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  5. NICOLAS DEFABRIQUE, D.M.D., P.A.

NICOLAS DEFABRIQUE, D.M.D., P.A.

Company Details

Entity Name: NICOLAS DEFABRIQUE, D.M.D., P.A.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Active
Date Filed: 17 Oct 2001 (23 years ago)
Last Event: REINSTATEMENT
Event Date Filed: 08 Jul 2005 (20 years ago)
Document Number: P01000100730
FEI/EIN Number 651144303
Address: 2401 PGA BLVD, STE 276, PALM BEACH GARDENS, FL, 33410
Mail Address: 2401 PGA BLVD, STE 276, PALM BEACH GARDENS, FL, 33410
ZIP code: 33410
County: Palm Beach
Place of Formation: FLORIDA

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
NICOLAS DEFABRIQUE, D.M.D., P.A. 401(K) PROFIT SHARING PLAN AND TRUST 2023 651144303 2024-07-31 NICOLAS DEFABRIQUE, D.M.D., P.A. 13
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2011-01-01
Business code 621210
Sponsor’s telephone number 5616245801
Plan sponsor’s address 2401 PGA BOULEVARD, #276, PALM BEACH GARDENS, FL, 33410
NICOLAS DEFABRIQUE, D.M.D., P.A. 401(K) PROFIT SHARING PLAN AND TRUST 2022 651144303 2023-08-18 NICOLAS DEFABRIQUE, D.M.D., P.A. 14
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2011-01-01
Business code 621210
Sponsor’s telephone number 5616245801
Plan sponsor’s address 2401 PGA BOULEVARD, #276, PALM BEACH GARDENS, FL, 33410
NICOLAS DEFABRIQUE, D.M.D., P.A. 401(K) PROFIT SHARING PLAN AND TRUST 2021 651144303 2022-08-18 NICOLAS DEFABRIQUE, D.M.D., P.A. 14
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2011-01-01
Business code 621210
Sponsor’s telephone number 5616245801
Plan sponsor’s address 2401 PGA BOULEVARD, #276, PALM BEACH GARDENS, FL, 33410
NICOLAS DEFABRIQUE, D.M.D., P.A. 401(K) PROFIT SHARING PLAN AND TRUST 2020 651144303 2021-08-17 NICOLAS DEFABRIQUE, D.M.D., P.A. 11
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2011-01-01
Business code 621210
Sponsor’s telephone number 5616245801
Plan sponsor’s address 2401 PGA BOULEVARD, #276, PALM BEACH GARDENS, FL, 33410

Signature of
Role Plan administrator
Date 2021-08-17
Name of individual signing LINDSEY DEFABRIQUE
Valid signature Filed with authorized/valid electronic signature
NICOLAS DEFABRIQUE, D.M.D., P.A. 401(K) PROFIT SHARING PLAN AND TRUST 2019 651144303 2020-08-20 NICOLAS DEFABRIQUE, D.M.D., P.A. 11
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2011-01-01
Business code 621210
Sponsor’s telephone number 5616245801
Plan sponsor’s address 2401 PGA BOULEVARD, PALM BEACH GARDENS, FL, 33410

Signature of
Role Plan administrator
Date 2020-08-20
Name of individual signing LINDSEY DEFABRIQUE
Valid signature Filed with authorized/valid electronic signature
NICOLAS DEFABRIQUE, D.M.D., P.A. 401(K) PROFIT SHARING PLAN AND TRUST 2018 651144303 2019-08-21 NICOLAS DEFABRIQUE, D.M.D., P.A. 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2011-01-01
Business code 621210
Sponsor’s telephone number 5616245801
Plan sponsor’s address 2401 PGA BOULEVARD, PALM BEACH GARDENS, FL, 33410
NICOLAS DEFABRIQUE, D.M.D., P.A. 401(K) PROFIT SHARING PLAN AND TRUST 2018 651144303 2019-08-19 NICOLAS DEFABRIQUE, D.M.D., P.A. 10
Three-digit plan number (PN) 001
Effective date of plan 2011-01-01
Business code 621210
Sponsor’s telephone number 5616245801
Plan sponsor’s address 2401 PGA BOULEVARD, PALM BEACH GARDENS, FL, 33410
NICOLAS DEFABRIQUE, D.M.D., P.A. 401(K) PROFIT SHARING PLAN AND TRUST 2017 651144303 2018-09-12 NICOLAS DEFABRIQUE, D.M.D., P.A. 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2011-01-01
Business code 621210
Sponsor’s telephone number 5616245801
Plan sponsor’s address 2401 PGA BOULEVARD SUITE 276, PALM BEACH GARDENS, FL, 33410
NICOLAS DEFABRIQUE, D.M.D., P.A. 401(K) PROFIT SHARING PLAN AND TRUST 2016 651144303 2017-07-19 NICOLAS DEFABRIQUE, D.M.D., P.A. 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2011-01-01
Business code 621210
Sponsor’s telephone number 5616245801
Plan sponsor’s address 2401 PGA BLVD. SUITE 276, PALM BEACH GARDENS, FL, 33410
NICOLAS DEFABRIQUE, D.M.D., P.A. 401(K) PROFIT SHARING PLAN AND TRUST 2015 651144303 2016-07-01 NICOLAS DEFABRIQUE, D.M.D., P.A. 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2011-01-01
Business code 621210
Sponsor’s telephone number 5616245801
Plan sponsor’s address 2401 PGA BLVD. SUITE 276, PALM BEACH GARDENS, FL, 33410

Agent

Name Role Address
DEFABRIQUE NICOLAS D Agent 2401 PGA BLVD, PALM BEACH GARDENS, FL, 33410

President

Name Role Address
DEFABRIQUE NICOLAS D President 2401 PGA BLVD, STE 276, PALM BEACH GARDENS, FL, 33410

vice

Name Role Address
DEFABRIQUE Lindsey vice 2401 PGA BLVD, PALM BEACH GARDENS, FL, 33410

Events

Event Type Filed Date Value Description
REINSTATEMENT 2005-07-08 No data No data
CHANGE OF PRINCIPAL ADDRESS 2005-07-08 2401 PGA BLVD, STE 276, PALM BEACH GARDENS, FL 33410 No data
CHANGE OF MAILING ADDRESS 2005-07-08 2401 PGA BLVD, STE 276, PALM BEACH GARDENS, FL 33410 No data
REGISTERED AGENT ADDRESS CHANGED 2005-07-08 2401 PGA BLVD, STE 276, PALM BEACH GARDENS, FL 33410 No data
ADMIN DISSOLUTION FOR ANNUAL REPORT 2002-10-04 No data No data

Documents

Name Date
ANNUAL REPORT 2024-04-04
ANNUAL REPORT 2023-03-15
ANNUAL REPORT 2022-03-15
ANNUAL REPORT 2021-03-30
ANNUAL REPORT 2020-06-03
ANNUAL REPORT 2019-04-16
ANNUAL REPORT 2018-04-19
ANNUAL REPORT 2017-04-24
ANNUAL REPORT 2016-04-26
ANNUAL REPORT 2015-04-27

Related by officers

No related officers

Related by address

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Date of last update: 01 Feb 2025

Sources: Florida Department of State

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