| Entity Name: | SPARKLING IMAGE DENTISTRY, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Inactive |
| Date Filed: | 18 Apr 2002 (23 years ago) |
| Date of dissolution: | 01 Oct 2004 (20 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 01 Oct 2004 (20 years ago) |
| Document Number: | P02000041846 |
| FEI/EIN Number | 260011273 |
| Address: | 4904 SOUTHFORK DRIVE, LAKELAND, FL, 33813 |
| Mail Address: | 4904 SOUTHFORK DRIVE, LAKELAND, FL, 33813 |
| ZIP code: | 33813 |
| County: | Polk |
| Place of Formation: | FLORIDA |
| Name | Role |
|---|---|
| SPIEGEL & UTRERA, P.A. | Agent |
| Name | Role | Address |
|---|---|---|
| BENTHUYSEN KEITH R | President | 4904 SOUTHFORK DRIVE, LAKELAND, FL, 33813 |
| Name | Role | Address |
|---|---|---|
| BENTHUYSEN KEITH R | Secretary | 4904 SOUTHFORK DRIVE, LAKELAND, FL, 33813 |
| Name | Role | Address |
|---|---|---|
| BENTHUYSEN KEITH R | Director | 4904 SOUTHFORK DRIVE, LAKELAND, FL, 33813 |
| BROOKE BEVERLY W | Director | 4904 SOUTHFORK DRIVE, LAKELAND, FL, 33813 |
| Name | Role | Address |
|---|---|---|
| BROOKE BEVERLY W | Vice President | 4904 SOUTHFORK DRIVE, LAKELAND, FL, 33813 |
| Name | Role | Address |
|---|---|---|
| BROOKE BEVERLY W | Treasurer | 4904 SOUTHFORK DRIVE, LAKELAND, FL, 33813 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2004-10-01 | No data | No data |
| Document Number | Status | Case Number | Name of Court | Date of Entry | Expiration Date | Amount Due | Plaintiff |
|---|---|---|---|---|---|---|---|
| J05900017074 | LAPSED | 532005CA001581 | CIR CRT IN AND FOR POLK CO | 2005-09-15 | 2010-10-03 | $35757.83 | HPSC, INC., ONE BEACON STREET, 2ND FLOOR, BOSTON, MA 02108 |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2003-05-01 |
| Domestic Profit | 2002-04-18 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
