Plan sponsor’s address 1751 SARNO ROAD, SUITE 4, MELBOURNE, FL, 32935

Signature of

Role Plan administrator
Date 2020-05-07
Name of individual signing KARIN LEISTER
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2020-05-07
Name of individual signing KARIN LEISTER
Valid signature Filed with authorized/valid electronic signature
KARIN J. LEISTER, D.M.D., P.A. 401(K) PROFIT SHARING PLAN 2018 593030468 2019-05-08 KARIN J. LEISTER, D.M.D., P.A. 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-01-01
Business code 621210
Sponsor’s telephone number 3212548425
Plan sponsor’s address 1751 SARNO ROAD, SUITE 4, MELBOURNE, FL, 32935

Signature of

Role Plan administrator
Date 2019-05-07
Name of individual signing KARIN LEISTER
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2019-05-07
Name of individual signing KARIN LEISTER
Valid signature Filed with authorized/valid electronic signature
KARIN J. LEISTER, D.M.D., P.A. 401(K) PROFIT SHARING PLAN 2017 593030468 2018-03-12 KARIN J. LEISTER, D.M.D., P.A. 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-01-01
Business code 621210
Sponsor’s telephone number 3212548425
Plan sponsor’s address 1751 SARNO ROAD, SUITE 4, MELBOURNE, FL, 32935

Signature of

Role Plan administrator
Date 2018-03-07
Name of individual signing KARIN LEISTER
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2018-03-07
Name of individual signing KARIN LEISTER
Valid signature Filed with authorized/valid electronic signature
KARIN J. LEISTER, D.M.D., P.A. 401(K) PROFIT SHARING PLAN 2016 593030468 2017-04-19 KARIN J. LEISTER, D.M.D., P.A. 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-01-01
Business code 621210
Sponsor’s telephone number 3212548425
Plan sponsor’s address 1751 SARNO ROAD, SUITE 4, MELBOURNE, FL, 32935

Signature of

Role Plan administrator
Date 2017-04-03
Name of individual signing KARIN LEISTER
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2017-04-03
Name of individual signing KARIN LEISTER
Valid signature Filed with authorized/valid electronic signature
KARIN J. LEISTER, D.M.D., P.A. 401(K) PROFIT SHARING PLAN 2015 593030468 2016-06-01 KARIN J. LEISTER, D.M.D., P.A. 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-01-01
Business code 621210
Sponsor’s telephone number 3212548425
Plan sponsor’s address 1751 SARNO ROAD, SUITE 4, MELBOURNE, FL, 32935

Signature of

Role Plan administrator
Date 2016-05-25
Name of individual signing KARIN LEISTER
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2016-05-25
Name of individual signing KARIN LEISTER
Valid signature Filed with authorized/valid electronic signature
KARIN J. LEISTER, D.M.D., P.A. 401(K) PROFIT SHARING PLAN 2014 593030468 2015-04-08 KARIN J. LEISTER, D.M.D., P.A. 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-01-01
Business code 621210
Sponsor’s telephone number 3212548425
Plan sponsor’s address 1751 SARNO ROAD, SUITE 4, MELBOURNE, FL, 32935

Signature of

Role Plan administrator
Date 2015-04-07
Name of individual signing KARIN LEISTER
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2015-04-07
Name of individual signing KARIN LEISTER
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
LEISTER, KARIN J. Agent 1751 SARNO RD, SUITE 4, MELBOURNE, FL 32935

President

Name Role Address
LEISTER, KARIN J. President 541 YOUNG ST, MELBOURNE, FL 32935

Treasurer

Name Role Address
LEISTER, KARIN J. Treasurer 541 YOUNG ST, MELBOURNE, FL 32935

Vice President

Name Role Address
LEISTER, KARIN J. Vice President 541 YOUNG ST, MELBOURNE, FL 32935

Secretary

Name Role Address
LEISTER, KARIN J. Secretary 541 YOUNG ST, MELBOURNE, FL 32935

Events

Event Type Filed Date Value Description
PENDING REINSTATEMENT 2011-01-25 No data No data
REINSTATEMENT 2011-01-24 No data No data
ADMIN DISSOLUTION FOR ANNUAL REPORT 2009-09-25 No data No data
CHANGE OF MAILING ADDRESS 1998-02-06 1751 SARNO RD, STE 4, MELBOURNE, FL 32935 No data
REGISTERED AGENT ADDRESS CHANGED 1998-02-06 1751 SARNO RD, SUITE 4, MELBOURNE, FL 32935 No data
CHANGE OF PRINCIPAL ADDRESS 1994-04-18 1751 SARNO RD, STE 4, MELBOURNE, FL 32935 No data

Documents

Name Date
ANNUAL REPORT 2025-01-29
ANNUAL REPORT 2024-02-05
ANNUAL REPORT 2023-02-27
ANNUAL REPORT 2022-01-31
ANNUAL REPORT 2021-03-17
ANNUAL REPORT 2020-01-18
ANNUAL REPORT 2019-02-19
ANNUAL REPORT 2018-01-18
ANNUAL REPORT 2017-02-03
ANNUAL REPORT 2016-01-30

Date of last update: 03 Feb 2025

Sources: Florida Department of State