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WADSWORTH DENTAL, P.A.

Company Details

Entity Name: WADSWORTH DENTAL, P.A.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Active
Date Filed: 27 Jan 2000 (25 years ago)
Document Number: P00000011052
FEI/EIN Number 593631874
Address: 13940 US 441, SUITE 602, LADY LAKE, FL, 32159
Mail Address: PO BOX 189, Weirsdale, FL, 32195, US
ZIP code: 32159
County: Lake
Place of Formation: FLORIDA

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
WADSWORTH DENTAL PRACTICE DEFINED BENEFIT CASH 2019 593631874 2020-09-22 WADSWORTH DENTAL, P.A. 10
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2018-01-01
Business code 621210
Sponsor’s telephone number 3527531261
Plan sponsor’s address 13940 U.S. HIGHWAY 441, SUITE 602, LADY LAKE, FL, 32159
WADSWORTH DENTAL PRACTICE RETIREMENT PLAN & TRUST 2019 593631874 2020-07-21 WADSWORTH DENTAL, P.A. 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-01-01
Business code 621210
Sponsor’s telephone number 3527531261
Plan sponsor’s address 13940 U.S. HIGHWAY 441, SUITE 602, LADY LAKE, FL, 32159
WADSWORTH DENTAL PRACTICE RETIREMENT PLAN & TRUST 2019 593631874 2020-11-30 WADSWORTH DENTAL, P.A. 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-01-01
Business code 621210
Sponsor’s telephone number 3527531261
Plan sponsor’s address 13940 U.S. HIGHWAY 441, SUITE 602, LADY LAKE, FL, 32159
WADSWORTH DENTAL PRACTICE DEFINED BENEFIT CASH BALANCE PLAN & TRUST 2019 593631874 2020-08-17 WADSWORTH DENTAL, P.A. 10
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2018-01-01
Business code 621210
Sponsor’s telephone number 3527531261
Plan sponsor’s address 13940 U.S. HIGHWAY 441, SUITE 602, LADY LAKE, FL, 32159
WADSWORTH DENTAL PRACTICE DEFINED BENEFIT CASH BALANCE PLAN & TRUST 2018 593631874 2019-09-23 WADSWORTH DENTAL, P.A. 10
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2018-01-01
Business code 621210
Sponsor’s telephone number 3527531261
Plan sponsor’s address 13940 U.S. HIGHWAY 441, SUITE 602, LADY LAKE, FL, 32159
WADSWORTH DENTAL PRACTICE RETIREMENT PLAN & TRUST 2018 593631874 2019-07-25 WADSWORTH DENTAL, P.A. 11
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-01-01
Business code 621210
Sponsor’s telephone number 3527531261
Plan sponsor’s address 13940 U.S. HIGHWAY 441, SUITE 602, LADY LAKE, FL, 32159

Agent

Name Role Address
SKATES JEFFREY P Agent 1028 Lake Sumter Landing, THE VILLAGES, FL, 32158

Director

Name Role Address
WADSWORTH LISA E Director P. O. BOX 3817, BELLEVIEW, FL, 34421

Secretary

Name Role Address
WADSWORTH LISA E Secretary 13940 US HIGHWAY 441, STE. 602, LADY LAKE, FL, 32159

Vice President

Name Role Address
WADSWORTH JOEL R Vice President 13940 US HIGHWAY 441, SUITE 602, LADY LAKE, FL, 32159

President

Name Role Address
WADSWORTH LISA E President 13940 US HIGHWAY 441, STE. 602, LADY LAKE, FL, 32159

Events

Event Type Filed Date Value Description
AMENDMENT AND NAME CHANGE 2009-12-17 WADSWORTH DENTAL, P.A. No data

Date of last update: 01 Jan 2025

Sources: Florida Department of State