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  5. R. HEATH DEASON, D.M.D., P.A.

R. HEATH DEASON, D.M.D., P.A.

Company Details

Entity Name: R. HEATH DEASON, D.M.D., P.A.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Active
Date Filed: 19 Dec 2001 (23 years ago)
Last Event: AMENDMENT AND NAME CHANGE
Event Date Filed: 04 Feb 2002 (23 years ago)
Document Number: P01000120093
FEI/EIN Number 030376969
Address: 207 PELHAM ROAD, FORT WALTON BEACH, FL, 32547
Mail Address: 15A Marlborough Rd., Shalimar, FL, 32579, US
ZIP code: 32547
County: Okaloosa
Place of Formation: FLORIDA

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
R. HEATH DEASON, D.M.D., P.A. 2023 030376969 2024-02-07 R. HEATH DEASON, D.M.D., P.A. 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-01-01
Business code 621210
Sponsor’s telephone number 8508633636
Plan sponsor’s address P.O. BOX 840, SHALIMAR, FL, 32547

Signature of
Role Plan administrator
Date 2024-02-07
Name of individual signing R. HEATH DEASON
Valid signature Filed with authorized/valid electronic signature
R. HEATH DEASON, D.M.D., P.A. 401(K) PLAN 2022 030376969 2023-07-21 R. HEATH DEASON, D.M.D., P.A. 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-01-01
Business code 621210
Sponsor’s telephone number 8508633636
Plan sponsor’s address P.O. BOX 840, SHALIMAR, FL, 32579

Signature of
Role Plan administrator
Date 2023-07-21
Name of individual signing R. HEATH DEASON
Valid signature Filed with authorized/valid electronic signature
R. HEATH DEASON, D.M.D., P.A. 401(K) PLAN 2021 030376969 2022-04-20 R. HEATH DEASON, D.M.D., P.A. 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-01-01
Business code 621210
Sponsor’s telephone number 8508633636
Plan sponsor’s address P.O. BOX 840, SHALIMAR, FL, 32579

Signature of
Role Plan administrator
Date 2022-04-20
Name of individual signing R. HEATH DEASON
Valid signature Filed with authorized/valid electronic signature
R. HEATH DEASON, D.M.D., P.A. 401(K) PLAN 2020 030376969 2021-07-19 R. HEATH DEASON, D.M.D., P.A. 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-01-01
Business code 621210
Sponsor’s telephone number 8508633636
Plan sponsor’s address 207 PELHAM ROAD, FORT WALTON BEACH, FL, 32547

Signature of
Role Plan administrator
Date 2021-07-19
Name of individual signing R. HEATH DEASON
Valid signature Filed with authorized/valid electronic signature
R. HEATH DEASON, D.M.D., P.A. 401(K) PLAN 2019 030376969 2020-06-23 R. HEATH DEASON, D.M.D., P.A. 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-01-01
Business code 621210
Sponsor’s telephone number 8508633636
Plan sponsor’s address 207 PELHAM ROAD, FORT WALTON BEACH, FL, 32547

Signature of
Role Plan administrator
Date 2020-06-23
Name of individual signing R. HEATH DEASON
Valid signature Filed with authorized/valid electronic signature
R. HEATH DEASON, D.M.D., P.A. 401(K) PLAN 2018 030376969 2019-06-14 R. HEATH DEASON, D.M.D., P.A. 2
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-01-01
Business code 621210
Sponsor’s telephone number 8508633636
Plan sponsor’s address 207 PELHAM ROAD, FORT WALTON BEACH, FL, 32547

Signature of
Role Plan administrator
Date 2019-06-14
Name of individual signing R. HEATH DEASON
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2019-06-14
Name of individual signing R. HEATH DEASON
Valid signature Filed with authorized/valid electronic signature
R. HEATH DEASON, D.M.D., P.A. 401(K) PLAN 2017 030376969 2018-07-25 R. HEATH DEASON, D.M.D., P.A. 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-01-01
Business code 621210
Sponsor’s telephone number 8508633636
Plan sponsor’s address 207 PELHAM ROAD, FORT WALTON BEACH, FL, 32547

Signature of
Role Plan administrator
Date 2018-07-25
Name of individual signing R. HEATH DEASON
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2018-07-25
Name of individual signing R. HEATH DEASON
Valid signature Filed with authorized/valid electronic signature
R. HEATH DEASON, D.M.D., P.A. 401(K) PLAN 2016 030376969 2017-06-19 R. HEATH DEASON, D.M.D., P.A. 0
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-01-01
Business code 621210
Sponsor’s telephone number 8508633636
Plan sponsor’s address 207 PELHAM ROAD, FORT WALTON BEACH, FL, 32547

Signature of
Role Plan administrator
Date 2017-06-19
Name of individual signing R. HEATH DEASON
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2017-06-19
Name of individual signing R. HEATH DEASON
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
DEASON R. HEATH D Agent 15A Marlborough Rd., Shalimar, FL, 32579

Director

Name Role Address
DEASON R. HEATH Director 15A Marlborough Rd., SHALIMAR, FL, 32579

Vice President

Name Role Address
DEASON J. KRISTEN Vice President 15A Marlborough Rd., SHALIMAR, FL, 32579

Events

Event Type Filed Date Value Description
CHANGE OF MAILING ADDRESS 2024-05-01 207 PELHAM ROAD, FORT WALTON BEACH, FL 32547 No data
REGISTERED AGENT ADDRESS CHANGED 2024-05-01 15A Marlborough Rd., Shalimar, FL 32579 No data
REGISTERED AGENT NAME CHANGED 2003-01-19 DEASON, R. HEATH DMD No data
CHANGE OF PRINCIPAL ADDRESS 2002-03-28 207 PELHAM ROAD, FORT WALTON BEACH, FL 32547 No data
AMENDMENT AND NAME CHANGE 2002-02-04 R. HEATH DEASON, D.M.D., P.A. No data

Documents

Name Date
ANNUAL REPORT 2024-05-01
ANNUAL REPORT 2023-04-28
ANNUAL REPORT 2022-02-17
ANNUAL REPORT 2021-03-04
ANNUAL REPORT 2020-06-16
ANNUAL REPORT 2019-02-26
ANNUAL REPORT 2018-01-31
ANNUAL REPORT 2017-03-01
ANNUAL REPORT 2016-03-31
ANNUAL REPORT 2015-01-15

Related by officers

DEASON J. KRISTEN

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Related by address

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Date of last update: 01 Feb 2025

Sources: Florida Department of State

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