| Entity Name: | FORTUNE DENTAL ASSOCIATES, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Inactive |
| Date Filed: | 12 Jan 2001 (24 years ago) |
| Date of dissolution: | 27 Sep 2013 (11 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 27 Sep 2013 (11 years ago) |
| Document Number: | P01000004709 |
| FEI/EIN Number | 593690707 |
| Address: | 226 EAST NEW YORK AVENUE, DELAND, FL, 32724 |
| Mail Address: | 226 EAST NEW YORK AVENUE, DELAND, FL, 32724 |
| ZIP code: | 32724 |
| County: | Volusia |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1285789057 | 2007-01-24 | 2020-08-22 | 226 E NEW YORK AVE, DELAND, FL, 327245522, US | 226 E NEW YORK AVE, DELAND, FL, 327245522, US | |||||||||||||
|
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| Phone | +1 386-740-8282 |
Authorized person
| Name | DR. IVAN GRAHAM |
| Role | VP |
| Phone | 3867408282 |
Taxonomy
| Taxonomy Code | 1223G0001X - General Practice Dentistry |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| GRAHAM IVAN C | Agent | 226 EAST NEW YORK AVENUE, DELAND, FL, 32724 |
| Name | Role | Address |
|---|---|---|
| GRAHAM IVAN | President | 226 E. NEW YORK AVE, DELAND, FL, 32724 |
| Name | Role | Address |
|---|---|---|
| GRAHAM IVAN | Vice Treasurer | 226 E. NEW YORK AVE, DELAND, FL, 32724 |
| Name | Role | Address |
|---|---|---|
| GRAHAM IVAN | Director | 226 E. NEW YORK AVE, DELAND, FL, 32724 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2013-09-27 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2011-03-30 | GRAHAM, IVAN C | No data |
| AMENDMENT | 2008-11-17 | No data | No data |
| CHANGE OF MAILING ADDRESS | 2005-01-03 | 226 EAST NEW YORK AVENUE, DELAND, FL 32724 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2005-01-03 | 226 EAST NEW YORK AVENUE, DELAND, FL 32724 | No data |
| CANCEL ADM DISS/REV | 2005-01-03 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2005-01-03 | 226 EAST NEW YORK AVENUE, DELAND, FL 32724 | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2004-10-01 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2012-04-30 |
| ANNUAL REPORT | 2011-03-30 |
| ANNUAL REPORT | 2010-03-30 |
| ANNUAL REPORT | 2009-05-01 |
| Amendment | 2008-11-17 |
| ANNUAL REPORT | 2008-05-05 |
| ANNUAL REPORT | 2007-04-30 |
| ANNUAL REPORT | 2006-04-24 |
| REINSTATEMENT | 2005-01-03 |
| ANNUAL REPORT | 2003-01-13 |
Date of last update: 03 Feb 2025
Sources: Florida Department of State
