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  5. ANDREW L SKIGEN, DMD, PA

ANDREW L SKIGEN, DMD, PA - Florida Company Profile

Company Details

Entity Name: ANDREW L SKIGEN, DMD, PA
Jurisdiction: FLORIDA
Filing Type: Domestic Profit

ANDREW L SKIGEN, DMD, PA is structured as a Domestic Profit Corporation, which, in Florida signifies a Profit Corporation (also known as a C-Corporation). This business structure is recognized as a separate legal entity from its owners. This offers shareholders the benefit of limited liability protection, safeguarding their personal assets from the corporation's debts and obligations, and facilitates raising capital through the issuance of stock. In Florida, Domestic Profit Corporations are governed by Title XXXVI, Chapter 607, Florida Statutes – Florida Business Corporation Act.
Status: Active

The business entity is active. This status indicates that the business is currently operating and compliant with state regulations, suggesting a lower risk profile for lenders and potentially better creditworthiness.

Date Filed: 04 Feb 2000 (25 years ago)
Last Event: AMENDMENT AND NAME CHANGE
Event Date Filed: 02 Nov 2018 (6 years ago)
Document Number: P00000014214
FEI/EIN Number 593628724

Federal Employer Identification (FEI) Number assigned by the IRS.
Address: 7711 BAYMEADOWS RD EAST,, JACKSONVILLE, FL, 32256, US
Mail Address: 7711 BAYMEADOWS RD EAST,, JACKSONVILLE, FL, 32256, US
ZIP code: 32256
County: Duval
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1164814596 2015-02-23 2015-09-03 8708 PERIMETER PARK BLVD, SUITE #1, JACKSONVILLE, FL, 322161107, US 8708 PERIMETER PARK BLVD, SUITE #1, JACKSONVILLE, FL, 322166354, US

Contacts
Phone +1 904-565-1505
Fax 9045651506

Authorized person
Name DR. ANDREW L SKIGEN
Role SURGEON
Phone 9045651505

Taxonomy
Taxonomy Code 204E00000X - Oral & Maxillofacial Surgery (D.M.D.)
License Number DN14048
State FL
Is Primary Yes

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
ANDREW L. SKIGEN, DMD PA 401K PLAN 2023 593628724 2024-07-18 ANDREW L. SKIGEN, DMD PA 21
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-01-01
Business code 621210
Sponsor’s telephone number 9045651505
Plan sponsor’s address 7711 BAYMEADOWS ROAD EAST, SUITE 7, JACKSONVILLE, FL, 32256

Signature of
Role Plan administrator
Date 2024-07-18
Name of individual signing SHIRLEY HORNER
Valid signature Filed with authorized/valid electronic signature
ANDREW L. SKIGEN, DMD PA 401K PLAN 2022 593628724 2023-06-23 ANDREW L. SKIGEN, DMD PA 12
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-01-01
Business code 621210
Sponsor’s telephone number 9045651505
Plan sponsor’s address 7711 BAYMEADOWS ROAD EAST, SUITE 7, JACKSONVILLE, FL, 32256

Signature of
Role Plan administrator
Date 2023-06-23
Name of individual signing NICK RICE
Valid signature Filed with authorized/valid electronic signature
ANDREW L. SKIGEN, DMD PA 401K PLAN 2021 593628724 2022-06-08 ANDREW L. SKIGEN, DMD PA 12
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-01-01
Business code 621210
Sponsor’s telephone number 9045651505
Plan sponsor’s address 7711 BAYMEADOWS ROAD EAST, SUITE 7, JACKSONVILLE, FL, 32256

Signature of
Role Plan administrator
Date 2022-06-08
Name of individual signing ANDREW SKIGEN
Valid signature Filed with authorized/valid electronic signature
ANDREW L. SKIGEN, DMD PA 401K PLAN 2020 593628724 2021-07-13 ANDREW L. SKIGEN, DMD PA 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-01-01
Business code 621210
Sponsor’s telephone number 9045651505
Plan sponsor’s address 7711 BAYMEADOWS ROAD EAST, SUITE 7, JACKSONVILLE, FL, 32256

Signature of
Role Plan administrator
Date 2021-07-13
Name of individual signing ANDREW SKIGEN
Valid signature Filed with authorized/valid electronic signature
ANDREW L. SKIGEN, DMD PA 401K PLAN 2019 593628724 2021-07-13 ANDREW L. SKIGEN, DMD PA 7
Three-digit plan number (PN) 001
Effective date of plan 2003-01-01
Business code 621210
Sponsor’s telephone number 9045651505
Plan sponsor’s address 7711 BAYMEADOWS ROAD EAST, SUITE 7, JACKSONVILLE, FL, 32256

Signature of
Role Plan administrator
Date 2021-07-13
Name of individual signing ANDREW SKIGEN
Valid signature Filed with authorized/valid electronic signature
ANDREW L. SKIGEN, DMD PA 401K PLAN 2019 593628724 2021-08-16 ANDREW L. SKIGEN, DMD PA 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-01-01
Business code 621210
Sponsor’s telephone number 9045651505
Plan sponsor’s address 7711 BAYMEADOWS ROAD EAST, SUITE 7, JACKSONVILLE, FL, 32256

Signature of
Role Plan administrator
Date 2021-08-16
Name of individual signing ANDREW SKIGEN
Valid signature Filed with authorized/valid electronic signature
ANDREW L SKIGEN DMD PA 401 K PROFIT SHARING PLAN TRUST 2011 593628724 2012-11-13 ANDREW L SKIGEN DMD PA 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-01-01
Business code 621210
Sponsor’s telephone number 9045651505
Plan sponsor’s address 8708 PERIMETER PARK BLVD # A, JACKSONVILLE, FL, 322166354

Plan administrator’s name and address
Administrator’s EIN 593628724
Plan administrator’s name ANDREW L SKIGEN DMD PA
Plan administrator’s address 8708 PERIMETER PARK BLVD # A, JACKSONVILLE, FL, 322166354
Administrator’s telephone number 9045651505

Signature of
Role Plan administrator
Date 2012-11-13
Name of individual signing ANDREW L SKIGEN DMD PA
Valid signature Filed with authorized/valid electronic signature
ANDREW L SKIGEN DMD PA 401 K PROFIT SHARING PLAN TRUST 2011 593628724 2012-11-13 ANDREW L SKIGEN DMD PA 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-01-01
Business code 621210
Sponsor’s telephone number 9045651505
Plan sponsor’s address 8708 PERIMETER PARK BLVD # A, JACKSONVILLE, FL, 322166354

Plan administrator’s name and address
Administrator’s EIN 593628724
Plan administrator’s name ANDREW L SKIGEN DMD PA
Plan administrator’s address 8708 PERIMETER PARK BLVD # A, JACKSONVILLE, FL, 322166354
Administrator’s telephone number 9045651505

Signature of
Role Plan administrator
Date 2012-11-13
Name of individual signing ANDREW L SKIGEN DMD PA
Valid signature Filed with authorized/valid electronic signature
ANDREW L SKIGEN DMD PA 401 K PROFIT SHARING PLAN TRUST 2010 593628724 2011-07-05 ANDREW L SKIGEN DMD PA 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-01-01
Business code 621210
Sponsor’s telephone number 9045651505
Plan sponsor’s address 8708 PERIMETER PARK BLVD A, JACKSONVILLE, FL, 32216

Plan administrator’s name and address
Administrator’s EIN 593628724
Plan administrator’s name ANDREW L SKIGEN DMD PA
Plan administrator’s address 8708 PERIMETER PARK BLVD A, JACKSONVILLE, FL, 32216
Administrator’s telephone number 9045651505

Signature of
Role Plan administrator
Date 2011-07-05
Name of individual signing ANDREW L SKIGEN DMD PA
Valid signature Filed with authorized/valid electronic signature
ANDREW L SKIGEN DMD PA 2009 593628724 2010-06-16 ANDREW L SKIGEN DMD PA 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-01-01
Business code 339116
Sponsor’s telephone number 9045651505
Plan sponsor’s address 8708 PERIMETER PARK BLVD A, JACKSONVILLE, FL, 32216

Plan administrator’s name and address
Administrator’s EIN 593628724
Plan administrator’s name ANDREW L SKIGEN DMD PA
Plan administrator’s address 8708 PERIMETER PARK BLVD A, JACKSONVILLE, FL, 32216
Administrator’s telephone number 9045651505

Signature of
Role Plan administrator
Date 2010-06-16
Name of individual signing ANDREW L SKIGEN DMD PA
Valid signature Filed with authorized/valid electronic signature

Key Officers & Management

Name Role Address
SKIGEN ANDREW L Director 7711 BAYMEADOWS RD EAST,, JACKSONVILLE, FL, 32256
BRACEWELL, JR. K. MEsq. Agent ROGERS TOWERS, P.A., JACKSONVILLE, FL, 32207

Events

Event Type Filed Date Value Description
AMENDMENT AND NAME CHANGE 2018-11-02 ANDREW L SKIGEN, DMD, PA -
REGISTERED AGENT NAME CHANGED 2018-04-18 BRACEWELL, JR., K. MAC, Esq. -
REGISTERED AGENT ADDRESS CHANGED 2018-04-18 ROGERS TOWERS, P.A., 1301 RIVERPLACE BLVD., STE 1500, JACKSONVILLE, FL 32207 -
CHANGE OF MAILING ADDRESS 2017-10-30 7711 BAYMEADOWS RD EAST,, SUITE #7, JACKSONVILLE, FL 32256 -
CHANGE OF PRINCIPAL ADDRESS 2017-09-28 7711 BAYMEADOWS RD EAST,, SUITE #7, JACKSONVILLE, FL 32256 -
NAME CHANGE AMENDMENT 2017-04-26 SKIGEN & HENLEY, P.A. -

Documents

Name Date
ANNUAL REPORT 2024-03-29
ANNUAL REPORT 2023-03-22
ANNUAL REPORT 2022-04-27
ANNUAL REPORT 2021-01-28
ANNUAL REPORT 2020-01-21
ANNUAL REPORT 2019-02-19
Amendment and Name Change 2018-11-02
ANNUAL REPORT 2018-04-18
Name Change 2017-04-26
ANNUAL REPORT 2017-01-19

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Companies related by address

No other companies in our directory share the same address as ANDREW L SKIGEN, DMD, PA

Date of last update: 02 Apr 2025

Sources: Florida Department of State

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