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  5. THE VILLAGE DENTAL CARE, P.A.

THE VILLAGE DENTAL CARE, P.A.

Company Details

Entity Name: THE VILLAGE DENTAL CARE, P.A.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Active
Date Filed: 27 Jun 1988 (37 years ago)
Document Number: M88252
FEI/EIN Number 592896805
Address: 111 LAGRANDE BLVD., LADY LAKE, FL, 32159, US
Mail Address: PO BOX 1900, LADY LAKE, FL, 32158-1900, US
ZIP code: 32159
County: Lake
Place of Formation: FLORIDA

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
THE VILLAGE DENTAL CARE, P.A. CASH BALANCE PENSION PLAN 2023 592896805 2024-07-09 THE VILLAGE DENTAL CARE, P.A. 19
File View Page
Three-digit plan number (PN) 003
Effective date of plan 2018-01-01
Business code 621210
Sponsor’s telephone number 3527537507
Plan sponsor’s address 111 LAGRANDE BOULEVARD, LADY LAKE, FL, 32159

Signature of
Role Plan administrator
Date 2024-07-09
Name of individual signing KELLY HALL
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2024-07-09
Name of individual signing KELLY HALL
Valid signature Filed with authorized/valid electronic signature
THE VILLAGE DENTAL CARE, P.A. CASH BALANCE PENSION PLAN 2022 592896805 2023-07-28 THE VILLAGE DENTAL CARE, P.A. 18
File View Page
Three-digit plan number (PN) 003
Effective date of plan 2018-01-01
Business code 621210
Sponsor’s telephone number 3527537507
Plan sponsor’s address 111 LAGRANDE BOULEVARD, LADY LAKE, FL, 32159

Signature of
Role Plan administrator
Date 2023-07-28
Name of individual signing KELLY HALL
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2023-07-28
Name of individual signing KELLY HALL
Valid signature Filed with authorized/valid electronic signature
THE VILLAGE DENTAL CARE, P.A. CASH BALANCE PENSION PLAN 2021 592896805 2022-07-28 THE VILLAGE DENTAL CARE, P.A. 18
File View Page
Three-digit plan number (PN) 003
Effective date of plan 2018-01-01
Business code 621210
Sponsor’s telephone number 3527537507
Plan sponsor’s address 111 LAGRANDE BOULEVARD, LADY LAKE, FL, 32159

Signature of
Role Plan administrator
Date 2022-07-28
Name of individual signing KELLY HALL
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2022-07-28
Name of individual signing KELLY HALL
Valid signature Filed with authorized/valid electronic signature
THE VILLAGE DENTAL CARE, P.A. CASH BALANCE PENSION PLAN 2020 592896805 2021-07-26 THE VILLAGE DENTAL CARE, P.A. 18
File View Page
Three-digit plan number (PN) 003
Effective date of plan 2018-01-01
Business code 621210
Sponsor’s telephone number 3527537507
Plan sponsor’s address 111 LAGRANDE BOULEVARD, LADY LAKE, FL, 32159

Signature of
Role Plan administrator
Date 2021-07-26
Name of individual signing KELLY HALL
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2021-07-26
Name of individual signing KELLY HALL
Valid signature Filed with authorized/valid electronic signature
THE VILLAGE DENTAL CARE, P. A. CASH BALANCE PENSION PLAN 2019 592896805 2020-10-15 THE VILLAGE DENTAL CARE, P.A. 17
File View Page
Three-digit plan number (PN) 003
Effective date of plan 2018-01-01
Business code 621210
Sponsor’s telephone number 3527537507
Plan sponsor’s address 111 LAGRANDE BOULEVARD, LADY LAKE, FL, 32159

Signature of
Role Plan administrator
Date 2020-10-15
Name of individual signing KELLY HALL
Valid signature Filed with authorized/valid electronic signature
THE VILLAGE DENTAL CARE, P.A. 401(K) PROFIT SHARING PLAN 2019 592896805 2020-10-15 THE VILLAGE DENTAL CARE, P. A. 44
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2001-01-01
Business code 621210
Sponsor’s telephone number 3527537507
Plan sponsor’s address 111 LAGRANDE BOULEVARD, LADY LAKE, FL, 32159

Signature of
Role Plan administrator
Date 2020-10-15
Name of individual signing KELLY L. HALL
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2020-10-15
Name of individual signing KELLY L. HALL
Valid signature Filed with authorized/valid electronic signature
THE VILLAGE DENTAL CARE, P.A. 401(K) PROFIT SHARING PLAN 2018 592896805 2019-10-12 THE VILLAGE DENTAL CARE, P. A. 44
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2001-01-01
Business code 621210
Sponsor’s telephone number 3527537507
Plan sponsor’s address 111 LAGRANDE BOULEVARD, LADY LAKE, FL, 32159

Signature of
Role Plan administrator
Date 2019-10-12
Name of individual signing KELLY L. HALL
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2019-10-12
Name of individual signing KELLY L. HALL
Valid signature Filed with authorized/valid electronic signature
THE VILLAGE DENTAL CARE, P. A. CASH BALANCE PENSION PLAN 2018 592896805 2019-10-12 THE VILLAGE DENTAL CARE, P.A. 17
File View Page
Three-digit plan number (PN) 003
Effective date of plan 2018-01-01
Business code 621210
Sponsor’s telephone number 3527537507
Plan sponsor’s address 111 LAGRANDE BOULEVARD, LADY LAKE, FL, 32159

Signature of
Role Plan administrator
Date 2019-10-12
Name of individual signing KELLY HALL
Valid signature Filed with authorized/valid electronic signature
THE VILLAGE DENTAL CARE, P.A. 401(K) PROFIT SHARING PLAN 2017 592896805 2018-07-31 THE VILLAGE DENTAL CARE, P. A. 43
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2001-01-01
Business code 621210
Sponsor’s telephone number 3527537507
Plan sponsor’s address 111 LAGRANDE BOULEVARD, LADY LAKE, FL, 32159

Signature of
Role Plan administrator
Date 2018-07-31
Name of individual signing KELLY L. HALL
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2018-07-31
Name of individual signing KELLY L. HALL
Valid signature Filed with authorized/valid electronic signature
THE VILLAGE DENTAL CARE, P.A. 401(K) PROFIT SHARING PLAN 2016 592896805 2017-10-16 THE VILLAGE DENTAL CARE, P.A. 40
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2001-01-01
Business code 621210
Sponsor’s telephone number 3527537507
Plan sponsor’s address 111 LAGRANDE BOULEVARD, LADY LAKE, FL, 32159

Signature of
Role Plan administrator
Date 2017-10-16
Name of individual signing KELLY HALL
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2017-10-16
Name of individual signing KELLY HALL
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
EDWARD J. FARRELL, D.M.D. Agent 111 LAGRANDE BLVD., LADY LAKE, FL, 32159

President

Name Role Address
FARRELL EDWARD JD.M.D. President 111 LAGRANDE BLVD., LADY LAKE, FL, 32159

Secretary

Name Role Address
DULGAR MICHELLE AD.M.D. Secretary 111 LAGRANDE BLVD, LADY LAKE, FL, 32159

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G14000023135 VILLAGE DENTAL ACTIVE 2014-03-05 2029-12-31 No data P.O. BOX 1900, THE VILLAGES, FL, 32158
G07199900251 VILLAGE DENTAL IMPLANT INSTITUTE ACTIVE 2007-07-18 2027-12-31 No data PO BOX 1900, LADY LAKE, FL, 32158
G97133900010 THE VILLAGE DENTAL CARE ACTIVE 1997-05-13 2027-12-31 No data PO BOX 1900, THE VILLAGES, FL, 32159

Events

Event Type Filed Date Value Description
AMENDED AND RESTATEDARTICLES 2025-01-02 No data No data
AMENDED AND RESTATEDARTICLES 2023-07-13 No data No data
AMENDMENT 2001-04-09 No data No data
AMENDED AND RESTATEDARTICLES 2000-11-13 No data No data
NAME CHANGE AMENDMENT 1997-05-13 THE VILLAGE DENTAL CARE, P.A. No data

Related by officers

No related officers

Related by address

No related companies by address

Date of last update: 01 Feb 2025

Sources: Florida Department of State

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