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  5. LBS PERIODONTICS, INC.

LBS PERIODONTICS, INC.

Company Details

Entity Name: LBS PERIODONTICS, INC.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Active
Date Filed: 18 Aug 2000 (24 years ago)
Last Event: REINSTATEMENT
Event Date Filed: 16 Oct 2024 (4 months ago)
Document Number: P00000078216
FEI/EIN Number 651038008
Address: 685 ROYAL PALM BEACH BLVD, SUITE 203, ROYAL PALM BEACH, FL, 33411, US
Mail Address: 685 ROYAL PALM BEACH BLVD, SUITE 203, ROYAL PALM BEACH, FL, 33411, US
ZIP code: 33411
County: Palm Beach
Place of Formation: FLORIDA

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
LBS PERIODONTICS, INC. RETIREMENT PLAN 2023 651038008 2024-10-15 LBS PERIODONTICS, INC. 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-01-01
Business code 621210
Sponsor’s telephone number 5617921212
Plan sponsor’s address 8680 WOODGROVE HARBOR LANE, BOYNTON BEACH, FL, 33473
LBS PERIODONTICS, INC. RETIREMENT PLAN 2023 651038008 2024-02-05 LBS PERIODONTICS, INC. 4
Three-digit plan number (PN) 001
Effective date of plan 2016-01-01
Business code 621210
Sponsor’s telephone number 5617921212
Plan sponsor’s address 8680 WOODGROVE HARBOR LANE, BOYNTON BEACH, FL, 33473
LBS PERIODONTICS, INC. RETIREMENT PLAN 2022 651038008 2023-03-08 LBS PERIODONTICS, INC. 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-01-01
Business code 621210
Sponsor’s telephone number 5617921212
Plan sponsor’s address 8680 WOODGROVE HARBOR LANE, BOYNTON BEACH, FL, 33473
LBS PERIODONTICS, INC. RETIREMENT PLAN 2021 651038008 2022-07-18 LBS PERIODONTICS, INC. 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-01-01
Business code 621210
Sponsor’s telephone number 5617921212
Plan sponsor’s address 8680 WOODGROVE HARBOR LANE, BOYNTON BEACH, FL, 33473
LBS PERIODONTICS, INC. RETIREMENT PLAN 2020 651038008 2021-05-25 LBS PERIODONTICS, INC. 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-01-01
Business code 621210
Sponsor’s telephone number 5617921212
Plan sponsor’s address 8680 WOODGROVE HARBOR LANE, BOYNTON BEACH, FL, 33473
LBS PERIODONTICS, INC. RETIREMENT PLAN 2019 651038008 2020-09-16 LBS PERIODONTICS, INC. 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-01-01
Business code 621210
Sponsor’s telephone number 5617921212
Plan sponsor’s address 8680 WOODGROVE HARBOR LANE, BOYNTON BEACH, FL, 33473
LBS PERIODONTICS, INC. RETIREMENT PLAN 2018 651038008 2019-10-07 LBS PERIODONTICS, INC. 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-01-01
Business code 621210
Sponsor’s telephone number 5617921212
Plan sponsor’s address 8680 WOODGROVE HARBOR LANE, BOYNTON BEACH, FL, 33473
LBS PERIODONTICS, INC. RETIREMENT PLAN 2017 651038008 2018-10-02 LBS PERIODONTICS, INC. 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-01-01
Business code 621210
Sponsor’s telephone number 5617921212
Plan sponsor’s address 8680 WOODGROVE HARBOR LANE, BOYNTON BEACH, FL, 33473
LBS PERIODONTICS, INC. RETIREMENT PLAN 2016 651038008 2017-10-16 LBS PERIODONTICS, INC. 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-01-01
Business code 621210
Sponsor’s telephone number 5617921212
Plan sponsor’s address 8680 WOODGROVE HARBOR LANE, BOYNTON BEACH, FL, 33473

Agent

Name Role Address
SHACK LAUREN Agent 8680 WOODGROVE HARBOR LANE, BOYNTON BEACH, FL, 33473

President

Name Role Address
SHACK LAUREN B President 8680 WOODGROVE HARBOR LANE, BOYNTON BEACH, FL, 33473

Treasurer

Name Role Address
SHACK LAUREN B Treasurer 8680 WOODGROVE HARBOR LANE, BOYNTON BEACH, FL, 33473

Director

Name Role Address
SHACK LAUREN B Director 8680 WOODGROVE HARBOR LANE, BOYNTON BEACH, FL, 33473
SHACK WAYNE Director 8680 WOODGROVE HARBOR LN, BOYNTON BEACH, FL, 33473

Vice President

Name Role Address
SHACK WAYNE Vice President 8680 WOODGROVE HARBOR LN, BOYNTON BEACH, FL, 33473

Secretary

Name Role Address
SHACK WAYNE Secretary 8680 WOODGROVE HARBOR LN, BOYNTON BEACH, FL, 33473

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G04043900213 PALMS WEST PERIODONTAL ACTIVE 2004-02-12 2029-12-31 No data 685 ROYAL PALM BEACH BLVD., SUITE 203, ROYAL PALM BEACH, FL, 33411

Events

Event Type Filed Date Value Description
REGISTERED AGENT NAME CHANGED 2024-10-16 SHACK, LAUREN No data
REINSTATEMENT 2024-10-16 No data No data
ADMIN DISSOLUTION FOR ANNUAL REPORT 2024-09-27 No data No data
AMENDMENT 2018-05-18 No data No data
CHANGE OF PRINCIPAL ADDRESS 2012-01-07 685 ROYAL PALM BEACH BLVD, SUITE 203, ROYAL PALM BEACH, FL 33411 No data
CHANGE OF MAILING ADDRESS 2010-01-10 685 ROYAL PALM BEACH BLVD, SUITE 203, ROYAL PALM BEACH, FL 33411 No data
REGISTERED AGENT ADDRESS CHANGED 2009-04-01 8680 WOODGROVE HARBOR LANE, BOYNTON BEACH, FL 33473 No data

Documents

Name Date
REINSTATEMENT 2024-10-16
ANNUAL REPORT 2023-01-31
ANNUAL REPORT 2022-01-17
ANNUAL REPORT 2021-01-25
ANNUAL REPORT 2020-01-15
ANNUAL REPORT 2019-01-29
Amendment 2018-05-18
ANNUAL REPORT 2018-01-14
ANNUAL REPORT 2017-02-26
ANNUAL REPORT 2016-01-25

Related by officers

SHACK WAYNE

SHACK 203 LLC

SHACK LAUREN

SHACK 203 LLC

Related by address

No related companies by address

Date of last update: 02 Feb 2025

Sources: Florida Department of State

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