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  5. BUCKENHEIMER AND BULNES, D.M.D.'S, P.A.

BUCKENHEIMER AND BULNES, D.M.D.'S, P.A.

Company Details

Entity Name: BUCKENHEIMER AND BULNES, D.M.D.'S, P.A.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Active
Date Filed: 26 Jan 2001 (24 years ago)
Last Event: NAME CHANGE AMENDMENT
Event Date Filed: 19 May 2004 (21 years ago)
Document Number: P01000009938
FEI/EIN Number 593697484
Address: 3906 W NEPTUNE ST, TAMPA, FL, 33629
Mail Address: 3906 W NEPTUNE ST, TAMPA, FL, 33629
ZIP code: 33629
County: Hillsborough
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1346728425 2018-08-01 2018-08-01 3906 W. NEPTUNE ST., TAMPA, FL, 336295829, US 3906 W. NEPTUNE ST., TAMPA, FL, 336295829, US

Contacts
Phone +1 813-259-9000
Fax 8132599923

Authorized person
Name MR. CHRISTOPHER MICHAEL BULNES
Role PRESIDENT
Phone 8132599000

Taxonomy
Taxonomy Code 1223G0001X - General Practice Dentistry
License Number 15541
State FL
Is Primary Yes

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
BUCKENHEIMER & BULNES, D.M.D.'S, P.A. 401K PLAN AND TRUST 2023 593697484 2024-06-27 BUCKENHEIMER AND BULNES, D.M.D.'S,P.A. 18
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-01-01
Business code 621210
Sponsor’s telephone number 8132599000
Plan sponsor’s address 3906 W NEPTUNE ST, TAMPA, FL, 336295829

Signature of
Role Plan administrator
Date 2024-06-27
Name of individual signing CHRISTOPHER BULNES
Valid signature Filed with authorized/valid electronic signature
BUCKENHEIMER & BULNES, D.M.D.'S, P.A. 401K PLAN AND TRUST 2022 593697484 2023-07-18 BUCKENHEIMER AND BULNES, D.M.D.'S,P.A. 17
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-01-01
Business code 621210
Sponsor’s telephone number 8132599000
Plan sponsor’s address PERSONAL AND CONFIDENTIAL 3906 W NE, TAMPA, FL, 336295829

Signature of
Role Plan administrator
Date 2023-07-18
Name of individual signing CHRISTOPHER BULNES
Valid signature Filed with authorized/valid electronic signature
BUCKENHEIMER AND BULNES, D.M.D.'S, P.A. 401(K) PLAN AND TRUST 2021 593697484 2022-07-13 BUCKENHEIMER AND BULNES, D.M.D.'S, P.A. 17
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-01-01
Business code 621210
Sponsor’s telephone number 8132599000
Plan sponsor’s address 3906 WEST NEPTUNE STREET, TAMPA, FL, 33629

Signature of
Role Plan administrator
Date 2022-07-13
Name of individual signing CHRISTOPHER BULNES
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2022-07-13
Name of individual signing CHRISTOPHER BULNES
Valid signature Filed with authorized/valid electronic signature
BUCKENHEIMER AND BULNES, D.M.D.'S, P.A. 401(K) PLAN AND TRUST 2020 593697484 2021-09-02 BUCKENHEIMER AND BULNES, D.M.D.'S, P.A. 15
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-01-01
Business code 621210
Sponsor’s telephone number 8132599000
Plan sponsor’s address 3906 WEST NEPTUNE STREET, TAMPA, FL, 33629

Signature of
Role Plan administrator
Date 2021-09-02
Name of individual signing CHRISTOPHER BULNES
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2021-09-02
Name of individual signing CHRISTOPHER BULNES
Valid signature Filed with authorized/valid electronic signature
BUCKENHEIMER AND BULNES, D.M.D.'S, P.A. 401(K) PLAN AND TRUST 2019 593697484 2020-09-14 BUCKENHEIMER AND BULNES, D.M.D.'S, P.A. 15
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-01-01
Business code 621210
Sponsor’s telephone number 8132599000
Plan sponsor’s address 3906 W NEPTUNE ST, TAMPA, FL, 33629

Signature of
Role Plan administrator
Date 2020-09-14
Name of individual signing CHRISTOPHER BULNES
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2020-09-14
Name of individual signing CHRISTOPHER BULNES
Valid signature Filed with authorized/valid electronic signature
BUCKENHEIMER AND BULNES, D.M.D.'S, P.A. 401(K) PLAN AND TRUST 2018 593697484 2019-08-26 BUCKENHEIMER AND BULNES, D.M.D.'S, P.A. 13
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-01-01
Business code 621210
Sponsor’s telephone number 8132599000
Plan sponsor’s address 3906 WEST NEPTUNE STREET, TAMPA, FL, 33629

Signature of
Role Plan administrator
Date 2019-08-26
Name of individual signing CHRISTOPHER BULNES
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2019-08-26
Name of individual signing CHRISTOPHER BULNES
Valid signature Filed with authorized/valid electronic signature
BUCKENHEIMER AND BULNES, D.M.D.'S, P.A. 401(K) PLAN AND TRUST 2017 593697484 2018-06-19 BUCKENHEIMER AND BULNES, D.M.D.'S, P.A. 14
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-01-01
Business code 621210
Sponsor’s telephone number 8132599000
Plan sponsor’s address 3906 WEST NEPTUNE STREET, TAMPA, FL, 33629

Signature of
Role Plan administrator
Date 2018-06-19
Name of individual signing CHRISTOPHER BULNES
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2018-06-19
Name of individual signing CHRISTOPHER BULNES
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role
REGISTERED AGENTS INC Agent

President

Name Role Address
BULNES CHRISTOPHER MDr. President 3906 W NEPTUNE ST, TAMPA, FL, 33629

Events

Event Type Filed Date Value Description
REGISTERED AGENT ADDRESS CHANGED 2019-03-25 7901 4TH STREET NORTH, SUITE 300, ST.PETERSBURG, FL 33702 No data
REGISTERED AGENT NAME CHANGED 2014-01-29 Registered Agents Inc. No data
NAME CHANGE AMENDMENT 2004-05-19 BUCKENHEIMER AND BULNES, D.M.D.'S, P.A. No data

Documents

Name Date
ANNUAL REPORT 2024-02-14
ANNUAL REPORT 2023-01-22
ANNUAL REPORT 2022-01-25
ANNUAL REPORT 2021-01-11
ANNUAL REPORT 2020-01-15
ANNUAL REPORT 2019-03-29
ANNUAL REPORT 2018-01-15
ANNUAL REPORT 2017-02-09
ANNUAL REPORT 2016-03-02
ANNUAL REPORT 2015-01-19

Related by officers

No related officers

Related by address

No related companies by address

Date of last update: 02 Feb 2025

Sources: Florida Department of State

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