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  5. DANIEL S. SLAYBAUGH, D.M.D., INC.

DANIEL S. SLAYBAUGH, D.M.D., INC.

Company Details

Entity Name: DANIEL S. SLAYBAUGH, D.M.D., INC.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Active
Date Filed: 23 Aug 2001 (23 years ago)
Document Number: P01000083552
FEI/EIN Number 593740544
Address: 28467 US 19 NORTH, STE 301, CLEARWATER, FL, 33761
Mail Address: 28467 US 19 NORTH, STE 301, CLEARWATER, FL, 33761
ZIP code: 33761
County: Pinellas
Place of Formation: FLORIDA

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
DANIEL S. SLAYBAUGH, D.M.D., 401(K) PLAN 2016 593740544 2017-03-20 DANIEL S. SLAYBAUGH, D.M.D. 2
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 621111
Sponsor’s telephone number 7277252439
Plan sponsor’s address 28467 US HWY 19 N, CLEARWATER, FL, 337614333

Signature of
Role Plan administrator
Date 2017-03-20
Name of individual signing DANIEL SLAYBAUGH
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2017-03-20
Name of individual signing DANIEL SLAYBAUGH
Valid signature Filed with authorized/valid electronic signature
DANIEL S. SLAYBAUGH, D.M.D., 401(K) PLAN 2015 593740544 2016-05-02 DANIEL S. SLAYBAUGH, D.M.D. 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 621111
Sponsor’s telephone number 7277252439
Plan sponsor’s address 28467 US HWY 19 N, CLEARWATER, FL, 337614333

Signature of
Role Plan administrator
Date 2016-05-02
Name of individual signing DANIEL SLAYBAUGH
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2016-05-02
Name of individual signing DANIEL SLAYBAUGH
Valid signature Filed with authorized/valid electronic signature
DANIEL S. SLAYBAUGH, D.M.D., 401(K) PLAN 2014 593740544 2015-05-11 DANIEL S. SLAYBAUGH, D.M.D. 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 621111
Sponsor’s telephone number 7277252439
Plan sponsor’s address 28467 US HWY 19 N, CLEARWATER, FL, 337614333

Signature of
Role Plan administrator
Date 2015-05-11
Name of individual signing DANIEL SLAYBAUGH
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2015-05-11
Name of individual signing DANIEL SLAYBAUGH
Valid signature Filed with authorized/valid electronic signature
DANIEL S. SLAYBAUGH, D.M.D., 401(K) PLAN 2013 593740544 2014-07-07 DANIEL S. SLAYBAUGH, D.M.D. 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 621111
Sponsor’s telephone number 7277252439
Plan sponsor’s address 28467 US HWY 19 N, CLEARWATER, FL, 337614333

Signature of
Role Plan administrator
Date 2014-07-07
Name of individual signing DANIEL SLAYBAUGH
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2014-07-07
Name of individual signing DANIEL SLAYBAUGH
Valid signature Filed with authorized/valid electronic signature
DANIEL S. SLAYBAUGH, D.M.D., 401(K) PLAN 2012 593740544 2013-06-03 DANIEL S. SLAYBAUGH, D.M.D. 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 621111
Sponsor’s telephone number 7277252439
Plan sponsor’s address 28467 US HWY 19 N, CLEARWATER, FL, 337614333

Signature of
Role Plan administrator
Date 2013-06-03
Name of individual signing DANIEL SLAYBAUGH
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2013-06-03
Name of individual signing DANIEL SLAYBAUGH
Valid signature Filed with authorized/valid electronic signature
DANIEL S. SLAYBAUGH, D.M.D. 401(K) PLAN 2010 593740544 2012-02-27 DANIEL S. SLAYBAUGH, D.M.D. 5
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 621111
Sponsor’s telephone number 7277252439
Plan sponsor’s mailing address 28467 U.S. 19 N., SUITE 301, CLEARWATER, FL, 33761
Plan sponsor’s address 28467 U.S. 19 N., SUITE 301, CLEARWATER, FL, 33761

Plan administrator’s name and address
Administrator’s EIN 593740544
Plan administrator’s name DANIEL S. SLAYBAUGH, D.M.D.
Plan administrator’s address 28467 U.S. 19 N., SUITE 301, CLEARWATER, FL, 33761
Administrator’s telephone number 7277252439

Number of participants as of the end of the plan year
Active participants 4
Retired or separated participants receiving benefits 0
Other retired or separated participants entitled to future benefits 0
Deceased participants whose beneficiaries are receiving or are entitled to receive benefits 0
Number of participants with account balances as of the end of the plan year 3
Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 0

Signature of
Role Plan administrator
Date 2012-02-27
Name of individual signing DANIEL SLAYBAUGH
Valid signature Filed with authorized/valid electronic signature
DANIEL S. SLAYBAUGH, D.M.D. 401(K) PLAN 2010 593740544 2012-02-29 DANIEL S. SLAYBAUGH, D.M.D. 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 621111
Sponsor’s telephone number 7277252439
Plan sponsor’s mailing address 28467 U.S. 19 N., SUITE 301, CLEARWATER, FL, 33761
Plan sponsor’s address 28467 U.S. 19 N., SUITE 301, CLEARWATER, FL, 33761

Plan administrator’s name and address
Administrator’s EIN 593740544
Plan administrator’s name DANIEL S. SLAYBAUGH, D.M.D.
Plan administrator’s address 28467 U.S. 19 N., SUITE 301, CLEARWATER, FL, 33761
Administrator’s telephone number 7277252439

Number of participants as of the end of the plan year
Active participants 4
Retired or separated participants receiving benefits 0
Other retired or separated participants entitled to future benefits 0
Deceased participants whose beneficiaries are receiving or are entitled to receive benefits 0
Number of participants with account balances as of the end of the plan year 3
Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 0

Signature of
Role Plan administrator
Date 2012-02-29
Name of individual signing DANIEL SLAYBAUGH
Valid signature Filed with authorized/valid electronic signature
DANIEL S. SLAYBAUGH, D.M.D. 401(K) PLAN 2009 593740544 2012-02-27 DANIEL S. SLAYBAUGH, D.M.D. 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 621111
Sponsor’s telephone number 7277252439
Plan sponsor’s mailing address 28467 U.S. 19 N., SUITE 301, CLEARWATER, FL, 33761
Plan sponsor’s address 28467 U.S. 19 N., SUITE 301, CLEARWATER, FL, 33761

Plan administrator’s name and address
Administrator’s EIN 593740544
Plan administrator’s name DANIEL S. SLAYBAUGH, D.M.D.
Plan administrator’s address 28467 U.S. 19 N., SUITE 301, CLEARWATER, FL, 33761
Administrator’s telephone number 7277252439

Number of participants as of the end of the plan year
Active participants 4
Retired or separated participants receiving benefits 0
Other retired or separated participants entitled to future benefits 0
Deceased participants whose beneficiaries are receiving or are entitled to receive benefits 0
Number of participants with account balances as of the end of the plan year 3
Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 0

Signature of
Role Plan administrator
Date 2012-02-27
Name of individual signing DANIEL SLAYBAUGH
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
SLAYBAUGH DANIEL S Agent 16217 HOYLAKE DR., ODESSA, FL, 33556

President

Name Role Address
SLAYBAUGH DANIEL S President 16217 HOYLAKE DR., ODESSA, FL, 33556

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2009-03-10 28467 US 19 NORTH, STE 301, CLEARWATER, FL 33761 No data
CHANGE OF MAILING ADDRESS 2009-03-10 28467 US 19 NORTH, STE 301, CLEARWATER, FL 33761 No data
REGISTERED AGENT NAME CHANGED 2008-01-07 SLAYBAUGH, DANIEL S No data
REGISTERED AGENT ADDRESS CHANGED 2008-01-07 16217 HOYLAKE DR., ODESSA, FL 33556 No data

Documents

Name Date
ANNUAL REPORT 2024-02-05
ANNUAL REPORT 2023-02-09
ANNUAL REPORT 2022-02-17
ANNUAL REPORT 2021-02-04
ANNUAL REPORT 2020-01-21
ANNUAL REPORT 2019-03-18
ANNUAL REPORT 2018-01-30
ANNUAL REPORT 2017-01-10
ANNUAL REPORT 2016-01-26
ANNUAL REPORT 2015-01-26

Related by officers

No related officers

Related by address

No related companies by address

Date of last update: 01 Feb 2025

Sources: Florida Department of State

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