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  5. DANIEL P. BARNES PEDIATRIC DENTISTRY, INC.

DANIEL P. BARNES PEDIATRIC DENTISTRY, INC.

Company Details

Entity Name: DANIEL P. BARNES PEDIATRIC DENTISTRY, INC.
Jurisdiction: FLORIDA
Filing Type: Florida Profit Corporation
Status: Inactive
Date Filed: 15 Apr 2002 (23 years ago)
Date of dissolution: 30 May 2020 (5 years ago)
Last Event: VOLUNTARY DISSOLUTION
Event Date Filed: 30 May 2020 (5 years ago)
Document Number: P02000043392
FEI/EIN Number 04-3655516
Address: 1440 REED CANAL RD, #3, PORT ORANGE, FL 32129
Mail Address: 5947 Marville Circle, PORT ORANGE, FL 32127
ZIP code: 32129
County: Volusia
Place of Formation: FLORIDA

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
CAPE SABLE PEDIATRIC DENTISTRY DEFINED BENEFIT PENSION PLAN & TRUST 2019 043655516 2020-10-13 DANIEL P. BARNES PEDIATRIC DENTISTRY 25
File View Page
Three-digit plan number (PN) 003
Effective date of plan 2009-01-01
Business code 621210
Sponsor’s telephone number 3867600550
Plan sponsor’s address 1440 REED CANAL ROAD, SUITE 3, PORT ORANGE, FL, 32129

Signature of
Role Plan administrator
Date 2020-10-13
Name of individual signing DANIEL P. BARNES, D.D.S.
Valid signature Filed with authorized/valid electronic signature
CAPE SABLE PEDIATRIC DENTISTRY DEFINED BENEFIT PENSION PLAN & TRUST 2018 043655516 2019-10-08 DANIEL P. BARNES PEDIATRIC DENTISTRY 25
File View Page
Three-digit plan number (PN) 003
Effective date of plan 2009-01-01
Business code 621210
Sponsor’s telephone number 3867600550
Plan sponsor’s address 1440 REED CANAL ROAD, SUITE 3, PORT ORANGE, FL, 32129

Signature of
Role Plan administrator
Date 2019-10-08
Name of individual signing DANIEL P. BARNES, D.D.S.
Valid signature Filed with authorized/valid electronic signature
CAPE SABLE PEDIATRIC DENTISTRY DEFINED BENEFIT PENSION PLAN & TRUST 2017 043655516 2018-10-11 DANIEL P. BARNES PEDIATRIC DENTISTRY 25
File View Page
Three-digit plan number (PN) 003
Effective date of plan 2009-01-01
Business code 621210
Sponsor’s telephone number 3867600550
Plan sponsor’s address 1440 REED CANAL ROAD, SUITE 3, PORT ORANGE, FL, 32129

Signature of
Role Plan administrator
Date 2018-10-11
Name of individual signing DANIEL P. BARNES, D.D.S.
Valid signature Filed with authorized/valid electronic signature
CAPE SABLE PEDIATRIC DENTISTRY DEFINED BENEFIT PENSION PLAN & TRUST 2016 043655516 2017-09-14 DANIEL P. BARNES PEDIATRIC DENTISTRY 23
File View Page
Three-digit plan number (PN) 003
Effective date of plan 2009-01-01
Business code 621210
Sponsor’s telephone number 3867600550
Plan sponsor’s address 1440 REED CANAL ROAD, SUITE 3, PORT ORANGE, FL, 32129

Signature of
Role Plan administrator
Date 2017-09-14
Name of individual signing DANIEL P. BARNES, D.D.S.
Valid signature Filed with authorized/valid electronic signature
CAPE SABLE PEDIATRIC DENTISTRY DEFINED BENEFIT PENSION PLAN & TRUST 2015 043655516 2016-09-01 DANIEL P. BARNES PEDIATRIC DENTISTRY 24
File View Page
Three-digit plan number (PN) 003
Effective date of plan 2009-01-01
Business code 621210
Sponsor’s telephone number 3867600550
Plan sponsor’s address 1440 REED CANAL ROAD, SUITE 3, PORT ORANGE, FL, 32129

Signature of
Role Plan administrator
Date 2016-09-01
Name of individual signing DANIEL P. BARNES, D.D.S.
Valid signature Filed with authorized/valid electronic signature
CAPE SABLE PEDIATRIC DENTISTRY DEFINED BENEFIT PENSION PLAN & TRUST 2014 043655516 2015-10-13 DANIEL P. BARNES PEDIATRIC DENTISTRY 17
File View Page
Three-digit plan number (PN) 003
Effective date of plan 2009-01-01
Business code 621210
Sponsor’s telephone number 3867600550
Plan sponsor’s address 1440 REED CANAL RD, SUITE 3, PORT ORANGE, FL, 32129

Signature of
Role Plan administrator
Date 2015-10-13
Name of individual signing DANIEL P. BARNES, D.D.S.
Valid signature Filed with authorized/valid electronic signature
CAPE SABLE PEDIATRIC DENTISTRY DEFINED BENEFIT PENSION PLAN & TRUST 2013 043655516 2014-09-05 DANIEL P. BARNES PEDIATRIC DENTISTRY 19
File View Page
Three-digit plan number (PN) 003
Effective date of plan 2009-01-01
Business code 621210
Sponsor’s telephone number 3867600550
Plan sponsor’s address 1440 REED CANAL RD, SUITE 3, PORT ORANGE, FL, 32129

Signature of
Role Plan administrator
Date 2014-09-05
Name of individual signing DANIEL P. BARNES, D.D.S.
Valid signature Filed with authorized/valid electronic signature
CAPE SABLE PEDIATRIC DENTISTRY DEFINED BENEFIT PENSION PLAN & TRUST 2012 043655516 2013-10-08 DANIEL P. BARNES PEDIATRIC DENTISTRY 18
File View Page
Three-digit plan number (PN) 003
Effective date of plan 2009-01-01
Business code 621210
Sponsor’s telephone number 3867600550
Plan sponsor’s address 1440 REED CANAL RD, SUITE 3, PORT ORANGE, FL, 32129

Signature of
Role Plan administrator
Date 2013-10-08
Name of individual signing DANIEL P. BARNES, D.D.S.
Valid signature Filed with authorized/valid electronic signature
CAPE SABLE PEDIATRIC DENTISTRY DEFINED BENEFIT PENSION PLAN & TRUST 2011 043655516 2012-10-09 DANIEL P. BARNES PEDIATRIC DENTISTRY 15
File View Page
Three-digit plan number (PN) 003
Effective date of plan 2009-01-01
Business code 621210
Sponsor’s telephone number 3867600550
Plan sponsor’s address 1440 REED CANAL RD, SUITE 3, PORT ORANGE, FL, 32129

Plan administrator’s name and address
Administrator’s EIN 043655516
Plan administrator’s name DANIEL P. BARNES PEDIATRIC DENTISTRY
Plan administrator’s address 1440 REED CANAL RD, SUITE 3, PORT ORANGE, FL, 32129
Administrator’s telephone number 3867600550

Signature of
Role Plan administrator
Date 2012-10-09
Name of individual signing DANIEL P. BARNES, D.D.S.
Valid signature Filed with authorized/valid electronic signature
CAPE SABLE PEDIATRIC DENTISTRY DEFINED BENEFIT PENSION PLAN & TRUST 2010 043655516 2011-10-03 DANIEL P. BARNES PEDIATRIC DENTISTRY 16
File View Page
Three-digit plan number (PN) 003
Effective date of plan 2009-01-01
Business code 621210
Sponsor’s telephone number 3867600550
Plan sponsor’s address 1440 REED CANAL RD, SUITE 3, PORT ORANGE, FL, 32129

Plan administrator’s name and address
Administrator’s EIN 043655516
Plan administrator’s name DANIEL P. BARNES PEDIATRIC DENTISTRY
Plan administrator’s address 1440 REED CANAL RD, SUITE 3, PORT ORANGE, FL, 32129
Administrator’s telephone number 3867600550

Signature of
Role Plan administrator
Date 2011-10-03
Name of individual signing DANIEL P. BARNES, D.D.S.
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2011-10-03
Name of individual signing DANIEL P. BARNES, D.D.S.
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
BARNES, DANIEL P Agent 5947 Marville Circle, PORT ORANGE, FL 32127

Director

Name Role Address
BARNES, DANIEL P Director 5947 Marville Circle, PORT ORANGE, FL 32127

Events

Event Type Filed Date Value Description
VOLUNTARY DISSOLUTION 2020-05-30 No data No data
CHANGE OF MAILING ADDRESS 2019-02-13 1440 REED CANAL RD, #3, PORT ORANGE, FL 32129 No data
REGISTERED AGENT ADDRESS CHANGED 2018-03-10 5947 Marville Circle, PORT ORANGE, FL 32127 No data
REINSTATEMENT 2012-08-21 No data No data
ADMIN DISSOLUTION FOR ANNUAL REPORT 2010-09-24 No data No data
CHANGE OF PRINCIPAL ADDRESS 2005-04-29 1440 REED CANAL RD, #3, PORT ORANGE, FL 32129 No data

Documents

Name Date
VOLUNTARY DISSOLUTION 2020-05-30
ANNUAL REPORT 2019-02-13
ANNUAL REPORT 2018-03-10
ANNUAL REPORT 2017-01-14
ANNUAL REPORT 2016-03-31
ANNUAL REPORT 2015-01-13
ANNUAL REPORT 2014-02-07
ANNUAL REPORT 2013-03-14
Reinstatement 2012-08-21
ANNUAL REPORT 2009-01-07

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Date of last update: 31 Jan 2025

Sources: Florida Department of State

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