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  5. TIMOTHY M. TALBOTT, D.D.S., M.S., P.A.

TIMOTHY M. TALBOTT, D.D.S., M.S., P.A.

Company Details

Entity Name: TIMOTHY M. TALBOTT, D.D.S., M.S., P.A.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Active
Date Filed: 21 May 2001 (24 years ago)
Document Number: P01000052477
FEI/EIN Number 651108724
Address: 4521 EXECUTIVE DRIVE, SUITE 201, NAPLES, FL, 34119, US
Mail Address: 4521 EXECUTIVE DRIVE, SUITE 201, NAPLES, FL, 34119, US
ZIP code: 34119
County: Collier
Place of Formation: FLORIDA

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
TIMOTHY M. TALBOTT, D.D.S., M.S., P.A. CASH BALANCE PENSION PLAN 2023 651108724 2024-10-08 TIMOTHY M. TALBOTT, D.D.S., M.S., P.A. 10
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2012-01-01
Business code 621210
Sponsor’s telephone number 2395938844
Plan sponsor’s address 4521 EXECUTIVE DR., SUITE 201, NAPLES, FL, 34119

Signature of
Role Plan administrator
Date 2024-10-08
Name of individual signing TIMOTHY TALBOTT
Valid signature Filed with authorized/valid electronic signature
TIMOTHY M. TALBOTT, D.D.S., M.S., P.A. 401(K) PROFIT SHARING PLAN 2023 651108724 2024-10-08 TIMOTHY M. TALBOTT, D.D.S., M.S., P.A. 12
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-01-01
Business code 621210
Sponsor’s telephone number 2395938844
Plan sponsor’s address 4521 EXECUTIVE DR., SUITE 201, NAPLES, FL, 34119

Signature of
Role Plan administrator
Date 2024-10-08
Name of individual signing TIMOTHY TALBOTT
Valid signature Filed with authorized/valid electronic signature
TIMOTHY M. TALBOTT, D.D.S., M.S., P.A. CASH BALANCE PENSION PLAN 2022 651108724 2023-07-11 TIMOTHY M. TALBOTT, D.D.S., M.S., P.A. 10
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2012-01-01
Business code 621210
Sponsor’s telephone number 2395938844
Plan sponsor’s address 4521 EXECUTIVE DR., SUITE 201, NAPLES, FL, 34119

Signature of
Role Plan administrator
Date 2023-07-11
Name of individual signing TIMOTHY TALBOTT
Valid signature Filed with authorized/valid electronic signature
TIMOTHY M. TALBOTT, D.D.S., M.S., P.A. 401(K) PROFIT SHARING PLAN 2022 651108724 2023-07-11 TIMOTHY M. TALBOTT, D.D.S., M.S., P.A. 12
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-01-01
Business code 621210
Sponsor’s telephone number 2395938844
Plan sponsor’s address 4521 EXECUTIVE DR., SUITE 201, NAPLES, FL, 34119

Signature of
Role Plan administrator
Date 2023-07-11
Name of individual signing TIMOTHY TALBOTT
Valid signature Filed with authorized/valid electronic signature
TIMOTHY M. TALBOTT, D.D.S., M.S., P.A. 401(K) PROFIT SHARING PLAN 2021 651108724 2022-09-19 TIMOTHY M. TALBOTT, D.D.S., M.S., P.A. 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-01-01
Business code 621210
Sponsor’s telephone number 2395938844
Plan sponsor’s address 4521 EXECUTIVE DR., SUITE 201, NAPLES, FL, 34119

Signature of
Role Plan administrator
Date 2022-09-19
Name of individual signing TIMOTHY TALBOTT
Valid signature Filed with authorized/valid electronic signature
TIMOTHY M. TALBOTT, D.D.S., M.S., P.A. CASH BALANCE PENSION PLAN 2021 651108724 2022-09-19 TIMOTHY M. TALBOTT, D.D.S., M.S., P.A. 8
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2012-01-01
Business code 621210
Sponsor’s telephone number 2395938844
Plan sponsor’s address 4521 EXECUTIVE DR., SUITE 201, NAPLES, FL, 34119

Signature of
Role Plan administrator
Date 2022-09-19
Name of individual signing TIMOTHY TALBOTT
Valid signature Filed with authorized/valid electronic signature
TIMOTHY M. TALBOTT, D.D.S., M.S., P.A. CASH BALANCE PENSION PLAN 2020 651108724 2021-08-26 TIMOTHY M. TALBOTT, D.D.S., M.S., P.A. 11
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2012-01-01
Business code 621210
Sponsor’s telephone number 2395938844
Plan sponsor’s address 4521 EXECUTIVE DR., SUITE 201, NAPLES, FL, 34119

Signature of
Role Plan administrator
Date 2021-08-26
Name of individual signing TIMOTHY TALBOTT
Valid signature Filed with authorized/valid electronic signature
TIMOTHY M. TALBOTT, D.D.S., M.S., P.A. 401(K) PROFIT SHARING PLAN 2020 651108724 2021-08-26 TIMOTHY M. TALBOTT, D.D.S., M.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 2395938844
Plan sponsor’s address 4521 EXECUTIVE DR., SUITE 201, NAPLES, FL, 34119

Signature of
Role Plan administrator
Date 2021-08-26
Name of individual signing TIMOTHY TALBOTT
Valid signature Filed with authorized/valid electronic signature
TIMOTHY M. TALBOTT, D.D.S., M.S., P.A. CASH BALANCE PENSION PLAN 2019 651108724 2020-07-11 TIMOTHY M. TALBOTT, D.D.S., M.S., P.A. 9
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2012-01-01
Business code 621210
Sponsor’s telephone number 2395938844
Plan sponsor’s address 4521 EXECUTIVE DR., SUITE 201, NAPLES, FL, 34119

Signature of
Role Plan administrator
Date 2020-07-11
Name of individual signing TIMOTHY TALBOTT
Valid signature Filed with authorized/valid electronic signature
TIMOTHY M. TALBOTT, D.D.S., M.S., P.A. 401(K) PROFIT SHARING PLAN 2019 651108724 2020-07-11 TIMOTHY M. TALBOTT, D.D.S., M.S., P.A. 12
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-01-01
Business code 621210
Sponsor’s telephone number 2395938844
Plan sponsor’s address 4521 EXECUTIVE DR., SUITE 201, NAPLES, FL, 34119

Signature of
Role Plan administrator
Date 2020-07-11
Name of individual signing TIMOTHY TALBOTT
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
TALBOTT TIMOTHY M Agent 4521 EXECUTIVE DRIVE, NAPLES, FL, 34119

President

Name Role Address
TALBOTT TIMOTHY MDr. President 4521 EXECUTIVE DRIVE, NAPLES, FL, 34119

Vice President

Name Role Address
Shwedel Scott Dr. Vice President 4521 EXECUTIVE DRIVE, NAPLES, FL, 34119

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G21000077251 NAPLES ENDODONTICS ACTIVE 2021-06-09 2026-12-31 No data 4521 EXECUTIVE DR, SUITE 201, NAPLES, FL, 34119
G09000167904 NAPLES ENDODONTICS EXPIRED 2009-10-22 2014-12-31 No data 4521 EXECUTIVE DRIVE, SUITE 201, NAPLES, FL, 34119

Events

Event Type Filed Date Value Description
REGISTERED AGENT NAME CHANGED 2014-01-08 TALBOTT, TIMOTHY M No data
CHANGE OF MAILING ADDRESS 2011-03-10 4521 EXECUTIVE DRIVE, SUITE 201, NAPLES, FL 34119 No data
CHANGE OF PRINCIPAL ADDRESS 2010-01-05 4521 EXECUTIVE DRIVE, SUITE 201, NAPLES, FL 34119 No data
REGISTERED AGENT ADDRESS CHANGED 2010-01-05 4521 EXECUTIVE DRIVE, SUITE 201, NAPLES, FL 34119 No data

Documents

Name Date
ANNUAL REPORT 2025-01-21
ANNUAL REPORT 2024-02-02
ANNUAL REPORT 2023-01-29
ANNUAL REPORT 2022-01-31
ANNUAL REPORT 2021-03-10
ANNUAL REPORT 2020-01-15
ANNUAL REPORT 2019-02-10
ANNUAL REPORT 2018-01-22
AMENDED ANNUAL REPORT 2017-06-21
ANNUAL REPORT 2017-01-09

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Related by address

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Date of last update: 02 Feb 2025

Sources: Florida Department of State

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