| Entity Name: | DWIGHT H. PATE, D.M.D., P.A. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 10 Feb 1988 (37 years ago) |
| Document Number: | M67830 |
| FEI/EIN Number | 592877679 |
| Address: | 306 PILAKLAKAHA AVE., 1, AUBURNDALE, FL, 33823, US |
| Mail Address: | 306 PILAKLAKAHA AVE., 1, AUBURNDALE, FL, 33823, US |
| ZIP code: | 33823 |
| County: | Polk |
| Place of Formation: | FLORIDA |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| DWIGHT H. PATE, D.M.D., P.A. PROFIT SHARING PLAN | 2010 | 592877679 | 2011-04-13 | DWIGHT H. PATE, D.M.D., P.A. | 7 | |||||||||||||||||||||||||||||||||||||||||
|
||||||||||||||||||||||||||||||||||||||||||||||
| Administrator’s EIN | 592877679 |
| Plan administrator’s name | DWIGHT H. PATE, D.M.D., P.A. |
| Plan administrator’s address | 306 PILAKLAKAHA AVENUE, AUBURNDALE, FL, 33823 |
| Administrator’s telephone number | 8639671233 |
Signature of
| Role | Plan administrator |
| Date | 2011-04-13 |
| Name of individual signing | DWIGHT PATE |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 1995-01-01 |
| Business code | 621210 |
| Sponsor’s telephone number | 8639671233 |
| Plan sponsor’s address | 306 PILAKLAKAHA AVENUE, AUBURNDALE, FL, 33823 |
Plan administrator’s name and address
| Administrator’s EIN | 592877679 |
| Plan administrator’s name | DWIGHT H. PATE, D.M.D., P.A. |
| Plan administrator’s address | 306 PILAKLAKAHA AVENUE, AUBURNDALE, FL, 33823 |
| Administrator’s telephone number | 8639671233 |
Signature of
| Role | Plan administrator |
| Date | 2010-09-12 |
| Name of individual signing | DWIGHT PATE |
| Valid signature | Filed with authorized/valid electronic signature |
| Role | Employer/plan sponsor |
| Date | 2010-09-12 |
| Name of individual signing | DWIGHT PATE |
| Valid signature | Filed with authorized/valid electronic signature |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 1995-01-01 |
| Business code | 621210 |
| Sponsor’s telephone number | 8639671233 |
| Plan sponsor’s address | 306 PILAKLAKAHA AVENUE, AUBURNDALE, FL, 33823 |
Plan administrator’s name and address
| Administrator’s EIN | 592877679 |
| Plan administrator’s name | DWIGHT H. PATE, D.M.D., P.A. |
| Plan administrator’s address | 306 PILAKLAKAHA AVENUE, AUBURNDALE, FL, 33823 |
| Administrator’s telephone number | 8639671233 |
Signature of
| Role | Plan administrator |
| Date | 2010-09-12 |
| Name of individual signing | DWIGHT PATE |
| Valid signature | Filed with incorrect/unrecognized electronic signature |
| Role | Employer/plan sponsor |
| Date | 2010-09-12 |
| Name of individual signing | DWIGHT PATE |
| Valid signature | Filed with incorrect/unrecognized electronic signature |
| Name | Role | Address |
|---|---|---|
| STRAUGHN, RICHARD E. | Agent | 255 MAGNOLIA AVENUE, WINTER HAVEN, FL, 33880 |
| Name | Role | Address |
|---|---|---|
| PATE, DWIGHT H. | Player Agent | 306 PILAKLAKAHA AVENUE, AUBURNDALE, FL, 33823 |
| Name | Role | Address |
|---|---|---|
| PATE DWIGHT H | President | 306 PILAKLAKAHA AVENUE, AUBURNDALE, FL, 33823 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G25000008809 | PRECISION DENTISTRY | ACTIVE | 2025-01-21 | 2030-12-31 | No data | 306 PILAKLAKAHA AVE, 1, AUBURNDALE, FL, 33823 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
