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  5. TIMOTHY A. GLOMB, D.M.D., P.A.

TIMOTHY A. GLOMB, D.M.D., P.A.

Company Details

Entity Name: TIMOTHY A. GLOMB, D.M.D., P.A.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Active
Date Filed: 06 Aug 2001 (24 years ago)
Document Number: P01000077029
FEI/EIN Number 593739843
Address: 2808 ENTERPRISE RD, STE 102, DEBARY, FL, 32713
Mail Address: 2808 ENTERPRISE RD, STE 102, DEBARY, FL, 32713
ZIP code: 32713
County: Volusia
Place of Formation: FLORIDA

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
TIMOTHY A. GLOMB, D.M.D., P.A. RETIREMENT PLAN & TRUST 2023 593739843 2024-03-05 TIMOTHY A. GLOMB, D.M.D., P.A. 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-01-01
Business code 621210
Sponsor’s telephone number 3866687776
Plan sponsor’s address 2808 ENTERPRISE ROAD, SUITE 102, DEBARY, FL, 32713

Signature of
Role Plan administrator
Date 2024-03-05
Name of individual signing TIMOTHY A. GLOMB, D.M.D.
Valid signature Filed with authorized/valid electronic signature
TIMOTHY A. GLOMB, D.M.D., P.A. RETIREMENT PLAN & TRUST 2022 593739843 2023-07-11 TIMOTHY A. GLOMB, D.M.D., P.A. 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-01-01
Business code 621210
Sponsor’s telephone number 3866687776
Plan sponsor’s address 2808 ENTERPRISE ROAD, SUITE 102, DEBARY, FL, 32713

Signature of
Role Plan administrator
Date 2023-07-11
Name of individual signing TIMOTHY A. GLOMB, D.M.D.
Valid signature Filed with authorized/valid electronic signature
TIMOTHY A. GLOMB, D.M.D., P.A. DEFINED BENEFIT PENSION PLAN 2022 593739843 2023-07-10 TIMOTHY A. GLOMB, D.M.D., P.A. 8
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2020-01-01
Business code 621210
Sponsor’s telephone number 3866687776
Plan sponsor’s address 2808 ENTERPRISE RD., STE 102, DEBARY, FL, 32713

Signature of
Role Plan administrator
Date 2023-07-10
Name of individual signing TIMOTHY A. GLOMB, D.M.D.
Valid signature Filed with authorized/valid electronic signature
TIMOTHY A. GLOMB, D.M.D., P.A. DEFINED BENEFIT PENSION PLAN 2022 593739843 2023-11-21 TIMOTHY A. GLOMB, D.M.D., P.A. 6
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2020-01-01
Business code 621210
Sponsor’s telephone number 3866687776
Plan sponsor’s address 2808 ENTERPRISE RD., STE 102, DEBARY, FL, 32713

Signature of
Role Plan administrator
Date 2023-11-21
Name of individual signing TIMOTHY A. GLOMB, D.M.D.
Valid signature Filed with authorized/valid electronic signature
TIMOTHY A. GLOMB, D.M.D., P.A. DEFINED BENEFIT PENSION PLAN 2021 593739843 2022-05-10 TIMOTHY A. GLOMB, D.M.D., P.A. 8
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2020-01-01
Business code 621210
Sponsor’s telephone number 3866687776
Plan sponsor’s address 2808 ENTERPRISE RD., STE 102, DEBARY, FL, 32713

Signature of
Role Plan administrator
Date 2022-05-10
Name of individual signing TIMOTHY A. GLOMB, D.M.D.
Valid signature Filed with authorized/valid electronic signature
TIMOTHY A. GLOMB, D.M.D., P.A. RETIREMENT PLAN & TRUST 2021 593739843 2022-05-10 TIMOTHY A. GLOMB, D.M.D., P.A. 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-01-01
Business code 621210
Sponsor’s telephone number 3866687776
Plan sponsor’s address 2808 ENTERPRISE ROAD, SUITE 102, DEBARY, FL, 32713

Signature of
Role Plan administrator
Date 2022-05-10
Name of individual signing TIMOTHY A. GLOMB, D.M.D.
Valid signature Filed with authorized/valid electronic signature
TIMOTHY A. GLOMB, D.M.D., P.A. DEFINED BENEFIT PENSION PLAN 2020 593739843 2021-07-15 TIMOTHY A. GLOMB, D.M.D., P.A. 7
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2020-01-01
Business code 621210
Sponsor’s telephone number 3866687776
Plan sponsor’s address 2808 ENTERPRISE RD., STE 102, DEBARY, FL, 32713

Signature of
Role Plan administrator
Date 2021-07-15
Name of individual signing TIMOTHY A. GLOMB, D.M.D.
Valid signature Filed with authorized/valid electronic signature
TIMOTHY A. GLOMB, D.M.D., P.A. RETIREMENT PLAN & TRUST 2020 593739843 2021-07-15 TIMOTHY A. GLOMB, D.M.D., P.A. 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-01-01
Business code 621210
Sponsor’s telephone number 3866687776
Plan sponsor’s address 2808 ENTERPRISE ROAD, SUITE 102, DEBARY, FL, 32713

Signature of
Role Plan administrator
Date 2021-07-15
Name of individual signing TIMOTHY A. GLOMB, D.M.D.
Valid signature Filed with authorized/valid electronic signature
TIMOTHY A. GLOMB, D.M.D., P.A. RETIREMENT PLAN & TRUST 2019 593739843 2020-10-01 TIMOTHY A. GLOMB, D.M.D., P.A. 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-01-01
Business code 621210
Sponsor’s telephone number 3866687776
Plan sponsor’s address 2808 ENTERPRISE ROAD, SUITE 102, DE BARY, FL, 32713

Signature of
Role Plan administrator
Date 2020-10-01
Name of individual signing TIMOTHY A. GLOMB, D.M.D.
Valid signature Filed with authorized/valid electronic signature
TIMOTHY A. GLOMB, D.M.D., P.A. RETIREMENT PLAN & TRUST 2018 593739843 2019-07-22 TIMOTHY A. GLOMB, D.M.D., P.A. 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-01-01
Business code 621210
Sponsor’s telephone number 3866687776
Plan sponsor’s address 2808 ENTERPRISE ROAD, SUITE 102, DE BARY, FL, 32713

Signature of
Role Plan administrator
Date 2019-07-22
Name of individual signing TIMOTHY A. GLOMB, D.M.D.
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
GLOMB TIMOTHY A Agent 2808 ENTERPRISE RD, DEBARY, FL, 32713

Director

Name Role Address
GLOMB TIMOTHY A Director 2808 ENTERPRISE RD, DEBARY, FL, 32713

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2008-04-14 2808 ENTERPRISE RD, STE 102, DEBARY, FL 32713 No data
CHANGE OF MAILING ADDRESS 2008-04-14 2808 ENTERPRISE RD, STE 102, DEBARY, FL 32713 No data
REGISTERED AGENT ADDRESS CHANGED 2008-04-14 2808 ENTERPRISE RD, STE 102, DEBARY, FL 32713 No data

Documents

Name Date
ANNUAL REPORT 2024-03-18
ANNUAL REPORT 2023-04-10
ANNUAL REPORT 2022-04-13
ANNUAL REPORT 2021-04-19
ANNUAL REPORT 2020-05-07
ANNUAL REPORT 2019-04-09
ANNUAL REPORT 2018-04-18
ANNUAL REPORT 2017-04-11
ANNUAL REPORT 2016-03-24
ANNUAL REPORT 2015-04-13

Related by officers

GLOMB TIMOTHY A

GP INVESTMENT PROPERTIES, LLC JACKSON WHITNEY ENTERPRISES, LLC

Related by address

2808 ENTERPRISE RD, STE 102, DEBARY, FL, 32713

JACKSON WHITNEY ENTERPRISES, LLC

2808 ENTERPRISE RD, STE 102, DEBARY, FL, 32713

JACKSON WHITNEY ENTERPRISES, LLC

Date of last update: 03 Feb 2025

Sources: Florida Department of State

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