| Entity Name: | PLANTATION DENTAL CARE, PA |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 04 Jun 2003 (22 years ago) |
| Document Number: | P03000063065 |
| FEI/EIN Number | 510472994 |
| Address: | 2550 COUNTY ROAD 220, MIDDLEBURG, FL, 32068, US |
| Mail Address: | 2550 COUNTY ROAD 220, MIDDLEBURG, FL, 32068, US |
| ZIP code: | 32068 |
| County: | Clay |
| Place of Formation: | FLORIDA |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| PLANTATION DENTAL CARE, PA 401K PLAN | 2011 | 510472994 | 2013-09-16 | PLANTATION DENTAL CARE, PA | 7 | |||||||||||||||||||||||||||||||
|
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| Administrator’s EIN | 510472994 |
| Plan administrator’s name | PLANTATION DENTAL CARE, PA |
| Plan administrator’s address | 2550 COUNTY ROAD 220, MIDDLEBURG, FL, 32068 |
| Administrator’s telephone number | 9042726600 |
Signature of
| Role | Plan administrator |
| Date | 2013-09-16 |
| Name of individual signing | NINA DEPETRIS |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2008-01-01 |
| Business code | 621210 |
| Sponsor’s telephone number | 9042726600 |
| Plan sponsor’s address | 2550 COUNTY ROAD 220, MIDDLEBURG, FL, 32068 |
Plan administrator’s name and address
| Administrator’s EIN | 510472994 |
| Plan administrator’s name | PLANTATION DENTAL CARE, PA |
| Plan administrator’s address | 2550 COUNTY ROAD 220, MIDDLEBURG, FL, 32068 |
| Administrator’s telephone number | 9042726600 |
Signature of
| Role | Plan administrator |
| Date | 2013-10-16 |
| Name of individual signing | NINA DEPETRIS |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2008-01-01 |
| Business code | 621210 |
| Sponsor’s telephone number | 9042726600 |
| Plan sponsor’s address | 2550 COUNTY ROAD 220, MIDDLEBURG, FL, 32068 |
Plan administrator’s name and address
| Administrator’s EIN | 510472994 |
| Plan administrator’s name | PLANTATION DENTAL CARE, PA |
| Plan administrator’s address | 2550 COUNTY ROAD 220, MIDDLEBURG, FL, 32068 |
| Administrator’s telephone number | 9042726600 |
Signature of
| Role | Plan administrator |
| Date | 2011-06-23 |
| Name of individual signing | JULIE WARBURTON |
| Valid signature | Filed with authorized/valid electronic signature |
| Name | Role | Address |
|---|---|---|
| DEPETRIS ERIC R | Agent | 2550 COUNTY ROAD 220, MIDDLEBURG, FL, 32068 |
| Name | Role | Address |
|---|---|---|
| DEPETRIS ERIC R | President | 2550 COUNTY ROAD 220, Middleburg, FL, 32068 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G16000127860 | SOUTHLAKE DENTAL CARE | ACTIVE | 2016-11-29 | 2026-12-31 | No data | 2550 COUNTY ROAD 220, MIDDLEBURG, FL, 32068 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2016-02-11 | 2550 COUNTY ROAD 220, MIDDLEBURG, FL 32068 | No data |
| CHANGE OF MAILING ADDRESS | 2016-02-11 | 2550 COUNTY ROAD 220, MIDDLEBURG, FL 32068 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2016-02-11 | 2550 COUNTY ROAD 220, MIDDLEBURG, FL 32068 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-07 |
| ANNUAL REPORT | 2023-02-27 |
| ANNUAL REPORT | 2022-03-08 |
| ANNUAL REPORT | 2021-02-24 |
| ANNUAL REPORT | 2020-03-19 |
| ANNUAL REPORT | 2019-03-21 |
| ANNUAL REPORT | 2018-01-24 |
| ANNUAL REPORT | 2017-01-24 |
| ANNUAL REPORT | 2016-02-11 |
| ANNUAL REPORT | 2015-03-16 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
