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  5. DAVID F BODEN, D.D.S., M.S., P.A.

DAVID F BODEN, D.D.S., M.S., P.A.

Company Details

Entity Name: DAVID F BODEN, D.D.S., M.S., P.A.
Jurisdiction: FLORIDA
Filing Type: Florida Profit Corporation
Status: Active
Date Filed: 16 Jan 2003 (22 years ago)
Document Number: P03000006517
FEI/EIN Number 59-3764694
Address: 1100 SW ST LUCIE WEST BLVD, SUITE 104, PORT ST LUCIE, FL 34986
Mail Address: 938 SW Hidden River Ave., Palm City, FL 34990
ZIP code: 34986
County: St. Lucie
Place of Formation: FLORIDA

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
DAVID F. BODEN, D.D.S., M.S., P.A., PROFIT SHARING PLAN 2019 593764694 2020-10-15 DAVID F. BODEN, D.D.S., M.S., P.A. 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1989-01-01
Business code 621210
Sponsor’s telephone number 7728782000
Plan sponsor’s address 1100 S.W. ST. LUCIE WEST BOULEVARD, SUITE #104, PORT ST. LUCIE, FL, 349862108

Signature of
Role Plan administrator
Date 2020-10-15
Name of individual signing DAVID BODEN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2020-10-15
Name of individual signing DAVID BODEN
Valid signature Filed with authorized/valid electronic signature
DAVID F. BODEN, D.D.S., M.S., P.A., PROFIT SHARING PLAN 2018 593764694 2019-08-27 DAVID F. BODEN, D.D.S., M.S., P.A. 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1989-01-01
Business code 621210
Sponsor’s telephone number 7728782000
Plan sponsor’s address 1100 S.W. ST. LUCIE WEST BOULEVARD, SUITE #104, PORT ST. LUCIE, FL, 349862108

Signature of
Role Plan administrator
Date 2019-08-27
Name of individual signing DAVID BODEN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2019-08-27
Name of individual signing DAVID BODEN
Valid signature Filed with authorized/valid electronic signature
DAVID F. BODEN, D.D.S., M.S., P.A., PROFIT SHARING PLAN 2017 593764694 2018-10-05 DAVID F. BODEN, D.D.S., M.S., P.A. 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1989-01-01
Business code 621210
Sponsor’s telephone number 7728782000
Plan sponsor’s address 1100 S.W. ST. LUCIE WEST BOULEVARD, SUITE #104, PORT ST. LUCIE, FL, 349862108

Signature of
Role Plan administrator
Date 2018-10-05
Name of individual signing DAVID BODEN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2018-10-05
Name of individual signing DAVID BODEN
Valid signature Filed with authorized/valid electronic signature
DAVID F. BODEN, D.D.S., M.S., P.A., PROFIT SHARING PLAN 2016 593764694 2017-07-19 DAVID F. BODEN, D.D.S., M.S., P.A. 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1989-01-01
Business code 621210
Sponsor’s telephone number 7728782000
Plan sponsor’s address 1100 S.W. ST. LUCIE WEST BOULEVARD, SUITE #104, PORT ST. LUCIE, FL, 349862108

Signature of
Role Plan administrator
Date 2017-07-19
Name of individual signing DAVID BODEN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2017-07-19
Name of individual signing DAVID BODEN
Valid signature Filed with authorized/valid electronic signature
DAVID F. BODEN, D.D.S., M.S., P.A., PROFIT SHARING PLAN 2015 593764694 2016-10-14 DAVID F. BODEN, D.D.S., M.S., P.A. 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1989-01-01
Business code 621210
Sponsor’s telephone number 7728782000
Plan sponsor’s address 1100 S.W. ST. LUCIE WEST BOULEVARD, SUITE #104, PORT ST. LUCIE, FL, 349862108

Signature of
Role Plan administrator
Date 2016-10-14
Name of individual signing DAVID BODEN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2016-10-14
Name of individual signing DAVID BODEN
Valid signature Filed with authorized/valid electronic signature
DAVID F. BODEN, D.D.S., M.S., P.A., PROFIT SHARING PLAN 2014 593764694 2015-09-16 DAVID F. BODEN, D.D.S., M.S., P.A. 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1989-01-01
Business code 621210
Sponsor’s telephone number 7728782000
Plan sponsor’s address 1100 S.W. ST. LUCIE WEST BOULEVARD, SUITE #104, PORT ST. LUCIE, FL, 349862108

Signature of
Role Plan administrator
Date 2015-09-16
Name of individual signing DAVID F BODEN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2015-09-16
Name of individual signing DAVID F BODEN
Valid signature Filed with authorized/valid electronic signature
DAVID F. BODEN, D.D.S., M.S., P.A., PROFIT SHARING PLAN 2013 593764694 2014-07-23 DAVID F. BODEN, D.D.S., M.S., P.A. 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1989-01-01
Business code 621210
Sponsor’s telephone number 7728782000
Plan sponsor’s address 1100 S.W. ST. LUCIE WEST BOULEVARD, SUITE #104, PORT ST. LUCIE, FL, 349862108

Signature of
Role Plan administrator
Date 2014-07-23
Name of individual signing DAVID BODEN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2014-07-23
Name of individual signing DAVID BODEN
Valid signature Filed with authorized/valid electronic signature
DAVID F. BODEN, D.D.S., M.S., P.A., PROFIT SHARING PLAN 2012 593764694 2013-06-17 DAVID F. BODEN, D.D.S., M.S., P.A. 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1989-01-01
Business code 621210
Sponsor’s telephone number 7728782000
Plan sponsor’s address 1100 S.W. ST. LUCIE WEST BOULEVARD, SUITE #104, PORT ST. LUCIE, FL, 349862108

Signature of
Role Plan administrator
Date 2013-06-17
Name of individual signing DAVID BODEN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2013-06-17
Name of individual signing DAVID BODEN
Valid signature Filed with authorized/valid electronic signature
DAVID F. BODEN, D.D.S., M.S., P.A., PROFIT SHARING PLAN 2011 593764694 2012-10-02 DAVID F. BODEN, D.D.S., M.S., P.A. 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1989-01-01
Business code 621210
Sponsor’s telephone number 7728782000
Plan sponsor’s address 1100 S.W. ST. LUCIE WEST BOULEVARD, SUITE #104, PORT ST. LUCIE, FL, 349862108

Plan administrator’s name and address
Administrator’s EIN 593764694
Plan administrator’s name DAVID F. BODEN, D.D.S., M.S., P.A.
Plan administrator’s address 1100 S.W. ST. LUCIE WEST BOULEVARD, SUITE #104, PORT ST. LUCIE, FL, 349862108
Administrator’s telephone number 7728782000

Signature of
Role Plan administrator
Date 2012-10-02
Name of individual signing DAVID BODEN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2012-10-02
Name of individual signing DAVID BODEN
Valid signature Filed with authorized/valid electronic signature
DAVID F. BODEN, D.D.S., M.S., P.A., PROFIT SHARING PLAN 2010 593764694 2011-07-12 DAVID F. BODEN, D.D.S., M.S., P.A. 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1989-01-01
Business code 621210
Sponsor’s telephone number 7728782000
Plan sponsor’s address 1100 S.W. ST. LUCIE WEST BOULEVARD, SUITE #104, PORT ST. LUCIE, FL, 349862108

Plan administrator’s name and address
Administrator’s EIN 593764694
Plan administrator’s name DAVID F. BODEN, D.D.S., M.S., P.A.
Plan administrator’s address 1100 S.W. ST. LUCIE WEST BOULEVARD, SUITE #104, PORT ST. LUCIE, FL, 349862108
Administrator’s telephone number 7728782000

Signature of
Role Plan administrator
Date 2011-07-12
Name of individual signing DAVID BODEN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2011-07-12
Name of individual signing DAVID BODEN
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
NORMAN, KENNETH A Agent 2400 S FEDERAL HWY SUITE 320, STUART, FL 34994

DR.

Name Role Address
BODEN, DAVID F. DR. 1100 S.E. ST. LUCIE WEST BLVD. SUITE 104, PORT ST. LUCIE, FL 34986

Events

Event Type Filed Date Value Description
CHANGE OF MAILING ADDRESS 2022-04-26 1100 SW ST LUCIE WEST BLVD, SUITE 104, PORT ST LUCIE, FL 34986 No data
CHANGE OF PRINCIPAL ADDRESS 2011-02-17 1100 SW ST LUCIE WEST BLVD, SUITE 104, PORT ST LUCIE, FL 34986 No data

Documents

Name Date
ANNUAL REPORT 2024-02-11
ANNUAL REPORT 2023-03-04
ANNUAL REPORT 2022-04-26
ANNUAL REPORT 2021-01-25
ANNUAL REPORT 2020-03-30
ANNUAL REPORT 2019-01-23
ANNUAL REPORT 2018-02-26
ANNUAL REPORT 2017-01-20
ANNUAL REPORT 2016-01-27
ANNUAL REPORT 2015-01-13

Related by officers

NORMAN, KENNETH A

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Related by address

No related companies by address

Date of last update: 06 Jan 2025

Sources: Florida Department of State

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